Electronic health record systems: risks and benefits.
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2014-002635
Author(s): Ohno-Machado, Lucila
DOI: 10.1136/amiajnl-2014-002635
The purpose of this integrative review based on the published literature was to identify information systems currently being used by local health departments and to determine the extent to which standard terminology was used to communicate data, interventions, and outcomes to improve public health informatics at the local health department (LHD) level and better inform research, policy, and programs.
Author(s): Olsen, Jeanette, Baisch, Mary Jo
DOI: 10.1136/amiajnl-2013-001714
Coding of clinical communication for fine-grained features such as speech acts has produced a substantial literature. However, annotation by humans is laborious and expensive, limiting application of these methods. We aimed to show that through machine learning, computers could code certain categories of speech acts with sufficient reliability to make useful distinctions among clinical encounters.
Author(s): Mayfield, Elijah, Laws, M Barton, Wilson, Ira B, Penstein Rosé, Carolyn
DOI: 10.1136/amiajnl-2013-001898
To understand the impact of GeneInsight Clinic (GIC), a web-based tool designed to manage genetic information and facilitate communication of test results and variant updates from the laboratory to the clinics, we measured the use of GIC and the time it took for new genetic knowledge to be available to clinicians.
Author(s): Wilcox, Allison R, Neri, Pamela M, Volk, Lynn A, Newmark, Lisa P, Clark, Eugene H, Babb, Lawrence J, Varugheese, Matthew, Aronson, Samuel J, Rehm, Heidi L, Bates, David W
DOI: 10.1136/amiajnl-2013-001965
Health information exchange (HIE) is a significant component of healthcare transformation strategies at both the state and national levels. HIE is expected to improve care coordination, and advance public health, but implementation is massively complex and involves significant risk. In New York, three regional health information organizations (RHIOs) implemented an HIE use case for public health reporting by demonstrating capability to deliver accurate responses to electronic queries via a set [...]
Author(s): Phillips, Andrew B, Wilson, Rosalind V, Kaushal, Rainu, Merrill, Jacqueline A, ,
DOI: 10.1136/amiajnl-2013-001716
Electronic health record (EHR) use in ambulatory care can improve safety and quality; however, problems with design, implementation, and poor interface with other systems lead users to develop 'workarounds', or behaviors users adopt to overcome perceived limitations in a technical system. We documented workarounds used in independent, community-based primary care practices, and developed a typology of their key features.
Author(s): Friedman, Asia, Crosson, Jesse C, Howard, Jenna, Clark, Elizabeth C, Pellerano, Maria, Karsh, Ben-Tzion, Crabtree, Benjamin, Jaén, Carlos Roberto, Cohen, Deborah J
DOI: 10.1136/amiajnl-2013-001686
The aim of this paper is to report on the use of the systematised nomenclature of medicine clinical terms (SNOMED CT) by providing an overview of published papers.
Author(s): Lee, Dennis, de Keizer, Nicolette, Lau, Francis, Cornet, Ronald
DOI: 10.1136/amiajnl-2013-001636
There is little evidence that readability formula outcomes relate to text understanding. The potential cause may lie in their strong reliance on word and sentence length. We evaluated word familiarity rather than word length as a stand-in for word difficulty. Word familiarity represents how well known a word is, and is estimated using word frequency in a large text corpus, in this work the Google web corpus. We conducted a [...]
Author(s): Leroy, Gondy, Kauchak, David
DOI: 10.1136/amiajnl-2013-002172
To optimize a new visit-independent, population-based cancer screening system (TopCare) by using operations research techniques to simulate changes in patient outreach staffing levels (delegates, navigators), modifications to user workflow within the information technology (IT) system, and changes in cancer screening recommendations.
Author(s): Zai, Adrian H, Kim, Seokjin, Kamis, Arnold, Hung, Ken, Ronquillo, Jeremiah G, Chueh, Henry C, Atlas, Steven J
DOI: 10.1136/amiajnl-2013-001681
It is important to consider the way in which information is presented by the interfaces of clinical decision support systems, to favor the adoption of these systems by physicians. Interface design can focus on decision processes (guided navigation) or usability principles.
Author(s): Tsopra, Rosy, Jais, Jean-Philippe, Venot, Alain, Duclos, Catherine
DOI: 10.1136/amiajnl-2013-002042