Improving Bridging from Informatics Theory to Practice

R. Haux; S. Koch

doi:10.4338/ACI-2015-10-RA-0147

Applied Clinical Informatics, Table of Contents

Appl Clin Inform 2015; 06(04): 748-756
DOI: 10.4338/ACI-2015-10-RA-0147

Research Article

Schattauer GmbH

Improving Bridging from Informatics Theory to Practice

Authors

R. Haux

¹Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig – Institute of Technology and Hannover Medical School, Germany
S. Koch

²Health Informatics Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden

Abstract

Summary

Background: In 1962, Methods of Information in Medicine (MIM) began to publish papers on the methodology and scientific fundamentals of managing data, information, and knowledge in biomedicine and health care. Meeting an increasing demand for research about practical implementation of health information systems, the journal Applied Clinical Informatics (ACI) was launched in 2009. Both journals are official journals of the International Medical Informatics Association (IMIA).

Objectives: Based on prior analyses, we aimed to describe major topics published in MIM during 2014 and to explore whether theory of MIM influenced practice of ACI. Our objectives were further to describe lessons learned and to discuss possible editorial policies to improve bridging from theory to practice.

Methods: We conducted a retrospective, observational study reviewing MIM articles published during 2014 (N=61) and analyzing reference lists of ACI articles from 2014 (N=70). Lessons learned and opinions about MIM editorial policies were developed in consensus by the two authors. These have been influenced by discussions with the journal’s associate editors and editorial board members.

Results: The publication topics of MIM in 2014 were broad, covering biomedical and health informatics, medical biometry and epidemiology. Important topics discussed were biosignal interpretation, boosting methodologies, citation analysis, health-enabling and ambient assistive technologies, health record banking, safety, and standards. Nine ACI practice articles from 2014 cited eighteen MIM theory papers from any year. These nine ACI articles covered mainly the areas of clinical documentation and medication-related decision support. The methodological basis they cited from was almost exclusively related to evaluation. We could show some direct links where theory impacted practice. These links are however few in relation to the total amount of papers published.

Conclusions: Editorial policies such as publishing systematic methodological reviews and clarification of possible practical impact of theory-focused articles may improve bridging.

Keywords

Biomedical informatics - health informatics - clinical informatics - medical informatics - serial publications

