Electronic Ordering System Improves Postoperative Pain Management After Total Knee or Hip Arthroplasty.

abstract：OBJECTIVE:The Instrument for Evaluating Human-Factor Principles in Medication-Related Decision Support Alerts (I-MeDeSA) was developed recently in the US with a view towards improving considerations of human-factor principles when designing alerts for clinical decision support (CDS) systems. This study evaluated the ge...

journal_title：Applied clinical informatics

authors： Cho I,Lee J,Han H,Phansalkar S,Bates DW

更新日期：2014-06-18 00:00:00

abstract：OBJECTIVE:To evaluate informatics-enabled quality improvement (QI) strategies for promoting time spent on face-to-face communication between ophthalmologists and patients. METHODS:This prospective study involved deploying QI strategies during implementation of an enterprise-wide vendor electronic health record (EHR) i...

journal_title：Applied clinical informatics

authors： Baxter SL,Gali HE,Chiang MF,Hribar MR,Ohno-Machado L,El-Kareh R,Huang AE,Chen HE,Camp AS,Kikkawa DO,Korn BS,Lee JE,Longhurst CA,Millen M

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Unique characteristics of nursing homes (NHs) contribute to high rates of inappropriate antibiotic use for asymptomatic bacteriuria (ASB), a benign condition. A mobile clinical decision support system (CDSS) may support NH staff in differentiating urinary tract infections (UTI) from ASB and reducing antibiot...

journal_title：Applied clinical informatics

authors： Jones W,Drake C,Mack D,Reeder B,Trautner B,Wald H

更新日期：2017-06-20 00:00:00

abstract：BACKGROUND:As healthcare moves towards technology-driven population health management, clinicians must adopt complex digital platforms to access health information and document care. OBJECTIVES:This study explored information literacy, a set of skills required to effectively navigate population health information syst...

journal_title：Applied clinical informatics

authors： Dixon BE,Barboza K,Jensen AE,Bennett KJ,Sherman SE,Schwartz MD

更新日期：2017-02-15 00:00:00

abstract：BACKGROUND:Medication dose adjustment is crucial for patients with renal dysfunction (RD). The assessment of renal function is generally mandatory; however, the renal function may change during the hospital stay and the manual assessment is sometimes challenging. OBJECTIVE:We developed the clinical decision support sy...

journal_title：Applied clinical informatics

authors： Wada R,Takeuchi J,Nakamura T,Sonoyama T,Kosaka S,Matsumoto C,Sakuma M,Ohta Y,Morimoto T

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Hospitals across the country are investing millions of dollars to adopt new Health Insurance Portability and Accountability Act (HIPAA)-compliant secure text messaging systems. However, in nearly all cases, these implementations are occurring without evaluation of their impact on patient care. OBJECTIVE:To ...

journal_title：Applied clinical informatics

authors： Feinberg J,Shaw S,Kashyap N,Illuzzi J,Campbell K,Hsiao AL,Pettker CM

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information ...

journal_title：Applied clinical informatics

authors： Collins SA,Bakken S,Vawdrey DK,Coiera E,Currie L

更新日期：2011-06-08 00:00:00

abstract：:Objective Patient instructions are generally written by clinicians. However, clinician-centered language is challenging for patients to understand; in the case of pediatric medication instructions, consequences can be serious. Using examples of clinician-written medication instructions from an electronic health record...

journal_title：Applied clinical informatics

authors： Ancker JS,Send A,Hafeez B,Osorio SN,Abramson E

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:High-quality clinical data and biological specimens are key for medical research and personalized medicine. The Biobanking and Biomolecular Resources Research Infrastructure-European Research Infrastructure Consortium (BBMRI-ERIC) aims to facilitate access to such biological resources. The accompanying ADOPT...

journal_title：Applied clinical informatics

authors： Mate S,Kampf M,Rödle W,Kraus S,Proynova R,Silander K,Ebert L,Lablans M,Schüttler C,Knell C,Eklund N,Hummel M,Holub P,Prokosch HU

更新日期：2019-08-01 00:00:00

abstract：:Patient-generated health data are coming into broader use across the health care spectrum and hold great promise as a means to improve care and health outcomes. At the same time, rapid evolution in the social media and mobile health (mHealth) market has promoted an environment in which creation and transmission of per...

journal_title：Applied clinical informatics

authors： Petersen C,DeMuro P

更新日期：2015-01-14 00:00:00

abstract：BACKGROUND:Advances in technology and access to expanded genetic testing have resulted in more children and adolescents receiving genetic testing for diagnostic and prognostic purposes. With increased adoption of the electronic health record (EHR), genetic testing is increasingly resulted in the EHR. However, this lead...

