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Designing Safety into Medical Decisions and Clinical Processes [chapter]

John Fox
2001 Lecture Notes in Computer Science  
After many years of experimental research software systems to support clinical decisionmaking are now moving into routine clinical practice.  ...  management processes.  ...  We are therefore exploring how to introduce a separate safety design process into our life cycle, as shown in figure 5 .  ... 
doi:10.1007/3-540-45416-0_1 fatcat:w26ukzzetffv3ddidrte5m3jgi

Current Challenges and Opportunities for Better Integration of Human Factors Research with Development of Clinical Information Systems

J. J. Saleem, A. L. Russ, P. Sanderson, T. R. Johnson, J. Zhang, D. F. Sittig
2009 IMIA Yearbook of Medical Informatics  
Results Using this framework we discuss the following six topics: 1) informatics and patient safety; 2) user interface design and evaluation; 3) workflow and task analysis; 4) clinical decision making  ...  user performance, user satisfaction, and integration into clinical workflow.  ...  The views expressed in this article are those of the authors and do not necessarily represent the view of the US Department of Veterans Affairs.  ... 
doi:10.1055/s-0038-1638638 fatcat:aopv76bdgvhw7mwesyszrgxufq

Institutional decision-making to select patient care devices: identifying venues to promote patient safety

Alla Keselman, Vimla L Patel, Todd R Johnson, Jiajie Zhang
2003 Journal of Biomedical Informatics  
While all participants view device safety as an important consideration in the selection process, administrators (who are the final decision-makers) tend to equate safety with technical accuracy and reliability  ...  This paper describes a retrospective analysis of decision-making process for infusion pump selection in a large hospital and focuses on factors related to patient safety.  ...  Acknowledgments Support was provided in part by Grants P01 HS11544 and HS11806 from AHRQ. The authors give sincere thanks to the participants for their willing cooperation in this study.  ... 
doi:10.1016/s1532-0464(03)00055-8 pmid:14552845 fatcat:x4aa2eskdjdbvbc4iyik4uzh7e

Integrated clinical pathway management for medical quality improvement – based on a semiotically inspired systems architecture

Weizi Li, Kecheng Liu, Hongqiao Yang, Changrui Yu
2014 European Journal of Information Systems  
It is designed to support the management of treatment processes including clinical and non-clinical activities, resources and also financial aspects.  ...  This will often result in medical errors, inefficient treatment process and thus poor quality medical services.  ...  As discussed in the sections 'Motivation of co-design methodology -The complexity of treatment processes' and 'Architectural design', the patient safety culture and the practical treatment process constitute  ... 
doi:10.1057/ejis.2013.9 fatcat:rkbfgck33reyfmekga6ee3llzu

Human Factors and Sociotechnical Issues

Sylvia Pelayo, Yalini Senathirajah, Section Editors for the IMIA Yearbook Section on Human Factors and Organizational Issues
2019 IMIA Yearbook of Medical Informatics  
Objective: To summarize significant research contributions on human factors (HF) and organizational issues in medical informatics published in 2018.  ...  Methods: An extensive search using PubMed/Medline and Web of Science® was conducted to identify the scientific contributions published in 2018 that address human factors and organizational issues in medical  ...  for their contribution to the selection process of the Human Factor and Organizational Issues section for the IMIA Yearbook 2019.  ... 
doi:10.1055/s-0039-1677927 pmid:31419819 pmcid:PMC6697518 fatcat:ropyzbo7nfac5n2xcjkjq26xsy

Best Paper Selection

2019 IMIA Yearbook of Medical Informatics  
Application of contextual design methods to inform targeted clinical decision support interventions in sub-specialty care environments.  ...  Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computerassisted tool with automated electronic integration of population-based community  ...  The authors developed a web-based software application to semi-automate the medication reconciliation process by prepopulating the community and hospital medication lists using a regional clinical data  ... 
doi:10.1055/s-0039-1677928 fatcat:oqzzemomvjha7ocirpa5ksn7i4

Medical Device Innovation: Prospective Solutions for an Ecosystem in Crisis

Mitchell W. Krucoff, Ralph G. Brindis, Patricia K. Hodgson, Michael J. Mack, David R. Holmes
2012 JACC: Cardiovascular Interventions  
Alignment of processes and objectives across the regulatory, reimbursement, clinical research, and clinical practice enterprises, with particular attention to the total product life cycle and continuous  ...  Barriers to medical device innovation compromise timelines and costs from bench to bedside. Fragmented strategies by individual competitors are no longer sustainable.  ...  on antithrombotic bleeding risk, Medical device development is an iterative process that rapidly incorporates pre-clinical, clinical, and manufacturing experience into next-generation concept and design  ... 
doi:10.1016/j.jcin.2012.03.023 pmid:22814785 fatcat:ehadjdxmpbajfk2zzucslbrc5e

Hospital-Based Technology Assessment: Essential Questions and an Operational Model

