A great deal of successful work has been done in the area of EMR development, implementation, and evaluation. Less work has been done in the area of automated systems for patients. Efforts to link data at multiple levels – the patient, the case ...
Computer aided instruction (CAI) software is becoming commonplace in medical education. Our experience with CAI programs in our pediatric ED raised concerns about the time commitment some of these programs require. We developed a just-in-time learning ...
Automated quality assessment of clinician actions and patient outcomes is a central problem in guideline- or standards-based medical care. In this paper we describe a model representation and algorithm for deriving structured quality indicators and auditing ...
Accrual to clinical trials is a major bottleneck in scientific progress in clinical medicine. Many methods for identifying potential subjects and improving accrual have been pursued; few have succeeded, and none have proven generally reproducible or scalable. ...
We introduce a novel, sound, sample-efficient, and highly-scalable algorithm for variable selection for classification, regression and prediction called HITON. The algorithm works by inducing the Markov Blanket of the variable to be classified or predicted. ...
Information needs are prevalent in clinical practice. They represent a potential source of medical errors. This study seeks to empirically determine the information needs of clinicians while using a clinical information system (CIS), and characterize ...
The discipline of Evidence Based Medicine (EBM) studies formal and quasi-formal methods for identifying high quality medical information and abstracting it in useful forms so that patients receive the best customized care possible []. ...
To identify success factors for implementing computerized physician order entry (CPOE), our research team took both a top-down and bottom-up approach and reconciled the results to develop twelve overarching principles to guide implementation. A consensus ...
The purpose of this paper is to describe the implementation and evaluation of a two-part approach to achieving informatics competencies: 1) Palm-based student clinical log for documentation of patient encounters; and 2) informatics for evidence-based ...
In this paper, we present a new approach to clinical workplace computerization that departs from the window–based user interface paradigm. NOSTOS is an experimental computer–augmented work environment designed to support data capture and ...
The Unified Medical Language System® (UMLS ®), a project of the National Library of Medicine (NLM), regularly distributes a set of knowledge sources to the research community. These data are made available over the Internet through the ...
This paper describes a system that has been developed to support Telemedicine activities in Brazil, a country that has serious problems in the delivery of health services. The system is a part of the broader Tele-health Project that has been developed ...
Primary Care Office InSite (PCOI) is a Web-based intranet application that provides ready access to a collection of information useful in primary care. The PCOI Web site was developed by, and is widely used within, the Massachusetts General Hospital (MGH) ...
The promise of electronic decision support to promote evidence based practice remains elusive in the context of chronic disease management. We examine the problem of achieving a close relationship of Electronic Health Record (EHR) content to other components ...
This paper describes a development cycle for the engineering of large knowledge bases: A graphical tool is used for editing and the content is transformed into a logic-based representation language. This representation is used to check the consistency ...
Clinical decision support systems (CDSS) can impact both diagnostic and therapeutic decision-making, but physicians sometimes fail to heed the appropriate CDSS advice, or become influenced in a negative way by the CDSS. This study examined the relationships ...
To understand the difficulties users face when retrieving comprehensive healthcare information, this paper analyzes how facts related to a widely available healthcare topic are distributed across high-quality webpages. An inter-rater experiment with two ...
We developed adaptive turnaround documents (ATDs) to address longstanding challenges inherent in acquiring structured data at the point of care. These computer-generated paper forms both request and receive patient tailored information specifically for ...
We report on the use of Contextual Design (CD) to develop models of the information management, resource integration, and collaborative processes of medical students in problem-based learning groups. CD is a modified ethnographic technique designed to ...
For designing and implementing secure, interoperable, portable, and future-proof EHR systems, a comprehensive and standardized methodology supported by appropriate tools has to be established and applied. Based on the component paradigm, the ISO Reference ...
To investigate three aspects of the redundancy of hierarchical relations across biomedical terminologies: 1) What proportion of the relations is redundant?, 2) Which terminologies tend to overlap with other terminologies?, and 3) Is there a link between ...
This paper describes the results of using a modified Delphi approach designed to achieve consensus from eight discharge planning experts regarding the decision to refer hospitalized older adults for post-discharge follow-up. Experts reviewed 150 cases ...
The integration and large-scale analyses of medical error databases would be greatly facilitated by the use of a standard terminology. We investigated the availability in the UMLS metathesaurus of concepts that are required for coding patient safety data. ...
To evaluate SNOMED-CT ‘s ability to represent simple and compositional concepts in FDA approved oncology drug indications.Oncology drug indications were decomposed into single and compositional concepts. SNOMED-CT’s coverage of single ...