HIT or Miss - Studying Failures to Enable Success.
Author(s): Leviss, J
DOI: 10.4338/ACI-2011-03-IE-0020
Author(s): Leviss, J
DOI: 10.4338/ACI-2011-03-IE-0020
Given relatively less favorable health outcomes in rural Alabama, electronic health records (EHRs) have an even greater potential to improve quality and alleviate disparities if meaningfully used.
Author(s): Houser, S H, Au, D, Weech-Maldonado, R
DOI: 10.4338/ACI-2011-01-RA-0001
Nonverbal and verbal communication elements enhance and reinforce the consent form in the informed consent process and need to be transferred appropriately to multimedia formats using interaction design when re-designing the process.
Author(s): Plasek, Joseph M, Pieczkiewicz, David S, Mahnke, Andrea N, McCarty, Catherine A, Starren, Justin B, Westra, Bonnie L
DOI: 10.4338/ACI-2011-02-RA-0016
To investigate whether strength of social feedback, i.e. other people who concur (or do not concur) with one's own answer to a question, influences the way one answers health questions.
Author(s): Lau, A Y S, Kwok, T M Y, Coiera, E
DOI: 10.4338/ACI-2011-01-RA-0006
There is an increasing interest in health games including simulation tools, games for specific conditions, persuasive games to promote a healthy life style or exergames where physical exercise is used to control the game.
Author(s): Brox, E, Fernandez-Luque, L, Tøllefsen, T
DOI: 10.4338/ACI-2010-10-R-0060
Clinical decision support (CDS) can improve safety, quality, and cost-effectiveness of patient care, especially when implemented in computerized provider order entry (CPOE) applications. Medication-related decision support logic forms a large component of the CDS logic in any CPOE system. However, organizations wishing to implement CDS must either purchase the computable clinical content or develop it themselves. Content provided by vendors does not always meet local expectations. Most organizations lack the [...]
Author(s): Phansalkar, S, Wright, A, Kuperman, G J, Vaida, A J, Bobb, A M, Jenders, R A, Payne, T H, Halamka, J, Bloomrosen, M, Bates, D W
DOI: 10.4338/ACI-2010-04-RA-0026
OBJECTIVE: To support collaboration and clinician-targeted decision support, electronic health records (EHRs) must contain accurate information about patients' care providers. The objective of this study was to evaluate two approaches for care provider identification employed within a commercial EHR at a large academic medical center. METHODS: We performed a retrospective review of EHR data for 121 patients in two cardiology wards during a four-week period. System audit logs of chart [...]
Author(s): Vawdrey, David K, Wilcox, Lauren G, Collins, Sarah, Feiner, Steven, Mamykina, Olena, Stein, Daniel M, Bakken, Suzanne, Fred, Matthew R, Stetson, Peter D
DOI: 10.4338/ACI-2011-05-RA-0034
OBJECTIVES: To analyze sociotechnical issues involved in the process of developing an interoperable commercial Personal Health Record (PHR) in a hospital setting, and to create guidelines for future PHR implementations. METHODS: This qualitative study utilized observational research and semi-structured interviews with 8 members of the hospital team, as gathered over a 28 week period of developing and adapting a vendor-based PHR at Lucile Packard Children's Hospital at Stanford University. A [...]
Author(s): Gaskin, Gregory L, Longhurst, Christopher A, Slayton, Rebecca, Das, Amar K
DOI: 10.4338/ACI-2011-06-RA-0035
BACKGROUND: The US FDA has been collecting information on medical devices involved in significant adverse advents since 1984. These reports have been used by researchers to advise clinicians on potential risks and complications of using these devices. OBJECTIVE: Research adverse events related to the use of Clinical Information Systems (CIS) as reported in FDA databases. METHODS: Three large, national, adverse event medical device databases were examined for reports pertaining to [...]
Author(s): Myers, Risa B, Jones, Stephen L, Sittig, Dean F
DOI: 10.4338/ACI-2010-11-RA-0064
Medication reconciliation was developed to reduce medical mistakes and injuries through a process of creating and comparing a current medication list from independent patient information sources, and resolving discrepancies. The structure and clinician assignments of medication reconciliation varies between institutions, but usually includes physicians, nurses and pharmacists. The Joint Commission has recognized the value of medication reconciliation and mandated implementation in 2006; however, a variety of issues have prevented simple [...]
Author(s): Porcelli, P J, Waitman, L R, Brown, S H
DOI: 10.4338/ACI-2010-02-R-0010