Realizing the full potential of electronic health records: the role of natural language processing.
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2011-000501
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2011-000501
To present a partnership-based and community-oriented approach designed to ease provider anxiety and facilitate the implementation of electronic health records (EHR) in resource-limited primary care settings.
Author(s): Dennehy, Patricia, White, Mary P, Hamilton, Andrew, Pohl, Joanne M, Tanner, Clare, Onifade, Tiffiani J, Zheng, Kai
DOI: 10.1136/amiajnl-2011-000117
Implementing health information technology (IT) at the community level is a national priority to help improve healthcare quality, safety, and efficiency. However, community-based organizations implementing health IT may not have expertise in evaluation. This study describes lessons learned from experience as a multi-institutional academic collaborative established to provide independent evaluation of community-based health IT initiatives. The authors' experience derived from adapting the principles of community-based participatory research to the field [...]
Author(s): Kern, Lisa M, Ancker, Jessica S, Abramson, Erika, Patel, Vaishali, Dhopeshwarkar, Rina V, Kaushal, Rainu
DOI: 10.1136/amiajnl-2011-000249
This paper describes natural-language-processing techniques for two tasks: identification of medical concepts in clinical text, and classification of assertions, which indicate the existence, absence, or uncertainty of a medical problem. Because so many resources are available for processing clinical texts, there is interest in developing a framework in which features derived from these resources can be optimally selected for the two tasks of interest.
Author(s): Roberts, Kirk, Harabagiu, Sanda M
DOI: 10.1136/amiajnl-2011-000152
Evidence suggests that when carefully implemented, health information technologies (HIT) have a positive impact on behavior, as well as operational, process, and clinical outcomes. Recent economic stimulus initiatives have prompted unprecedented federal investment in HIT. Despite strong interest from the healthcare delivery community to achieve 'meaningful use' of HIT within a relatively short time frame, few best-practice implementation methodologies have been described. Herein we outline HIT implementation strategies at an [...]
Author(s): Banas, Colin A, Erskine, Alistair R, Sun, Shumei, Retchin, Sheldon M
DOI: 10.1136/amiajnl-2011-000165
Accurate knowledge of a patient's medical problems is critical for clinical decision making, quality measurement, research, billing and clinical decision support. Common structured sources of problem information include the patient problem list and billing data; however, these sources are often inaccurate or incomplete.
Author(s): Wright, Adam, Pang, Justine, Feblowitz, Joshua C, Maloney, Francine L, Wilcox, Allison R, Ramelson, Harley Z, Schneider, Louise I, Bates, David W
DOI: 10.1136/amiajnl-2011-000121
The authors evaluated algorithms commonly used in syndromic surveillance for use as screening tools to detect potentially clonal outbreaks for review by infection control practitioners.
Author(s): Carnevale, Randy J, Talbot, Thomas R, Schaffner, William, Bloch, Karen C, Daniels, Titus L, Miller, Randolph A
DOI: 10.1136/amiajnl-2011-000216
Clinical decision support systems can prevent knowledge-based prescription errors and improve patient outcomes. The clinical effectiveness of these systems, however, is substantially limited by poor user acceptance of presented warnings. To enhance alert acceptance it may be useful to quantify the impact of potential modulators of acceptance.
Author(s): Seidling, Hanna M, Phansalkar, Shobha, Seger, Diane L, Paterno, Marilyn D, Shaykevich, Shimon, Haefeli, Walter E, Bates, David W
DOI: 10.1136/amiajnl-2010-000039
To determine the feasibility of using electronic medical record (EMR) data to provide audit and feedback of antiretroviral therapy (ART) clinical guideline adherence to healthcare workers (HCWs) in Malawi.
Author(s): Landis Lewis, Zach, Mello-Thoms, Claudia, Gadabu, Oliver J, Gillespie, E Miranda, Douglas, Gerald P, Crowley, Rebecca S
DOI: 10.1136/amiajnl-2011-000097
Author(s): Rudin, Robert S
DOI: 10.1136/amiajnl-2011-000288