Full Text

References

References
1 Methods of Informatics in Medicine.. http://www.methods-online.com . Last access: October 10, 2015.
2 McCray AT, Gefeller O, Aronsky D, Leong TY, Sarkar IN, Bergemann D, Lindberg DA, van Bemmel JH, Haux R. The birth and evolution of a discipline devoted to information in biomedicine and health care. As reflected in its longest running journal. Methods Inf Med 2011; 50 (06) 491-507.
3 Applied Clinical Informatics.. http://aci.schattauer.de/en/home.html . Last access: October 10, 2015.
4 Lehmann CU, Altuwaijri MM, Li YC, Ball MJ, Haux R. Translational research in medical informatics or from theory to practice. A call for an applied informatics journal. Methods Inf Med 2008; 47 (01) 1-3.
5 Kim GR, Lehmann CU. In search of dialogue and discourse in applied clinical informatics. Appl Clin Inform 2009; 0: 1-7.
6 International Medical Informatics Association.. http://www.imia.org . Last access: October 10, 2015.
7 Schattauer Verlag, Stuttgart,. Germany http://www.schattauer.de/nc/en/home.html . Last access: October 10, 2015.
8 Haux R. IMIA: the global informatics perspective for good health. Yearb Med Inform 2010: 1-5.
9 Haux R, Ball M. From theory into practice: bridging the clinical informatics divide!. Appl Clin Inform. 2009 0: 8-11.
10 Haux R. On determining factors for good research in biomedical and health informatics. Some lessons learned. Yearb Med Inform 2014; 9: 255-264.
11 Haux R, Lehmann CU. From bed to bench: bridging from informatics practice to theory: an exploratory analysis. Appl Clin Inform 2014; 5 (04) 907-915.
12 Lehmann CU, Haux R. From bench to bed: bridging from informatics theory to practice. An exploratory analysis. Methods Inf Med 2014; 53 (06) 511-515.
13 Lehmann CU, Gundlapalli AV. Improving bridging from informatics practice to theory. Methods Inf Med. (to appear)
14 PubMed. http://www.ncbi.nlm.nih.gov/pubmed . Last access: October 10, 2015.
15 German Research Association.. Proposals for Safeguarding Good Scientific Practice. Bonn, 1998. http://www.dfg.de/download/pdf/foerderung/rechtliche_rahmenbedingungen/gute_wissenschaftliche_praxis/self_regulation_98.pdf Last access: October 10, 2015.
16 Wood NM, D’Amore JD, Jones SL, Sittig DF, Ness RB. Death: taxes and advance directives. Appl Clin Inform 2014; 5 (02) 589-593.
17 Vito D, Diltz M, Porter M, White P, Luberti A. Symposium highlights and synopses of the scientific program: the Sixth Annual Mid-Atlantic Healthcare Informatics Symposium. Appl Clin Inform 2014; 5 (01) 85-91.
18 Yasnoff WA, Shortliffe EH. Lessons learned from a health record bank start-up. Methods Inf Med 2014; 53 (02) 66-72.
19 Plischke M, Wagner M, Haarbrandt B, Rochon M, Schwartze J, Tute E, Bartkiewicz T, Kleinschmidt T, Seidel C, Schüttig H, Haux R. The lower saxony bank of health. rationale, principles, services, organization and architectural framework. Methods Inf Med 2014; 53 (02) 73-81.
20 Hafen E, Kossmann D, Brand A. Health data cooperatives –citizen empowerment. Methods Inf Med 2014; 53 (02) 82-86.
21 Reeder B, Chung J, Le T, Thompson H, Demiris G. Assessing older adults’ perceptions of sensor data and designing visual displays for ambient environments. An exploratory study. Methods Inf Med 2014; 53 (03) 152-159.
22 Gietzelt M, von Bargen T, Kohlmann M, Marschollek M, Schwartze J, Song B, Wagner M, Wolf KH, Haux R. Home-centered health-enabling technologies and regional health information systems. An integration approach based on international standards. Methods Inf Med 2014; 53 (Suppl. 03) 160-166.
23 Nitzsche T, Thiele S, Häber A, Winter A. Communication architecture for AAL. Supporting patient care by health care providers in AAL-enhanced living quarters. Methods Inf Med 2014; 53 (03) 167-172.
