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Evaluation of a Korean version of a tool for assessing the incorporation of human factors into a medication-related decision support system: the I-MeDeSA

I. Cho, H. Han, S. Phansalkar, D.W. Bates, J. Lee
2014 Applied Clinical Informatics  
Evaluation of a Korean version of a tool for assessing the incorporation of human factors into a medicationrelated decision support system: the I-MeDeSA.  ...  Objective: The Instrument for Evaluating Human-Factor Principles in Medication-Related Decision Support Alerts (I-MeDeSA) was developed recently in the US with a view towards improving considerations of  ...  However, it is not always the case for Korean system. Except for the lettering difference, the experimental evaluation revealed no language problems resulting from interpretation.  ... 
doi:10.4338/aci-2014-01-ra-0005 pmid:25024770 pmcid:PMC4081757 fatcat:i7qnqrv6ozgpjaveyxsehfcn4y

An Evidence-Based Tool for Safe Configuration of Electronic Health Records: The eSafety Checklist

Ruth McCorkle, Elizabeth Borycki, Pritma Dhillon-Chattha
2018 Applied Clinical Informatics  
Results An expert panel consisting of three clinical informatics professionals and one health information technology expert reviewed the checklist for clarity and importance.  ...  Upon detailed analysis, items with 100% clinician agreement were retained in the checklist with the exception of 47 items and the addition of 33 items, resulting in a total of 642 items in the final checklist  ...  Acknowledgments We acknowledge the Chief Medical Information Office, the Chief Information Office, and the Human Factors Department at AHS for their collaboration on this work.  ... 
doi:10.1055/s-0038-1675210 fatcat:mesaskyjovavvfzpwjorjonexm

The Relationship of Genetics, Nursing Practice, and Informatics Tools in 6-Mercaptopurine Dosing in Pediatric Oncology

Wendy J. Haylett
2017 Journal of Pediatric Oncology Nursing  
Informatics tools such as clinical decision support systems are useful for the application of this and similar pharmacogenetics information to the realm of nursing and clinical practice for safe and effective  ...  This article will discuss pharmacogenetics and the associated use of 6-MP; present implications for nursing practice; identify informatics tools such as clinical decision support systems, which can greatly  ...  Nurses have been involved in the development of these tools for several years, addressing such areas as care planning, triage, and the evaluation of clinical decisions (Anderson & Willson, 2008) .  ... 
doi:10.1177/1043454217713446 pmid:28681659 fatcat:taum2o24gvae7px3nwottz5sfm

Association of Hospital Public Quality Reporting With Electronic Health Record Medication Safety Performance

A. Jay Holmgren, David W. Bates
2021 JAMA Network Open  
The main outcome was improvement from 2017 to 2018 on the Leapfrog CPOE Evaluation Tool, using regression discontinuity model estimates of the association of receiving negative publicly reported feedback  ...  to encourage improvement in specific areas.  ...  generates CDS alerts for potential adverse drug events. 22 The evaluation is derived from historical patients and orders that caused patient harm, and the results of the CPOE evaluation are included  ... 
doi:10.1001/jamanetworkopen.2021.25173 pmid:34546374 pmcid:PMC8456388 fatcat:ks6shy6aeng4jdq66jzh73vmqa

The tradeoffs between safety and alert fatigue: Data from a national evaluation of hospital medication-related clinical decision support

Zoe Co, A Jay Holmgren, David C Classen, Lisa Newmark, Diane L Seger, Melissa Danforth, David W Bates
2020 JAMIA Journal of the American Medical Informatics Association  
Conclusions Although hospitals improved overall from 2017 to 2018, there is still important room for improvement for both fatal and nuisance orders.  ...  Objective The study sought to evaluate the overall performance of hospitals that used the Computerized Physician Order Entry Evaluation Tool in both 2017 and 2018, along with their performance against  ...  results from the 2017 and 2018 CPOE Evaluation Tool were extracted for analysis.  ... 
doi:10.1093/jamia/ocaa098 pmid:32620948 fatcat:svi3jtvdf5apxp5ssbrih7h2di

