Service-oriented architecture in medical software: promises and perils.
Author(s): Nadkarni, Prakash M, Miller, Randolph A
DOI: 10.1197/jamia.M2349
Author(s): Nadkarni, Prakash M, Miller, Randolph A
DOI: 10.1197/jamia.M2349
Computerized physician order entry (CPOE) is an application that is used to electronically write physician orders either in the hospital or in the outpatient setting. It is used in about 15% of U.S. Hospitals and a smaller percentage of ambulatory clinics. It is linked with clinical decision support, which provides much of the value of implementing it. A number of studies have assessed the impact of CPOE with respect to [...]
Author(s): Classen, David C, Avery, Anthony J, Bates, David W
DOI: 10.1197/jamia.M2248
As new directions and priorities emerge in health care, nursing informatics leaders must prepare to guide the profession appropriately. To use an analogy, where a road bends or changes directions, guideposts indicate how drivers can stay on course. The AMIA Nursing Informatics Working Group (NIWG) produced this white paper as the product of a meeting convened: 1) to describe anticipated nationwide changes in demographics, health care quality, and health care [...]
Author(s): McCormick, Kathleen A, Delaney, Connie J, Brennan, Patricia Flatley, Effken, Judith A, Kendrick, Kathie, Murphy, Judy, Skiba, Diane J, Warren, Judith J, Weaver, Charlotte A, Weiner, Betsy, Westra, Bonnie L
DOI: 10.1197/jamia.M1996
This paper presents a model for analysis of chronic disease prescribing action over time in terms of transitions in status of therapy as indicated in electronic prescribing records. The quality of alerts derived from these therapeutic state transitions is assessed in the context of antihypertensive prescribing.
Author(s): Gadzhanova, Svetla, Iankov, Ivan I, Warren, James R, Stanek, Jan, Misan, Gary M, Baig, Zak, Ponte, Lorenzo
DOI: 10.1197/jamia.M2169
Incorporation of clinical decision support (CDS) capabilities is required to realize the greatest benefits from computerized provider order entry (CPOE) systems. Discussions at a conference on CDS in CPOE held in San Francisco, California, June 21-22, 2005 produced several papers in this issue of JAMIA. The first paper reviews CDS for electronic prescribing within CPOE systems; (1) the second describes current controversies regarding creation, maintenance, and uses of CPOE order [...]
Author(s): Gross, Peter A, Bates, David W
DOI: 10.1197/jamia.M2173
Order sets provide straightforward clinical decision support within computerized provider order entry systems. They make "the right thing" easier to do because they are much faster than writing single orders; they deliver real-time, evidence-based prompts; they are easy to update; and they support coverage of multiple patient problems through linkages among order sets. This viewpoint paper discusses controversies surrounding use of order sets--advantages and pitfalls, decision-making criteria, and organizational considerations [...]
Author(s): Bobb, Anne M, Payne, Thomas H, Gross, Peter A
DOI: 10.1197/jamia.M2184
Data sparsity and schema evolution issues affecting clinical informatics and bioinformatics communities have led to the adoption of vertical or object-attribute-value-based database schemas to overcome limitations posed when using conventional relational database technology. This paper explores these issues and discusses why biomedical data are difficult to model using conventional relational techniques. The authors propose a solution to these obstacles based on a relational database engine using a sparse, column-store architecture [...]
Author(s): Corwin, John, Silberschatz, Avi, Miller, Perry L, Marenco, Luis
DOI: 10.1197/jamia.M2189
Computerized Provider Order Entry (CPOE) with electronic documentation, and computerized decision support dramatically changes the information environment of the practicing clinician. Prior work patterns based on paper, verbal exchange, and manual methods are replaced with automated, computerized, and potentially less flexible systems. The objective of this study is to explore the information management strategies that clinicians use in the process of adapting to a CPOE system using cognitive task analysis [...]
Author(s): Weir, Charlene R, Nebeker, Jonathan J R, Hicken, Bret L, Campo, Rebecca, Drews, Frank, Lebar, Beth
DOI: 10.1197/jamia.M2231
Determine effects of computer-based tutoring on diagnostic performance gains, meta-cognition, and acceptance using two different problem representations. Describe impact of tutoring on spectrum of diagnostic skills required for task performance. Identify key features of student-tutor interaction contributing to learning gains.
Author(s): Crowley, Rebecca S, Legowski, Elizabeth, Medvedeva, Olga, Tseytlin, Eugene, Roh, Ellen, Jukic, Drazen
DOI: 10.1197/jamia.M2241
Podcasting is a recent creation combining old and new technologies allowing rapid, inexpensive delivery of media content (primarily audio) to the end user, both via the desktop environment and personal media players. The authors' group (the Society of Critical Care Medicine) saw the educational and communication potential for the podcasting concept, and have successfully designed and implemented the first podcast of a national medical society. As of this writing, there [...]
Author(s): Savel, Richard H, Goldstein, Evan B, Perencevich, Eli N, Angood, Peter B
DOI: 10.1197/jamia.M2205