Pathologist Opinions about EPIC Beaker AP: a Multi-Institutional Survey of Early Adopters.

Abstract:

:EPIC Systems Corporation provides a widely used electronic medical record. Beaker Anatomic Pathology is a newly developed laboratory information system (LIS) that has been implemented at a small number of academic pathology departments. Pathologist opinions of EPIC Beaker AP have not been well described in the literature. A 37-question survey was administered to pathologists and pathology trainees to assess overall satisfaction and efficiency of report generation using Beaker AP. Data about experience in pathology, signout responsibilities, Beaker AP usage, and the legacy LIS was also collected. Seventy-four pathologists (51 faculty, 23 residents) responded to the survey (overall response rate 29.7%). Overall pathologist satisfaction with Beaker AP showed high inter-institutional variability; institutions with legacy LISs with a graphical interface had a generally neutral to negative assessment of Beaker AP. The majority of respondents disagreed with the statement "Beaker AP is easy to use and designed for my needs". Pathologists felt that Beaker AP was useful for reviewing clinical information and billing; areas of weakness included searching for prior cases and grossing efficiency. Overall, pathologists had a neutral opinion of whether generating and signing out a complete report was faster in Beaker AP, with marked inter-institutional variation. This variability was likely due to a combination of the efficacy of the legacy LIS, familiarity with Beaker AP at the time of the survey, and institution-specific optimization efforts.

journal_name

J Med Syst

authors

VanSandt M,Turner K,Dash R,Gui D,Tuluc M,Hart S,Raess PW

doi

10.1007/s10916-020-01574-x

subject

Has Abstract

pub_date

2020-05-06 00:00:00

pages

111

issue

6

eissn

0148-5598

issn

1573-689X

pii

10.1007/s10916-020-01574-x

journal_volume

44

pub_type

杂志文章
  • India: Intruder Node Detection and Isolation Action in Mobile Ad Hoc Networks Using Feature Optimization and Classification Approach.

    abstract::Due to lack of a central bureaucrat in mobile ad hoc networks, the security of the network becomes serious issue. During malicious attacks, according to the motivation of intruder the severity of the threat varies. It may lead to loss of data, energy or throughput. This paper proposes a lightweight Intruder Node Detec...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1309-2

    authors: Kavitha T,Geetha K,Muthaiah R

    更新日期:2019-05-10 00:00:00

  • Estimating hospital inefficiency: does case mix matter?

    abstract::A two-stage approach is used in a stochastic frontier analysis of the factors affecting hospital efficiency. In the first stage, a translog cost-function is used to estimate inefficiency scores. In the second stage, inefficiency scores are regressed against independent variables to test hypotheses that come from X-ine...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1020823612156

    authors: Rosko MD,Chilingerian JA

    更新日期:1999-02-01 00:00:00

  • Nullification of electromagnetic radiation: 50 Hz artifact during electroencephalogram recording.

    abstract::This paper discusses the 50-Hz artifact observed during EEG recording of three patients, using Mindset24 equipment in a biomedical laboratory along with other instruments. The artifact at 50 Hz is created due to electromagnetic (EM) radiation from the environment. Perhaps, the nullification of 50 Hz artifact occurs by...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-006-9017-0

    authors: Murali S,Kulish VV

    更新日期:2006-08-01 00:00:00

  • Advantages of low output mobile communication systems in hospitals.

    abstract::Mobile telephone systems using radio waves with very low power outputs rarely interfere with electronic medical equipment, which allows them to be safely installed in hospitals. The Personal Handy-phone System, PHS, which was developed and is widely used in Japan, is one such system. It has many useful functions inclu...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1005528912346

    authors: Hanada E,Takano K,Antoku Y,Matsumura K,Kenjo Y,Watanabe Y,Nose Y

    更新日期:2000-04-01 00:00:00

  • Pulse Wave Velocity and Machine Learning to Predict Cardiovascular Outcomes in Prediabetic and Diabetic Populations.

