“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 […]
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 […]
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 […]
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 […]
AHRQ R01HS022087 (PI – Hardeep Singh, MD, MPH 2013-2017) A significant number of patients with abnormal test results “fall through the cracks” of the health care system and experience delays in diagnosis and treatment. Although electronic health records enhance the communication of abnormal test results, they do not guarantee the prompt […]
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 […]
The Clinical Informatics Wiki (aka ClinfoWiki) is the implementation of a wiki website devoted to topics in Biomedical Informatics.
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 […]
OBJECTIVE: To measure performance by eligible health care providers on CMS’s meaningful use measures. DATA SOURCE: Medicare Electronic Health Record Incentive Program Eligible Professionals Public Use File (PUF), which contains data on meaningful use attestations by 237,267 eligible providers through May 31, 2013. STUDY DESIGN: Cross-sectional analysis of the 15 […]
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 […]
