Journal of the American Medical Informatics AssociationThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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The Impact of Mobile Handheld Technology on Hospital Physicians' Work Practices and Patient Care: A Systematic Review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The substantial growth in mobile handheld technologies has heralded the opportunity to provide physicians with access to information, resources and people at the right time and place. But is this technology delivering the benefits to workflow and patient care promised by increased mobility? We conducted a systematic review to examine evidence regarding the impact of mobile handheld technology on hospital physicians' work practices and patient care, focusing on quantification of the espoused virtues of mobile technologies. We identified thirteen studies that demonstrated the ability of personal digital assistants (PDAs)...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Prgomet M, Georgiou A, Westbrook JI Tags: J Am Med Inform Assoc Source Type: journals

Clinical Case Registries: Simultaneous Local and National Disease Registries for Population Quality Management.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Department of Veterans Affairs (VA) has a system-wide, patient-centric electronic medical record system (EMR) within which we developed the Clinical Case Registries (CCR) to support population-centric delivery and evaluation of VA medical care. To date, we have applied the CCR to populations with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). Local components use diagnosis codes and laboratory test results to identify patients who may have HIV or HCV and support queries on local care delivery with customizable reports. For each patient in a local registry, key EMR data are transferred via HL7 messa...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Backus LI, Gavrilov S, Loomis TP, Halloran JP, Phillips BR, Belperio PS, Mole LA Tags: J Am Med Inform Assoc Source Type: journals

The AMPATH Nutritional Information System: Designing a Food Distribution Electronic Record System in Rural Kenya.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The NIS' modular design and frequent, effective interactions between developers and users has positively affected the design, implementation, support, and modifications of the NIS. It demonstrates the success of collaboration between engineering and medical communities, and more importantly the feasibility for technology readily available in a modern country to contribute to healthcare delivery in developing countries like Kenya and other parts of sub-Saharan Africa. PMID: 19717795 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Lim JL, Yih Y, Gichunge C, Tierney WM, Le TH, Zhang J, Lawley MA, Petersen TJ, Mamlin JJ Tags: J Am Med Inform Assoc Source Type: journals

The HL7-OMG Healthcare Services Specification Project: Motivation, Methodology, and Deliverables for Enabling a Semantically Interoperable Service-Oriented Architecture for Healthcare.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The HSSP Service Specification Framework provides a replicable and collaborative approach to defining standardized service specifications for healthcare. PMID: 19717796 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Kawamoto K, Honey A, Rubin K Tags: J Am Med Inform Assoc Source Type: journals

Electronic Screening Improves Efficiency in Clinical Trial Recruitment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study evaluated the performance of an electronic screening (E-screening) method and used it to recruit patients for the NIH sponsored ACCORD trial. Out of the 193 E-screened patients, 125 met the age criterion ("age >/= 40"). For all of these 125 patients, the performance of E-screening was compared with investigator review. E-screening achieved a negative predictive accuracy of 100% (95% CI: 98%-100%), a positive predictive accuracy of 13% (95% CI: 6%-13%), a sensitivity of 100% (95% CI: 45%-100%), and a specificity of 84% (95% CI: 82%-84%). The method maximized the utility of a patient database query (i.e., exclu...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Thadani SR, Weng C, Bigger JT, Ennever JF, Wajngurt D Tags: J Am Med Inform Assoc Source Type: journals

The influence of computerized prescribing on medication errors and preventable adverse drug events: an interrupted time series study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION This study has shown that CPOE/CDSS reduces the incidence of medication errors. However, a direct effect on actual patient harm (pADEs) could not be demonstrated. PMID: 19717798 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: van Doormaal JE, van den Bemt PM, Zaal RJ, Egberts AC, Lenderink BW, Kosterink JG, Haaijer-Ruskamp FM, Mol PG Tags: J Am Med Inform Assoc Source Type: journals

