Clinical decision support and electronic prescribing systems: a time for responsible thought and action.
Author(s): Miller, Randolph A, Gardner, Reed M, Johnson, Kevin B, Hripcsak, George
DOI: 10.1197/jamia.M1830
Author(s): Miller, Randolph A, Gardner, Reed M, Johnson, Kevin B, Hripcsak, George
DOI: 10.1197/jamia.M1830
Charting systems with decision support have been developed to assist with medication charting, but many of the features of these programs are not properly used in their clinical application. An analysis of medication error reports at LDS Hospital revealed the occurrence of errors that should have been detected and prevented by decision support features if real-time entry at the bedside had taken place. The aim of this study was to [...]
Author(s): Nelson, Nancy C, Evans, R Scott, Samore, Matthew H, Gardner, Reed M
DOI: 10.1197/jamia.M1692
This article provides information concerning a novel research subject recruitment registry developed at Vanderbilt University. Project goals were (1) to provide a mechanism for lay individuals to self-enter information conveying interest in volunteering for clinical research and (2) provide tools for researchers to select and contact potential volunteers based on study-specific inclusion criteria. The registry was built and offered as an institutional resource to all university scientists conducting institutional review [...]
Author(s): Harris, Paul A, Lane, Lynda, Biaggioni, Italo
DOI: 10.1197/jamia.M1722
To generate and measure the reliability for a reference standard set with representative cases from seven broad syndromic case definitions and several narrower syndromic definitions used for biosurveillance.
Author(s): Chapman, Wendy W, Dowling, John N, Wagner, Michael M
DOI: 10.1197/jamia.M1841
This paper describes an institutional approach taken to build a primary care reference portal. The objective for the site is to make access to and use of clinical reference faster and easier and to facilitate the use of evidence-based answers in daily practice. Reference objects were selected and metadata applied to a core set of sources. Metadata were used to search, sort, and filter results and to define deep-linked queries [...]
Author(s): Ketchell, Debra S, St Anna, Leilani, Kauff, David, Gaster, Barak, Timberlake, Diane
DOI: 10.1197/jamia.M1601
Unintended consequences of computerized patient care system interventions may increase resource use, foster clinical errors, and reduce users' confidence.
Author(s): Rosenbloom, S Trent, Chiu, Kou-Wei, Byrne, Daniel W, Talbert, Doug A, Neilson, Eric G, Miller, Randolph A
DOI: 10.1197/jamia.M1811
Computer-based provider order entry (CPOE) systems are implemented to increase both efficiency and accuracy in health care, but these systems often cause a myriad of emotions to arise. This qualitative research investigates the emotions surrounding CPOE implementation and use.
Author(s): Sittig, Dean F, Krall, Michael, Kaalaas-Sittig, Joann, Ash, Joan S
DOI: 10.1197/jamia.M1711
Authors evaluated whether displaying context sensitive links to infrequently accessed educational materials and patient information via the user interface of an inpatient computerized care provider order entry (CPOE) system would affect access rates to the materials.
Author(s): Rosenbloom, S Trent, Geissbuhler, Antoine J, Dupont, William D, Giuse, Dario A, Talbert, Douglas A, Tierney, William M, Plummer, W Dale, Stead, William W, Miller, Randolph A
DOI: 10.1197/jamia.M1627
The aim of this study was to evaluate the impact of introducing health information technology (HIT) on physician-patient interactions during outpatient visits.
Author(s): Hsu, John, Huang, Jie, Fung, Vicki, Robertson, Nan, Jimison, Holly, Frankel, Richard
DOI: 10.1197/jamia.M1741
Evidence-based practices in preventive care and chronic disease management are inconsistently implemented. Computerized clinical reminders (CRs) can improve compliance with these practices in outpatient settings. However, since clinician adherence to CR recommendations is quite variable and declines over time, we conducted observations to determine barriers and facilitators to the effective use of CRs.
Author(s): Saleem, Jason J, Patterson, Emily S, Militello, Laura, Render, Marta L, Orshansky, Greg, Asch, Steven M
DOI: 10.1197/jamia.M1777