Appl Clin Inform - Novel Representation of Clinical Information in the ICU: Developing User Interfaces which Reduce Information Overload.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ medic(1828) order(1363) alert(1069) }
{ ehr(2073) health(1662) electron(1139) }
{ record(1888) medic(1808) patient(1693) }
{ framework(1458) process(801) describ(734) }
{ process(1125) use(805) approach(778) }
{ search(2224) databas(1162) retriev(909) }
{ concept(1167) ontolog(924) domain(897) }
{ control(1307) perform(991) simul(935) }
{ studi(1119) effect(1106) posit(819) }
{ patient(2837) hospit(1953) medic(668) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ analysi(2126) use(1163) compon(1037) }
{ detect(2391) sensit(1101) algorithm(908) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ featur(3375) classif(2383) classifi(1994) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ clinic(1479) use(1117) guidelin(835) }
{ risk(3053) factor(974) diseas(938) }
{ system(1050) medic(1026) inform(1018) }
{ blood(1257) pressur(1144) flow(957) }
{ health(3367) inform(1360) care(1135) }
{ state(1844) use(1261) util(961) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ implement(1333) system(1263) develop(1122) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

The introduction of electronic medical records (EMR) and computerized physician order entry (CPOE) into the intensive care unit (ICU) is transforming the way health care providers currently work. The challenge facing developers of EMR's is to create products which add value to systems of health care delivery. As EMR's become more prevalent, the potential impact they have on the quality and safety, both negative and positive, will be amplified. In this paper we outline the key barriers to effective use of EMR and describe the methodology, using a worked example of the output. AWARE (Ambient Warning and Response Evaluation), is a physician led, electronic-environment enhancement program in an academic, tertiary care institution's ICU. The development process is focused on reducing information overload, improving efficiency and eliminating medical error in the ICU.

Resumo Limpo

introduct electron medic record emr computer physician order entri cpoe intens care unit icu transform way health care provid current work challeng face develop emr creat product add valu system health care deliveri emr becom preval potenti impact qualiti safeti negat posit will amplifi paper outlin key barrier effect use emr describ methodolog use work exampl output awar ambient warn respons evalu physician led electronicenviron enhanc program academ tertiari care institut icu develop process focus reduc inform overload improv effici elimin medic error icu

