AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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The aim of the present project was the development of a system supporting on-line Guideline-based training in Emergency Medicine. The developed Windows application is built on Visual C++ 6.0, in Greek language, and is based on widely accepted Emergency Medical Guidelines, employed to define the minimum standard of care provided to patients by the First Responders.
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AMIA Annu Symp Proc · Jan 2005
Web-based residency training program reviews influence applicants who use them.
Scutwork.com is an online, peer-based residency review system. We report preliminary results of an online survey designed to investigate the impact of Scutwork on the residency application process. Overall, 68% of respondents believe that the reviews influenced their decision-making and 91% would use Scutwork again. These results and others reported below suggest that Scutwork may play a significant role in the residency selection process.
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AMIA Annu Symp Proc · Jan 2005
Leveraging point-of-care clinician feedback to study barriers to guideline adherence.
Studies of barriers to guideline adherence have generally surveyed clinicians temporally remote from the clinical scenario in which recommendations were delivered, potentially adversely biasing clinician observations. The user interface of ATHENA DSS, a guideline-based decision support system for hypertension, includes a point-of-care feedback window that accepts clinician-user comments during the display of recommendations. Analysis of this feedback has revealed a number of intriguing patient, provider, and technical barriers to adherence collected during real-time system use.
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AMIA Annu Symp Proc · Jan 2005
Physician perspective on computerized order-sets with embedded guideline information in a commercial emergency department information system.
Computerized provider order entry (CPOE) is a promising conduit for medical knowledge in support of guideline-consistent decision-making at the point of care. While there are many published examples of successful implementations of CPOE with decision support, there remain questions about the effectiveness of commercially available information system products, particularly in the emergency department (ED). ⋯ Physicians reported that they liked the CPOE order-sets better than the paper version and did use the order-sets, but guide-line compliance did not improve. Cultural and organizational issues as well as limitations in the functionality of the commercial system appear to have limited the effectiveness of this implementation.
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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.