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).”
clinical decision support
Founder of the HELP System and the Utah Informatics Program: Interview with Homer R. Warner
Homer R. Warner, MD, PhD, was a cardiologist who pioneered many aspects of using computers to augment the practice of medicine, including clinical decision support tools.
EHR Configuration Challenges & Opportunities
A short video presentation using the “TedTalk” format by Dean F. Sittig, PhD that describes various EHR configuration challenges and opportunities.
Demonstration of the Clinical Summarizer developed in conjunction with Harvard SMART SHARP project
A short demonstration of the clinical summarizer by Jeff Klann. The demo is based on this publication: Klann JG, McCoy AB, Wright A, Wattanasin N, Sittig DF, Murphy SN. Health care transformation through collaboration on open-source informatics projects: integrating a medical applications platform, research data repository, and patient summarization. Interact […]
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience Electronic health records (EHRs) have the potential to improve the quality and safety of health care. Since the enactment of the Health Information Technology for Economic and Clinical Health Act (HITECH), organizations are adopting EHRs at an unprecedented rate. While […]
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 […]
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 […]
Clinical Decision Support for Colon and Rectal Surgery: An Overview
Clinical decision support (CDS) has been shown to improve clinical processes, promote patient safety, and reduce costs in healthcare settings, and it is now a requirement for clinicians as part of the Meaningful Use Regulation. However, most evidence for CDS has been evaluated primarily in internal medicine care settings, and […]
State of the Art in Clinical Informatics: Evidence and Examples
OBJECTIVE: The field of clinical informatics has expanded substantially in the six decades since its inception. Early research focused on simple demonstrations that health information technology (HIT) such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) systems were feasible and potentially beneficial in […]