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Understanding Antecedents of Nurses' and Physicians' Workaround Behavior Regarding Hospital Information Systems: Qualitative Interview Study

Understanding Antecedents of Nurses' and Physicians' Workaround Behavior Regarding Hospital Information Systems: Qualitative Interview Study

We were able to recruit HIT employees in the US American setting, as the participating hospital served as a pilot hospital for the HIS software provider and created this role specifically for the development of the HIS. In comparison, the participating German hospitals assigned the task of HIS support to the regular IT department, without explicit consideration in workforce planning.

Eileen Doctor, Jasmin Hennrich, Torsten Eymann, Christoph Buck

J Med Internet Res 2025;27:e51781

Investigating Challenges in Implementing a Digital Play Intervention in a Complex Organization Across Pediatric Departments: Non-Randomized Controlled Feasibility Trial

Investigating Challenges in Implementing a Digital Play Intervention in a Complex Organization Across Pediatric Departments: Non-Randomized Controlled Feasibility Trial

Patients and health care providers can use digital games in a hospital setting to increase motivation, distract patients during painful procedures, and encourage social interaction [1]. Game technologies can improve children’s psychosocial health [1,2]; however, a lack of knowledge exists regarding the types of games that should be used.

Laerke Winther, Michelle Stahlhut, Derek John Curtis, Christian Have Dall, Thomas Leth Frandsen, Jette Led Sorensen

JMIR Rehabil Assist Technol 2025;12:e58019

Sociodemographic and Socioeconomic Determinants for the Usage of Digital Patient Portals in Hospitals: Systematic Review and Meta-Analysis on the Digital Divide

Sociodemographic and Socioeconomic Determinants for the Usage of Digital Patient Portals in Hospitals: Systematic Review and Meta-Analysis on the Digital Divide

Inclusion criteria Patient portal In the hospital setting Patients >18 years Comparison of characteristics of users and nonusers Peer reviewed publications with quantitative data analysis Used by patients Exclusion criteria No patient portal Outside the hospital setting Patients No comparison of characteristics of users and nonusers Publications of secondary literature like reviews, comments, essays, and publications with qualitative data analysis only Used by medical staff only Of the included studies, information

Nina Goldberg, Christin Herrmann, Paola Di Gion, Volker Hautsch, Klara Hefter, Georg Langebartels, Holger Pfaff, Lena Ansmann, Ute Karbach, Florian Wurster

J Med Internet Res 2025;27:e68091

Identifying Optimal Wearable Devices for Monitoring Mobility in Hospitalized Older Adults: Feasibility, Acceptability, and Validity Study

Identifying Optimal Wearable Devices for Monitoring Mobility in Hospitalized Older Adults: Feasibility, Acceptability, and Validity Study

Instead, they may arise from certain hospital practices, such as restricted physical activity and immobilization, which may be harmful for older patients, especially for those who are frail [1]. Studies have consistently shown that older patients spend a minimal amount of time standing or walking during their hospital stay, typically just 3% of the time [4-7].

Paulo Nascimento, Renata Kirkwood, Lauren E Griffith, Mylinh Duong, Cody Cooper, Yujiao Hao, Rong Zheng, Samir Raza, Marla Beauchamp

JMIR Aging 2025;8:e64372

Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

A stepped-wedge cluster randomized trial was conducted from October 2014 until March 2016 at the medium- to high-risk labor ward at Mulago National Referral Hospital in Uganda. This hospital also functions as the main teaching facility for Makerere University College of Medicine and Health Sciences. During this study’s period, over 23,000 women gave birth annually at the medium to high-risk labor ward.

