Tora Hammar
YOU?
Author Swipe
View article: Drug‐Induced <scp>QT</scp> Prolongation: Associations Between Risk Classifications in a Swedish Clinical Decision Support System and Clinical Outcomes
Drug‐Induced <span>QT</span> Prolongation: Associations Between Risk Classifications in a Swedish Clinical Decision Support System and Clinical Outcomes Open
Potential adverse drug events can be signaled in Clinical Decision Support Systems (CDSSs). This study validated a Swedish CDSS (Janusmed Risk Profile) by investigating associations between calculated risk classifications of drugs with QT‐…
View article: Identifying Adverse Drug Events in Clinical Text Using Fine-Tuned Clinical Language Models: Machine Learning Study
Identifying Adverse Drug Events in Clinical Text Using Fine-Tuned Clinical Language Models: Machine Learning Study Open
Background Medications are essential for health care but can cause adverse drug events (ADEs), which are harmful and sometimes fatal. Detecting ADEs is a challenging task because they are often not documented in the structured data of elec…
View article: Machine Learning to Improve Decision Support for Preventing Adverse Drug Events
Machine Learning to Improve Decision Support for Preventing Adverse Drug Events Open
One approach to preventing adverse drug events (ADEs), such as harmful drug interactions, is the implementation of clinical decision support systems (CDSS). In an ongoing project, we are investigating the accuracy of the rule-based CDSS cu…
View article: Detecting Adverse Drug Events in Clinical Notes Using Large Language Models
Detecting Adverse Drug Events in Clinical Notes Using Large Language Models Open
Monitoring adverse drug events (ADEs) is critical for pharmacovigilance and patient safety. However, identifying ADEs remains challenging, as suspected or confirmed side effects are often documented solely in the unstructured text of elect…
View article: Evaluation of the impact of expert knowledge: How decision support scores impact the effectiveness of automatic knowledge-driven feature engineering (aKDFE)
Evaluation of the impact of expert knowledge: How decision support scores impact the effectiveness of automatic knowledge-driven feature engineering (aKDFE) Open
Adverse Drug Events (ADEs), harmful medication effects, pose significant healthcare challenges, impacting patient safety and costs. This study evaluates automatic Knowledge-Driven Feature Engineering (aKDFE) for improved ADE prediction fro…
View article: Primary Care Nurses’ Experiences of Structured Documentation: A Qualitative Interview Study
Primary Care Nurses’ Experiences of Structured Documentation: A Qualitative Interview Study Open
Healthcare is undergoing an unprecedented technological transition to structured documentation in electronic health records (EHR), which has the potential to increase the quality of documentation. However, given the rising demand for direc…
View article: Differences in use of telemedicine integrated into traditional primary health care – a comparative observational study
Differences in use of telemedicine integrated into traditional primary health care – a comparative observational study Open
Our findings suggest that users are more likely to be women and below the age of 60. Likewise, users also tend to have a greater need for health care services compared to non-users, and they seek health care more often compared to non-user…
View article: Fine-tuning Clinical Language Models to Identify Adverse Drug Events in Clinical Text (Preprint)
Fine-tuning Clinical Language Models to Identify Adverse Drug Events in Clinical Text (Preprint) Open
BACKGROUND Medications are essential for health care but can cause adverse drug events (ADEs), which are harmful and sometimes fatal. Detecting ADEs is a challenging task because they are often not documented in the structured data of ele…
View article: Potential Adverse Drug Events Identified with Decision Support Algorithms from Janusmed Risk Profile—A Retrospective Population-Based Study in a Swedish Region
Potential Adverse Drug Events Identified with Decision Support Algorithms from Janusmed Risk Profile—A Retrospective Population-Based Study in a Swedish Region Open
Adverse drug events (ADEs) occur frequently and are a common cause of suffering, hospitalizations, or death, and can be caused by harmful combinations of medications. One method used to prevent ADEs is by using clinical decision support sy…
View article: Challenges with Medication Management and the National Medication List in Sweden: An Interview Study from a Human, Organizational, and Technology Perspective
Challenges with Medication Management and the National Medication List in Sweden: An Interview Study from a Human, Organizational, and Technology Perspective Open
Sweden is in the process of implementing the National Medication List (NLL). The aim of this study was to explore the challenges with the medication management process, as well as expectation for NLL, from a human, organizational, and tech…
View article: Nationally Shared Medication Lists – Describing Systems in the Nordic Countries
Nationally Shared Medication Lists – Describing Systems in the Nordic Countries Open
This paper provides an overview of shared medication lists (SMLs) in four Nordic countries (Denmark, Finland, Norway and Sweden) with a focus on the type of information the list is based on. This is a structured comparison conducted in sta…
View article: Potential Drug-Related Problems in Pediatric Patients—Describing the Use of a Clinical Decision Support System at Pharmacies in Sweden
Potential Drug-Related Problems in Pediatric Patients—Describing the Use of a Clinical Decision Support System at Pharmacies in Sweden Open
