Abstract：
OBJECTIVE:To describe the kinds of unintended consequences related to the implementation of computerized provider order entry (CPOE) in the outpatient setting. DESIGN:Ethnographic and interview data were collected by an interdisciplinary team over a 7 month period at four clinics. MEASUREMENTS:Instances of unintended consequences were categorized using an expanded Diffusion of Innovations theory framework. RESULTS:The framework was clarified and expanded. There are both desirable and undesirable unintended consequences, and they can be either direct or indirect, but there are also many consequences that are not clearly either desirable or undesirable or may even be both, depending on one's perspective. The undesirable consequences include error and security concerns and issues related to alerts, workflow, ergonomics, interpersonal relations, and reimplementations. CONCLUSION:Consequences of implementing and reimplementing clinical systems are complex. The expanded Diffusion of Innovations theory framework is a useful tool for analyzing such consequences.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Ash JS,Sittig DF,Dykstra RH,Guappone K,Carpenter JD,Seshadri Vdoi
10.1016/j.ijmedinf.2006.05.017subject
Has Abstractpub_date
2007-06-01 00:00:00pages
S21-7eissn
1386-5056issn
1872-8243pii
S1386-5056(06)00138-9journal_volume
76 Suppl 1pub_type
杂志文章abstract：INTRODUCTION:Physician satisfaction with electronic medical records has often been poor. Usability has frequently been identified as a source for decreased satisfaction. While surveys can identify many issues, and are logistically easier to administer, they may miss issues identified using other methods This study soug...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.01.010
更新日期：2018-04-01 00:00:00
abstract：:Decision trees have been already successfully used in medicine, but as in traditional statistics, some hard real world problems can not be solved successfully using the traditional way of induction. In our experiments we tested various methods for building univariate decision trees in order to find the best induction ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(01)00176-9
更新日期：2001-09-01 00:00:00
abstract：PURPOSE:Despite the amount of health information available online, there are several barriers that limit the Internet from being adopted as a source of health information. The purpose of this study was to identify individual skill-related problems that users experience when accessing the Internet for health information...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2011.10.005
更新日期：2012-01-01 00:00:00
abstract：PURPOSES:This study aimed to compare between electronic medication administration records and paper-based records in the nursing time spent on various activities in a medication round and the medication administration processes followed by nurses in an Australian residential aged care home. It also aimed to identify th...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2015.08.002
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Medication errors in hospital discharge summaries have the potential to cause serious harm to patients. These errors are generally associated with manual transcription of medications between medication charts and discharge summaries. Studies also show junior doctors are more likely to contribute to discharge...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2009.09.002
更新日期：2010-01-01 00:00:00
abstract：:The research questions, strategies, and results of a 7-year qualitative study of computerized physician order entry implementation (CPOE) at successful sites are reviewed over time. The iterative nature of qualitative inquiry stimulates a consecutive stream of research foci, which, with each iteration, add further ins...
journal_title：International journal of medical informatics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijmedinf.2005.05.005
更新日期：2005-08-01 00:00:00
abstract：:The need for effective and efficient exchange of clinical knowledge is increasing. Paper based methods for managing clinical knowledge are not meeting the demand for knowledge and this has undoubtedly contributed to the widely reported failures of clinical guidelines. Internet affords both opportunities and dangers fo...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(97)00084-1
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND:Pre-existing wireless local area network (WLAN) infrastructures enable the implementation of a real-time location system (RTLS) in the clinical setting. RTLS enable clinics to capture and process patient position data and link it with clinical data. The improvements in workflow and treatment brought about by...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2013.10.001
更新日期：2014-01-01 00:00:00
abstract：:The success of treatment of patients with cancer depends on establishing an accurate diagnosis. To this end, we have built a system called GEMS (gene expression model selector) for the automated development and evaluation of high-quality cancer diagnostic models and biomarker discovery from microarray gene expression ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2005.05.002
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVE:To introduce a new concept of medical dashboard system called BESTBoard. Such a system was implemented in all wards in a tertiary academic hospital to explore the development process, core designs, functions, usability and feasibility. METHODS:The task-force team made user interface designs for 6 months base...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2016.10.001
更新日期：2017-01-01 00:00:00
abstract：UNLABELLED:The paper provides detailed descriptions of general practitioners (GPs') interactions, both with their computers and their patients, with the aim of facilitating the detailed understanding of how GPs use their computers while in consultation with patients. The focus is on the coordinated activities of the do...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2005.04.002
更新日期：2005-07-01 00:00:00
abstract：:This paper describes a new distributed Master of Science degree program stream in health informatics (HI) at the University of Victoria, Canada, aimed at healthcare and information technology professionals working in the health setting. This is a part-time graduate program where students are required to complete 10 co...
journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
doi：10.1016/j.ijmedinf.2007.01.008
更新日期：2007-05-01 00:00:00
abstract：INTRODUCTION:The rapid scale-up of HIV care and treatment in resource-limited countries requires concurrent, rapid development of health information systems to support quality service delivery. Mozambique, a country with an 11.5% prevalence of HIV, has developed nation-wide patient monitoring systems (PMS) with standar...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2016.11.002
更新日期：2017-01-01 00:00:00
abstract：:The process of generating a clinical referral for a patient, and the resulting transfer of information from the primary care physician to the specialist and back again, are key components in the struggle to deliver less costly and more effective clinical care. We have created a computer-based, outpatient clinical refe...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(99)00027-1
更新日期：1999-08-01 00:00:00
abstract：PURPOSE:One of the main challenges of eHealth is semantic interoperability of health systems. But, this will only be possible if the capture, representation and access of patient data is standardized. Clinical data models, such as OpenEHR Archetypes, define data structures that are agreed by experts to ensure the accur...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2012.02.007
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:This study presents a conceptual model to investigate the healthcare technology management (HTM) competency required by healthcare IS professionals and the impact of such competency in gaining strategic advantages through information technology (IT) by development of partnerships with people from different di...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2008.05.007
更新日期：2009-02-01 00:00:00
abstract：PURPOSE:Ethical and legal requirements for healthcare providers in the United States, stipulate that patients sign a consent form prior to undergoing medical treatment or participating in a research study. Currently, the majority of the hospitals obtain these consents using paper-based forms, which makes patient prefer...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2013.04.008
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:The "m" in mHealth is often thought of as the ability to receive health information and monitor behaviors on the go. Little is known about how people actually use mobile vs. traditional access methods and if access method affects engagement and health outcomes. METHODS:This study examines the 3-month outcom...
journal_title：International journal of medical informatics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ijmedinf.2014.01.002
更新日期：2014-05-01 00:00:00
abstract：INTRODUCTION:Electronic medical records (EMRs) may address the need for decision and language support for Western clinicians on mobile medical service trips (MSTs) in low resource settings abroad, while providing improved access to records and data management. However, there has yet to be a review of this emerging tech...
journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
doi：10.1016/j.ijmedinf.2016.11.008
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Chatbots are systems that are able to converse and interact with human users using spoken, written, and visual languages. Chatbots have the potential to be useful tools for individuals with mental disorders, especially those who are reluctant to seek mental health advice due to stigmatization. While numerous...
journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
doi：10.1016/j.ijmedinf.2019.103978
更新日期：2019-12-01 00:00:00
abstract：:Exposure to technologies is becoming more prevalent in healthcare technologies. Few strategies have been developed that work reliably to successfully implement information technologies. Information technology enables, but does not guarantee organizational change. A theoretical model has been developed identifying seve...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(99)00037-4
更新日期：1999-12-01 00:00:00
abstract：PURPOSE:Many criteria have been developed to rate the quality of online health information. To effectively evaluate quality, consumers must use quality criteria that can be reliably assessed. However, few instruments have been validated for inter-rater agreement. Therefore, we assessed the degree to which two raters co...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2005.02.002
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVES:INCA (Intelligent Control Assistant for Diabetes) is an EU funded project aimed at improving diabetes therapy by creating a personal closed-loop system interacting with telemedical remote control. This study aims at identifying and applying suitable methods for a cost-benefit analysis from the perspective of...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2007.06.002
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:Twitter has become one of the most popular social media platforms that offers real-world insights to healthy behaviors. The purpose of this study was to assess and compare perceptions about chemotherapy of patients and health-care providers through analysis of chemo-related tweets. MATERIALS AND METHODS:Canc...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.10.002
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Digital epidemiology tries to identify diseases dynamics and spread behaviors using digital traces collected via search engines logs and social media posts. However, the impacts of news on information-seeking behaviors have been remained unknown. METHODS:Data employed in this research provided from two sour...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.03.017
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:Our aim is to develop reliable descriptions of various seizure types, which will be used as a basis for decision support. We use expert opinions in this process. In this contribution we evaluate the inter-participant agreement in the selection of frequently occurring symptoms for the description of seizure ty...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(03)00047-9
更新日期：2003-07-01 00:00:00
abstract：:To assist medical professional in better treatment of diseases, and improve patient outcomes, healthcare has brought about a cognitive computing revolution. The cognitive computing system processes enormous amounts of data instantly to answer specific queries and makes customized intelligent recommendations. Cognitive...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.04.024
更新日期：2019-09-01 00:00:00
abstract：:In this paper we describe Tagged Information Management System (TIMS), an integrated knowledge management system for the domain of molecular biology and biomedicine, in which terminology-driven literature mining, knowledge acquisition (KA), knowledge integration (KI), and XML-based knowledge retrieval are combined usi...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(02)00055-2
更新日期：2002-12-04 00:00:00
abstract：:Electronic cigarettes (e-cigarettes) usage has surged substantially across the globe, particularly among adolescents and young adults. The ever-increasing prevalence of social media makes it highly convenient to access and engage with content on numerous substances, including e-cigarettes. A comprehensive dataset of 5...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2020.104223
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVE:To develop and characterize a large, representative sample of guideline recommendations that can be used to better understand how current recommendations are written and to test the adequacy of guideline models. We refer to this sample as the Yale Guideline Recommendation Corpus (YGRC). METHOD:To develop the...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2008.11.001
更新日期：2009-05-01 00:00:00