Anne A C van Tetering, Ella L de Vries, Peter Ntuyo, E R van den Heuvel, Annemarie F Fransen, M Beatrijs van der Hout-van der Jagt, Imelda Namagembe, Josaphat Byamugisha, S Guid Oei

JMIR Med Educ 2025;11:e54911

Process Re-Engineering and Data Integration Using Fast Healthcare Interoperability Resources for the Multidisciplinary Treatment of Lung Cancer

Process Re-Engineering and Data Integration Using Fast Healthcare Interoperability Resources for the Multidisciplinary Treatment of Lung Cancer

The hospital is renowned for its comprehensive cancer care services, which include diagnosis, treatment, and follow-up care for various types of cancer. The hospital has a dedicated oncology center that provides multidisciplinary care to patients with cancer, ensuring that they receive the best possible treatment and support throughout their cancer treatment journey. This hospital is a large medical facility with over 1800 beds and a wide range of specialized departments.

Ching-Hsiung Lin, Bing-Yen Wang, Sheng-Hao Lin, Pei Hsuan Shih, Chin-Jing Lee, Yung Ting Huang, Shih Chieh Chen, Mei-Lien Pan

JMIR Cancer 2025;11:e53887

Pharmaceutical Analysis of Inpatient Prescriptions: Systematic Observation of Hospital Pharmacists’ Practices in the Early User-Centered Design Phase

Pharmaceutical Analysis of Inpatient Prescriptions: Systematic Observation of Hospital Pharmacists’ Practices in the Early User-Centered Design Phase

Out of this chaos came the interest in clinical decision support systems (CDSSs) to help clinicians make informed decisions and to derive full benefit from hospital information systems [9]. In particular, medication-related CDSSs have the greatest potential to benefit patient care and reduce drug-induced iatrogeny [10-12]. Hospital pharmacists are key users of CDSSs.

Jesse Butruille, Natalina Cirnat, Mariem Alaoui, Jérôme Saracco, Etienne Cousein, Noémie Chaniaud

JMIR Hum Factors 2025;12:e65959

A Smartphone App Self-Management Program for Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial of Clinical Outcomes

A Smartphone App Self-Management Program for Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial of Clinical Outcomes

The proportion of participants in each arm that experienced exacerbations in the hospital and GP setting is reported in Table 3. There was a statistically significant difference in the proportion of participants who had a COPD exacerbation versus those who did not have an exacerbation at 6 months in the hospital setting across the three arms, P=.03 (Table 3).

Lisa Glynn, Eddie Moloney, Stephen Lane, Emma McNally, Carol Buckley, Margaret McCann, Catherine McCabe

JMIR Mhealth Uhealth 2025;13:e56318

Improving Health and Well-Being of People With Post–COVID-19 Consequences in South Africa: Situation Analysis and Pilot Intervention Design

Improving Health and Well-Being of People With Post–COVID-19 Consequences in South Africa: Situation Analysis and Pilot Intervention Design

We conducted this study at the Chris Hani Baragwanath Academic Hospital (CHBAH) and Tembisa Provincial Tertiary Hospital (Tembisa), Johannesburg, South Africa. These health care facilities are located in townships in the City of Johannesburg and Ekurhuleni districts and cater to the general population. They are public health care facilities funded by the Gauteng Department of Health.

Nicole Audrey Glover, Farzana Sathar, Pride Mokome, Nkululeko Mathabela, Sipokazi Taleni, Sarah Alexandra van Blydenstein, Anna-Maria Mekota, Salome Charalambous, Andrea Rachow, Olena Ivanova

JMIR Form Res 2025;9:e58436

A Risk Prediction Model (CMC-AKIX) for Postoperative Acute Kidney Injury Using Machine Learning: Algorithm Development and Validation

A Risk Prediction Model (CMC-AKIX) for Postoperative Acute Kidney Injury Using Machine Learning: Algorithm Development and Validation

This condition not only escalates morbidity but also substantially increases in-hospital mortality by approximately 3- to 9-fold [2]. The severity of this risk is further underscored in patients who developed postoperative AKI after intraabdominal surgery, as a large-scale study reported a 15-fold higher risk of mortality in patients with AKI compared to those without AKI [3].

Ji Won Min, Jae-Hong Min, Se-Hyun Chang, Byung Ha Chung, Eun Sil Koh, Young Soo Kim, Hyung Wook Kim, Tae Hyun Ban, Seok Joon Shin, In Young Choi, Hye Eun Yoon

J Med Internet Res 2025;27:e62853