The Association between Use of a Clinical Decision Support Tool and Adherence to Monitoring for Medication-Laboratory Guidelines in the Ambulatory Setting

B. Lau, C. L. Overby, H. S. Wirtz, E. B. Devine
2013 Applied Clinical Informatics  
The association between use of a clinical decision support tool and adherence to monitoring for medication-laboratory guidelines in the ambulatory setting.  ...  Conclusions: A simple CDS tool may be associated with improved adherence to guidelines.  ...  Lawless of The Everett Clinic for their assistance in preparing the dataset and in interpreting the results; Colleen Sitlani for providing biostatistical guidance; and the four reviewers for their helpful  ... 
doi:10.4338/aci-2013-06-ra-0041 pmid:24454577 pmcid:PMC3885910 fatcat:trzcqyhx5ne73abx6kwhjd7xve

Evidence-Based Usability Principles for Safe Computerized Provider Order Entry (CPOE) Interface Design

Gurprit K Randhawa, Ashley Garnett, Sihong Huang, Parvin Dhot, Mary-Lyn Fyfe
2019 Studies in Health Technology and Informatics  
The list includes 11 usability principles that can be used to inform ongoing CPOE interface design and evaluation efforts to improve patient safety.  ...  There is a dearth of evidence-based tools to design the safest Computerized Provider Order Entry (CPOE) system possible.  ...  [3] Methods A literature review of CPOE interface design was conducted from November 2017 to January 2018 using Google Scholar.  ... 
doi:10.3233/shti190727 pmid:31438421 fatcat:zx2vclimarayddnv3bboqy3xxu

IT Tools and Performance Indicators: A Qualitative Overview of Managerial, Organizational, Financial Strategies within Healthcare Sector

Marco Remondino
2020 International Journal of Business and Management  
The HHC-MOTES model should also be noted, which aims to analyze the implementation of IT in the healthcare (HHC) sector from the point of view of sustainability in the management, organizational, technological  ...  The work examines the different healthcare contexts in which innovation has been applied, or could be applied, resulting in cost containment and increased quality and efficiency of medical care services  ...  sectors, and improve quality of care within the area.  ... 
doi:10.5539/ijbm.v15n2p105 fatcat:g5bsttja2jbqlc3kc553ynnmpa

National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018

David C. Classen, A. Jay Holmgren, Zoe Co, Lisa P. Newmark, Diane Seger, Melissa Danforth, David W. Bates
2020 JAMA Network Open  
For the categories representing advanced clinical decision support, the mean (SD) score increased from 29.6% (22.4%) in 2009 to 46.1% (21.6%) in 2018.  ...  Mean (SD) hospital score for the categories representing basic clinical decision support increased from 69.8% (20.8%) in 2009 to 85.6% (14.9%) in 2018.  ...  CPOE EHR evaluation tool, in at least 1 year from 2009 through 2018.  ... 
doi:10.1001/jamanetworkopen.2020.5547 pmid:32469412 pmcid:PMC7260621 fatcat:2oir5i7xwfftnat5hohfegouqq

Computerized provider order entry and patient safety: A scoping review

2021 Knowledge Management & E-Learning: An International Journal  
made, (3) the end-user experience of using CPOE was important, and (4) the evaluation of CPOE is key to establishing risk frameworks.  ...  As health systems in Canada are being modernized with the use of technologies, digital health tools are now increasingly being used to improve patient safety.  ...  Discussion with CPOE suppliers has resulted in a slight improvement in the readability of CPOE prescription."  ... 
doi:10.34105/j.kmel.2021.13.025 fatcat:zdsb4iuwgbdsjkj5cwdhl7zffe

