Information systems can prevent errors and improve quality.
Author(s): Balas, E A
DOI: 10.1136/jamia.2001.0080398
Author(s): Balas, E A
DOI: 10.1136/jamia.2001.0080398
Clinical prediction rules have been advocated as a possible mechanism to enhance clinical judgment in diagnostic, therapeutic, and prognostic assessment. Despite renewed interest in the their use, inconsistent terminology makes them difficult to index and retrieve by computerized search systems. No validated approaches to locating clinical prediction rules appear in the literature. The objective of this study was to derive and validate an optimal search filter for retrieving clinical prediction [...]
Author(s): Ingui, B J, Rogers, M A
DOI: 10.1136/jamia.2001.0080391
The Computerized Patient Record System is deployed at all 173 Veterans Affairs (VA) medical centers. Providers access clinical notes in the system from a note title menu. Following its implementation at the Nashville VA Medical Center, users expressed dissatisfaction with the time required find notes among hundreds of irregularly structured titles. The authors' objective was to develop a document-naming nomenclature (DNN) that creates informative, structured note titles that improve information [...]
Author(s): Brown, S H, Lincoln, M, Hardenbrook, S, Petukhova, O N, Rosenbloom, S T, Carpenter, P, Elkin, P
DOI: 10.1136/jamia.2001.0080379
To observe how electronic messaging between a hospital consultant and general practitioners (GPs) in 15 practices about patients suffering from diabetes evolved over a 3-year period after an initial 1-year study.
Author(s): Moorman, P W, Branger, P J, van der Kam, W J, van der Lei, J
DOI: 10.1136/jamia.2001.0080372
Direct physician order entry (POE) offers many potential benefits, but evidence suggests that POE requires substantially more time than traditional paper-based ordering methods. The Medical Gopher is a well-accepted system for direct POE that has been in use for more than 15 years. The authors hypothesized that physicians using the Gopher would not spend any more time writing orders than physicians using paper-based methods.
Author(s): Overhage, J M, Perkins, S, Tierney, W M, McDonald, C J
DOI: 10.1136/jamia.2001.0080361
Decision support systems in the medical field have to be easily modified by medical experts themselves. The authors have designed a knowledge acquisition tool to facilitate the creation and maintenance of a knowledge base by the domain expert and its sharing and reuse by other institutions. The Unified Medical Language System (UMLS) contains the domain entities and constitutes the relations repository from which the expert builds, through a specific browser [...]
Author(s): Achour, S L, Dojat, M, Rieux, C, Bierling, P, Lepage, E
DOI: 10.1136/jamia.2001.0080351
An evident contrast exists between the generally easy way medical doctors and administrators use the term "telemedicine" and the wide variety of significantly different technologic methods and devices necessary for correctly performing specific tasks in the field. Many misunderstandings could be avoided by agreeing on the types of services that telemedicine can provide, names for those services, and descriptions of what is included in the services. This manifesto lists representative [...]
Author(s): Pinciroli, F
DOI: 10.1136/jamia.2001.0080349
In 1998, the American Medical Informatics Association (AMIA) published a white paper entitled "Guidelines for the Clinical Use of Electronic Mail with Patients," which outlined a practical framework for this interaction. Interest in the use of other Internet-based tools, such as the World Wide Web, to enhance clinical communication is increasing. In such systems, static information can be made centrally available to patients and interactive tools such as messaging systems [...]
Author(s): Prady, S L, Norris, D, Lester, J E, Hoch, D B
DOI: 10.1136/jamia.2001.0080344
As a multidisciplinary field, medical informatics draws on a range of disciplines, such as computer science, information science, and the social and cognitive sciences. The cognitive sciences can provide important insights into the nature of the processes involved in human- computer interaction and help improve the design of medical information systems by providing insight into the roles that knowledge, memory, and strategies play in a variety of cognitive activities. In [...]
Author(s): Patel, V L, Arocha, J F, Kaufman, D R
DOI: 10.1136/jamia.2001.0080324
The National Library of Medicine's MEDLINE (MEDLARS Online) database was the first database to be searched nationwide via value-added telecommunication networks. Now available on the World Wide Web free of charge from the National Library of Medicine and from many other sources, it is the world's most heavily used medical database. MEDLINE is unique in that each reference to the medical literature is indexed under a controlled vocabulary called Medical [...]
Author(s): Coletti, M H, Bleich, H L
DOI: 10.1136/jamia.2001.0080317