Using commercial knowledge bases for clinical decision support: opportunities, hurdles, and recommendations.
Author(s): Kuperman, Gilad J, Reichley, Richard M, Bailey, Thomas C
DOI: 10.1197/jamia.M2055
Author(s): Kuperman, Gilad J, Reichley, Richard M, Bailey, Thomas C
DOI: 10.1197/jamia.M2055
To automate the mapping of disparate databases to standardized medical vocabularies.
Author(s): Sun, Jennifer Y, Sun, Yao
DOI: 10.1197/jamia.M1823
The authors describe a pilot project to standardize local laboratory data at five Indian Health Service (IHS) medical facilities by mapping laboratory test names to Logical Observation Identifier Names and Codes (LOINC). An automated mapping tool was developed to assign LOINC codes. At these sites, they were able to map from 63% to 76% of the local active laboratory tests to LOINC using the mapping tool. Eleven percent to 27% [...]
Author(s): Khan, Agha N, Griffith, Stanley P, Moore, Catherine, Russell, Dorothy, Rosario, Arnulfo C, Bertolli, Jeanne
DOI: 10.1197/jamia.M1935
Health care provides many opportunities in which the sharing of data between independent sites is highly desirable. Several standards are required to produce the functional and semantic interoperability necessary to support the exchange of such data: a common reference information model, a common set of data elements, a common terminology, common data structures, and a common transport standard. This paper addresses one component of that set of standards: the ability [...]
Author(s): Ferranti, Jeffrey M, Musser, R Clayton, Kawamoto, Kensaku, Hammond, W Ed
DOI: 10.1197/jamia.M1963
Multidisciplinary rounds (MDR) have become important mechanisms for communication and coordination of care. To guide design of tools supporting MDR, we reviewed the literature published from 1990 to 2005 about MDR on information tools used, information needs, impact of information tools, and evaluation measures. Fifty-one papers met inclusion criteria and were included. In addition to patient-centric information tools (e.g., medical chart) and decision-support tools (e.g., clinical pathway), process-oriented tools (e.g [...]
Author(s): Gurses, Ayse P, Xiao, Yan
DOI: 10.1197/jamia.M1992
In the context of an inpatient care provider order entry (CPOE) system, to evaluate the impact of a decision support tool on integration of cardiology "best of care" order sets into clinicians' admission workflow, and on quality measures for the management of acute myocardial infarction (AMI) patients.
Author(s): Ozdas, Asli, Speroff, Theodore, Waitman, L Russell, Ozbolt, Judy, Butler, Javed, Miller, Randolph A
DOI: 10.1197/jamia.M1656
Many computerized physician order entry (CPOE) systems have integrated drug safety alerts. The authors reviewed the literature on physician response to drug safety alerts and interpreted the results using Reason's framework of accident causation. In total, 17 papers met the inclusion criteria. Drug safety alerts are overridden by clinicians in 49% to 96% of cases. Alert overriding may often be justified and adverse drug events due to overridden alerts are [...]
Author(s): van der Sijs, Heleen, Aarts, Jos, Vulto, Arnold, Berg, Marc
DOI: 10.1197/jamia.M1809
The beginning of the 21st century has seen a surge in interest and enthusiasm for health care information technology based on its ability to demonstrate improvements in the quality, safety, and cost-efficiency of health care. One question, however, for which we have fewer answers is "who will be the individuals that develop, implement, and evaluate these systems?" In particular, while most attention has been paid to the exemplar leaders in [...]
Author(s): Hersh, William
DOI: 10.1197/jamia.M1912
To evaluate the effectiveness of a personal digital assistant (PDA)-based clinical decision support system (CDSS) on nonsteroidal anti-inflammatory drug (NSAID) prescribing safety in the outpatient setting.
Author(s): Berner, Eta S, Houston, Thomas K, Ray, Midge N, Allison, Jeroan J, Heudebert, Gustavo R, Chatham, W Winn, Kennedy, John I, Glandon, Gerald L, Norton, Patricia A, Crawford, Myra A, Maisiak, Richard S
DOI: 10.1197/jamia.M1961
Author(s): Lindberg, Donald A B
DOI: 10.1197/jamia.M2022