Electronic health records - beyond meaningful use.
Author(s): Ahmad, A
DOI: 10.4338/ACI-2010-06-IE-0037
Author(s): Ahmad, A
DOI: 10.4338/ACI-2010-06-IE-0037
There is increasing recognition that a competent and well-trained workforce is required for successful implementation of health information technology.
Author(s): Hersh, W
DOI: 10.4338/ACI-2009-11-R-0011
The introduction of electronic medical records (EMR) and computerized physician order entry (CPOE) into the intensive care unit (ICU) is transforming the way health care providers currently work. The challenge facing developers of EMR's is to create products which add value to systems of health care delivery. As EMR's become more prevalent, the potential impact they have on the quality and safety, both negative and positive, will be amplified. In [...]
Author(s): Pickering, B W, Herasevich, V, Ahmed, A, Gajic, O
DOI: 10.4338/ACI-2009-12-CR-0027
The use of computerized provider order entry (CPOE) has been widely linked to improvements in patient safety. We hypothesized that electronic routing of CPOE-generated orders through individual pagers would improve the efficiency of STAT radiographic studies and respiratory treatments.
Author(s): Jacobs, Brian R, Crotty, Eric, Conway, Ed, Hart, Kim Ward, Dietrich, Craig, Pettinichi, Scott, Racadio, John
DOI: 10.4338/ACI-2009-10-RA-0004
BACKGROUND: Many natural phenomena demonstrate power-law distributions, where very common items predominate. Problems, medications and lab results represent some of the most important data elements in medicine, but their overall distribution has not been reported. OBJECTIVE: Our objective is to determine whether problems, medications and lab results demonstrate a power law distribution. METHODS: Retrospective review of electronic medical record data for 100,000 randomly selected patients seen at least twice in [...]
Author(s): Wright, Adam, Bates, David W
DOI: 10.4338/ACI-2009-12-RA-0023
Author(s): Patrick, J D
DOI: 10.4338/ACI-2010-10-IE-0058
The complexity and quality requirements for the development of clinical practice guidelines steadily increase. Internet technologies support this process by optimizing the development process.
Author(s): Höhne, W J, Karge, T, Siegmund, B, Preiss, J, Hoffmann, J C, Zeitz, M, Fölsch, U R
DOI: 10.4338/ACI-2010-04-RA-0027
Meaningful use is a multidimensional concept that incorporates complex processes; workflow; interoperability; decision support; performance evaluation; and quality improvement. Meaningful use is congruent with the overall vision for information management in New Zealand. Health practitioners interface with patient information at many levels, and are pivotal to meaningful use at the interface between service providers, patients, and the electronic health record. Advancing towards meaningful use depends on implementing a meaningful interface [...]
Author(s): Monsen, K, Honey, M, Wilson, S
DOI: 10.4338/ACI-2010-06-CR-0035
Change is difficult and managing change even more so. With the advent of Electronic Medical Records (EMRs) and the difficulty of its acceptance, understanding physician's attitudes and the psychology of change management is imperative. While many authors describe change management theories, one comes nearest to describing this particularly difficult transition. In 1969, Elizabeth Kübler-Ross wrote her seminal treatise, On Death and Dying, detailing the psychological changes terminally ill patients undergo [...]
Author(s): Shoolin, J S
DOI: 10.4338/ACI-2010-01-R-0001
To report the incidence and severity of medication safety events before and after initiation of barcode scanning for positive patient identification (PPID) in a large teaching hospital.
Author(s): T, Higgins, Heelon, M, Siano, B, Douglass, L, Liebro, P, Spath, B, Kudler, N, Kerr, G
DOI: 10.4338/ACI-2010-02-RA-0011