Patient-centered care via health information technology: a qualitative study with experts from Israel and the U.S.

Although patient-centered care (PCC) is one of the cornerstones of modern healthcare, the role that health information technology (HIT) plays in supporting PCC remains unclear. In this qualitative study, we interviewed academic and clinical experts from the US and Israel to understand to what extent current HIT systems are supportive of PCC and how PCC should be supported by HIT in the future. A maximum variation sampling approach was used to identify nine experts in both HIT and PCC from clinical and academic settings in Israel and the US.

Risk factors for urinary tract infection caused by Enterobacteriaceae with extended-spectrum beta-lactamase resistance in patients admitted to internal medicine departments.

Background: Extended-spectrum beta-lactamase (ESBL) resistance is a growing concern in and outside hospitals. Physicians often face a true clinical dilemma when initiating empirical antibiotic treatment in patients admitted to internal medicine departments.

Objectives: To determine the prevalence of risk factors for ESBL resistance in patients with urinary tract infection (UTI) admitted to internal medicine departments.

TiMeDDx--a multi-phase anchor-based diagnostic decision-support model.

Main Clinical Manifestation (MCM)-oriented diagnosis starts with a chief problem and reasons about possible diagnoses that can be manifested in that way. The reasoning process often starts by considering abstract diagnosis groups (e.g.

Characterization of the knowledge contained in diagnostic problem oriented clinical practice guidelines.

Several data types (symptoms, signs, and tests) are gathered and used in the process of investigating a clinical problem. In this study, we aimed to quantitatively evaluate how often the knowledge contained in clinical practice guidelines refer to these data types, and to what extent evidence based medicine principles are applied to them. To this end, we analyzed the knowledge contained in diagnostic problem-oriented guidelines using a set of relevant characteristics that we developed.