Use of RSS Feeds for the Implementation of Clinical Reminder

A computer-based reminder system can help physicians get right information and make right decisions in daily clinical work in time. This study presents a RSS-based Clinical Reminding System (RCRS) designed for reminding clinicians to deal with their varied unfinished clinical works. The RCRS was implemented in a hospital to automatically generate messages for every clinician on the basis of clinical information gathered from the hospital information system (HIS) and send them by RSS feed. In order to allow all physicians to participate in the project, the RCRS was integrated with the Computerized Physician Order Entry (COPE) system to provide messages whenever a clinician logs in the HIS; the connection on screen lets the clinician easily make some response. The system can help clinicians focus on patient care without keeping track of the schedule of clinical chores stored in various systems. Two physicians, also directors from Clinical Informatics Research & Development Center (CIRD) who were appointed as project leaders of the RCRS project who went through the entire development process were chosen as interviewees to obtain a preliminary evaluation of the system. The results show the “Information Content” of this system was suggested to be modified, and “Information Accuracy”, “Formats”, “Ease of use” and “Timeliness” of the system were appropriate to meet the system design purposes.

[1]  Chung-Ming Huang,et al.  Web2OHS: A Web2.0-Based Omnibearing Homecare System , 2010, IEEE Transactions on Information Technology in Biomedicine.

[2]  Joachim Meyer,et al.  Defining and measuring physicians' responses to clinical reminders , 2009, J. Biomed. Informatics.

[3]  Russell C. Coile,et al.  Paperless Hospital: Healthcare in a Digital Age , 2002 .

[4]  C. McDonald,et al.  Reminders to physicians from an introspective computer medical record. A two-year randomized trial. , 1984, Annals of internal medicine.

[5]  C. McDonald,et al.  Effects of computerized guidelines for managing heart disease in primary care , 2003, Journal of General Internal Medicine.

[6]  R. Haynes,et al.  Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. , 1998, JAMA.

[7]  Ephraim R. McLean,et al.  The DeLone and McLean Model of Information Systems Success: A Ten-Year Update , 2003, J. Manag. Inf. Syst..

[8]  Zeki Çelikbaş What is RSS and how can it serve libraries , 2004 .

[9]  Другое RSS Advisory Board , 2010 .

[10]  C. M. Sperberg-McQueen,et al.  Extensible Markup Language (XML) , 1997, World Wide Web J..

[11]  E. Balas,et al.  Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success , 2005, BMJ : British Medical Journal.

[12]  Teemu Paavola,et al.  Development of short message service application for patient-provider communication in clinical psychiatry. , 2010, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[13]  Chris Rizos,et al.  Delivering GNSS Data Over the Internet Using RSS for Post-processing Applications , 2005 .

[14]  William J. Doll,et al.  The Measurement of End-User Computing Satisfaction , 1988, MIS Q..

[15]  Ralph H. Sprague,et al.  A Framework for the Development of Decision Support Systems , 1993 .

[16]  E. Mohammadi,et al.  Barriers and facilitators related to the implementation of a physiological track and trigger system: A systematic review of the qualitative evidence , 2017, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[17]  Ralph H. Sprague,et al.  Invited Article: A Framework for the Development of Decisoin Support Systems , 1980, MIS Q..

[18]  Mirina Grosz,et al.  World Wide Web Consortium , 2010 .

[19]  Julia C Phillippi,et al.  Web 2.0: easy tools for busy clinicians. , 2010, Journal of midwifery & women's health.

[20]  James B. Rebitzer,et al.  Influence, Information Overload, and Information Technology in Health Care , 2008, Advances in health economics and health services research.

[21]  H. Mcdonald,et al.  Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. , 2005, JAMA.

[22]  Michel C. A. Klein,et al.  Semantics-based Publication Management using RSS and FOAF , 2005, Semantic Desktop Workshop.

[23]  Evan B. Goldstein,et al.  Implementation Brief: The iCritical Care Podcast: A Novel Medium for Critical Care Communication and Education , 2007, J. Am. Medical Informatics Assoc..

[24]  Ola Andersson,et al.  RSS – The future of internal communication? , 2005 .

[25]  Kaveh G Shojania,et al.  Effect of point-of-care computer reminders on physician behaviour: a systematic review , 2010, Canadian Medical Association Journal.