Tong HL, Coiera E, Laranjo L. Using a mobile social networking app to promote physical activity: a qualitative study of users’ perspectives. Journal of Medical Internet Research. 2018; 20(12):e11439.

Background: Despite many health benefits of physical activity, nearly a third of the world’s adult population is insufficiently active. Technological interventions, such as mobile apps, wearable trackers, and Web-based social networks, offer great promise in promoting physical activity, but little is known about users’ acceptability and long-term engagement with these interventions. Objective: The aim of

Arguel A, Perez‐Concha O, Li SY, Lau AY. Theoretical approaches of online social network interventions and implications for behavioural change: a systematic review. Journal of Evaluation in Clinical Practice. 2018; 24(1):212-21.

Rational, aims and objectives: The aim of this review was to identify general theoretical frameworks used in online social network interventions for behavioral change. To address this research question, a PRISMA‐compliant systematic review was conducted. Methods: A systematic review (PROSPERO registration number CRD42014007555) was conducted using 3 electronic databases (PsycINFO, Pubmed, and Embase). Four reviewers

Coiera E, Kocaballi AB, Halamka J, Laranjo L. The digital scribe. npj Digital Medicine. 2018; 1(1):58.

Current generation electronic health records suffer a number of problems that make them inefficient and associated with poor clinical satisfaction. Digital scribes or intelligent documentation support systems, take advantage of advances in speech recognition, natural language processing and artificial intelligence, to automate the clinical documentation task currently conducted by humans. Whilst in their infancy, digital

Laranjo L, Lau AYS, Martin P, Tong HL, Coiera E. Use of a mobile social networking intervention for weight management: a mixed-methods study protocol [Abstract]. BMJ Open. 2017; 7(7):e016665.

Introduction: Obesity and physical inactivity are major societal challenges and significant contributors to the global burden of disease and healthcare costs. Information and communication technologies are increasingly being used in interventions to promote behaviour change in diet and physical activity. In particular, social networking platforms seem promising for the delivery of weight control interventions. We

O’Neil A, Cocker F, Rarau P, Baptista S, Cassimatis M, Barr Taylor C, Lau AY, Kanuri N, Oldenburg B. Using digital interventions to improve the cardiometabolic health of populations: a meta-review of reporting quality. Journal of the American Medical Informatics Association. 2017; 24(4):867-79.

Objectives. We conducted a meta-review to determine the reporting quality of user-centered digital interventions for the prevention and management of cardiometabolic conditions. Materials and Methods. Using predetermined inclusion criteria, systematic reviews published between 2010 and 2015 were identified from 3 databases. To assess whether current evidence is sufficient to inform wider uptake and implementation of

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. Journal of American Medical Informatics Association. 2018: Sep 1;25(9): 1248-1258.

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: 25(8)963-968

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

Coiera E, Magrabi F, Talmon J. Engineering technology resilience through informatics safety science [Editorial]. Journal of the American Medical Informatics Association. 2017; 24(2):244-5.

With every year that passes, our relationship to information technology becomes more complex, and our dependence deeper. Technology is our great ally, promising greater efficiency and productivity. It also promises greater safety for our patients. However, this relationship with technology can sometimes be a brittle one. We can quickly cross a safety gap from a