    abstract::Few studies have addressed the predictive value of arterial stiffness determined by pulse wave velocity (PWV) in a high-risk population with no prevalent cardiovascular disease and with obesity, hypertension, hyperglycemia, and preserved kidney function. This longitudinal, retrospective study enrolled 88 high-risk pat...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1479-y

    authors: Garcia-Carretero R,Vigil-Medina L,Barquero-Perez O,Ramos-Lopez J

    更新日期:2019-12-09 00:00:00

  • A Statistical Classifier to Support Diagnose Meningitis in Less Developed Areas of Brazil.

    abstract::This paper describes the development of statistical classifiers to help diagnose meningococcal meningitis, i.e. the most sever, infectious and deadliest type of this disease. The goal is to find a mechanism able to determine whether a patient has this type of meningitis from a set of symptoms that can be directly obse...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-017-0785-5

    authors: Lélis VM,Guzmán E,Belmonte MV

    更新日期:2017-08-11 00:00:00

  • Experience using the CQI model in health care management.

    abstract::This article describes practical applications of the Continuous Quality Improvement (CQI) concept applied to management of the Information Services Departments of a health care institution. The article is valuable for two reasons: (1) it is valuable as a successful application of CQI in an award-winning information se...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00999166

    authors: Minard B

    更新日期:1991-08-01 00:00:00

  • Distance-Based Method used to Localize the Eyeball Effectively for Cerebral Palsy Rehabilitation.

    abstract::Iris plays a vital role in human life for object identification. Many models and techniques were proposed and suggested for detecting the Iris, but the accuracy was not achieved up to the level and its frequently used for biometric application. The Proposed Work divided into two steps, at first, we detect the entire e...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1405-3

    authors: Sumathy G,Arokia Renjit J

    更新日期:2019-07-02 00:00:00

  • AI/LEARN: an interactive videodisk system for teaching medical concepts and reasoning.

    abstract::This paper describes AI/LEARN, an educational videodisk system designed to teach clinical observational skills and reasoning in medicine. The AI/LEARN system uses a learning conditions approach to teaching. To teach visual concepts, we use the principle of exemplar/nonexemplar pairs and immediate feedback. To teach If...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00993009

    authors: Mitchell JA,Lee AS,TenBrink T,Cutts JH 3rd,Clark DP,Hazelwood S,Jackson R,Bickel J,Gaunt W,Ladenson RP

    更新日期:1987-12-01 00:00:00

  • An analysis of standardized disease classification system for health care planning.

    abstract::This paper deals with the development of the standardized disease classification system, which generates usable statistics for comprehensive health care planning. It is used by ARCH (a regional health planning agency) to obtain a measure of acute hospital utilization and regional health status. A sample of 35,000 pati...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02285282

    authors: Carder WW,Kwak NK

    更新日期:1977-01-01 00:00:00

  • The Impact of Electronic Health Records on Risk Management of Information Systems in Australian Residential Aged Care Homes.

    abstract::To obtain indications of the influence of electronic health records (EHR) in managing risks and meeting information system accreditation standard in Australian residential aged care (RAC) homes. The hypothesis to be tested is that the RAC homes using EHR have better performance in meeting information system standards ...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0553-y

    authors: Jiang T,Yu P,Hailey D,Ma J,Yang J

    更新日期:2016-09-01 00:00:00

  • Computerization of a nosocomial infection system.

    abstract::This paper describes the implementation of a computerized nosocomial infection control system for a 500-bed tertiary-care teaching hospital. It is implemented on a minicomputer that uses the relational data base management system INGRES, which is marketed by Relational Technology, Inc. This system, which replaces a ma...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF02285253

    authors: Etersque S,Carter MJ,Gordon KR,Sutherland JG

    更新日期:1984-10-01 00:00:00

  • Understanding security failures of two authentication and key agreement schemes for telecare medicine information systems.

    abstract::Smart card based authentication and key agreement schemes for telecare medicine information systems (TMIS) enable doctors, nurses, patients and health visitors to use smart cards for secure login to medical information systems. In recent years, several authentication and key agreement schemes have been proposed to pre...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-015-0193-7

    authors: Mishra D

    更新日期:2015-03-01 00:00:00

  • Quantitative grading using Grey Relational Analysis on ultrasonographic images of a fatty liver.