24 Altini M, Penders J, Vullers R, Amft O. Automatic heart rate normalization for accurate energy expenditure estimation. An analysis of activities of daily living and heart rate features. Methods Inf Med 2014; 53 (05) 382-388.
25 Hartzler AL, Patel RA, Czerwinski M, Pratt W, Roseway A, Chandrasekaran N, Back A. Real-time feedback on nonverbal clinical communication. Theoretical framework and clinician acceptance of ambient visual design. Methods Inf Med 2014; 53 (05) 389-405.
26 Daemen EM, Flinsenberg IC, Van Loenen EJ, Cuppen RP, Rajae-Joordens RJ. Adaptable healing patient room for stroke patients. A staff evaluation. Methods Inf Med 2014; 53 (05) 406-415.
27 Valenza G, Citi L, Gentili C, Lanatá A, Scilingo EP, Barbieri R. Point-process nonlinear autonomic assessment of depressive states in bipolar patients. Methods Inf Med 2014; 53 (04) 296-302.
28 Maier C, Wenz H, Dickhaus H. Robust detection of sleep apnea from Holter ECGs. Joint assessment of modulations in QRS amplitude and respiratory myogram interference. Methods Inf Med 2014; 53 (04) 303-307.
29 Migliorini M, Kortelainen JM, Pärkkä J, Tenhunen M, Himanen SL, Bianchi AM. Monitoring nocturnal heart rate with bed sensor. Methods Inf Med 2014; 53 (04) 308-313.
30 Mayr A, Binder H, Gefeller O, Schmid M. The evolution of boosting algorithms. From machine learning to statistical modelling. Methods Inf Med 2014; 53 (06) 419-427.
31 Mayr A, Binder H, Gefeller O, Schmid M. Extending statistical boosting. An overview of recent methodological developments. Methods Inf Med 2014; 53 (06) 428-435.
32 Bühlmann P, Gertheiss J, Hieke S, Kneib T, Ma S, Schumacher M, Tutz G, Wang CY, Wang Z, Ziegler A. Discussion of „the evolution of boosting algorithms“ and „extending statistical boosting“. Methods Inf Med 2014; 53 (06) 436-445.
33 Ammenwerth E, Aly AF, Bürkle T, Christ P, Dormann H, Friesdorf W, Haas C, Haefeli WE, Jeske M, Kaltschmidt J, Menges K, Möller H, Neubert A, Rascher W, Reichert H, Schuler J, Schreier G, Schulz S, Seidling HM, Stühlinger W, Criegee-Rieck M. Memorandum on the use of information technology to improve medication safety. Methods Inf Med 2014; 53 (05) 336-343.
34 Koutkias VG, McNair P, Kilintzis V, Skovhus Andersen K, Niès J, Sarfati JC, Ammenwerth E, Chazard E, Jensen S, Beuscart R, Maglaveras N. From adverse drug event detection to prevention. A novel clinical decision support framework for medication safety. Methods Inf Med 2014; 53 (06) 482-492.
35 Schwartze J, Haarbrandt B, Fortmeier D, Haux R, Seidel C. Authentication systems for securing clinical documentation workflows. A systematic literature review. Methods Inf Med 2014; 53 (01) 3-13.
36 Pecoraro F, Luzi D. The integration of the risk management process with the lifecycle of medical device software. Methods Inf Med 2014; 53 (02) 92-98.
37 Liang SF, Taweel A, Miles S, Kovalchuk Y, Spiridou A, Barratt B, Hoang U, Crichton S, Delaney BC, Wolfe C. Semi automated transformation to OWL formatted files as an approach to data integration. A feasibility study using environmental, disease register and primary care clinical data. Methods Inf Med 2015; 54 (Suppl. 01) 32-40.
38 Edeler B, Majeed RW, Ahlbrandt J, Stöhr MR, Stommel F, Brenck F, Thun S, Röhrig R. LOINC in prehospital emergency medicine in Germany –experience of the ‘DIRK‘-project. Methods Inf Med 2014; 53 (02) 87-91.
39 Hsu YH, Ho YS. Highly cited articles in health care sciences and services field in Science Citation Index Expanded. A bibliometric analysis for 1958 –2012. Methods Inf Med 2014; 53 (06) 446-458.
40 Rigby M. Citation analysis in health care sciences. Innovative investigation or seductive pseudo-science? Methods Inf Med 2014; 53 (06) 459-463.