Translating Clinical Informatics Interventions into Routine Clinical Care: How Can the RE-AIM Framework Help?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The case studies validate, through example, the applicability of the RE-AIM framework to inform the design, implementation, evaluation, and reporting of clinical informatics intervention studies. PMID: 19717799 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Bakken S, Ruland CM Tags: J Am Med Inform Assoc Source Type: journals

Evaluation of a Method to Identify and Categorize Section Headers in Clinical Documents.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The SecTag algorithm accurately identified both labeled and unlabeled sections in history and physical documents. This type of algorithm may assist in clinical note natural language processing applications, such as clinical decision support systems, clinical research, and competency assessment for medical trainees. PMID: 19717800 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Denny JC, Spickard A, Johnson KB, Peterson NB, Peterson JF, Miller RA Tags: J Am Med Inform Assoc Source Type: journals

Computational Reasoning Across Multiple Models.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Computational support of clinical decisions frequently requires the integration of data in a variety of formats and from multiple sources and domains. In recent years some impressive multi-scale computational models of biological phenomena have been developed as part of the study of disease and healthcare systems. We can now contemplate harnessing these models arising from computational biology and using highly interconnected clinical data to support clinical decision making. Indeed, understanding how to build computational systems able to reason across heterogeneous models and data sets is one of the major and perhaps...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Tsafnat G, Coiera EW Tags: J Am Med Inform Assoc Source Type: journals

Describing and modeling workflow and information flow in chronic disease care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS In response to the analysis of workflow and information flow, we developed ten guidelines for design of HIT to support chronic disease care, including recommendations to pursue modular approaches to design that would support disease-specific needs. The study demonstrates the importance of evaluating workflow and information flow in HIT design and implementation. PMID: 19717802 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Unertl KM, Weinger MB, Johnson KB, Lorenzi NM Tags: J Am Med Inform Assoc Source Type: journals

The University of Michigan Honest Broker: A Web-based Service for Clinical and Translational Research and Practice.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For the success of clinical and translational science, a seamless interoperation is required between clinical information technology and research information technology. However, data sharing between clinical providers and researchers remains a substantial challenge. Addressing this apparent need, the University of Michigan (U-M) created the Michigan Clinical Research Collaboratory (MCRC), supported by the NIH Roadmap "Re-Engineering the Clinical Research Enterprise" initiative. The MCRC employed a standards-driven Web Services architecture to create the U-M Honest Broker, which enabled us to share clinical and researc...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Boyd AD, Saxman PR, Hunscher DA, Smith KA, Morris TD, Kaston M, Bayoff F, Rogers B, Hayes P, Rajeev N, Kline-Rogers E, Eagle K, Clauw D, Greden JF, Green LA, Athey BD Tags: J Am Med Inform Assoc Source Type: journals

Predictors of student success in graduate biomedical informatics training: introductory course and program success.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION We identified predictors of performance in an introductory informatics course including GRE-V, UGPA and URMS. Course performance was a very strong predictor of overall program performance. Our findings may be useful for selecting students for admission and identifying students at risk for Failure as early as possible. PMID: 19717804 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Willcockson IU, Johnson CW, Hersh W, Bernstam EV Tags: J Am Med Inform Assoc Source Type: journals

The development and implementation of a software tool and its effect on the quality of provided clinical nutritional therapy in hospitalized patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We developed "DIET", a computerized system preparing dietary prescriptions in clinical settings. "DIET" has the ability to calculate the nutritional requirements and to produce daily menus of patients automatically. Also, it serves as an electronic medical and dietetic record and it can produce daily reports regarding portions, quantities and cost of meals. We also conducted a preliminary evaluation of the system by comparing the creation of nutritional plans for 135 patients using "DIET" versus the customary manual methods. Its use resulted in a decrease of the error percentages, concerning appropriate food choices, d...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Skouroliakou M, Kakavelaki C, Diamantopoulos K, Stathopoulou M, Vourvouhaki E, Souliotis K Tags: J Am Med Inform Assoc Source Type: journals

