AMIA Annual Symposium Proceedings

List of Papers (Total 3,840)

One-on-one proficiency training: an evaluation of satisfaction and effectiveness using clinical information systems.

To examine the effectiveness of a one-on-one training method for advanced proficiency in the use of clinical information systems (CIS) by clinicians (physicians, physician assistants, and nurse practitioners) in a large HMO.A cross-sectional survey of ...

Functional relationships between gene pairs in oral squamous cell carcinoma.

We developed a novel method for the discovery of functional relationships between pairs of genes based on gene expression profiles generated from microarrays. This approach examines all possible pairs of genes and identifies those in which the relationship ...

Creating an enterprise-wide allergy repository at Partners HealthCare System.

A significant fraction of medication errors and preventable adverse drug events are related to drug-allergy interactions (DAIs). Computerized prescribing can help prevent DAIs, but an accurate record of the patient’s allergies is required. At ...

From prototype to production system: lessons learned from the evolution of the SignOut System at Mount Sinai Medical Center.

Approaches to the development of information systems in large health care institutions range from prototyping to conventional development of large scale production systems. This paper discusses the development of the SignOut System at Mount Sinai Medical ...

A pan-Canadian health informatics education strategy.

Despite the fact that health informatics (HI) educational opportunities in Canada have increased by 40% over the last 3 years, there are few opportunities for advanced research or credentialing at the MSc and PhD levels. Existing programs are ...

Evaluation of a tool to categorize patients by reading literacy and computer skill to facilitate the computer-administered patient interview.

Past efforts to collect clinical information directly from patients using computers have had limited utility because these efforts required users to be literate and facile with the computerized information collecting system. In this paper we describe ...

Clinical documents: attribute-values entity representation,context, page layout and communication.

This paper presents how acquisition, storage and communication of clinical documents are implemented at the University Hospitals of Geneva. Careful attention has been given to user-interfaces, in order to support complex layouts, spell checking, templates ...

Evaluation of the medication sketch artist, a new method of determining unknown patient medications.

Medication errors are responsible for a significant number of hospital admissions, and significant morbidity and mortality. Many of these errors result from differences in physicians’ and patients’ understanding of medications. Health ...

Why don't physicians use their personal digital assistants?

As the Personal Digital Assistant (PDA) user population continues to expand, there is a need to design more useful devices and applications to facilitate the utilization of PDAs. We conducted a structured interview study to examine PDA usage and non-usage ...

A framework for infection control surveillance using association rules.

Surveillance of antibiotic resistance and nosocomial infections is one of the most important functions of a hospital infection control program. We employed the association rule method for automatically identifying new, unexpected, and potentially interesting ...

Citizen centered health and lifestyle management via interactive TV: The PANACEIA-ITV health system.

In the context of an IST European project with acronym PANACEIA-ITV, a home care service provision system is described based on interactive TV technology. The purpose of PANACEIA-ITV is to facilitate essential lifestyle changes and to promote compliance ...

Automated extraction and normalization of findings from cancer-related free-text radiology reports.

We describe the performance of a particular natural language processing system that uses knowledge vectors to extract findings from radiology reports. LifeCode® (A-Life Medical, Inc.) has been successfully coding reports for billing purposes for ...

Cross-language MeSH indexing using morpho-semantic normalization.

We consider three alternative procedures for the automatic indexing of medical documents using MSH thesaurus identifiers as target units (document descriptors). Rather than considering complete words as the starting point of the indexing procedure, we ...

Understanding search failures in consumer health information systems.

We examined queries that led to search failures on two National Library of Medicine Web-based consumer health sites, ClincialTrials.gov and MEDLINEplus. The purpose of the study was to analyze and categorize queries resulting that led to no results with ...

Creating a virtual community of learning predicated on medical student learning styles.

To create a virtual community of learning within the Indiana University School of Medicine, learning tools were developed within ANGEL to meet the learning needs and habits of the medical students.Determined by student feedback, the integration of digital ...

Categorization of sentence types in medical abstracts.

This study evaluated the use of machine learning techniques in the classification of sentence type. 7253 structured abstracts and 204 unstructured abstracts of Randomized Controlled Trials from MedLINE were parsed into sentences and each sentence was ...

Expression array annotation using the BioMediator biological data integration system and the BioConductor analytic platform.

This paper presents the implementation of a model for expression array annotation (EAA) using the BioMediator biological data integration system along with BioConductor, an analytic tools platform. The model presented addresses the need for annotation ...

Representing complexity in part-whole relationships within the Foundational Model of Anatomy.

The Foundational Model of Anatomy (FMA) is a frame-based ontology that represents declarative knowledge about the structural organization of the human body. Part-whole relationships play a particularly important role in this representation. In order to ...

Medical problem and document model for natural language understanding.

We are developing tools to help maintain a complete, accurate and timely problem list within a general purpose Electronic Medical Record system. As a part of this project, we have designed a system t o automatically retrieve medical problems from free-text ...

Gene indexing: characterization and analysis of NLM's GeneRIFs.

We present an initial analysis of the National Library of Medicine’s (NLM) Gene Indexing initiative. Gene Indexing occurs at the time of indexing for all 4600 journals and over 500,000 articles added to PubMed/MEDLINE each year. Gene Indexing ...

Classifying instantaneous cognitive states from FMRI data.

We consider the problem of detecting the instantaneous cognitive state of a human subject based on their observed functional Magnetic Resonance Imaging (fMRI) data. Whereas fMRI has been widely used to determine average activation in different brain regions, ...

On-line information about cancer clinical trials: evaluating the Web sites of comprehensive cancer centers.

The objective of this study was to examine the information provided on comprehensive cancer centers’ Web sites regarding clinical trials. Thirty-nine Web sites were visually inspected for four categories of variables: navigation to the clinical ...

Workflow management of HIS/RIS textual documents with PACS image studies for neuroradiology.

Reviewing brain tumor patients’ complete medical record is a daunting task for any clinician. In current practice, the radiologist examines the most recent documents and then dictates an assessment of the patient’s condition based on a ...

Database-driven computerized antibiotic decision support: novel use of expert antibiotic susceptibility rules embedded in a pathogen-antibiotic logic matrix.

To better serve an antibiotic guidance program, we hypothesized that the relatively few antibiotic susceptibility measurements conducted in the microbiology laboratory could be extended to predict antibiotic susceptibilities for all antibiotics on the ...

Organisational culture matters for system integration in health care.

This paper illustrates the importance of organisational culture for Clinical Information Systems (CIS) integration. The study is based on data collected in intensive care units in the UK and Denmark. Data were collected using qualitative methods, i.e., ...