publications


Engineering Computerized Multiphasic Screening: An Interview with Morris F. Collen

Dr. Morris Collen was an internationally respected leader in medical informatics and a pioneer in electronic medical record systems. INTERVIEWED BY DEAN F. SITTIG AUGUST 1, 2005 OAKLAND, CA From his time as a young doctor administering to Henry J. Kaiser’s shipyard workers in Richmond, Calif., in 1942, to many decades of work in research and medical informatics, […]


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 […]


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 […]


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 […]


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 […]


Early Results of the Meaningful Use Program for Electronic Health Records

In 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act established Medicare and Medicaid incentive programs to encourage the adoption of electronic health records (EHRs) by hospitals and eligible professionals. Under Medicare, eligible professionals who show “meaningful use” of certified EHRs are eligible for payments up to […]