当前位置： SCI文献检索 > JOURNAL OF EVALUATION IN CLINICAL PRACTICE期刊下所有文献 > HIT or miss: the application of health care information technology to managing uncertainty in clinical decision making.

HIT or miss: the application of health care information technology to managing uncertainty in clinical decision making.

Abstract：

OBJECTIVE:To discuss the usefulness of health care information technology (HIT) in assisting care providers minimize uncertainty while simultaneously increasing efficiency of the care provided. STUDY DESIGN:An ongoing study of HIT, performance measurement (clinical and production efficiency) and their implications to the payment for care represents the design of this study. Since 2006, all Maryland hospitals have embarked on a multi-faceted study of performance measures and HIT adoption surveys, which will shape the health care payment model in Maryland, the last of the all-payor states, in 2011. METHODS:This paper focuses on the HIT component of the Maryland care payment initiative. While the payment model is still under review and discussion, 'appropriateness' of care has been discussed as an important dimension of measurement. Within this dimension, the 'uncertainty' concept has been identified as associated with variation in care practices. Hence, the methods of this paper define how HIT can assist care providers in addressing the concept of uncertainty, and then provides findings from the first HIT survey in Maryland to infer the readiness of Maryland hospital in addressing uncertainty of care in part through the use of HIT. RESULTS:Maryland hospitals show noteworthy variation in their adoption and use of HIT. While computerized, electronic patient records are not commonly used among and across Maryland hospitals, many of the uses of HIT internally in each hospital could significantly assist in better communication about better practices to minimize uncertainty of care and enhance the efficiency of its production.

journal_name

J Eval Clin Pract

journal_title

Journal of evaluation in clinical practice

authors

Kazandjian VA,Lipitz-Snyderman A

doi

10.1111/j.1365-2753.2010.01483.x

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

1108-13

issue

6

eissn

1356-1294

issn

1365-2753

pii

JEP1483

journal_volume

17

pub_type

杂志文章

相关文献

JOURNAL OF EVALUATION IN CLINICAL PRACTICE文献大全
  • Clinical guidelines: ways ahead.

    abstract：:Clinical guidelines are essential in promoting the implementation of evidence-based practice within the NHS. But there are two broad schools of thought about their development and implementation: the first argues that guidelines should be entirely evidence-based and tolerates a degree of complexity which may make the ...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.1998.tb00088.x

    authors： Onion CW,Walley T

    更新日期：1998-11-01 00:00:00

  • Strategies for ensuring effective surveillance in post-transplant patients: practical organization and clinical evaluation.

    abstract：:Results of renal transplantation have improved steadily over the years. This article reviews the current status of patient and graft survival and discusses major causes of mortality and renal allograft failure. Review of recent literature demonstrates that the traditional enemies of transplantation, acute rejection an...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,评审

    doi：10.1111/j.1365-2753.2003.00408.x

    authors： Jurewicz WA,Miles A

    更新日期：2004-02-01 00:00:00

  • Provider adherence to COPD guidelines: relationship to organizational factors.

    abstract：RATIONALE, AIMS AND OBJECTIVES:A clinical practice guideline for chronic obstructive pulmonary disease (COPD) was implemented in all Veterans Health Administration (VHA) hospitals in the US. The aim of the current analyses is to describe current adherence rates and the organizational factors related to provider adheren...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2005.00541.x

    authors： Ward MM,Yankey JW,Vaughn TE,BootsMiller BJ,Flach SD,Watrin S,Doebbeling BN

    更新日期：2005-08-01 00:00:00

  • How to contextualize training on guideline-uptake for your setting.

    abstract：:One knowledge translation method, of putting evidence into practice, is the use of clinical practice guidelines (CPG). The purpose of this brief report is to describe an 8-step process of "how to" contextualize a training programme to increase CPG-uptake for a targeted audience in a clearly defined setting. This proce...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.13476

    authors： Stander J,Grimmer K,Brink Y

    更新日期：2020-09-14 00:00:00

  • Different perspectives of validity in psychiatry.

    abstract：:It is important to improve our understanding about what might be the specific characteristics of mental disorders to strengthen the scientific credibility of psychiatry and to clarify its position among other medical and nonmedical sciences. On the other hand, this issue has diagnostic, research, therapeutic, legal, f...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,评审

    doi：10.1111/jep.12766

    authors： Telles Correia D

    更新日期：2017-10-01 00:00:00

  • The challenge of evidence in clinical medicine.