The clinical support system Electronic Expert Support (EES) is available at all pharmacies in Sweden to examine electronic prescriptions when dispensing to prevent drug-related problems (DRPs). DRPs are common, and result in patient suffer…
View article: Healthcare professionals’ perceptions of a web-based application for using the new National Medication List in Sweden
Healthcare professionals’ perceptions of a web-based application for using the new National Medication List in Sweden Open
Objective During the first stage of implementing the National Medication List in Sweden, a web-based application called Förskrivningskollen (FK) was launched. FK includes information about a patient's prescribed and dispensed medications, …
View article: Digital consultation in primary healthcare: the effects on access, efficiency and patient safety based on provider experience; a qualitative study
Digital consultation in primary healthcare: the effects on access, efficiency and patient safety based on provider experience; a qualitative study Open
The findings suggest that text-based e-consultation platforms may bring important quality improvements to primary healthcare service in terms of access, efficiency, and patient safety. Yet, areas where e-consultation does not contribute to…
View article: Patients’ view on information about medications: a pharmacy-based survey focusing on perceptions of pharmacists using a clinical decision support system
Patients’ view on information about medications: a pharmacy-based survey focusing on perceptions of pharmacists using a clinical decision support system Open
The aim of this study was to describe patients’ view on information regarding their medication with focus on community pharmacists’ use of the clinical decision support system EES (electronic expert support system). This study was performe…
View article: Issues with the Swedish e-prescribing system – An analysis of health information technology-related incident reports using an existing classification system
Issues with the Swedish e-prescribing system – An analysis of health information technology-related incident reports using an existing classification system Open
Objective To identify issues with the Swedish e-prescribing system and devise a set of recommendations to overcome the identified challenges. Methods A number of health information technology-related incidents were collected retrospectivel…
View article: Current Knowledge about Providing Drug–Drug Interaction Services for Patients—A Scoping Review
Current Knowledge about Providing Drug–Drug Interaction Services for Patients—A Scoping Review Open
Drug–drug interactions (DDIs) pose a major problem to patient safety. eHealth solutions have the potential to address this problem and generally improve medication management by providing digital services for health care professionals and …
View article: Patients’ Use and Perceptions of a Drug-Drug Interaction Database: A Survey of Janusmed Interactions
Patients’ Use and Perceptions of a Drug-Drug Interaction Database: A Survey of Janusmed Interactions Open
Janusmed interactions is a drug-drug interactions (DDI) database available online for healthcare professionals (HCP) at all levels of the healthcare system including pharmacies. The database is aimed at HCP but is also open to the public f…
View article: Web-based education of the elderly improves drug utilization literacy: A randomized controlled trial
Web-based education of the elderly improves drug utilization literacy: A randomized controlled trial Open
The aim of this study was to explore the effects of web-based education in the field of drug utilization on elderly individuals’ knowledge of, concerns about and self-assessed understanding of drug utilization. The 260 included participant…
View article: Guiding principles for the use of knowledge bases and real-world data in clinical decision support systems: report by an international expert workshop at Karolinska Institutet
Guiding principles for the use of knowledge bases and real-world data in clinical decision support systems: report by an international expert workshop at Karolinska Institutet Open
Evidence-based, publicly funded, well-structured and curated knowledge bases are of global importance. They ought to be considered as a public responsibility requiring transparency and handling of conflicts of interest. Information has to …
View article: The Use of a Decision Support System in Swedish Pharmacies to Identify Potential Drug-Related Problems—Effects of a National Intervention Focused on Reviewing Elderly Patients’ Prescriptions
The Use of a Decision Support System in Swedish Pharmacies to Identify Potential Drug-Related Problems—Effects of a National Intervention Focused on Reviewing Elderly Patients’ Prescriptions Open
In pharmacies in Sweden, a clinical decision support system called Electronic Expert Support (EES) is available to analyse patients’ prescriptions for potential drug-related problems. A nationwide intervention was performed in 2018 among a…
View article: Stakeholder consensus on the purpose of clinical evaluation of electronic health records is required
Stakeholder consensus on the purpose of clinical evaluation of electronic health records is required Open
To explore the purpose and performance of clinical evaluation of electronic health records (EHRs) among stakeholders in order to identify any need for regulatory actions or guidelines. This was a qualitative study of information collected …
View article: Patients’ views on electronic patient information leaflets
Patients’ views on electronic patient information leaflets Open
Although many were positive towards reading the patient information leaflet electronically, the majority prefer the patient information leaflet in paper form. Providing appropriate and useful eHealth services for patients to access the pat…