41 Hatakeyama Y, Kataoka H, Nakajima N, Watabe T, Fujimoto S, Okuhara Y. Prediction model for glucose metabolism based on lipid metabolism. Methods Inf Med 2014; 53 (05) 357-363.
42 Sen I, Saraclar M, Kahya YP. Computerized diagnosis of respiratory disorders. SVM based classification of VAR model parameters of respiratory sounds. Methods Inf Med 2014; 53 (04) 291-295.
43 Engelhardt B, König J, Blettner M, Wild P, Münzel T, Lackner K, Blankenberg S, Pfeiffer N, Beutel M, Zwiener I. Combining cross-sectional data on prevalence with risk estimates from a prediction model. A novel method for estimating the attributable risk. Methods Inf Med 2014; 53 (05) 371-379.
44 Liu Y, Chiu S, Lin Y, Chiou WK. Pictogram-based method of visualizing dietary intake. Methods Inf Med 2014; 53 (06) 493-500.
45 Czaplik M, Bergrath S, Rossaint R, Thelen S, Brodziak T, Valentin B, Hirsch F, Beckers SK, Brokmann JC. Employment of telemedicine in emergency medicine. Clinical requirement analysis, system development and first test results. Methods Inf Med 2014; 53 (02) 99-107.
46 Liu KE, Lo CL, Hu YH. Improvement of adequate use of warfarin for the elderly using decision tree-based approaches. Methods Inf Med 2014; 53 (01) 47-53.
47 Mnatzaganian G, Ryan P, Hiller JE. Does Co-morbidity provide significant improvement on age adjustment when predicting medical outcomes?. Methods Inf Med 2014; 53 (02) 115-120.
48 Preuß M, Ziegler A. A simplification and implementation of random-effects meta-analyses based on the exact distribution of Cochran’s Q. Methods Inf Med 2014; 53 (01) 54-61.
49 Wilms M, Werner R, Blendowski M, Ortmüller J, Handels H. Simulation of range imaging-based estimation of respiratory lung motion. Influence of noise, signal dimensionality and sampling patterns. Methods Inf Med 2014; 53 (04) 257-263.
50 Thomas AM, Cook LJ, Dean JM, Olson LM. The utility of imputed matched sets. Analyzing probabilistically linked databases in a low information setting. Methods Inf Med 2014; 53 (03) 186-194.
51 ISI Web of Knowledge SM. http://www.webofknowledge.com Last access: October 14, 2015.
52 Sockolow PS, Bowles KH, Adelsberger MC, Chittams JL, Liao C. Impact of homecare electronic health record on timeliness of clinical documentation, reimbursement, and patient outcomes. Appl Clin Inform 2014; 5 (02) 445-462.
53 Neri PM, Volk LA, Samaha S, Pollard SE, Williams DH, Fiskio JM, Burdick E, Edwards ST, Ramelson H, Schiff GD, Bates DW. Relationship between documentation method and quality of chronic disease visit notes. Appl Clin Inform 2014; 5 (02) 480-490.
54 Cho I J, Lee J, Han H, Phansalkar S, Bates DW. Evaluation of a Korean version of a tool for assessing the incorporation of human factors into a medication-related decision support system: the I-MeDeSA. Appl Clin Inform 2014; 5 (02) 571-588.
55 Hackl WO, Hoerbst A, Duftschmid G, Gall W, Janzek-Hawlat S, Jung M, Woertz K, Dorda W, Ammenwerth E. Crucial factors for the acceptance of a computerized national medication list. Appl Clin Inform 2014; 5 (02) 527-537.
56 Craven CK, Sievert MC, Hicks LL, Alexander GL, Hearne LB, Holmes JH. CAH to CAH. EHR implementation advice to critical access hospitals from peer experts and other key informants. Appl Clin Inform 2014; 5 (01) 92-117.
57 Højen AR, Sundvall E, Gøeg KR. Methods and applications for visualization of SNOMED CT concept sets. Appl Clin Inform 2014; 5 (01) 127-152.
58 Ho YX Gadd CS, Kohorst KL, Rosenbloom ST. A qualitative analysis evaluating the purposes and practices of clinical documentation. Appl Clin Inform 2014; 5 (01) 153-168.
59 Hua L, Wang S, Gong Y. Text prediction on structured data entry in healthcare: a two-group randomized usability study measuring the prediction impact on user performance. Appl Clin Inform 2014; 5 (01) 249-263.
