To investigate whether using a computer-based patient record (CPR) affects the completeness of documentation and appropriateness of documented clinical decisions.
Author(s): Tang, P C, LaRosa, M P, Gorden, S M
DOI: 10.1136/jamia.1999.0060245
To investigate whether using a computer-based patient record (CPR) affects the completeness of documentation and appropriateness of documented clinical decisions.
Author(s): Tang, P C, LaRosa, M P, Gorden, S M
DOI: 10.1136/jamia.1999.0060245
Informatics and information technology do not appear to be valued by the health industry to the degree that they are in other industries. The agenda for health informatics should be presented so that value to the health system is linked directly to required investment. The agenda should acknowledge the foundation provided by the current health system and the role of financial issues, system impediments, policy, and knowledge in effecting change [...]
Author(s): Stead, W W, Lorenzi, N M
DOI: 10.1136/jamia.1999.0060341
Author(s): Stead, W W
DOI: 10.1136/jamia.1999.0060334
To determine the consistency among the practice guidelines of the Dutch College of General Practitioners with respect to the use of blood tests.
Author(s): van Wijk, M A, Bohnen, A M, van der Lei, J
DOI: 10.1136/jamia.1999.0060322
While preference elicitation techniques have been effective in helping patients make decisions consistent with their preferences, little is known about whether information about patient preferences affects clinicians in clinical decision making and improves patient outcomes. The purpose of this study was to evaluate a decision support system for eliciting elderly patients' preferences for self-care capability and providing this information to nurses in clinical practice-specifically, its effect on nurses' care priorities [...]
Author(s): Ruland, C M
DOI: 10.1136/jamia.1999.0060304
All articles indexed in MEDLINE or CINAHL, related to the use of computer technology in patient education, and published in peer-reviewed journals between 1971 and 1998 were selected for review. Sixty-six articles, including 21 research-based reports, were identified. Forty-five percent of the studies were related to the management of chronic disease. Thirteen studies described an improvement in knowledge scores or clinical outcomes when computer-based patient education was compared with traditional [...]
Author(s): Lewis, D
DOI: 10.1136/jamia.1999.0060272
Author(s): Broering, N C
DOI: 10.1136/jamia.1999.0060260
The Hanshin-Awaji earthquake in January 1995 caused the greatest number of deaths and injuries in Japan since World War II. Various weaknesses of modern information systems were exposed during and after the earthquake. The authors carried out a questionnaire survey to investigate the current state of hospital information and to examine the kinds of information needed immediately after an earthquake. The survey results show that information about the ability to [...]
Author(s): Miyamoto, M, Sako, M, Kimura, M, Kanno, T, Inoue, M, Takeda, H, Takahashi, T, Inada, H, Minato, K, Hashimoto, N, Kawamura, T, Naito, M, Hattori, T, Nakazawa, K, Irie, M
DOI: 10.1136/jamia.1999.0060252
Many hospitals are investing in computer-based provider order-entry (POE) systems, and providers' evaluations have proved important for the success of the systems. The authors assessed how physicians and nurses viewed the effects of one modified commercial POE system on time spent patients, resource utilization, errors with orders, and overall quality of care.
Author(s): Weiner, M, Gress, T, Thiemann, D R, Jenckes, M, Reel, S L, Mandell, S F, Bass, E B
DOI: 10.1136/jamia.1999.0060234