    abstract：:The primary goal of evidence-based medicine (EBM) has been to change the way clinicians make decisions. But EBM has inappropriately privileged the results of clinical research for medical decision making and has undermined the importance of other kinds of medical knowledge, pathophysiologic understanding and clinical ...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2010.01405.x

    authors： Tonelli MR

    更新日期：2010-04-01 00:00:00

  • Characteristics of shared decision making in Romania from the patient perspective: A cross-sectional multicentric study.

    abstract：BACKGROUND:Shared decision making (SDM) is very important from patients' perspective. This process has not yet been evaluated in Romania. The study aims to evaluate SDM from the patients' perspective and to evaluate patients' characteristics that associate with SDM. MATERIAL AND METHODS:A cross-sectional multicentric ...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,多中心研究

    doi：10.1111/jep.13257

    authors： Baicus C,Balanescu P,Zeh S,Oprisan E,Lapadatu R,Gurghean A,Padureanu V,Rezus C,Mitu F,Jurcut R,Balanescu AR,Daha I,Balanescu E,Bojinca M,Pinte L,Constantin AM,Dima N,Floria M,Leon-Constantin MM,Roca M,Mitu M,Chi

    更新日期：2019-12-01 00:00:00

  • Exploring the continuum: medical information to effective clinical practice. Paper I: the translation of knowledge into clinical practice.

    abstract：:This paper investigates the translation of medical information into clinical practice and the role of thoughtful dissent by exploring the influence of sociological factors on change, the impact of evidence-based medicine (EBM), and the role of industry. Changing practice related to hormone therapy for menopausal and p...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2005.00608.x

    authors： Genuis SK,Genuis SJ

    更新日期：2006-02-01 00:00:00

  • Assessment of implementability of an adapted clinical practice guideline for surgical antimicrobial prophylaxis at a tertiary care university hospital.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Surgical site infections are the most common healthcare-associated infections. Appropriate surgical antimicrobial prophylaxis (SAP), which is an integral part of surgical site infection SSI prevention, is one of the major preventable risks to surgical patient safety. Several clinical prac...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12658

    authors： Altokhais TI,Al-Obaid OA,Kattan AE,Amer YS,CPG Collaborative Groups.

    更新日期：2017-02-01 00:00:00

  • First-trimester Down syndrome screening in women younger than 35 years old and cost-effectiveness analysis in Taiwan population.

    abstract：OBJECTIVES:Outcome of the first-trimester Down syndrome screening in younger population was less reported before. We present the outcome of this screening in Taiwanese women younger than 35 years old. We also test whether or not the first-trimester Down syndrome screening of women <35 years of age and women >35 years o...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2008.01095.x

    authors： Chou CY,Hsieh FJ,Cheong ML,Lee FK,She BQ,Tsai MS

    更新日期：2009-10-01 00:00:00

  • Selective prevention of cardiometabolic diseases in general practice: attitudes and working methods of male and female general practitioners before and after the introduction of the Prevention Consultation guideline in the Netherlands.

    abstract：RATIONALE, AIMS AND OBJECTIVES:In 2011 the module cardiometabolic risk of the Prevention Consultation guideline was introduced in the Netherlands in order to prevent cardiometabolic diseases. We aimed to compare attitudes and working methods of Dutch general practitioners (GPs) towards selective prevention of cardiomet...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12179

    authors： Vos HM,Van Delft DH,De Kleijn MJ,Nielen MM,Schellevis FG,Lagro-Janssen AL

    更新日期：2014-08-01 00:00:00

  • Patients' 'thingification', unexplained symptoms and response-ability in the clinical context: in response to 'Patients' substantialization of disease, the hybrid symptom and the metaphysical care', by Alexandra Parvan.

    abstract：:The types of diseases, or categories of suffering, referred to as medically unexplained symptoms or syndromes (MUS) are the focus for the following commentary. Such cases seem to invite reflection. The very nature of such complex patterns of disease and suffering raises a number of fundamental epistemological and onto...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12430

    authors： Eriksen TE,Kirkengen AL

    更新日期：2016-08-01 00:00:00

  • Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Wristbands are essential for accurate patient identification. Some evidence suggests that missing wristbands is not an infrequent occurrence in acute hospitals. The National Patient Safety Agency (NPSA) has developed guidance on patient identification for hospitals in England and Wales. H...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2008.01004.x

    authors： Sevdalis N,Norris B,Ranger C,Bothwell S,Wristband Project Team.

