Measuring the impact of health information technology.
Author(s): Hanauer, D, Zheng, K
DOI: 10.4338/ACI-2012-06-LE-0025
Author(s): Hanauer, D, Zheng, K
DOI: 10.4338/ACI-2012-06-LE-0025
Georgetown University has a student run Emergency Medical Services (EMS) organization with over 100 emergency medical technicians (EMTs). We set out to determine whether implementing an electronic patient care report (ePCR) system was associated with improved physical exam documentation.
Author(s): Katzer, R, Barton, D J, Adelman, S, Clark, S, Seaman, E L, Hudson, K B
DOI: 10.4338/ACI-2012-03-RA-0008
Longitudinal studies exploring the evolution of health information technology functions provide valuable information about how technology systems are integrated and exploited in situ. This study reports changes in the distribution of functions for a specific health information technology, the tele-ICU, over time. The studied tele-ICU provided care to six remote ICUs within a local geographic region in the same state and had nursing staff around the clock.
Author(s): Anders, S H, Woods, D D, Schweikhart, S, Ebright, P, Patterson, E
DOI: 10.4338/ACI-2011-12-RA-0073
Electronic health record systems used in conjunction with clinical decision support (CDS) or computerized provider order entry (CPOE) have shown potential in improving quality of care, yet less is known about the effects of combination use of CDS and CPOE on prescribing rates at discharge.
Author(s): Patterson, M E, Marken, P A, Simon, S D, Hackman, J L, Schaefer, R S
DOI: 10.4338/ACI-2011-11-RA-0068
Semantic interoperability between routine healthcare and clinical research is an unsolved issue, as information systems in the healthcare domain still use proprietary and site-specific data models. However, information exchange and data harmonization are essential for physicians and scientists if they want to collect and analyze data from different hospitals in order to build up registries and perform multicenter clinical trials. Consequently, there is a need for a standardized metadata exchange [...]
Author(s): Breil, B, Kenneweg, J, Fritz, F, Bruland, P, Doods, D, Trinczek, B, Dugas, M
DOI: 10.4338/ACI-2012-03-RA-0011
Electronic physician documentation is an essential element of a complete electronic medical record (EMR). At Lucile Packard Children's Hospital, a teaching hospital affiliated with Stanford University, we implemented an inpatient electronic documentation system for physicians over a 12-month period. Using an EMR-based free-text editor coupled with automated import of system data elements, we were able to achieve voluntary, widespread adoption of the electronic documentation process. When given the choice between [...]
Author(s): Hahn, J S, Bernstein, J A, McKenzie, R B, King, B J, Longhurst, C A
DOI: 10.4338/ACI-2012-02-CR-0003
Employing new health information technologies while concurrently providing quality patient care and reducing risk is a major challenge in all health care sectors. In this study, we investigated the usability gaps in the Emergency Department Information System (EDIS) as ten nurses differentiated by two experience levels, namely six expert nurses and four novice nurses, completed two lists of nine scenario-based tasks.
Author(s): Kim, M S, Shapiro, J S, Genes, N, Aguilar, M V, Mohrer, D, Baumlin, K, Belden, J L
DOI: 10.4338/ACI-2011-11-RA-0065
To develop a practical approach for implementing clinical decision support (CDS) for medication black box warnings (BBWs) into health information systems (HIS).
Author(s): Ikezuagu, M, Yang, E, Daghstani, A, Kaelber, D C
DOI: 10.4338/ACI-2011-10-RA-0063
Frail older inpatients are at risk of unintended adverse events while in hospital, particularly falls, functional decline, delirium and incontinence.
Author(s): Groshaus, H, Boscan, A, Khandwala, F, Holroyd-Leduc, J
DOI: 10.4338/ACI-2011-08-RA-0047
To identify and summarize the requirements of an optimized CPOE application for pediatric intensive care.
Author(s): Castellanos, I, Rellensmann, G, Scharf, J, Bürkle, T
DOI: 10.4338/ACI-2011-08-RA-0051