President's column: subspecialty certification in clinical informatics.
Author(s): Shortliffe, Edward H
DOI: 10.1136/amiajnl-2011-000582
Author(s): Shortliffe, Edward H
DOI: 10.1136/amiajnl-2011-000582
Author(s): Johnson, Kevin
DOI: 10.1136/amiajnl-2011-000579
Accurate, understandable public health information is important for ensuring the health of the nation. The large portion of the US population with Limited English Proficiency is best served by translations of public-health information into other languages. However, a large number of health departments and primary care clinics face significant barriers to fulfilling federal mandates to provide multilingual materials to Limited English Proficiency individuals. This article presents a pilot study on [...]
Author(s): Kirchhoff, Katrin, Turner, Anne M, Axelrod, Amittai, Saavedra, Francisco
DOI: 10.1136/amiajnl-2011-000176
We measured the prevalence (or rate) of patient-note mismatches (clinical notes judged to pertain to another patient) in the electronic medical record. The rate ranged from 0.5% (95% CI 0.2% to 1.7%) before a pop-up window intervention to 0.3% (95% CI 0.1% to 1.1%) after the intervention. Clinicians discovered patient-note mismatches in 0.05-0.03% of notes, or about 10% of actual mismatches. The reduction in rates after the intervention was statistically [...]
Author(s): Wilcox, Adam B, Chen, Yueh-Hsia, Hripcsak, George
DOI: 10.1136/amiajnl-2010-000068
Evidence suggests that the medication lists of patients are often incomplete and could negatively affect patient outcomes. In this article, the authors propose the application of collaborative filtering methods to the medication reconciliation task. Given a current medication list for a patient, the authors employ collaborative filtering approaches to predict drugs the patient could be taking but are missing from their observed list.
Author(s): Hasan, Sharique, Duncan, George T, Neill, Daniel B, Padman, Rema
DOI: 10.1136/amiajnl-2011-000106
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2011-000501
This work seeks to complement and extend prior work by using a multidisciplinary approach to explain electronic medical records (EMR) system use and consequent performance (here, patient satisfaction) among physicians during early stages of the implementation of an EMR.
Author(s): Sykes, Tracy Ann, Venkatesh, Viswanath, Rai, Arun
DOI: 10.1136/jamia.2010.009316
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
Clinical documentation is central to patient care. The success of electronic health record system adoption may depend on how well such systems support clinical documentation. A major goal of integrating clinical documentation into electronic heath record systems is to generate reusable data. As a result, there has been an emphasis on deploying computer-based documentation systems that prioritize direct structured documentation. Research has demonstrated that healthcare providers value different factors when [...]
Author(s): Rosenbloom, S Trent, Denny, Joshua C, Xu, Hua, Lorenzi, Nancy, Stead, William W, Johnson, Kevin B
DOI: 10.1136/jamia.2010.007237