AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2005
Incorporation of clinical practice guidelines for glaucoma into an ophthalmology electronic medical record.
Clinical practice guidelines represent the best current thinking on the management of acute and chronic medical conditions. Unfortunately, the implementation of such guidelines in clinical practice has been difficult and problematic. Electronic medical records represent an opportunity to implement guidelines. We have designed a system for incorporating guidelines for the management of glaucoma into an ophthalmology EMR.
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The intensive care unit (ICU) is an instance of a very dynamic health care setting where critically ill patients are being managed. It comprises of an extensive amount of communication amongst the role players, use of numerous information systems and operation of devices for monitoring and treatment purposes. ⋯ These pieces of the ICU workflow were used to develop a generalizable cognitive model to represent the intricate workflow in health care settings. The proposed model can be used to identify and characterize medical errors and also used for error prediction in practice.
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AMIA Annu Symp Proc · Jan 2005
Randomized Controlled Trial Comparative StudyEvaluation of CoViSTA - an automated vital sign documentation system - in an inpatient hospital setting.
The aim of this study was to compare the efficiency and acceptance of the CoViSTA system with the current practice of collecting vital signs. CoViSTA (Computerized Vital Sign Transfer Application) was designed to integrate with the existing hospital network and automate the process of vital sign data entry in hospital wards. The system was evaluated with 6 nurses across 60 patients and was found to significantly reduce errors, improve efficiency and increase satisfaction among the staff.
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AMIA Annu Symp Proc · Jan 2005
ReviewA systematic review of user interface issues related to PDA-based decision support systems in health care.
This paper explores user interface issues in the design and implementation of a personal digital assistant-based decision support system (PDA-DSS) in health care. An automated literature search found 15 studies addressing the main PDA user interface issues, which can be categorized as display, security, memory, Web browser, and communication.
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AMIA Annu Symp Proc · Jan 2005
Comparative Study Controlled Clinical TrialEfficiency, comprehensiveness and cost-effectiveness when comparing dictation and electronic templates for operative reports.
Surgeons typically document operative events using dictation services. Dictated reports are frequently incomplete or delayed. Electronic note templates could potentially improve this process. ⋯ Templates increased overall compliance with national standards for operative note documentation and avoided transcription costs. Documentation with templates took slightly more time than dictation (mean 6.77 v. 5.96 minutes; P=0.036), not including the additional time necessary to subsequently verify dictated reports. We conclude that electronic note templates can improve the timeliness and comprehensiveness of operative documentation, while decreasing transcription costs and requiring minimal additional effort on the part of surgeons.