!5.)1*&)6% L#/8,1>81,+.% "#4*,?'8"*#% >*?D,"/+/% '% B'61'26+% /*1,>+% *4% .'8'% "#% >6"#">'6% ,+>*,./=% T*,% 8+H8%?"#"#$% "#% >6"#">'6% ,+>*,./(% >*#>+D8% +H8,'>8"*#% "/% 87+% 4",/8% /8+D% "#% 4"#."#$%'//+,8"*#/%'#.% ,+6'8"*#/7"D/=%P7"/% /81.M%D,+/+#8/%'% /M/8+?% .+B+6*D+.%4*,%87+%'##*8'8"*#%*4%?+.">'6%>*#>+D8/(%"#>61."#$%?+.">'6%D,*26+?/(% 8+/8/(% '#.% 8,+'8?+#8/(%?+#8"*#+.% "#% >6"#">'6% ,+>*...

A computerized clinical database is a collection of organized clinical data, created to store, retrieve, analyze, and report meaningful information (McCartney & Barnes, 2012). In today’s datadriven healthcare system, effi cient access to clinical database information is necessary for decisionmaking, managing care, conducting research, performance improvement, and reporting. Three general types ...

BACKGROUND The problem list is a key part of the electronic health record (EHR) that allows practitioners to see a patient's diagnoses and health issues. Yet, as the content of the problem list largely represents the subjective decisions of those who edit it, patients' problem lists are often unreliable when shared across practitioners. The lack of standards for how the problem list is compiled...

There is clear room for improvement in all existing clinical decision support systems (CDSS) to more closely meet the needs of their target users and work processes. Ongoing evaluation serves not just to document benefits, but also to provide feedback to the CDSS engineering process to create more usable and effective tools. This paper discusses the challenges of achieving evaluation data that ...

OBJECTIVES To summarize current excellent research in the field of health information systems (HIS). METHODS Synopsis of the articles selected for the IMIA Yearbook 2006. RESULTS Current research in the field of HIS is focused on supporting transinstitutional health care processes including health record systems, integration of new data types and knowledge based decision support, patient em...

BACKGROUND We have carried out an extensive qualitative research program focused on the barriers and facilitators to successful adoption and use of various features of advanced, state-of-the-art electronic health records (EHRs) within large, academic, teaching facilities with long-standing EHR research and development programs. We have recently begun investigating smaller, community hospitals a...

Objective The United States Office of the National Coordinator for Health Information Technology sponsored the development of a "high-priority" list of drug-drug interactions (DDIs) to be used for clinical decision support. We assessed current adoption of this list and current alerting practice for these DDIs with regard to alert implementation (presence or absence of an alert) and display (ale...

BACKGROUND AND OBJECTIVES Screening, early identification, and referral improves outcomes for young children at risk for developmental delays. Effective developmental screening processes should include efforts to ensure referral completion and documentation of evaluation results and service eligibility in the child's medical record. Our objectives were to improve provider documentation of actio...

INTRODUCTION There is a growing international focus on patient- centered care. A model designed to facilitate this type of care in the primary care setting is the patient-centered medical home. This model of care strives to be patient-focused, comprehensive, team-based, coordinated, accessible, and focused on quality and safety of care. OBJECTIVE The objective of this paper is to identify the...

This issue of Clinical Trials contains the proceedings of the eighth annual symposium on statistical issues in clinical trials held at the University of Pennsylvania in April 2015. This symposium considered special statistical issues in the design, conduct, and analysis of ‘‘pragmatic’’ clinical trials. Interest in pragmatic trials is rapidly increasing in recognition of the fact that many impo...