joan ash


Lessons learned from implementing service-oriented clinical decision support at four sites: A qualitative study

OBJECTIVE: To identify challenges, lessons learned and best practices for service-oriented clinical decision support, based on the results of the Clinical Decision Support Consortium, a multi-site study which developed, implemented and evaluated clinical decision support services in a diverse range of electronic health records. METHODS: Ethnographic investigation using the rapid […]


New Unintended Adverse Consequences of Electronic Health Records

Although the health information technology industry has made considerable progress in the design, development, implementation, and use of electronic health records (EHRs), the lofty expectations of the early pioneers have not been met. In 2006, the Provider Order Entry Team at Oregon Health & Science University described a set of […]


At the Helm of the World’s Largest Medical Library: Interviews with Donald A.B. Lindberg

Dr. Donald A.B. Lindberg, an eminent pathologist, served as Director of the National Library of Medicine for more than 30 years and has made important contributions to information and computer activities in medical diagnosis, artificial intelligence, and educational programs. INTERVIEWED BY JOAN ASH AND DEAN SITTIG JUNE 1, 2005 WOODS HOLE, MA & JULY 13, 2005 BETHESDA, MD Donald […]


Timothy Kelley writes in “Managed Care” re: Can Computers ‘Do No Harm’?

Health information technology is improving patient safety. It can also help to create new kinds of errors, which may potentially harm patients in a phenomenon some are calling “e-iatrogenesis.” These known incidents may be just the tip of a large iceberg. Lawsuits, real or worried about, mean some reports may […]


Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally-developed electronic health record systems

BACKGROUND: Clinical decision support (CDS) is a valuable tool for improving healthcare quality and lowering costs. However, there is no comprehensive taxonomy of types of CDS and there has been limited research on the availability of various CDS tools across current electronic health record (EHR) systems. OBJECTIVE: To develop and […]


Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records

BACKGROUND: We have carried out an extensive qualitative research program focused on the barriers and facilitators to successful adoption and use of various features of advanced, state-of-the-art electronic health records (EHRs) within large, academic, teaching facilities with long-standing EHR research and development programs. We have recently begun investigating smaller, community […]