Information technology in the community: the right tools for the job.
Author(s): Brennan, P F
DOI: 10.1136/jamia.1997.0040522
Author(s): Brennan, P F
DOI: 10.1136/jamia.1997.0040522
To determine the extent to which a combination of existing machine-readable health terminologies cover the concepts and terms needed for a comprehensive controlled vocabulary for health information systems by carrying out a distributed national experiment using the Internet and the UMLS Knowledge Sources, lexical programs, and server.
Author(s): Humphreys, B L, McCray, A T, Cheh, M L
DOI: 10.1136/jamia.1997.0040484
The Read Codes are a hierarchically-arranged controlled clinical vocabulary introduced in the early 1980s and now consisting of three maintained versions of differing complexity. The code sets are dynamic, and are updated quarterly in response to requests from users including clinicians in both primary and secondary care, software suppliers, and advice from a network of specialist healthcare professionals. The codes' continual evolution of content, both across and within versions, highlights [...]
Author(s): Robinson, D, Schulz, E, Brown, P, Price, C
DOI: 10.1136/jamia.1997.0040465
Kurzweil Applied Intelligence received a research grant from the National Institute of Standards and Technology (NIST) Advanced Technology Program to develop a prototype voice-enabled, structured medical reporting system. In typical usage, the physician dictates to the system, which then uses automatic speech recognition and medical knowledge bases to produce a structured report. This report can then be formatted and viewed on a computer screen, stored in databases of patient information [...]
Author(s): Rosenthal, D F, Bos, J M, Sokolowski, R A, Mayo, J B, Quigley, K A, Powell, R A, Teel, M M
DOI: 10.1136/jamia.1997.0040436
Health care is shifting from a focus on hospital-based acute care toward prevention, promotion of wellness, and maintenance of function in community and home-based facilities. Telemedicine can facilitate this shifted focus, but the bulk of the current projects emphasize academic medical center consultations to rural hospitals. Home-based projects encounter barriers of cost and inadequate infrastructure. The 1996 Telecommunications Act as implemented by the Federal Communications commission holds out significant promise [...]
Author(s): Jones, M G
DOI: 10.1136/jamia.1997.0040399
To measure the accuracy of automated tuberculosis case detection.
Author(s): Hripcsak, G, Knirsch, C A, Jain, N L, Pablos-Mendez, A
DOI: 10.1136/jamia.1997.0040376
Data in computer-based patient records (CPRs) have many uses beyond their primary role in patient care, including research and health-system management. Although the accuracy of CPR data directly affects these applications, there has been only sporadic interest in, and no previous review of, data accuracy in CPRs. This paper reviews the published studies of data accuracy in CPRs. These studies report highly variable levels of accuracy. This variability stems from [...]
Author(s): Hogan, W R, Wagner, M M
DOI: 10.1136/jamia.1997.0040342
To introduce the Q-methodology research technique to the field of health informatics. Q-methodology--the systematic study of subjectivity--was used to identify and categorize the opinions of primary care physicians and medical students that contributed to our understanding of their reasons for acceptance of and/or resistance to adapting information technologies in the health care workplace.
Author(s): Valenta, A L, Wigger, U
DOI: 10.1136/jamia.1997.0040501
In March of 1997, the National Research Council (NRC) of the National Academy of Sciences issued the report, "For the Record: Protecting Electronic Health Information." Concluding that the current practices at the majority of health care facilities in the United States are insufficient, the Council delineated both technical and organizational approaches to protecting electronic health information. The Beth Israel Deaconess Medical Center recently implemented a proof-of-concept, Web-based, cross-institutional medical record [...]
Author(s): Halamka, J D, Szolovits, P, Rind, D, Safran, C
DOI: 10.1136/jamia.1997.0040458
The World Wide Web (WWW) is a new communications medium that permits investigators to contact patients in nonmedical settings and study the effects of disease on quality of life through self-administered questionnaires. However, little is known about the feasibility and, what is more important, the validity of this approach. An on-line survey for patients with ulcerative colitis (UC) and patients whose UC had been treated with surgical procedures was developed [...]
Author(s): Soetikno, R M, Mrad, R, Pao, V, Lenert, L A
DOI: 10.1136/jamia.1997.0040426