Time-dependent drug-drug interaction alerts in care provider order entry (CPOE): Software may inhibit medication error reductions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Time-dependent drug-drug interactions (TDDIs) are drug combinations that most often result in a decreased drug effect due to co-administration of a second drug which inhibits its absorption or affects metabolism. Such interactions can be prevented by separately administering the drugs after an appropriate intervening time interval. Our study attempted to reduce drug administration errors due to overridden TDDIs in a care provider order entry (CPOE) system. In four periods divided over two studies, logged TDDIs were investigated by reviewing the time intervals prescribed in the CPOE and recorded on the patient chart. Th...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: van der Sijs H, Lammers L, van den Tweel A, Aarts J, Berg M, Vulto A, van Gelder T Tags: J Am Med Inform Assoc Source Type: journals

Power to detect spatial clusters under different levels of geographic aggregation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The precision at which patients' locations are reported has the potential to effect to power of detection significantly. PMID: 19717807 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Jeffery C, Ozonoff A, White LF, Nuño M, Pagano M Tags: J Am Med Inform Assoc Source Type: journals

Large Data Sets in Biomedicine: A Discussion of Salient Analytical Issues.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a detailed study of germane issues including high dimensionality, multiple testing, scientific significance, dependence, information measurement, and information management with a focus on appropriate methodologies available to address these concerns. A firm understanding of the challenges and statistical technology involved ultimately contributes to better science. We further suggest that the community consider facilitating discussion through interdisciplinary panels, invited papers and curriculum enhancement in order to establish guidelines for analysis and reporting. PMID: 19717808 [PubMed - as supplied b...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Sinha A, Hripcsak G, Markatou M Tags: J Am Med Inform Assoc Source Type: journals

Bayesian Information Fusion Networks for Biosurveillance Applications.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study introduces new information fusion algorithms to enhance disease surveillance systems with Bayesian decision support capabilities. A detection system was built and tested using chief complaints from emergency department visits, International Classification of Diseases Revision 9 (ICD-9) codes from records of outpatient visits to civilian and military facilities, and influenza surveillance data from health departments in the National Capital Region (NCR). Data anomalies were identified and distribution of time offsets between events in the multiple data streams were established. The Bayesian Network was built to f...
Source: Journal of the American Medical Informatics Association - August 27, 2009 Category: Information Technology Authors: Mnatsakanyan ZR, Burkom HS, Coberly JS, Lombardo JS Tags: J Am Med Inform Assoc Source Type: journals

Don E. Detmer and the American Medical Informatics Association: An Appreciation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Don E. Detmer has served as President and Chief Executive Officer of the American Medical Informatics Association (AMIA) for the past five years, helping to set a course for the organization and demonstrating remarkable leadership as AMIA has evolved into a vibrant and influential professional association. On the occasion of Dr. Detmer's retirement, we fondly reflect on his professional life and his many contributions to biomedical informatics and, more generally, to health care in the U.S. and globally. PMID: 19574463 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 30, 2009 Category: Information Technology Authors: Shortliffe EH, Bates DW, Bloomrosen M, Greenwood K, Safran C, Steen EB, Tang PC, Williamson JJ Tags: J Am Med Inform Assoc Source Type: journals

Erratum.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19574464 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - June 30, 2009 Category: Information Technology Tags: J Am Med Inform Assoc Source Type: journals

Building a National Health IT System from the middle out.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19407078 [PubMed - in process] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 30, 2009 Category: Information Technology Authors: Coiera E Tags: J Am Med Inform Assoc Source Type: journals

A Randomized Trial Comparing Telemedicine Case Management with Usual Care in Older, Ethnically Diverse, Medically Underserved Patients with Diabetes Mellitus: 5 Year Results of the IDEATel Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Telemedicine case management resulted in net improvements in HgbA1c, LDL-cholesterol and blood pressure levels over 5 years in medically underserved Medicare beneficiaries. Mortality was not different between the groups, although power was limited. PMID: 19390093 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Shea S, Weinstock RS, Teresi JA, Palmas W, Starren J, Cimino JJ, Lai AM, Field L, Morin PC, Goland R, Izquierdo RE, Ebner S, Silver S, Petkova E, Kong J, Eimicke JP, Tags: J Am Med Inform Assoc Source Type: journals

