Evidence-based nursing practice: a call to action for nursing informatics.
Author(s): Bakken, S, McArthur, J
DOI: 10.1136/jamia.2001.0080289
Author(s): Bakken, S, McArthur, J
DOI: 10.1136/jamia.2001.0080289
The authors present a system that scans electronic records from cardiac surgery and uses inference rules to identify and classify abnormal events (e.g., hypertension) that may occur during critical surgical points (e.g., start of bypass). This vital information is used as the content of automatically generated briefings designed by MAGIC, a multimedia system that they are developing to brief intensive care unit clinicians on patient status after cardiac surgery. By [...]
Author(s): Jordan, D A, McKeown, K R, Concepcion, K J, Feiner, S K, Hatzivassiloglou, V
DOI: 10.1136/jamia.2001.0080267
Prefetching methods have traditionally been used to restore archived images from picture archiving and communication systems to diagnostic imaging workstations prior to anticipated need, facilitating timely comparison of historical studies and patient management. The authors describe a problem-oriented prefetching scheme, detailing 1) a mechanism supporting selection of patients for prefetching via characterizations of clinical problems, using multiple data sources (picture archiving and communication systems, hospital information systems, and radiology information [...]
Author(s): Bui, A A, McNitt-Gray, M F, Goldin, J G, Cardenas, A F, Aberle, D R
DOI: 10.1136/jamia.2001.0080242
As we have advanced in medical informatics and created many impressive innovations, we also have learned that technologic developments are not sufficient to bring the value of computer and information technologies to health care systems. This paper proposes a model for improving how we develop and deploy information technology. The authors focus on trends in people, organizational, and social issues (POI/OSI), which are becoming more complex as both health care [...]
Author(s): Kaplan, B, Brennan, P F, Dowling, A F, Friedman, C P, Peel, V
DOI: 10.1136/jamia.2001.0080235
More than 30 years of experience in developing a computer-based patient record system, The Medical Record (TMR), in multiple settings, in multiple specialty groups, and at multiple sites has taught us many lessons. Lessons related to computer-based patient records include the importance of a data model in which input, storage, and planned use are independent; separation of patient-specific data from metadata; a modular design to localize the program code that [...]
Author(s): Hammond, W E
DOI: 10.1136/jamia.2001.0080222
The purpose of the study is twofold: 1) to explore the applicability of combinatorial terminologies as the basis for building enumerated classifications, and 2) to investigate the usefulness of formal terminological systems for performing such classification and for assisting in the refinement of both combinatorial terminologies and enumerated classifications.
Author(s): Hardiker, N R, Rector, A L
DOI: 10.1136/jamia.2001.0080212
The contention of the author is that an informatics infrastructure is essential for evidenced-based practice. Five building blocks of an informatics infrastructure for evidence-based practice are proposed: 1) standardized terminologies and structures, 2) digital sources of evidence, 3) standards that facilitate health care data exchange among heterogeneous systems, 4) informatics processes that support the acquisition and application of evidence to a specific clinical situation, and 5) informatics competencies. Selected examples [...]
Author(s): Bakken, S
DOI: 10.1136/jamia.2001.0080199
Author(s): Stead, W W, Brennan, P F
DOI: 10.1136/jamia.2001.0080192
Author(s): Friedman, C P, Wyatt, J C
DOI: 10.1136/jamia.2001.0080189
The authors compare alternative methods of cost estimation for a patient multimedia education (PME) program, using a computerized weight-reduction PME project as an example. Data from the project planning and budgeting process and actual costs of the completed project are analyzed retrospectively to calculate three different estimates-pre-work, post-work, and actual work. Three traditional methods of estimating the cost of computer programs (the lines-of-code, function point, and task ratio analyses) underestimate [...]
Author(s): Caban, A, Cimino, C, Swencionis, C, Ginsberg, M, Wylie-Rosett, J
DOI: 10.1136/jamia.1997.0040025