Better EHR: Usability, workflow and cognitive support in electronic health records

“Better EHR: Usability, Workflow and Cognitive Support in Electronic Health Records” — a book published by the National Center for Cognitive Informatics & Decision Making in Healthcare. One of the biggest complaints we hear from healthcare providers is that the EHR is clunky, difficult to use, and sometimes gets in […]


Development of a Clinician Reputation Metric to Identify Appropriate Problem-Medication Pairs in a Crowdsourced Knowledge Base

BACKGROUND: Correlation of data within electronic health records is necessary for implementation of various clinical decision support functions, including patient summarization. A key type of correlation is linking medications to clinical problems; while some databases of problem-medication links are available, they are not robust and depend on problems and medications […]


Hardeep Singh, MD, MPH

Hardeep Singh, MD, MPH, is the Medical Director for CIRCLE, a general internist and patient safety researcher at the Center for Innovations in Quality, Effectiveness and Safety based at the Michael E. DeBakey Veterans Affairs Medical Center, and an associate professor at Baylor College of Medicine. Much of his research […]


InSPECt: Interactive Surveillance Portal for Evaluating Clinical Decision Support

K22 LM011430 (PI – Allison B. McCoy, PhD 2013-2016) Effectively evaluating the appropriateness of clinical decision support alerts and responses is critical to improving patient safety through health information technology. This proposal will develop novel, semi- automated methods to facilitate such evaluations in both ambulatory and community hospital settings with […]


Improving Clinical Decision Support Reliability using Anomaly Detection Methods

R01 LM011966 (PI – Adam Wright, PhD  2014-2018) Clinical decision support systems, such as drug-interaction alerts and preventive care reminders, when used effectively, have been shown to the quality, safety and efficiency of care. However, such systems are complex and sometimes fail – these failures are often not noticed for […]


Decision Making and Clinical Work of Test Result Follow-up in Health IT Settings

AHRQ R01HS022087 (PI – Hardeep Singh, MD, MPH 2013-2017) A significant number of patients with abnormal test results “fall through the cracks” of the health care system and experience delays in diagnosis and treatment. Although electronic health records enhance the communication of abnormal test results, they do not guarantee the prompt […]


Improving Quality by Maintaining Accurate Problem Lists in the EHR (IQ-MAPLE)

R01HL122225 (PI – Adam Wright, PhD  2014-2018) An accurate, complete clinical problem list the cornerstone of a problem-oriented medical record, and research shows that accurate problem lists improve healthcare quality; however, problem lists are often incomplete. In this study, we will develop and evaluate an intervention to identify gaps in […]


Clinfowiki

The Clinical Informatics Wiki (aka ClinfoWiki) is the implementation of a wiki website devoted to topics in Biomedical Informatics.


Clinical Decision Support Alert Appropriateness: A Review and Proposal for Improvement

BACKGROUND: Many healthcare providers are adopting clinical decision support (CDS) systems to improve patient safety and meet meaningful use requirements. Computerized alerts that prompt clinicians about drug-allergy, drug-drug, and drug-disease warnings or provide dosing guidance are most commonly implemented. Alert overrides, which occur when clinicians do not follow the guidance […]