Physicians, information technology, and health care systems: a journey, not a destination.
Author(s): McDonald, Clement J, Overhage, J Marc, Mamlin, Burke W, Dexter, Paul D, Tierney, William M
DOI: 10.1197/jamia.M1488
Author(s): McDonald, Clement J, Overhage, J Marc, Mamlin, Burke W, Dexter, Paul D, Tierney, William M
DOI: 10.1197/jamia.M1488
The aim of this study was to develop a practical and efficient protein identification system for biomedical corpora.
Author(s): Egorov, Sergei, Yuryev, Anton, Daraselia, Nikolai
DOI: 10.1197/jamia.M1453
The effective coordination of health care relies on communication of confidential information about consumers between different health and community care services. However, consumers must be able to give or withhold "e-Consent" to those who wish to access their electronic health information. There are several possible forms for e-Consent. In the general consent model, a patient provides blanket consent for access to his or her information by an organization for all [...]
Author(s): Coiera, Enrico, Clarke, Roger
DOI: 10.1197/jamia.M1480
Clinicians generally record medical narrative data, such as current complaints, physical examination, and progress notes, as free text in paper-based medical records. The medical narrative involves heterogeneous and detailed data that include the description of (multiple) occurrences of medical findings or symptoms that may progress over time. Structured, electronic recording of narrative data would facilitate the use of these data for research. The authors' OpenSDE application supports clinicians with the [...]
Author(s): Los, Renske K, van Ginneken, Astrid M, de Wilde, Marcel, van der Lei, Johan
DOI: 10.1197/jamia.M1375
Computerized physician order entry (CPOE) is touted as a major improvement in patient safety, primarily as a result of the Institute of Medicine's 1999 report on medical errors and the subsequent formation of the "Leapfrog Group" of companies to preferentially direct their employees' health care to those institutions that install such systems (as part of directives that "Leapfrog" feels will improve patient care). Although the literature suggests that such systems [...]
Author(s): Berger, Robert G, Kichak, J P
DOI: 10.1197/jamia.M1411
Substantial variations in adherence to guidelines for human immunodeficiency virus (HIV) care have been documented. To evaluate their effectiveness in improving quality of care, ten computerized clinical reminders (CRs) were implemented at two pilot and eight study sites. The aim of this study was to identify human factors barriers to the use of these CRs.
Author(s): Patterson, Emily S, Nguyen, Anh D, Halloran, James P, Asch, Steven M
DOI: 10.1197/jamia.M1364
Author(s): Pancoast, Paul E, Patrick, Timothy B, Mitchell, Joyce A
DOI: 10.1197/jamia.M1388
Qualitative studies can help us understand the "successes" and "failures" of telemedicine to normalize within clinical service provision. This report presents the development of a robust conceptual model of normalization processes in the implementation and development of telemedicine services.
Author(s): May, Carl, Harrison, Robert, Finch, Tracy, MacFarlane, Anne, Mair, Frances, Wallace, Paul, ,
DOI: 10.1197/jamia.M1145
Few previous studies evaluating the benefits of diagnostic decision support systems have simultaneously measured changes in diagnostic quality and clinical management prompted by use of the system. This report describes a reliable and valid scoring technique to measure the quality of clinical decision plans in an acute medical setting, where diagnostic decision support tools might prove most useful.
Author(s): Ramnarayan, Padmanabhan, Kapoor, Ritika R, Coren, Michael, Nanduri, Vasantha, Tomlinson, Amanda L, Taylor, Paul M, Wyatt, Jeremy C, Britto, Joseph F
DOI: 10.1197/jamia.M1338
(1) To evaluate preliminary effects of a computerized support system on congruence between patients' reported symptoms and preferences and those addressed in the patient consultation and (2) to investigate the system's ease of use, time requirements, and patient satisfaction.
Author(s): Ruland, Cornelia M, White, Thomas, Stevens, Marguerite, Fanciullo, Gilbert, Khilani, Samir M
DOI: 10.1197/jamia.M1365