The Relationship between Electronic Health Record Use and Quality of Care over Time.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION In this cross-sectional study, we found no association between duration of using an EHR and performance with respect to quality of care, although power was limited. Intensifying the use of key EHR features, such as clinical decision support, may be needed to realize quality improvement from EHRs. Future studies should examine the relationship between the extent to which physicians use key EHR functions and their performance on quality measures over time. PMID: 19390094 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Zhou L, Soran CS, Jenter CA, Volk LA, Orav EJ, Bates DW, Simon SR Tags: J Am Med Inform Assoc Source Type: journals

Validation Study of an Automated Electronic Acute Lung Injury Screening Tool.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS An automated electronic system that screens intubated ICU trauma patients, excluding patients with CHF, for ALI based on CXR reports and results of ABGs is sufficiently accurate to identify many early cases of ALI. PMID: 19390095 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Azzam HC, Khalsa SS, Urbani R, Shah CV, Christie JD, Lanken PN, Fuchs BD Tags: J Am Med Inform Assoc Source Type: journals

Recognizing Obesity and Co-morbidities in Sparse Data.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article refers to obesity and co-morbidities as diseases. It refers to the categories Present, Absent, Questionable, and Unmentioned as classes. The task of classifying obesity and co-morbidities is called the Obesity Challenge. The data released by i2b2 was annotated for textual judgments reflecting the explicitly reported information on diseases, and intuitive judgments reflecting medical professionals' reading of the information presented in discharge summaries. There were very few examples of some disease classes in the data. The Obesity Challenge paid particular attention to the performance of systems on these le...
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Uzuner O Tags: J Am Med Inform Assoc Source Type: journals

Semi-automated construction of decision rules to predict morbidities from clinical texts.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION Our results demonstrate the feasibility of our approach and show that even very simple systems with a shallow linguistic analysis can achieve remarkable accuracy scores for classifying clinical records on a limited set of concepts. PMID: 19390097 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Farkas R, Szarvas G, Hegedüs I, Almási A, Vincze V, Ormándi R, Busa-Fekete R Tags: J Am Med Inform Assoc Source Type: journals

A Text Mining Approach to the Prediction of a Disease Status from Clinical Discharge Summaries.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The performance achieved was in line with the agreement between human annotators, indicating the potential of text mining for accurate and efficient prediction of disease statuses from clinical discharge summaries. PMID: 19390098 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Yang H, Spasic I, Keane JA, Nenadic G Tags: J Am Med Inform Assoc Source Type: journals

A System for Classifying Disease Co-morbidity Status from Medical Discharge Summaries Using Automated Hotspot and Negated Concept Detection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION Our system demonstrates that effective comorbidity status classification by an automated system is possible. PMID: 19390099 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Ambert KH, Cohen AM Tags: J Am Med Inform Assoc Source Type: journals

Natural Language Processing (NLP) Framework to Assess Clinical Conditions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The framework and approach used to detect clinical conditions was reasonably successful at extracting 16 diagnoses related to obesity. Our system and methodology merits further development, targeting clinically useful applications. PMID: 19390100 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Ware H, Mullett CJ, Jagannathan V Tags: J Am Med Inform Assoc Source Type: journals

Semantic classification of diseases in discharge summaries using a context-aware rule-based classifier.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION We show in the paper that a simple rule-based classifier can tackle the semantic classification task more successfully than machine learning techniques, if the training data are limited and some semantic labels are very sparse. PMID: 19390101 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Solt I, Tikk D, Gál V, Kardkovács ZT Tags: J Am Med Inform Assoc Source Type: journals

