Evaluating evaluations of medical diagnostic systems.
Author(s): Miller, R A
DOI: 10.1136/jamia.1996.97084516
Author(s): Miller, R A
DOI: 10.1136/jamia.1996.97084516
To assess the effects of incomplete data upon the output of a computerized diagnostic decision support system (DSS), to assess the effects of using the system upon the diagnostic opinions of users, and to explore if these effects vary as a function of clinical experience.
Author(s): Elstein, A S, Friedman, C P, Wolf, F M, Murphy, G, Miller, J, Fine, P, Heckerling, P, Miller, T, Sisson, J, Barlas, S, Biolsi, K, Ng, M, Mei, X, Franz, T, Capitano, A
DOI: 10.1136/jamia.1996.97084515
To investigate practical solutions that can integrate cryptographic techniques and picture archiving and communication systems (PACS) to improve the security of medical images.
Author(s): Wong, S T
DOI: 10.1136/jamia.1996.97084514
Computer-based reminder systems have the potential to change physician and patient behaviors and to improve patient outcomes. We performed a meta-analysis of published randomized controlled trials to assess the overall effectiveness of computer-based reminder systems in ambulatory settings directed at preventive care.
Author(s): Shea, S, DuMouchel, W, Bahamonde, L
DOI: 10.1136/jamia.1996.97084513
Research groups within the Human Brain Project are developing technologies to help organize and make accessible the vast quantities of information being accumulated in the neurosciences. The goal of this work is to provide systems that enable this complex information from many diverse sources to be synthesized into a coherent theory of nervous system function. Our initial approach to this problem has been to create several small databases. While addressing [...]
Author(s): Peterson, B E, Healy, M D, Nadkarni, P M, Miller, P L, Shepherd, G M
DOI: 10.1136/jamia.1996.97084512
Provision of automated support for planning protocol-directed therapy requires a computer program to take as input clinical data stored in an electronic patient-record system and to generate as output recommendations for therapeutic interventions and laboratory testing that are defined by applicable protocols. This paper presents a synthesis of research carried out at Stanford University to model the therapy-planning task and to demonstrate a component-based architecture for building protocol-based decision-support systems [...]
Author(s): Musen, M A, Tu, S W, Das, A K, Shahar, Y
DOI: 10.1136/jamia.1996.97084511
The modern study of artificial intelligence in medicine (AIM) is 25 years old. Throughout this period, the field has attracted many of the best computer scientists, and their work represents a remarkable achievement. However, AIM has not been successful-if success is judged as making an impact on the practice of medicine. Much recent work in AIM has been focused inward, addressing problems that are at the crossroads of the parent [...]
Author(s): Coiera, E W
DOI: 10.1136/jamia.1996.97084510
Author(s): Tierney, W M, McDonald, C J
DOI: 10.1136/jamia.1996.97035027
To report lessons learned from evaluation of an automated interface between a hospital clinical information system and a severity of illness index.
Author(s): Gibson, R F, Haug, P J, Horn, S D
DOI: 10.1136/jamia.1996.97035026
A research prototype Physician Workstation (PWS) incorporating a graphical user interface and a drug ordering module was compared with the existing hospital information system in an academic Veterans Administration General Medical Clinic. Physicians in the intervention group received recommendations for drug substitutions to reduce costs and were alerted to potential drug interactions. The objective was to evaluate the effect of the PWS on user satisfaction, on health-related outcomes, and on [...]
Author(s): Rotman, B L, Sullivan, A N, McDonald, T W, Brown, B W, DeSmedt, P, Goodnature, D, Higgins, M C, Suermondt, H J, Young, C, Owens, D K
DOI: 10.1136/jamia.1996.97035025