Hodgson T, Magrabi F, Coiera E. Evaluating the Efficiency and Safety of Speech Recognition within a Commercial Electronic Health Record System: A Replication Study. Applied Clinical Informatics. 2018; 09(02): 326-335

Objective To conduct a replication study to validate previously identified significant risks and inefficiencies associated with the use of speech recognition (SR) for documentation within an electronic health record (EHR) system. Methods Thirty-five emergency department clinicians undertook randomly allocated clinical documentation tasks using keyboard and mouse (KBM) or SR using a commercial EHR system. The experiment design,

Maali Y, Perez-Concha O, Coiera E, Roffe D, Day RO, Gallego B. Predicting 7-day, 30-day and 60-day all-cause unplanned readmission: a case study of a Sydney hospital. BMC Medical Informatics and Decision Making. 2018; 18(1):1.

Background The identification of patients at high risk of unplanned readmission is an important component of discharge planning strategies aimed at preventing unwanted returns to hospital. The aim of this study was to investigate the factors associated with unplanned readmission in a Sydney hospital. We developed and compared validated readmission risk scores using routinely collected

Wang Y, Coiera E, Runciman WB, Magrabi F. Using multiclass classification to automate the identification of patient safety incident reports by type and severity. BMC Medical Informatics and Decision Making. 2017; (Accepted 7 June 2017).

Background Approximately 10% of admissions to acute-care hospitals are associated with an adverse event. Analysis of incident reports helps to understand how and why incidents occur and can inform policy and practice for safer care. Unfortunately our capacity to monitor and respond to incident reports in a timely manner is limited by the sheer volumes

Lau A, Piper K, Bokor D, Martin P, Lau VSL, Coiera E. Challenges during implementation of a patient-facing mobile app for surgical rehabilitation [Preprint}. JMIR Human Factors. 2017.

Background Translating research into practice, especially the implementation of digital health technologies in routine care, is increasingly important. Yet, there are few studies examining the challenges of implementing patient-facing digital technologies in health care settings. Objective The aim of this study was to report challenges experienced when implementing mobile apps for patients to support their

Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. Journal of the American Medical Informatics Association. 2017; 24(6):1127-33.

Objective To compare the efficiency and safety of using speech recognition (SR) assisted clinical documentation within an electronic health record (EHR) system with use of keyboard and mouse (KBM). Methods Thirty-five emergency department clinicians undertook randomly allocated clinical documentation tasks using KBM or SR on a commercial EHR system. Tasks were simple or complex, and

Bowden T, Coiera E. The role and benefits of accessing primary care patient records during unscheduled care: a systematic review. BMC Medical Informatics and Decision Making. 2017; 17(1):138.

Background The purpose of this study was to assess the impact of accessing primary care records on unscheduled care. Unscheduled care is typically delivered in hospital Emergency Departments. Studies published to December 2014 reporting on primary care record access during unscheduled care were retrieved. Results Twenty-two articles met inclusion criteria from a pool of 192.

Laranjo L, Dunn A, Tong H, Kocaballi B, Chen J, Bashir R, Surian D, Gallego Luxan B, Magrabi F, Lau A, Coiera E. Conversational agents in healthcare: a systematic review [preprint]. Journal of American Medical Informatics Association. 2018:1-11.

Objective Our objective was to review the characteristics, current applications, and evaluation measures of conversational agents with unconstrained natural language input capabilities used for health-related purposes. Methods We searched PubMed, Embase, CINAHL, PsycInfo, and ACM Digital using a predefined search strategy. Studies were included if they focused on consumers or healthcare professionals; involved a conversational

Hodgson T, Magrabi F, Coiera E. Evaluating the usability of speech recognition to create clinical documentation using commercial electronic health record. International Journal of Medical Informatics. 2018; Published Online First: 21 February 2018.

Objective To conduct a replication study to validate previously identified significant risks and inefficiencies associated with the use of speech recognition (SR) for documentation within an electronic health record (EHR) system. Methods Thirty-five emergency department clinicians undertook randomly allocated clinical documentation tasks using keyboard and mouse (KBM) or SR using a commercial EHR system. The experiment design,

Coiera E, Ammenwerth E, Georgiou A, Magrabi F. Does health informatics have a replication crisis. Journal of the American Medical Informatics Association. 2018.

Objective Many research fields, including psychology and basic medical sciences, struggle with poor reproducibility of reported studies. Biomedical and health informatics is unlikely to be immune to these challenges. This paper explores replication in informatics and the unique challenges the discipline faces. Methods Narrative review of recent literature on research replication challenges. Results While there

ACHI Placement - Vasu Rani_1

ACHI Fellowship Program placement

The NHMRC Centre of Research Excellence in Digital Health (CRE) are pleased to announce that CSIRO has joined the ACHI Fellowship by Training Program as an accredited host organisation. Fellowship candidate Vasu Rani has been awarded a six-month paid work placement within the Mobile Health Systems team, which is a part of CSIRO’s Australian e-Health

FIRST-ACHI-FELLOWSHIP-PROGR

First ACHI Fellowship Program placement

The NHMRC Centre of Research Excellence in Digital Health (CRE) are pleased to announce that Fellowship candidate Toby Hodgson has been awarded a paid work placement at the Australian Digital Health Agency (ADHA). This placement represents a significant milestone in the development of the Fellowship by Training Program which is a core program of the CRE. Toby

Fellowship Students

ACHI Fellowship by Training Program

The ACHI Fellowship by Training Program launched in November 2017 and the response by PhD candidates, academia, government and industry has been extremely positive. Thirteen health informatics research PhD candidates have now been accepted into the program. These candidates, from across Australia and New Zealand, come from a diverse range of disciplines and research domains,

The forgetting health system

Forgetting shapes learning in two different ways. It impedes learning when important lessons are forgotten. Equally, it can be difficult to enact new lessons if we do not let go of old beliefs and practices that are no longer useful. A learning health system (LHS) that wishes to improve health service delivery will need to

Identifying-critical-gaps-in-evidence-based-digital-health-policy-300x169

Identifying critical gaps in digital health evidence-based policy

The NHMRC Centre for Research Excellence in Digital Health (CRE) is calling on government, industry, consumers and health service providers to identify critical gaps in digital health evidence-based policy. Making evidence-based decisions is a major challenge for policy makers, health services and industry who operate often on tight timeframes, and may not have access to

Applications open for the Health Informatics fellowship training program

The NHMRC Centre of Research Excellence in Digital health in partnership with the Australasian College of Health Informatics (ACHI) is pleased to announce that applications are now open for the Health Informatics Fellowship Training Program. Health Informatic research PhD candidates enrolled at an Australasian university are eligible to apply. Applications are to be submitted online