    abstract::A quantitative graduation system based on Grey Relational Analysis is proposed to recognize fatty livers in B-scan ultrasonic images. We evaluated ultrasonography liver images from 95 subjects having fatty livers (Grade I, II, III) and 45 normal subjects, as diagnosed by an expert radiologist. In practice, ultrasonogr...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-011-9724-z

    authors: Içer S,Coşkun A,Ikizceli T

    更新日期:2012-08-01 00:00:00

  • Advanced occupational health information systems.

    abstract::The goals of occupational health information and surveillance systems are outlined together with the components required to achieve these objectives. The various input sources (different divisions within the concerned organization) are identified and major types of output reports of the system are described. These gen...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:

    authors: Carel RS,Levine MS

    更新日期:1984-12-01 00:00:00

  • Linking genome annotation projects with genetic disorders using ontologies.

    abstract::Genome sequencing projects generate vast amounts of data of a wide variety of types and complexities, and at a growing pace. Traditionally, the annotation of such sequences was difficult to share with other researchers. Despite the fact that this has improved with the development and application of biological ontologi...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-012-9890-7

    authors: Legaz-García Mdel C,Miñarro-Giménez JA,Madrid M,Menárguez-Tortosa M,Torres Martínez S,Fernández-Breis JT

    更新日期:2012-11-01 00:00:00

  • Effect of providing drug utilization review information on tricyclic antidepressant prescription in the elderly.

    abstract::Tricyclic antidepressants are known as potentially inappropriate medications in the elderly. A notification issued in July 2015 in South Korea recommended caution while prescribing tricyclic antidepressants to the elderly. Further, since October 2015, the nationwide computerized drug utilization review monitoring syst...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-1061-z

    authors: Park MJ,Kim MH,Shin SM,Chung SY

    更新日期:2018-09-13 00:00:00

  • A Secure Dynamic Identity and Chaotic Maps Based User Authentication and Key Agreement Scheme for e-Healthcare Systems.

    abstract::Secure user authentication schemes in many e-Healthcare applications try to prevent unauthorized users from intruding the e-Healthcare systems and a remote user and a medical server can establish session keys for securing the subsequent communications. However, many schemes does not mask the users' identity informatio...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-016-0586-2

    authors: Li CT,Lee CC,Weng CY,Chen SJ

    更新日期:2016-11-01 00:00:00

  • Analysis of Breast Thermograms Using Asymmetry in Infra-Mammary Curves.

    abstract::The objective of this research is to propose a methodology to analyse breast thermograms in order to detect breast abnormalities, including cancer. This research work mainly target to segmented ROI that show significant increase in temperature as compared to the neighbouring areas and contralateral sides in breast the...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1267-8

    authors: Ramya Devi R,Anandhamala GS

    更新日期:2019-04-22 00:00:00

  • An application of business process method to the clinical efficiency of hospital.

    abstract::The concept of Total Quality Management (TQM) has come to be applied in healthcare over the last few years. The process management category in the Baldrige Health Care Criteria for Performance Excellence model is designed to evaluate the quality of medical services. However, a systematic approach for implementation su...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-009-9376-4

    authors: Leu JD,Huang YT

    更新日期:2011-06-01 00:00:00

  • Assessing the Relative Performance of Nurses Using Data Envelopment Analysis Matrix (DEAM).

    abstract::Assessing employee performance is one of the most important issue in healthcare management services. Because of their direct relationship with patients, nurses are also the most influential hospital staff who play a vital role in providing healthcare services. In this paper, a novel Data Envelopment Analysis Matrix (D...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-0974-x

    authors: Vafaee Najar A,Pooya A,Alizadeh Zoeram A,Emrouznejad A

    更新日期:2018-05-31 00:00:00

  • Real-Time Medical Systems Based on Human Biometric Steganography: a Systematic Review.

    abstract::In real-time medical systems, the role of biometric technology is significant in authentication systems because it is used in verifying the identity of people through their biometric features. The biometric technology provides crucial properties for biometric features that can support the process of personal identific...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-018-1103-6

    authors: Mohsin AH,Zaidan AA,Zaidan BB,Ariffin SAB,Albahri OS,Albahri AS,Alsalem MA,Mohammed KI,Hashim M