Resumos Similares

BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,725475969851806 )
J Am Med Inform Assoc - Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. ( 0,716170289410827 )
IEEE J Biomed Health Inform - Design of a RESTful web information system for drug prescription and administration. ( 0,709371913767546 )
AMIA Annu Symp Proc - Interpreting nurses' responses to clinical documentation alerts. ( 0,708706433131779 )
Inform Health Soc Care - Nurses' use of an integrated electronic health record: results of a case site analysis. ( 0,708284966032233 )
Int J Med Inform - Adoption of a clinical decision support system to promote judicious use of antibiotics for acute respiratory infections in primary care. ( 0,696620887586339 )
Perspect Health Inf Manag - Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. ( 0,689927532426414 )
Int J Med Inform - Evaluating the medication process in the context of CPOE use: the significance of working around the system. ( 0,683671414881 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,683524354156582 )
Int J Med Inform - Unintended adverse consequences of introducing electronic health records in residential aged care homes. ( 0,6816021175754 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,671957031011843 )
Comput. Biol. Med. - Smart medical environment at the point of care: auto-tracking clinical interventions at the bed side using RFID technology. ( 0,666455612395543 )
J Biomed Inform - Computer-interpretable clinical guidelines: a methodological review. ( 0,665669475476017 )
Int J Med Inform - Model development for EHR interdisciplinary information exchange of ICU common goals. ( 0,663446089961885 )
Int J Med Inform - Medication errors in residential aged care facilities: a distributed cognition analysis of the information exchange process. ( 0,663307080832206 )
Int J Med Inform - Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ investigation of the human-computer interaction. ( 0,662498143459635 )
BMC Med Inform Decis Mak - Identification of features of electronic prescribing systems to support quality and safety in primary care using a modified Delphi process. ( 0,653049837023067 )
J Med Syst - Prioritizing barriers to successful implementation of hospital information systems. ( 0,652714996272835 )
AMIA Annu Symp Proc - Who said it? Establishing professional attribution among authors of Veterans' Electronic Health Records. ( 0,649309469711051 )
J Am Med Inform Assoc - Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. ( 0,649031807114035 )
AMIA Annu Symp Proc - An analysis and recommendations for multidisciplinary computerized handoff applications in hospitals. ( 0,648880338891811 )
J Am Med Inform Assoc - You and me and the computer makes three: variations in exam room use of the electronic health record. ( 0,647889215096387 )
J Am Med Inform Assoc - Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. ( 0,6463717939057 )
Methods Inf Med - From adverse drug event detection to prevention. A novel clinical decision support framework for medication safety. ( 0,638925158864686 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,637775350882274 )
J Med Syst - EHR implementation in a new clinic: a case study of clinician perceptions. ( 0,636631282714896 )
J Am Med Inform Assoc - Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. ( 0,634726474823389 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,626488297937034 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,622847264832344 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,62235693377557 )
J. Med. Internet Res. - The personal health record paradox: health care professionals' perspectives and the information ecology of personal health record systems in organizational and clinical settings. ( 0,62113064542697 )
Appl Clin Inform - Adoption of electronic health records: a qualitative study of academic and private physicians and health administrators. ( 0,619847543128919 )
Artif Intell Med - Physicians' responses to clinical decision support on an intensive care unit--comparison of four different alerting methods. ( 0,617717502497692 )
Int J Med Inform - Comparing the working time between Bar-Code Medication Administration system and traditional medication administration system: an observational study. ( 0,617539647318078 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,614918693812442 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,614903735921994 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,613449272449836 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,611298960688298 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,609246156950794 )
J Am Med Inform Assoc - Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. ( 0,60879064580541 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,60644180992307 )
AMIA Annu Symp Proc - Determining the reasons for medication prescriptions in the EHR using knowledge and natural language processing. ( 0,605176287643248 )
J Med Syst - EMR management system for patient pulse data. ( 0,604819354529022 )
Comput Methods Programs Biomed - Attitude of Iranian physicians and nurses toward a clinical decision support system for pulmonary embolism and deep vein thrombosis. ( 0,604543563308059 )
Appl Clin Inform - Associations between the concurrent use of clinical decision support and computerized provider order entry and the rates of appropriate prescribing at discharge. ( 0,604017087384762 )
J Med Syst - Perceived usefulness of data entry tools in medical encounters: a survey. ( 0,601238642359404 )
BMC Med Inform Decis Mak - Staff experiences within the implementation of computer-based nursing records in residential aged care facilities: a systematic review and synthesis of qualitative research. ( 0,600649303750568 )
J Am Med Inform Assoc - Same organization, same electronic health records (EHRs) system, different use: exploring the linkage between practice member communication patterns and EHR use patterns in an ambulatory care setting. ( 0,599359995176085 )
Int J Med Inform - Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction. ( 0,598788459347388 )
BMC Med Inform Decis Mak - Speech recognition software and electronic psychiatric progress notes: physicians' ratings and preferences. ( 0,598597273908754 )
