adam wright


Cross-vendor evaluation of key user-defined clinical decision support capabilities: A scenario-based assessment of certified electronic health records with guidelines for future development

Objective Clinical decision support (CDS) is essential for delivery of high-quality, cost-effective, and safe healthcare. The authors sought to evaluate the CDS capabilities across electronic health record (EHR) systems. Methods We evaluated the CDS implementation capabilities of 8 Office of the National Coordinator for Health Information Technology Authorized Certification Body […]


As congressional action looms, eminent informaticists define EHR interoperability

Fortunately, it looks as though we may have the basis of a definition of “open records,” aka interoperability, from two noted medical informaticians, Dean Sittig, professor of biomedical informatics at the University of Texas Health Science Center in Houston; and Adam Wright, a senior scientist in the general medicine division […]


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 […]