    更新日期:2018-10-29 00:00:00

  • The use of simulation in planning the transportation of patients to hospitals following a disaster.

    abstract::The characteristics of disaster management are outlined. Planning for the efficient management of a disaster is described. The level of preparedness for disasters can be increased using simulation models in conjunction with drills. With the simulation model, "what-if" analyses are performed to predict the consequences...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1023/a:1020521909778

    authors: Christie PM,Levary RR

    更新日期:1998-10-01 00:00:00

  • Medical Image Enhancement by a Bilateral Filter Using Optimization Technique.

    abstract::For researchers, denoising of Magnetic Resonance (MR) image is a greatest challenge in digital image processing. In this paper, the impulse noise and Rician noise in the medical MR images are removed by using Bilateral Filter (BF). The novel approaches are presented in this paper; Enhanced grasshopper optimization alg...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-019-1370-x

    authors: Anoop V,Bipin PR

    更新日期:2019-06-20 00:00:00

  • A password-based user authentication scheme for the integrated EPR information system.

    abstract::With the rapid development of the Internet, digitization and electronic orientation are required in various applications of our daily life. For e-medicine, establishing Electronic patient records (EPRs) for all the patients has become the top issue during the last decade. Simultaneously, constructing an integrated EPR...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-010-9527-7

    authors: Wu ZY,Chung Y,Lai F,Chen TS

    更新日期:2012-04-01 00:00:00

  • A hand hygiene compliance check system: brief communication on a system to improve hand hygiene compliance in hospitals and reduce infection.

    abstract::Hand hygiene compliance is the most significant, modifiable cause of hospital-acquired infections, yet national averages for compliance rates remain unsatisfactory. Noncompliance can contribute to patient mortality, extended hospital stays, higher re-admission rates, and lower reimbursement for hospitals under the Pat...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-015-0253-z

    authors: Hong TS,Bush EC,Hauenstein MF,Lafontant A,Li C,Wanderer JP,Ehrenfeld JM

    更新日期:2015-06-01 00:00:00

  • Liver isolation in abdominal MRI.

    abstract::This work presents a method for liver isolation in magnetic resonance imaging (MRI) abdomen images. It is based on a priori statistical information about the shape of the liver obtained from a training set using the segmentation approach. Morphological watershed algorithm is used as a key technique as it is a simple a...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-008-9131-2

    authors: Rajasvaran L,Haw TW,Sarker SZ

    更新日期:2008-08-01 00:00:00

  • Quantitative Analysis Methods Using Histogram and Entropy for Detector Performance Evaluation According to the Sensitivity Change of the Automatic Exposure Control in Digital Radiography.

    abstract::The purpose of this study is to evaluate detector performance using histogram and entropy analysis according to the sensitivity change of the automatic exposure control (AEC). The experiment was performed as follows: The sensitivity of the detector was analyzed through a normalized histogram with sensitivities of S200...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-020-01652-0

    authors: Hwang JH,Lee KB,Choi JA,Lee TS

    更新日期:2020-09-04 00:00:00

  • Image Retrieval Based on Local Mesh Vector Co-occurrence Pattern for Medical Diagnosis from MRI Brain Images.

    abstract::In modern health-care, for evidence-based diagnosis, there is a requirement for an efficient image retrieval approach to retrieve the cases of interest that have similar characteristics from the large image databases. This paper presents a feature extraction approach that aims at extracting texture features present in...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/s10916-017-0799-z

    authors: Jenitta A,Samson Ravindran R

    更新日期:2017-08-31 00:00:00

  • Standardized nursing language for healthcare information systems.

    abstract::Since a substantial component of health care delivery is reflected in nursing's work, it is imperative that nursing expedites implementation of a standardized language that reflects nursing's work and ultimately allows outcome evaluation. This paper will summarize the state of development and related issues of standar...

    journal_title:Journal of medical systems

    pub_type: 杂志文章

    doi:10.1007/BF00999377

    authors: Delaney C,Mehmert PA,Prophet C,Bellinger SL,Huber DG,Ellerbe S

    更新日期:1992-08-01 00:00:00