    更新日期：2009-04-01 00:00:00

  • Evaluating the impact of an evidence-based medicine educational intervention on primary care doctors' attitudes, knowledge and clinical behaviour: a controlled trial and before and after study.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Traditional continuing medical education programmes that offer passive learning have been shown to be poorly effective at changing doctors' clinical behaviour. A multifaceted evidence-based medicine (EBM) intervention was conducted at the largest health maintenance organization (HMO) in I...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1365-2753.2007.00859.x

    authors： Shuval K,Berkovits E,Netzer D,Hekselman I,Linn S,Brezis M,Reis S

    更新日期：2007-08-01 00:00:00

  • Resilience, health perceptions, (QOL), stressors, and hospital admissions-Observations from the real world of clinical care of unstable health journeys in Monash Watch (MW), Victoria, Australia.

    abstract：RATIONALE, AIMS, AND OBJECTIVES:Monash Watch (MW) aims to reduce potentially preventable hospitalisations in a cohort above a risk "threshold" identified by Health Links Chronic Care (HLCC) algorithms using personal, diagnostic, and service data. MW conducted regular patient monitoring through outbound phone calls usin...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.13031

    authors： Martin C,Hinkley N,Stockman K,Campbell D

    更新日期：2018-12-01 00:00:00

  • An epistemological problem for integration in EBM.

    abstract：:Evidence-based medicine (EBM) calls for medical practitioners to "integrate" our best available evidence into clinical practice. A significant amount of the literature on EBM takes this integration to be unproblematic, focusing on questions like how to interpret evidence and engage with patient values, rather than cri...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.13109

    authors： Lawson-Frost S

    更新日期：2019-12-01 00:00:00

  • Clinicians' perceptions of rounding processes and effectiveness of clinical communication.

    abstract：RATIONALE, AIMS, AND OBJECTIVES:Ward rounds present opportunities for medical officers, nurses, allied health clinicians, and patients to interact and plan patient care. A recent literature review found eight types of rounding processes. Different purposes, varying levels of representation from clinical professions, an...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.13248

    authors： Walton V,Hogden A,Long JC,Johnson J,Greenfield D

    更新日期：2020-06-01 00:00:00

  • EHR adoption among doctors who treat the elderly.

    abstract：OBJECTIVES:The purpose of this study is to examine Electronic Health Record (EHR) adoption among Florida doctors who treat the elderly. This analysis contributes to the EHR adoption literature by determining if doctors who disproportionately treat the elderly differ from their counterparts with respect to the utilizati...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2009.01277.x

    authors： Yeager VA,Menachemi N,Brooks RG

    更新日期：2010-12-01 00:00:00

  • Multi-item outcome measures for lateral ligament injury of the ankle: a structured review.

    abstract：OBJECTIVE:To identify and review evidence relating to the measurement properties of published multi-item outcome measures for the conservative management of lateral ligament injuries of the ankle. METHODS:Systematic literature searches were used to identify measures, which were then assessed against pre-defined criter...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,评审

    doi：10.1111/j.1365-2753.2003.00435.x

    authors： Haywood KL,Hargreaves J,Lamb SE

    更新日期：2004-05-01 00:00:00

  • Advancing the standards of clinical research: the urgent need for new methods and better data.

    abstract：:Some of the weaknesses of the randomized controlled trial (RCT) are pointed out, among them unavoidable biases, the possibility of coming to erroneous conclusions by the 'luck of the draw' and the fact that most such experiments lack a doctor/patient relationship and are of little assistance in clinical decision makin...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1046/j.1365-2753.1997.00007.x

    authors： Herman J

    更新日期：1997-08-01 00:00:00

  • Validating a conceptual model for an inter-professional approach to shared decision making: a mixed methods study.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Following increased interest in having inter-professional (IP) health care teams engage patients in decision making, we developed a conceptual model for an IP approach to shared decision making (SDM) in primary care. We assessed the validity of the model with stakeholders in Canada. METH...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2010.01515.x

    authors： Légaré F,Stacey D,Gagnon S,Dunn S,Pluye P,Frosch D,Kryworuchko J,Elwyn G,Gagnon MP,Graham ID

    更新日期：2011-08-01 00:00:00

  • Applying a 'stages of change' model to enhance a traditional evaluation of a research transfer course.

    abstract：:The aim of this study was to utilize an evaluation tool based on Prochaska's model of change in order to assess behaviour change as part of an evaluation process for a research transfer training programme (RTTP). The RTTP was a training programme offered to scientists in a psychiatry department and research institute ...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1046/j.1365-2753.2003.00407.x

    authors： Buckley LL,Goering P,Parikh SV,Butterill D,Foo EK

    更新日期：2003-11-01 00:00:00

  • On the causal structure of information bias and confounding bias in randomized trials.

