Evidence-based nursing practice: a call to action for nursing informatics.
Author(s): Bakken, S, McArthur, J
DOI: 10.1136/jamia.2001.0080289
Author(s): Bakken, S, McArthur, J
DOI: 10.1136/jamia.2001.0080289
The authors present a system that scans electronic records from cardiac surgery and uses inference rules to identify and classify abnormal events (e.g., hypertension) that may occur during critical surgical points (e.g., start of bypass). This vital information is used as the content of automatically generated briefings designed by MAGIC, a multimedia system that they are developing to brief intensive care unit clinicians on patient status after cardiac surgery. By [...]
Author(s): Jordan, D A, McKeown, K R, Concepcion, K J, Feiner, S K, Hatzivassiloglou, V
DOI: 10.1136/jamia.2001.0080267
Prefetching methods have traditionally been used to restore archived images from picture archiving and communication systems to diagnostic imaging workstations prior to anticipated need, facilitating timely comparison of historical studies and patient management. The authors describe a problem-oriented prefetching scheme, detailing 1) a mechanism supporting selection of patients for prefetching via characterizations of clinical problems, using multiple data sources (picture archiving and communication systems, hospital information systems, and radiology information [...]
Author(s): Bui, A A, McNitt-Gray, M F, Goldin, J G, Cardenas, A F, Aberle, D R
DOI: 10.1136/jamia.2001.0080242
More than 30 years of experience in developing a computer-based patient record system, The Medical Record (TMR), in multiple settings, in multiple specialty groups, and at multiple sites has taught us many lessons. Lessons related to computer-based patient records include the importance of a data model in which input, storage, and planned use are independent; separation of patient-specific data from metadata; a modular design to localize the program code that [...]
Author(s): Hammond, W E
DOI: 10.1136/jamia.2001.0080222
The contention of the author is that an informatics infrastructure is essential for evidenced-based practice. Five building blocks of an informatics infrastructure for evidence-based practice are proposed: 1) standardized terminologies and structures, 2) digital sources of evidence, 3) standards that facilitate health care data exchange among heterogeneous systems, 4) informatics processes that support the acquisition and application of evidence to a specific clinical situation, and 5) informatics competencies. Selected examples [...]
Author(s): Bakken, S
DOI: 10.1136/jamia.2001.0080199
Author(s): Friedman, C P, Wyatt, J C
DOI: 10.1136/jamia.2001.0080189
To examine the type of information obtainable from scientific papers, using three different methods for the extraction, organization, and preparation of literature reviews.
Author(s): Piniewski-Bond, J F, Buck, G M, Horowitz, R S, Schuster, J H, Weed, D L, Weiner, J M
DOI: 10.1136/jamia.2001.0080174
The paper describes T/Gen, a prototype computer-based tool designed to help maintain the knowledge in a computer-based clinical practice guideline that provides patient-specific recommendations. T/Gen takes as input a set of clinical conditions to which a guideline must react, and allows the user to specify domain-specific constraints as to which combinations of conditions do not make sense or do not need to be exhaustively tested against one another. T/Gen automatically [...]
Author(s): Miller, P L
DOI: 10.1136/jamia.2001.0080131
To analyze whether computer-generated reminders about infections could influence clinicians' practice patterns and consequently improve the detection and management of nosocomial infections.
Author(s): Rocha, B H, Christenson, J C, Evans, R S, Gardner, R M
DOI: 10.1136/jamia.2001.0080117
Author(s): Stead, W W
DOI: 10.1136/jamia.2001.0080105