A Rule-based Approach for Identifying Obesity and Its Co-Morbidities in Medical Discharge Summaries.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION As shown by its ranking in the challenge results, this approach performed relatively well under conditions in which limited training data existed for some judgment categories. Further, the approach held up well in relation to more complex approaches applied to this classification task. The approach could be enhanced by the addition of expert rules to model more complex medical reasoning. PMID: 19390102 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Mishra NK, Cummo DM, Arnzen JJ, Bonander J Tags: J Am Med Inform Assoc Source Type: journals

Description of a Rule-Based System for the i2b2 Challenge in Natural Language Processing for Clinical Data.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe our methodology and discuss the results of applying Lockheed Martin's rule-based Natural Language Processing (NLP) capability, ClinREAD.(TM) We tailored ClinREAD with medical domain expertise to create assigned default judgments based on the most probable results as defined in the ground truth. It then used rules to collect evidence similar to the evidence that the human judges likely relied upon, and applied a logic module to weigh the strength of all evidence collected to arrive at final judgments. The Challenge results suggest that rule-based systems guided by human medical expertise are capable of solving c...
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Childs LC, Taylor RJ, Simonsen L, Heintzelman NH, Kowalski KM, Enelow R Tags: J Am Med Inform Assoc Source Type: journals

Physicians' Usage of Key Functions in Electronic Health Records from 2005 to 2007: A Statewide Survey.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS By 2007, more than one-third of practices in Massachusetts reported having EHRs; the availability and use of electronic prescribing within these systems has increased. In contrast, physicians reported little change in the availability and use of other EHR functions. System refinements, certification efforts, and health policies, including standards development, should address the gaps in both EHR adoption and the use of key functions. PMID: 19390104 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Simon SR, Soran CS, Kaushal R, Jenter CA, Volk LA, Burdick E, Cleary PD, Orav EJ, Poon EG, Bates DW Tags: J Am Med Inform Assoc Source Type: journals

Seeking health information online: does Wikipedia matter?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION Based on its search engine ranking and page view statistics, the English Wikipedia is a prominent source of online health information compared to the other online health information providers studied. PMID: 19390105 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Laurent MR, Vickers TJ Tags: J Am Med Inform Assoc Source Type: journals

Perceptions of Standards-based Electronic Prescribing Systems as Implemented in Outpatient Primary Care: A Physician Survey.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION E-prescribing users reported patient safety benefits but they did not perceive the enhanced benefits expected from using standardized medication history or formulary and benefit information. Additional work is needed for these standards to have the desired effects. PMID: 19390106 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Wang CJ, Patel MH, Schueth AJ, Bradley M, Wu S, Crosson JC, Glassman PA, Bell DS Tags: J Am Med Inform Assoc Source Type: journals

Computerized Clinical Decision Support During Medication Ordering for Long-term Care Residents with Renal Insufficiency.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION Clinical decision support for physicians prescribing medications for long-term care residents with renal insufficiency can improve the quality of prescribing decisions. PMID: 19390107 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH Tags: J Am Med Inform Assoc Source Type: journals

Queuing Theory to Guide the Implementation of a Heart Failure Inpatient Registry Program.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION Our modeling approach was instrumental in helping us characterize key process parameters and estimate the impact of adding staff on the time between identifying patients with heart failure and connecting them with appropriate discharge services. PMID: 19390108 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Zai AH, Farr K, Grant RW, Mort E, Ferris TG, Chueh HC Tags: J Am Med Inform Assoc Source Type: journals

Medication Administration Errors in Nursing Homes Using an Automated Medication Dispensing System.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION Medication administration in nursing homes is prone to many errors. This study indicates that the handling of the medication after removing it from the robot packaging may contribute to this high error frequency, which may be reduced by training of nurse attendants, by automated clinical decision support and by measures to reduce workload. PMID: 19390109 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: van den Bemt PM, Idzinga JC, Robertz H, Kormelink DG, Pels N Tags: J Am Med Inform Assoc Source Type: journals

