adam wright


What makes an EHR “open” or interoperable?

We have identified 5 use cases that comprise a useful definition of an “open or interoperable electronic health record (EHR).” Each of these use cases represents important functionality that should be available to 1) clinicians, so they can provide safe and effective health care; 2) researchers, so they can advance […]


HISTalk: Defining Our Terms: Does Anyone Know What an “Open EHR” Really Is?

A JAMIA article by Dean Sittig and Adam Wright proposes use cases of exactly what determines whether a given EHR is “open” or “interoperable,” which hopefully will squelch the bleating of robotic vendor CEOs who insist on abusing the term to mean “whatever we’re selling at the moment.” The authors […]


Graphical Display of Diagnostic Test Results in EHRs: A Comparison of 8 Systems

Accurate display and interpretation of clinical laboratory test results is essential for safe and effective diagnosis and treatment. In an attempt to ascertain how well current electronic health records (EHRs) facilitated these processes, we evaluated the graphical displays of laboratory test results in eight EHRs using objective criteria for optimal […]


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 […]


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 […]


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 […]