Matching the level of evaluation to a project's stage of development.
Author(s): Stead, W W
DOI: 10.1136/jamia.1996.96342652
Author(s): Stead, W W
DOI: 10.1136/jamia.1996.96342652
The peer-review organizations (PROs) were created by Congress in 1984 to monitor the cost and quality of care received by Medicare beneficiaries. In order to do this, the Health Care Financing Administration (HCFA) contracted with the PROs through a series of contracts referred to as "Scopes of Work." Under the Fourth Scope of Work, the HCFA initiated the Health Care Quality Improvement Program (HCQIP) in 1990, as an application of [...]
Author(s): Grant, J B, Hayes, R P, Pates, R D, Elward, K S, Ballard, D J
DOI: 10.1136/jamia.1996.96342646
Provision of automated support for planning protocol-directed therapy requires a computer program to take as input clinical data stored in an electronic patient-record system and to generate as output recommendations for therapeutic interventions and laboratory testing that are defined by applicable protocols. This paper presents a synthesis of research carried out at Stanford University to model the therapy-planning task and to demonstrate a component-based architecture for building protocol-based decision-support systems [...]
Author(s): Musen, M A, Tu, S W, Das, A K, Shahar, Y
DOI: 10.1136/jamia.1996.97084511
Java, a new object-oriented computing language related to C++, is receiving considerable attention due to its use in creating network-sharable, platform-independent software modules (known as "applets") that can be used with the World Wide Web. The Web has rapidly become the most commonly used information-retrieval tool associated with the global computer network known as the Internet, and Java has the potential to further accelerate the Web's application to medical problems [...]
Author(s): Rodgers, R P
DOI: 10.1136/jamia.1996.97035021
The literature on the performance evaluation of medical expert system is extensive, yet most of the techniques used in the early stages of system development are inappropriate for deployed expert systems. Because extensive clinical and informatics expertise and resources are required to perform evaluations, efficient yet effective methods of monitoring performance during the long-term maintenance phase of the expert system life cycle must be devised. Statistical process control techniques provide [...]
Author(s): Kahn, M G, Bailey, T C, Steib, S A, Fraser, V J, Dunagan, W C
DOI: 10.1136/jamia.1996.96413133
To explore different user-interface designs for structured progress note entry, with a long-term goal of developing design guidelines for user interfaces where users select items from large medical vocabularies.
Author(s): Poon, A D, Fagan, L M, Shortliffe, E H
DOI: 10.1136/jamia.1996.96236285
Strategies for implementing instructional technology are based on recent experiences at the University of Michigan Medical Center. The issues covered include 1) addressing facilities, hardware, and staffing needs, 2) determining learners' skill requirements and appropriate training activities, and 3) selecting and customizing educational software. Many examples are provided, and nine key points for success are emphasized.
Author(s): Miller, J G, Wolf, F M
DOI: 10.1136/jamia.1996.96236279
The objective of the Willow Project is to develop a uniform search interface that allows a diverse community of users to retrieve information from heterogeneous network-based information resources. Willow separates the user interface from the database management or information retrieval system. It provides a graphic user interface to a variety of information resources residing on diverse hosts, and using different search engines and idiomatic query languages through networked-based client-server and [...]
Author(s): Ketchell, D S, Freedman, M M, Jordan, W E, Lightfoot, E M, Heyano, S, Libbey, P A
DOI: 10.1136/jamia.1996.96342647
The modern study of artificial intelligence in medicine (AIM) is 25 years old. Throughout this period, the field has attracted many of the best computer scientists, and their work represents a remarkable achievement. However, AIM has not been successful-if success is judged as making an impact on the practice of medicine. Much recent work in AIM has been focused inward, addressing problems that are at the crossroads of the parent [...]
Author(s): Coiera, E W
DOI: 10.1136/jamia.1996.97084510