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
To describe medical students' attitudes toward placing orders during training, and the effect of computerized provider order entry (CPOE) on their learning experiences.
Author(s): Knight, Amy M, Kravet, Steven J, Harper, G Michael, Leff, Bruce
DOI: 10.1197/jamia.M1839
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
Medical imaging informatics must exceed the mere development of algorithms. The discipline is also responsible for the establishment of methods in clinical practice to assist physicians and improve health care. From our point of view, it is commonly accepted that model-based analysis of medical images is superior to other concepts, but only a few applications are found in daily clinical use. The gap between development of model-based image analysis and [...]
Author(s): Lehmann, Thomas M, Bredno, Jörg
DOI: 10.1197/jamia.M1652
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
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 case study of a serious medication error demonstrates the necessity of a comprehensive methodology for the analysis of failures in interaction between humans and information systems. The authors used a novel approach to analyze a dosing error related to computer-based ordering of potassium chloride (KCl). The method included a chronological reconstruction of events and their interdependencies from provider order entry usage logs, semistructured interviews with involved clinicians, and interface [...]
Author(s): Horsky, Jan, Kuperman, Gilad J, Patel, Vimla L
DOI: 10.1197/jamia.M1740
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
The integration of SNOMED CT into the Unified Medical Language System (UMLS) involved the alignment of two views of synonymy that were different because the two vocabulary systems have different intended purposes and editing principles. The UMLS is organized according to one view of synonymy, but its structure also represents all the individual views of synonymy present in its source vocabularies. Despite progress in knowledge-based automation of development and maintenance [...]
Author(s): Fung, Kin Wah, Hole, William T, Nelson, Stuart J, Srinivasan, Suresh, Powell, Tammy, Roth, Laura
DOI: 10.1197/jamia.M1767
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