journal_title：Applied clinical informatics

authors： Kanungo S,Barr J,Crutchfield P,Fealko C,Soares N

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Discrepancies in controlled substance documentation are common and can lead to legal and regulatory repercussions. We introduced a visual analytics dashboard to assist in a quality improvement project to reduce the discrepancies in controlled substance documentation in the operating room (OR) of our free-sta...

journal_title：Applied clinical informatics

authors： Dolan JE,Lonsdale H,Ahumada LM,Patel A,Samuel J,Jalali A,Peck J,DeRosa JC,Rehman M,Varughese AM,Fernandez AM

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:While evidence generally supports the use of medication management technology, systems are typically implemented and evaluated piecemeal rather than as part of a comprehensive model for medication management. Systems to support drug therapy optimization, increasingly a key role of pharmacists in our healthca...

journal_title：Applied clinical informatics

authors： Pellegrin K,Chan F,Pagoria N,Jolson-Oakes S,Uyeno R,Levin A

更新日期：2018-01-01 00:00:00

abstract：UNLABELLED:Nationwide Children's Hospital established an i2b2 (Informatics for Integrating Biology & the Bedside) application for sleep disorder cohort identification. Discrete data were gleaned from semistructured sleep study reports. The system showed to work more efficiently than the traditional manual chart review ...

journal_title：Applied clinical informatics

authors： Chen W,Kowatch R,Lin S,Splaingard M,Huang Y

更新日期：2015-05-27 00:00:00

abstract：OBJECTIVE:Efforts to promote adoption of electronic health records (EHRs) have focused on primary care physicians, who are now expected to exchange data electronically with other providers, including specialists. However, the variation of EHR adoption among specialists is underexplored. METHODS:We conducted a retrospe...

journal_title：Applied clinical informatics

authors： Grinspan ZM,Banerjee S,Kaushal R,Kern LM

更新日期：2013-05-22 00:00:00

abstract：BACKGROUND:Preventable adverse events continue to be a threat to hospitalized patients. Clinical decision support in the form of dashboards may improve compliance with evidence-based safety practices. However, limited research describes providers' experiences with dashboards integrated into vendor electronic health rec...

journal_title：Applied clinical informatics

authors： Bersani K,Fuller TE,Garabedian P,Espares J,Mlaver E,Businger A,Chang F,Boxer RB,Schnock KO,Rozenblum R,Dykes PC,Dalal AK,Benneyan JC,Lehmann LS,Gershanik EF,Bates DW,Schnipper JL

更新日期：2020-01-01 00:00:00

abstract：SUMMARY:Clinical decision support (CDS) can improve safety, quality, and cost-effectiveness of patient care, especially when implemented in computerized provider order entry (CPOE) applications. Medication-related decision support logic forms a large component of the CDS logic in any CPOE system. However, organizations...

journal_title：Applied clinical informatics

authors： Phansalkar S,Wright A,Kuperman GJ,Vaida AJ,Bobb AM,Jenders RA,Payne TH,Halamka J,Bloomrosen M,Bates DW

更新日期：2011-02-09 00:00:00

abstract：OBJECTIVE:Based on US. Centers for Disease Control and Prevention recommendations, New York State enacted legislation in 2010 requiring healthcare providers to offer non-targeted human immunodeficiency virus (HIV) testing to all patients aged 13-64. Three New York City adult emergency departments implemented an electro...

journal_title：Applied clinical informatics

authors： Schnall R,Liu N,Sperling J,Green R,Clark S,Vawdrey D

更新日期：2014-03-26 00:00:00

abstract：OBJECTIVES:This study evaluates the accuracy and portability of a natural language processing (NLP) tool for extracting clinical findings of influenza from clinical notes across two large healthcare systems. Effectiveness is evaluated on how well NLP supports downstream influenza case-detection for disease surveillance...

journal_title：Applied clinical informatics

authors： Ferraro JP,Ye Y,Gesteland PH,Haug PJ,Tsui FR,Cooper GF,Van Bree R,Ginter T,Nowalk AJ,Wagner M

更新日期：2017-05-31 00:00:00

abstract：OBJECTIVES:Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variance in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variance. We hypothesized that selective redesign of orde...

journal_title：Applied clinical informatics

authors： Jacobs BR,Hart KW,Rucker DW

更新日期：2012-02-08 00:00:00

abstract：BACKGROUND: Electronic health records (EHRs) are used in long-term care to document the patients' condition, medication, and care, thereby supporting communication among caregivers and counteracting adverse drug events. However, the use of EHRs in long-term care has lagged behind EHR use in hospitals. In addition, most...