60 Tariq A, Lehnbom E, Oliver K, Georgiou A, Rowe C, Osmond T, Westbrook J. Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. Appl Clin Inform 2014; 5 (04) 971-987.
61 Sittig DF. Work-sampling: a statistical approach to evaluation of the effect of computers on work patterns in healthcare. Methods Inf Med 1993; 32 (02) 167-174.
62 Ammenwerth E, de Keizer N. An inventory of evaluation studies of information technology in health care –Trends in evaluation research 1982–2002. Methods Inf Med 2005; 44 (01) 44-56.
63 Sockolow PS, Crawford PR, Lehmann HP. Broadening a general framework for evaluating health information technology through health services research evaluation principles. Methods Inf Med 2012; 51 (02) 122-130.
64 Ammenwerth E, Spotl HP. The time needed for clinical documentation versus direct patient care. A work-sampling analysis of physicians’ activities. Methods Inf Med 2009; 48 (01) 84-91.
65 Weir CR, Hurdle JF, Felgar MA, Hoffman JM, Roth B, Nebeker JR. Direct text entry in electronic progress notes. An evaluation of input errors. Methods Inf Med 2003; 42 (01) 61-67.
66 van Ginneken AM. The physician’s flexible narrative. Methods Inf Med 1996; 35 (02) 98-100.
67 Khajouei R, Jaspers MWM. The impact of CPOE medication systems’ design aspects on usability, work-flow and medication orders: a systematic review. Methods Inf Med 2010; 49 (01) 3-19.
68 Jung MI, Hoerbst A, Hackl WO, Kirrane F, Borbolla D, Jaspers MW, Oertle M, Koutkias V, Ferret L, Mass-ari P, Lawton K, Riedmann D, Darmoni S, Maglaveras N, Lovis C, Ammenwerth E. Attitude of physicians towards automatic alerting in computerized physician order entry systems. A comparative international survey. Methods Inf Med 2013; 52 (02) 99-108.
69 Dorda W, Duftschmid G, Gerhold L, Gall W, Gambal J. Austria’s path toward nationwide electronic health records. Methods Inf Med 2008; 47 (02) 117-123.
70 Jung M, Hoerbst A, Hackl WO, Kirrane F, Borbolla D, Jaspers MW, Oertle M, Koutkias V, Ferret L, Massari P, Lawton K, Riedmann D, Darmoni S, Maglaveras N, Lovis C, Ammenwerth E. Attitude of physicians towards automatic alerting in computerized physician order entry systems. A comparative international survey. Methods Inf Med 2013; 52 (02) 99-108.
71 Hackl WO, Hoerbst A, Ammenwerth E. ,,Why the hell do we need electronic health records?“. EHR acceptance among physicians in private practice in Austria: a qualitative study. Methods Inf Med 2011; 50 (01) 53-61.
72 Hoerbst A, Ammenwerth E. Electronic health records. A systematic review on quality requirements. Methods Inf Med 2010; 49 (04) 320-336.
73 Brender J, Ammenwerth E, Nykanen P, Talmon J. Factors influencing success and failure of health informatics systems –a pilot Delphi study. Methods Inf Med 2006; 45 (01) 125-136.
74 Garde S, Knaup P, Hovenga EJS, Heard S. Towards semantic interoperability for electronic health records –domain knowledge governance for open EHR archetypes. Methods Inf Med 2007; 46 (03) 332-343.
75 Højen AR, Goeg KR. SNOMED CT Implementation. Mapping guidelines facilitating reuse of data. Methods Inf Med 2012; 51 (06) 529-538.
76 Rector AL, Nowlan WA, Kay S. Foundations for an electronic medical record. Methods Inf Med 1991; 30 (03) 179-86.
77 Tuttle MS, Olson NE, Keck KD, Cole WG, Erlbaum MS, Sherertz DD, Chute CG, Elkin PL, Atkin GE, Kaihoi BH, Safran C, Rind D, Law V. Metaphrase: an aid to the clinical conceptualization and formalization of patient problems in healthcare enterprises. Methods Inf Med 1998; 37 4–5 373-383.
78 Niazkhani Z, Pirnejad H, van der Sijs H, de Bont A, Aarts J. Computerized provider order entry system –does it support the inter-professional medication process?. Methods Inf Med 2010; 49 (01) 20-27.
79 Lindemann WB. Insufficient evidence for changing editorial policy (letter to the editor). Methods Inf Med 2015; 54 (03) 288-289.