Mary Ellen Uphoff, Dale Krane
1998 Public Productivity & Management Review  
physician order entry (CPOE), clinical decision support systems (CDSS), and bar-coded medication administration (BCMA).  ...  of poor design on work and patient safety.  ...  Snyder, MD, FACHE, chief quality officer and chief medical informatics officer. Medical College ofCeorgia Health System, Augusta, Ceorgia D r.  ... 
doi:10.2307/3380590 fatcat:efo6bkhdtzcd5k5bbjuzzxanc4

Subject index for 2003

2004 BMJ Quality & Safety  
, 215 Healthcare redesign: meaning, origins and application, 53 Intensive support to improve clinical decision making in cardiovascular care: a randomised controlled trial in general practice, 181 Process  ...  , 398 Analysing differences in clinical outcomes between hospitals, 257 Basing decisions on better quality routine clinical data, 327 Designing a quality improvement intervention: a systematic approach  ... 
doi:10.1136/qhc.13.1.e2 fatcat:vmbd223e4nfczg4rzmx6if5ksu

Ensuring effective computerised clinical decision support

Oluwagbemileke Ojeleye, Yogini Jani
2016 Prescriber  
Introduction The seventh principle of the NICE guidance on medicines optimisation focuses on computerised clinical decision support as a means to improving medication safety at the point of prescribing  ...  Clinical decision support (CDS) embedded in general practice (GP) computers have shown great potential in facilitating safe prescribing by performing background safety checks and providing clinical advice  ...  , it is a window into some of the key prescribing and medication safety problems facing clinicians in practice.  ... 
doi:10.1002/psb.1464 fatcat:nzoba6fyara2tgqphyhcikmvzu

Impact of electronic health record systems on information integrity: quality and safety implications

Sue Bowman
2013 Perspectives in health information management  
Poor EHR system design and improper use can cause EHR-related errors that jeopardize the integrity of the information in the EHR, leading to errors that endanger patient safety or decrease the quality  ...  This analysis of the literature on EHR risks is intended to serve as an impetus for further research on the prevalence of these risks, their impact on quality and safety of patient care, and strategies  ...  into clinical processes and workflow and how users actually use it in routine clinical care. 106 The risk of patient harm associated with a specific application should be systematically assessed, and  ... 
pmid:24159271 pmcid:PMC3797550 fatcat:uesmmsw4jvatfdw6oiknnr7544

Routes and requirements for realizing pervasive medical devices [chapter]

Michael Craven
2006 Pervasive Computing in Healthcare  
Many thanks are due to MATCH research staff Shirley Davey, Julie Eatock, Sukhvinder Johal for their valuable comments on the initial draft of the manuscript, and to the editors and reviewers for their  ...  Bringing this knowledge into the design process should help to improve decision-making in medical device innovation.  ...  Clinical studies A key aspect within the pre-market processes for proving and approving medical devices is the gathering and use of data concerning its clinical efficacy and safety.  ... 
doi:10.1201/9781420005332.ch9 fatcat:jcnbirq565fjvpzxya27cuk5dy

Human Factors in the Design of Medical Simulation Tools

Norah AlRomi
2015 Procedia Manufacturing  
Evidence suggests that medical simulation improves the effectiveness, safety, and efficiency in health care services.  ...  This paper describes the human factor design issues relevant to medical simulation systems.  ...  Medical simulation systems are considered as Decision Support Systems since the assess in the decision making process.  ... 
doi:10.1016/j.promfg.2015.07.151 fatcat:g772mtqfkvfvpbhrqdbnaicmqy

Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review

Yura Lee, Min-Young Jung, Gee Won Shin, Sangwoo Bahn, Taezoon Park, Insook Cho, Jae-Ho Lee
2018 Healthcare Informatics Research  
Feedback, Error prevention, Safety and security 9 [10, 17, 25, 27, 29, 30, 34, 35] EMR: Electronic Medical Record, CDS: Clinical Decision Support. and reviewed and summarized the guidelines and evaluation  ...  A user identifies and selects patients' data, records medical documents, orders medications or investigations, gets feedback from the system by alert or Clinical Decision Support (CDS), and manages and  ... 
doi:10.4258/hir.2018.24.3.157 pmid:30109149 pmcid:PMC6085203 fatcat:4at3pj664zbchgwftexmqlws7e

Multidimensional approach to clinical quality

Tunçay Palteki
2019 Southern Clinics of Istanbul Eurasia  
The main purpose of evidence-based medical practices is to ensure that clinical decisions are made based on the best scientific evidence of the time.  ...  Many factors, such as evidence-based practices, working environment, teamwork and the infrastructure of information technologies, are effective in the clinical quality process.  ...  On the other hand, clinical guidelines, algorithms and protocols contribute to the physician's decision-making process.  ... 
doi:10.14744/scie.2019.04274 fatcat:t5p5gwxhqnbbzouk2jipg2hg54
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