Attitudes and Perceptions of Pediatric Residents on Transitioning to CPOE

E.C. Webber, A.R. Shriner
2014 Applied Clinical Informatics  
Results: Prior to CPOE implementation, 70% of residents were looking forward to CPOE, but 28% did not want to transition from paper ordering.  ...  The survey assessed resident attitudes and perceptions related to CPOE and the use of CDS tools.  ...  Despite these limitations, we feel that these results illustrate an emerging area of interest for residents in training with increasing awareness of how the EMR can be used as a tool to improve patient  ... 
doi:10.4338/aci-2014-04-ra-0045 pmid:25298812 pmcid:PMC4187089 fatcat:eg2h763ynbdftbvkkgj73gw2qq

Systematic Review of Medical Informatics–Supported Medication Decision Making

Brittany L Melton
2017 Biomedical Informatics Insights  
Most studies identified benefits associated with decision support systems, but some indicate there is room for improvement.  ...  Most studies examined decision support systems as a means of reducing errors or risk, particularly associated with medication prescribing, whereas a few studies evaluated the impact medical informatics-based  ...  al 39 Alerts Randomized controlled trial USA Evaluate the incremental effectiveness of an alert that required a response from the provider Requiring a provider response did not improve desired  ... 
doi:10.1177/1178222617697975 pmid:28469432 pmcid:PMC5391194 fatcat:327gq7v6trdlfa7tvg6urhhgsq

Impact of an antimicrobial stewardship intervention on antibiotic prescribing practices for community-acquired acute uncomplicated cystitis in the emergency department

Carolyn Toy, Gary Peksa, Sheila Wang, Christy Varughese, Sarah Won
2017 Open Forum Infectious Diseases  
Adherence to the ED specific antibiogram and treatment algorithm improved from 35.6% to 74% in the pre and post-intervention groups, respectively (P < 0.001).  ...  Results. The study included 174 patients, 90 in the pre-intervention and 84 in the post-intervention groups. Patients were predominantly young African-American females.  ...  With the exception of febrile neutropenia, all other cefepime indications require AST approval for dispensing. Results.  ... 
doi:10.1093/ofid/ofx163.596 fatcat:uw47mjkam5dhrek3gn2z4thyzu

Development and implementation of a standardised emergency department intershift handover tool to improve physician communication

Edmund S H Kwok, Glenda Clapham, Shannon White, Michael Austin, Lisa A Calder
2020 BMJ Open Quality  
We report changes using statistical process control charts and descriptive statistics.ResultsWe observed 49 overnight handover sessions from 2017 to 2019, evaluating handovers of 850 patients.  ...  End-users subjectively reported improved communication quality and value for resident education.ConclusionsWe achieved sustained improvements in the amount of information communicated during physician  ...  Ethics approval According to the policy and standard operating procedures that govern research at the Ottawa Hospital Research Institute, this work met criteria for quality improvement activities exempt  ... 
doi:10.1136/bmjoq-2019-000780 pmid:32019750 pmcid:PMC7011887 fatcat:lrl56dkcybb7vact7wthz7imy4

Implementation of a Clinical Decision Support Tool for Stool Cultures and Parasitological Studies in Hospitalized Patients

D. Nikolic, S. S. Richter, K. Asamoto, R. Wyllie, R. Tuttle, G. W. Procop, Betty A. Forbes
2017 Journal of Clinical Microbiology  
The electronic CDST resulted in a substantial reduction in the number of evaluations of stool cultures and the number of parasitological examinations for patients hospitalized for more than 3 days and  ...  The proportions of reductions in the number of tests performed after 3 days and the associatedPvalues were 54.1% for O&P examinations (P< 0.0001), 22.58% for GC-EIA (P= 0.2807), and 49.1% for STCUL (P<  ...  Fortunately, the widespread use of computerized physician/provider order entry (CPOE) and the application of clinical decision support tools (CDST) provide an opportunity to eliminate the labor needed  ... 
doi:10.1128/jcm.01052-17 pmid:28954902 pmcid:PMC5703801 fatcat:qsyhez6lfrhjrfs4cfqtm6xwhy
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