HIT or Miss - Studying Failures to Enable Success.
Author(s): Leviss, J
DOI: 10.4338/ACI-2011-03-IE-0020
Author(s): Leviss, J
DOI: 10.4338/ACI-2011-03-IE-0020
Computer-based clinical decision support (CDS) systems have been shown to improve quality of care and workflow efficiency, and health care reform legislation relies on electronic health records and CDS systems to improve the cost and quality of health care in the United States; however, the heterogeneity of CDS content and infrastructure of CDS systems across sites is not well known.
Author(s): Kantor, M, Wright, A, Burton, M, Fraser, G, Krall, M, Maviglia, S, Mohammed-Rajput, N, Simonaitis, L, Sonnenberg, F, Middleton, B
DOI: 10.4338/ACI-2011-02-RA-0012
Nonverbal and verbal communication elements enhance and reinforce the consent form in the informed consent process and need to be transferred appropriately to multimedia formats using interaction design when re-designing the process.
Author(s): Plasek, Joseph M, Pieczkiewicz, David S, Mahnke, Andrea N, McCarty, Catherine A, Starren, Justin B, Westra, Bonnie L
DOI: 10.4338/ACI-2011-02-RA-0016
Less than 20% of hospitals in the US have an electronic health record (EHR). In this qualitative study, we examine the perspectives of both academic and private physicians and administrators as stakeholders, and their alignment, to explore their perspectives on the use of technology in the clinical environment.
Author(s): Grabenbauer, L, Fraser, R, McClay, J, Woelfl, N, Thompson, C B, Cambell, J, Windle, J
DOI: 10.4338/ACI-2011-01-RA-0003
There is an increasing interest in health games including simulation tools, games for specific conditions, persuasive games to promote a healthy life style or exergames where physical exercise is used to control the game.
Author(s): Brox, E, Fernandez-Luque, L, Tøllefsen, T
DOI: 10.4338/ACI-2010-10-R-0060
Clinical decision support (CDS) can improve safety, quality, and cost-effectiveness of patient care, especially when implemented in computerized provider order entry (CPOE) applications. Medication-related decision support logic forms a large component of the CDS logic in any CPOE system. However, organizations wishing to implement CDS must either purchase the computable clinical content or develop it themselves. Content provided by vendors does not always meet local expectations. Most organizations lack the [...]
Author(s): Phansalkar, S, Wright, A, Kuperman, G J, Vaida, A J, Bobb, A M, Jenders, R A, Payne, T H, Halamka, J, Bloomrosen, M, Bates, D W
DOI: 10.4338/ACI-2010-04-RA-0026
Follow-up data must be collected according to the protocol of each clinical study, i.e. at certain time points. Missing follow-up information is a critical problem and may impede or bias the analysis of study data and result in delays. Moreover, additional patient recruitment may be necessary due to incomplete follow-up data. Current electronic data capture (EDC) systems in clinical studies are usually separated from hospital information systems (HIS) and therefore [...]
Author(s): Herzberg, S, Fritz, F, Rahbar, K, Stegger, L, Schäfers, M, Dugas, M
DOI: 10.4338/ACI-2010-08-RA-0047
Medication reconciliation was developed to reduce medical mistakes and injuries through a process of creating and comparing a current medication list from independent patient information sources, and resolving discrepancies. The structure and clinician assignments of medication reconciliation varies between institutions, but usually includes physicians, nurses and pharmacists. The Joint Commission has recognized the value of medication reconciliation and mandated implementation in 2006; however, a variety of issues have prevented simple [...]
Author(s): Porcelli, P J, Waitman, L R, Brown, S H
DOI: 10.4338/ACI-2010-02-R-0010
Several disease specific registers are operated by members of the 'TMF - Technology, Methods, and Infrastructure for Networked Medical Research', an umbrella organization of research networks in Germany.
Author(s): Stausberg, J, Altmann, U, Antony, G, Drepper, J, Sax, U, Schütt, A
DOI: 10.4338/ACI-2010-04-RA-0024
Meaningful use is a multidimensional concept that incorporates complex processes; workflow; interoperability; decision support; performance evaluation; and quality improvement. Meaningful use is congruent with the overall vision for information management in New Zealand. Health practitioners interface with patient information at many levels, and are pivotal to meaningful use at the interface between service providers, patients, and the electronic health record. Advancing towards meaningful use depends on implementing a meaningful interface [...]
Author(s): Monsen, K, Honey, M, Wilson, S
DOI: 10.4338/ACI-2010-06-CR-0035