    abstract：:Randomized trials are undoubtedly different from observational studies, but authors sometimes propose differences between these designs that do not exist. In this article we examine two claims about randomized trials: first, a recent claim that the causal structure of exposure measurement (information) bias in a rando...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2009.01347.x

    authors： Shahar E,Shahar DJ

    更新日期：2009-12-01 00:00:00

  • Incorrect evaluation of the frequency of malnutrition and of its screening in hospitalized children by health care professionals.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Malnutrition screening is essential to detect and to treat patients with stunting or wasting. The aim was to evaluate the subjective perception of frequency and assessment of malnutrition by health care professionals. RESEARCH METHODS AND PROCEDURES:In a paediatric university hospital, a...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12412

    authors： Restier L,Duclos A,Jarri L,Touzet S,Denis A,Occelli P,Kassai-Koupai B,Lachaux A,Loras-Duclaux I,Colin C,Peretti N

    更新日期：2015-10-01 00:00:00

  • Gating the holes in the Swiss cheese (part I): Expanding professor Reason's model for patient safety.

    abstract：INTRODUCTION:Although patient safety has improved steadily, harm remains a substantial global challenge. Additionally, safety needs to be ensured not only in hospitals but also across the continuum of care. Better understanding of the complex cognitive factors influencing health care-related decisions and organizationa...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12847

    authors： Seshia SS,Bryan Young G,Makhinson M,Smith PA,Stobart K,Croskerry P

    更新日期：2018-02-01 00:00:00

  • Prescribing pattern of antihypertensive drugs by family physicians and general practitioners in the primary care setting in Bahrain.

    abstract：:The aim was to determine whether there are differences among family physicians (FPs) and general practitioners (GPs) in terms of their preference for different classes of antihypertensives, either alone or in combinations, in uncomplicated cases of hypertension and to determine the extent of adherence to WHO/ISH guide...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1046/j.1365-2753.2002.00370.x

    authors： Sequeira RP,Jassim KA,Damanhori AH,Mathur VS

    更新日期：2002-11-01 00:00:00

  • Efficacy and safety of recombinant human interleukin-11 in the treatment of acute leukaemia patients with chemotherapy-induced thrombocytopenia: A systematic review and meta-analysis.

    abstract：RATIONALE, AIMS, AND OBJECTIVES:Current meta-analysis was conducted aiming to assess the efficacy and safety of recombinant human interleukin-11 (rhIL-11) in the treatment of acute leukaemia (AL) patients with chemotherapy-induced thrombocytopenia (CIT). METHODS:We searched PubMed, Embase, Chinese National Knowledge I...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.13152

    authors： Liu Z,Wang Y,Yan J,Liu J,Chen B,Zhang L,Cheng L

    更新日期：2020-02-01 00:00:00

  • Assessing value-based health care delivery for haemodialysis.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Disparities in haemodialysis outcomes among centres have been well-documented. Besides, attempts to assess haemodialysis results have been based on non-comprehensive methodologies. This study aimed to develop a comprehensive methodology for assessing haemodialysis centres, based on the va...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12483

    authors： Parra E,Arenas MD,Alonso M,Martínez MF,Gamen Á,Aguarón J,Escobar MT,Moreno-Jiménez JM,Alvarez-Ude F

    更新日期：2017-06-01 00:00:00

  • Test-retest reliability of the VA National Center for Patient Safety culture questionnaire.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Patient safety culture may have a significant influence on safety processes and outcomes. Therefore, it is important to have valid tools to measure patient safety culture in order to identify potential levers for cultural change that could improve patient safety. The 65-item Department of...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12589

    authors： Shiner B,Ronconi JM,McKnight S,Young-Xu Y,Mills PD,Watts BV

    更新日期：2016-12-01 00:00:00

  • The struggle of translating science into action: Foundational concepts of implementation science.

    abstract：:RATIONALE, AIMS, AND OBJECTIVES: "Implementation science," the scientific study of methods translating research findings into practical, useful outcomes, is contested and complex, with unpredictable use of results from routine clinical practice and different levels of continuing assessment of implementable interventio...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12741

    authors： Rapport F,Clay-Williams R,Churruca K,Shih P,Hogden A,Braithwaite J

    更新日期：2018-02-01 00:00:00