journal_title：Applied clinical informatics

authors： Hertzum M

更新日期：2021-01-01 00:00:00

abstract：BACKGROUND:UW Medicine was one of the first health systems to encounter and treat COVID-19 patients in the United States, starting in late February 2020. OBJECTIVE:Here we describe the rapid rollout of capabilities by UW Medicine Information Technology Services (ITS) to support our clinical response to the COVID-19 pa...

journal_title：Applied clinical informatics

authors： Grange ES,Neil EJ,Stoffel M,Singh AP,Tseng E,Resco-Summers K,Fellner BJ,Lynch JB,Mathias PC,Mauritz-Miller K,Sutton PR,Leu MG

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVES:Transitions in patient care pose an increased risk to patient safety. One way to reduce this risk is to ensure accurate medication reconciliation during the transition. Here we present an evaluation of an electronic medication reconciliation module we developed to reduce the transition risk in patients refer...

journal_title：Applied clinical informatics

authors： Kramer HS,Gibson B,Livnat Y,Thraen I,Brody AA,Rupper R

更新日期：2016-05-25 00:00:00

abstract：BACKGROUND:Electronic prescribing (e-prescribing) technology was introduced as an alternative to handwritten prescriptions allowing health care professionals to send prescriptions directly to pharmacies. While the technology has many advantages, such as improving pharmacy workflow and reducing medication errors, some l...

journal_title：Applied clinical informatics

authors： Hincapie AL,Alamer A,Sears J,Warholak TL,Goins S,Weinstein SD

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Care-management tools are typically utilized for chronic disease management. Sonoma County government agencies employed advanced health information technologies, artificial intelligence (AI), and interagency process improvements to help transform health and health care for socially disadvantaged groups and o...

journal_title：Applied clinical informatics

authors： Snowdon JL,Robinson B,Staats C,Wolsey K,Sands-Lincoln M,Strasheim T,Brotman D,Keating K,Schnitter E,Jackson G,Kassler W

更新日期：2020-08-01 00:00:00

abstract：OBJECTIVE:To evaluate the health information technology (HIT) workforce knowledge and skills needed by HIT employers. METHODS:Statewide face-to-face and online focus groups of identified HIT employer groups in Austin, Brownsville, College Station, Dallas, El Paso, Houston, Lubbock, San Antonio, and webinars for rural ...

journal_title：Applied clinical informatics

authors： Fenton SH,Gongora-Ferraez MJ,Joost E

更新日期：2012-12-05 00:00:00

abstract：OBJECTIVE:To understand how clinicians utilize image uploading tools in a home grown electronic health records (EHR) system. METHODS:A content analysis of patient notes containing non-radiological images from the EHR was conducted. Images from 4,000 random notes from July 1, 2009 - June 30, 2010 were reviewed and manu...

journal_title：Applied clinical informatics

authors： Ai AC,Maloney FL,Hickman TT,Wilcox AR,Ramelson H,Wright A

更新日期：2017-07-12 00:00:00

abstract：BACKGROUND:Medical students may observe and subsequently perpetuate redundancy in clinical documentation, but the degree of redundancy in student notes and whether there is an association with scholastic performance are unknown. OBJECTIVES:This study sought to quantify redundancy, defined generally as the proportion o...

journal_title：Applied clinical informatics

authors： Monahan K,Ye C,Gould E,Xu M,Huang S,Spickard A 3rd,Rosenbloom ST,Coco J,Fabbri D,Miller B

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Electronic health record (EHR)-based registries allow for robust data to be derived directly from the patient clinical record and can provide important information about processes of care delivery and patient health outcomes. METHODS:A data dictionary, and subsequent data model, were developed describing EH...

journal_title：Applied clinical informatics

authors： Deakyne Davies SJ,Grundmeier RW,Campos DA,Hayes KL,Bell J,Alessandrini EA,Bajaj L,Chamberlain JM,Gorelick MH,Enriquez R,Casper TC,Scheid B,Kittick M,Dean JM,Alpern ER,Pediatric Emergency Care Applied Research Network.

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Holistic, ubiquitous support of patient-centered health care (eHealth) at all health care institutions and in patients' homes through information processing is increasingly supplementing institution-centered care. While eHealth indicators may measure the transition from institution-centered (e.g., hospital-c...

journal_title：Applied clinical informatics

authors： Haux R,Ammenwerth E,Koch S,Lehmann CU,Park HA,Saranto K,Wong CP

更新日期：2018-07-01 00:00:00