What Evidence Supports the Use of Computerized Alerts and Prompts to Improve Clinicians' Prescribing Behavior?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Alerts and prompts represent promising types of decision support in electronic prescribing to tackle inadequacies in prescribing. A systematic review was conducted to evaluate the efficacy of computerized drug alerts and prompts searching EMBASE, CINHAL, MEDLINE and PsychINFO up to May 2007. Studies assessing the impact of electronic alerts and prompts on clinicians' prescribing behavior were selected and categorized by decision support type. The majority of alerts and prompts (23 out of 27) demonstrated benefit in improving prescribing behavior and/or reducing error rates. The impact appeared to vary based on the type...
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Schedlbauer A, Prasad V, Mulvaney C, Phansalkar S, Stanton W, Bates DW, Avery AJ Tags: J Am Med Inform Assoc Source Type: journals

Evaluation of a Physician Informatics Tool to Improve Patient Handoffs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION The PHT reliably extracts information from the electronic health record. Respondents found the PHT to be suitable, although opportunities for improvement were identified. PMID: 19390111 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Flanagan ME, Patterson ES, Frankel RM, Doebbeling BN Tags: J Am Med Inform Assoc Source Type: journals

A Systematic Review of Patient Acceptance of Consumer Health Information Technology.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A systematic literature review was performed to identify variables promoting consumer health information technology (CHIT) acceptance among patients. The electronic bibliographic databases Web of Science, Business Source Elite, CINAHL, Communication and Mass Media Complete, MEDLINE, PsycARTICLES, and PsycINFO were searched. A cited reference search of articles meeting the inclusion criteria was also conducted to reduce misses. Fifty-two articles met the selection criteria. Among them, 94 different variables were tested for associations with acceptance. The majority of those tested (71%) were patient factors, including ...
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Or CK, Karsh BT Tags: J Am Med Inform Assoc Source Type: journals

The Impact of Computerized Provider Order Entry (CPOE) Systems on Inpatient Clinical Workflow: A Literature Review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Previous studies have shown the importance of workflow issues in the implementation of CPOE systems and patient safety practices. To understand the impact of CPOE on clinical workflow, we developed a conceptual framework and conducted a literature search for CPOE evaluations between 1990 and June 2007. Fifty-one publications were identified that disclosed mixed effects of CPOE systems. Among the frequently reported workflow advantages were the legible orders, remote accessibility of the systems, and the shorter order turnaround times. Among the frequently reported disadvantages were the time-consuming and problematic u...
Source: Journal of the American Medical Informatics Association - April 22, 2009 Category: Information Technology Authors: Niazkhani Z, Pirnejad H, Berg M, Aarts J Tags: J Am Med Inform Assoc Source Type: journals

The Limits of Free Speech: The PHR Problem.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients own their medical records. This truth has had a difficult history for those of us who wish to have a single record of our health, wellness and disease and want to convey that record to whomever we wish whenever we wish. The lack of interoperability among the many sources of our medical record coupled with the hassle associated with obtaining a copy of one or more of the fragments of our record under the control of providers has been and continues to be a consumer frustration. Hence the motivation, at least in part, for the movement toward Personal Health Records (PHRs). PMID: 19261930 [PubMed - as supplied...
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Simborg DW Tags: J Am Med Inform Assoc Source Type: journals

Resistance Is Futile: But It Is Slowing the Pace of EHR Adoption Nonetheless.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS The external forces driving EHR diffusion have grown in importance since 2004 relative to physicians' internal motivation to adopt such systems. Several national forces are likely contributing to the slowing pace of EHR diffusion. PMID: 19261931 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Ford EW, Menachemi N, Peterson LT, Huerta TR Tags: J Am Med Inform Assoc Source Type: journals