J Med Syst - Opioid prescribing by physicians with and without electronic health records. ( 0,597414711796169 )
J Med Syst - A basic study on application of voice recognition input to an electronic nursing record system -evaluation of the function as an input interface-. ( 0,594726916359111 )
BMC Med Inform Decis Mak - Impact of electronic medical record on physician practice in office settings: a systematic review. ( 0,594713553340022 )
Appl Clin Inform - Contributors to frequent telehealth alerts including false alerts for patients with heart failure: a mixed methods exploration. ( 0,594442044725821 )
J Am Med Inform Assoc - Improving the utilization of admission order sets in a computerized physician order entry system by integrating modular disease specific order subsets into a general medicine admission order set. ( 0,594169407909352 )
Int J Med Inform - The effects of EMR deployment on doctors' work practices: a qualitative study in the emergency department of a teaching hospital. ( 0,594090604701371 )
Med Decis Making - Impact of Diabetes E-Consults on Outpatient Clinic Workflow. ( 0,594055576145797 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,592319412796368 )
J Am Med Inform Assoc - Using a medical simulation center as an electronic health record usability laboratory. ( 0,592286958470243 )
AMIA Annu Symp Proc - A real-time screening alert improves patient recruitment efficiency. ( 0,592062002636537 )
Appl Clin Inform - Assessment of readiness for clinical decision support to aid laboratory monitoring of immunosuppressive care at U.S. liver transplant centers. ( 0,591879476609609 )
J Am Med Inform Assoc - Standard practices for computerized clinical decision support in community hospitals: a national survey. ( 0,588577763758374 )
BMC Med Inform Decis Mak - Implementation of an integrated preoperative care pathway and regional electronic clinical portal for preoperative assessment. ( 0,588187316146126 )
AMIA Annu Symp Proc - Cognitive design of a digital desk for the emergency room setting. ( 0,587044207568173 )
AMIA Annu Symp Proc - The EHR's roles in collaboration between providers: A qualitative study. ( 0,586636482693912 )
Health Info Libr J - EBLIP: bridging the language barrier. ( 0,58558696016227 )
Int J Med Inform - Perceived efficiency impacts following electronic health record implementation: an exploratory study of an urban community health center network. ( 0,584995412439037 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,584528294159767 )
J Am Med Inform Assoc - A clinical decision support needs assessment of community-based physicians. ( 0,584395792455149 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,583102861604582 )
Artif Intell Med - Developing a drug library for smart pumps in a pediatric intensive care unit. ( 0,583048642242078 )
Appl Clin Inform - Clinician preferences for verbal communication compared to EHR documentation in the ICU. ( 0,582081550839786 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,580576052083718 )
J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,579818328097891 )
Health Informatics J - Implementation of smart pump technology in a paediatric intensive care unit. ( 0,579177067625667 )
BMC Med Inform Decis Mak - Methods to identify, study and understand end-user participation in HIT development. ( 0,578924439186607 )
AMIA Annu Symp Proc - Cognitive analysis of the summarization of longitudinal patient records. ( 0,578690403558115 )
Int J Med Inform - The IT productivity paradox in health: a stakeholder's perspective. ( 0,578485358957795 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,577399178072708 )
AMIA Annu Symp Proc - Factors Contributing to CPOE Opiate Allergy Alert Overrides. ( 0,575794625812818 )
J Am Med Inform Assoc - Impact of clinical decision support on receipt of antibiotic prescriptions for acute bronchitis and upper respiratory tract infection. ( 0,575504761233949 )
AMIA Annu Symp Proc - Clinical decision support for whole genome sequence information leveraging a service-oriented architecture: a prototype. ( 0,575482777080375 )
Appl Clin Inform - Quality and Certification of Electronic Health Records: An overview of current approaches from the US and Europe. ( 0,575317086622806 )
Inform Health Soc Care - Adopting nursing health record standards. ( 0,574988908499946 )
Perspect Health Inf Manag - Can utilizing a computerized provider order entry (CPOE) system prevent hospital medical errors and adverse drug events? ( 0,574920610054265 )
Int J Med Inform - Evaluating the use of a computerized clinical decision support system for asthma by pediatric pulmonologists. ( 0,57450310903876 )
J Am Med Inform Assoc - Don't fuel the fire: decreasing intravenous haloperidol use in high risk patients via a customized electronic alert. ( 0,574498081915231 )
J Am Med Inform Assoc - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. ( 0,574448635221202 )
J Med Syst - A data-mining framework for transnational healthcare system. ( 0,573360422562022 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,57229377184303 )
J Am Med Inform Assoc - The effect of electronic medical record system sophistication on preventive healthcare for women. ( 0,571901726884115 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,571712286879737 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,570760911200947 )
J Am Med Inform Assoc - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. ( 0,570547405539796 )
Int J Med Inform - Bridging two translation gaps: a new informatics research agenda for telemonitoring of chronic disease. ( 0,568769693991613 )
Int J Med Inform - Online detection of potential duplicate medications and changes of physician behavior for outpatients visiting multiple hospitals using national health insurance smart cards in Taiwan. ( 0,568027158876283 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,567301085735474 )
J Am Med Inform Assoc - A patient-centered longitudinal care plan: vision versus reality. ( 0,5671154185518 )
J Am Med Inform Assoc - A qualitative study identifying the cost categories associated with electronic health record implementation in the UK. ( 0,566946709513841 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,566158735944006 )