Electronic health records: monitoring the return on large investments.
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2013-001966
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2013-001966
The implementation of health information technology interventions is at the forefront of most policy agendas internationally. However, such undertakings are often far from straightforward as they require complex strategic planning accompanying the systemic organizational changes associated with such programs. Building on our experiences of designing and evaluating the implementation of large-scale health information technology interventions in the USA and the UK, we highlight key lessons learned in the hope of [...]
Author(s): Cresswell, Kathrin M, Bates, David W, Sheikh, Aziz
DOI: 10.1136/amiajnl-2013-001684
We sought to determine the extent to which adoption of health information technology (HIT) by physician practices may differ from the extent of use by individual physicians, and to examine factors associated with adoption and use.
Author(s): McClellan, Sean R, Casalino, Lawrence P, Shortell, Stephen M, Rittenhouse, Diane R
DOI: 10.1136/amiajnl-2012-001271
To develop an electronic registry of patients with chronic kidney disease (CKD) treated in a nephrology practice in order to provide clinically meaningful measurement and population management to improve rates of blood pressure (BP) control.
Author(s): Greenberg, Jeffrey O, Vakharia, Nirav, Szent-Gyorgyi, Lara E, Desai, Sonali P, Turchin, Alexander, Forman, John, Bonventre, Joseph V, Kachalia, Allen
DOI: 10.1136/amiajnl-2012-001308
This paper summarizes much of the research that is applicable to the design of auditory alarms in a medical context. It also summarizes research that demonstrates that false alarm rates are unacceptably high, meaning that the proper application of auditory alarm design principles are compromised.
Author(s): Edworthy, Judy
DOI: 10.1136/amiajnl-2012-001061
The increasing availability of clinical data from electronic medical records (EMRs) has created opportunities for secondary uses of health information. When used in machine learning classification, many data features must first be transformed by discretization.
Author(s): Maslove, David M, Podchiyska, Tanya, Lowe, Henry J
DOI: 10.1136/amiajnl-2012-000929
Alert fatigue represents a common problem associated with the use of clinical decision support systems in electronic health records (EHR). This problem is particularly profound with drug-drug interaction (DDI) alerts for which studies have reported override rates of approximately 90%. The objective of this study is to report consensus-based recommendations of an expert panel on DDI that can be safely made non-interruptive to the provider's workflow, in EHR, in an [...]
Author(s): Phansalkar, Shobha, van der Sijs, Heleen, Tucker, Alisha D, Desai, Amrita A, Bell, Douglas S, Teich, Jonathan M, Middleton, Blackford, Bates, David W
DOI: 10.1136/amiajnl-2012-001089
We discuss the use of structural models for the analysis of biosurveillance related data.
Author(s): Cheng, Karen Elizabeth, Crary, David J, Ray, Jaideep, Safta, Cosmin
DOI: 10.1136/amiajnl-2012-000945
To determine whether indication-based computer order entry alerts intercept wrong-patient medication errors.
Author(s): Galanter, William, Falck, Suzanne, Burns, Matthew, Laragh, Marci, Lambert, Bruce L
DOI: 10.1136/amiajnl-2012-001555
To extract drug indications from structured drug labels and represent the information using codes from standard medical terminologies.
Author(s): Fung, Kin Wah, Jao, Chiang S, Demner-Fushman, Dina
DOI: 10.1136/amiajnl-2012-001291