Active Computerized Pharmacovigilance using Natural Language Processing, Statistics, and Electronic Health Records: a Feasibility Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION This study provides a framework for the development of active, high-throughput and prospective systems which could potentially unveil drug safety profiles throughout their entire market life. Our results demonstrate that the framework is feasible although there are a number of challenging issues. To the best of our knowledge, this is the first study using comprehensive unstructured data from the EHR for pharmacovigilance. PMID: 19261932 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Wang X, Hripcsak G, Markatou M, Friedman C Tags: J Am Med Inform Assoc Source Type: journals

LexGrid: A Framework for Representing, Storing, and Querying Biomedical Terminologies from Simple to Sublime.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Over the past several years, many biomedical terminologies, classifications and ontological resources such as the NCI Thesaurus (NCIT), International Classification of Diseases (ICD), Systematized Nomenclature of Medicine (SNOMED), Current Procedural Terminology (CPT), and Gene Ontology (GO) have been developed and used to build a variety of IT applications in biology, biomedicine and healthcare settings. However, virtually all these resources involve incompatible formats, are based on different modeling languages, and lack appropriate tooling and programming interfaces (APIs) that hinder their wide-scale adoption and ...
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Pathak J, Solbrig HR, Buntrock JD, Johnson TM, Chute CG Tags: J Am Med Inform Assoc Source Type: journals

Clinical Research Informatics: Challenges, Opportunities and Definition for an Emerging Domain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the resultant findings, including the 13 emergent themes describing major challenges and opportunities facing CRI and a formal definition of CRI, and we conclude with a discussion of major implications and proposed steps to advance the domain. PMID: 19261934 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Embi PJ, Payne PR Tags: J Am Med Inform Assoc Source Type: journals

Health IT Project Success and Failure: Recommendations from Literature and an AMIA Workshop.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With the US joining other countries in national efforts towards the many benefits health information technology use can bring for health care quality and savings, recent sobering reports recall the complexity and difficulties of implementing even smaller-scale systems. Despite best practice research identifying success factors for health information technology projects, a majority, in some sense, still fail. Similar problems plague a variety of different kinds of applications, and have done so for many years. Ten AMIA working groups sponsored a workshop entitled Avoiding The F-Word: IT Project Morbidity, Mortality, and...
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Kaplan B, Harris-Salamone KD Tags: J Am Med Inform Assoc Source Type: journals

Standardizing Nursing Information in Canada for Inclusion in Electronic Health Records: C-HOBIC.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Canadian Health Outcomes for Better Information and Care (C-HOBIC) project introduced systematic use of standardized clinical nursing terminology for patient assessments. Implemented so far in three Canadian provinces, C-HOBIC comprises an innovative model for large-scale capture of standardized nursing-sensitive clinical outcomes data within electronic health records (EHRs). To support this activity, nursing assessment and outcomes concepts were mapped to the International Classification for Nursing Practice (ICNP(R)). By comparing serial data on a patient across multiple time points, the C-HOBIC model can generat...
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Hannah KJ, White PA, Nagle LM, Pringle DM Tags: J Am Med Inform Assoc Source Type: journals

Health IT-enabled Care for Underserved Rural Populations: The Role of Nursing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This white paper explains the strong roles that nursing can play in using information technology (IT) to improve healthcare delivery in rural areas. Authors describe current challenges to providing care in rural areas, and how technology innovations can help rural communities to improve their health and health care. To maximize benefits, rural stakeholders (as individuals and groups) must collaborate to effect change. Because non-physician providers deliver much of the health care in rural communities, this paper focuses on the critical roles of nurses on IT-enabled care management teams. We propose changes in nursing ...
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Effken JA, Abbott P Tags: J Am Med Inform Assoc Source Type: journals

Automated Semantic Indexing of Figure Captions to Improve Radiology Image Retrieval.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION Concept-based indexing of radiology journal figure captions achieved very high precision and recall, and significantly improved image retrieval. PMID: 19261938 [PubMed - as supplied by publisher] (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - March 4, 2009 Category: Information Technology Authors: Kahn CE, Rubin DL Tags: J Am Med Inform Assoc Source Type: journals