Ip IK et al, Journal of the American College of Radiology, 9(2)
Purpose
The aim of this study was to assess whether an integrated imaging computerized physician order entry (CPOE) system with embedded decision support for imaging can be accepted clinically.
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Wright A et al, J Am Med Inform Assoc, 2012
Background
Accurate clinical problem lists are critical for patient care, clinical decision support, population reporting, quality improvement, and research. However, problem lists are often incomplete or out of date.
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Wright A et al, Journal of General Internal Medicine, 27(1)
BACKGROUND
Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied.
OBJECTIVE
To determine whether providing reminders directly to patients via an electronic Personal Health Record (PHR) improved adherence to care recommendations.
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McKibbon KA et al, J Am Med Inform Assoc, 19(1)
Objective
The US Agency for Healthcare Research and Quality funded an evidence report to address seven questions on multiple aspects of the effectiveness of medication management information technology (MMIT) and its components (prescribing, order communication, dispensing, administering, and monitoring).
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Sabrina Rodak, Becker's Hospital Review
“Workflows can make or break a health IT initiative at hospitals and health systems because they dictate the difficulty of adoption of new technology. The less congruent an HIT system is with a physician’s workflow, the less likely the physician is to use it.
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Luke Gale, CMIO
“Prescriptions handwritten by 78 providers’ offices over the course of approximately one year contained more than two errors per prescription written, an error rate that researchers believe could be significantly lowered through the use of e-prescribing systems, which automatically resolve instances of illegibility; a rate that could be further improved through the use of systems with clinical decision support (CDS).
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Kesselheim AS et al, Health Affairs, 30(12)
Clinical decision support systems—interactive computer systems that help doctors make clinical choices—can reduce errors in drug prescribing by offering real-time alerts about possible adverse reactions. But physicians and other users often suffer “alert fatigue” caused by excessive numbers of warnings about items such as potentially dangerous drug interactions. As a result, they may pay less attention to or even ignore some vital alerts, thus limiting these systems’ effectiveness.
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Chae YM et al, Healthcare Informatics Research, 17(3)
OBJECTIVES
To examine the current status of hospital information systems (HIS), analyze the effects of Electronic Medical Records (EMR) and Clinical Decision Support Systems (CDSS) have upon hospital performance, and examine how management issues change over time according to various growth stages.
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Neil Versel, mobihealthnews
“Mobile and wireless technologies are helping give rise to a new form of clinical decision support that’s being called “patient activation.”
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M Neelam Kachhap, Express Healthcare
“Watson, the IBM supercomputer is believed to have revolutionised the healthcare industry with its analytical capabilities. Having won the USD one million “Jeopardy!” challenge and establishing its power, Watson is now moving towards challenges in healthcare.
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Chris Kaiser, MedPage Today
“Shared, individualized, computerized decision support run through a medical practice’s electronic medical records (EMR) system was well received by physicians and patients, but a recent randomized trial did not show improved vascular outcomes.
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Holbrook A et al, Archives of Internal Medicine, 171(19)
Background
Computerized decision support systems (CDSSs) linked with electronic medical records (EMRs) are promoted as an effective means of improving patient care. However, very few high-quality studies are set in routine, community-based clinical care, and no consistent evidence of an effect on patient outcomes has been found.
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Stafford RS, Romano MJ. Archives of Internal Medicine, 171(19)
Electronic health records (EHRs) are touted as a key strategy for reducing costs and improving quality in our health care system, which are both urgent goals. The shortcomings of our current system are perhaps most apparent in the provision of preventive services. Contrasted with treatment services focused on addressing symptomatic disease, preventive services aim to forestall or decrease future adverse health outcomes and thus improve quality of life, as well as life span.
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Mary Mosquera, Government Health IT
“The final rule for accountable care organizations relieved providers from some of the immediate pressures of establishing health IT, but electronic health records and other technologies will be critical to coordinate care to improve quality and lower costs.
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Farshidi D et al, Skinmed, 9(4)
With advancements in electronics and health informatics, telemedicine has emerged as a cost-effective tool capable of increasing care to remote regions, facilitating specialist consults, supporting self-management by patients, and sharing knowledge over great distances. In this review, the authors discuss existing telemedicine modalities, highlight examples of mobile systems documented in the literature to date, and emphasize the data supporting the feasibility of telecommunication technologies to deliver dermatology services and education remotely.
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Ken Terry, FierceHealthIT
“Steve Jobs’ passing last week has triggered myriad reflections on his immense contribution to the modern world. While much emphasis has been placed on Apple’s recent trendsetting products–the iPod, iPhone and iPad–the signal contribution of Apple under the leadership of Jobs and Steve Wozniak was to make the personal computer practical and useful.
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Paul Cerrato, InformationWeek
“If you’ve lived through the transition from paper to electronic health records, odds are you see EHRs as a mixed blessing. They offer faster access to critical clinical information but also create complexities never dreamt of in the paper world.
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Meaningful HIT News with Neil Versel
“Today marks the official launch of a historic healthcare and human rights advocacy consortium, Health eVillages, which aims to bring mobile medical reference and decision support technology to clinicians fighting to save lives in underserved regions worldwide.
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Daniel Kivatinos, Dr Chrono
“Did you know that IBM’s Watson Supercomputer is operating at the level of a second or third year medical student? Watson is.
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Marla Durben Hirsch, FierceEMR
“Would the adoption of electronic health records be more widespread if users saw the systems more as decision support tools, similar to GPS systems? According to Quadramed CMO and VP Joe Bormel, writing in Healthcare Informatics, it’s all a matter of expectations.
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