J. Am. Medical Informatics Assoc.最新文献

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Cost-effectiveness of informatics and health IT: impact on finances and quality of care 信息学和卫生信息技术的成本效益:对财务和护理质量的影响
J. Am. Medical Informatics Assoc. Pub Date : 2012-05-01 DOI: 10.1136/amiajnl-2012-000964
L. Ohno-Machado
{"title":"Cost-effectiveness of informatics and health IT: impact on finances and quality of care","authors":"L. Ohno-Machado","doi":"10.1136/amiajnl-2012-000964","DOIUrl":"https://doi.org/10.1136/amiajnl-2012-000964","url":null,"abstract":"This issue of the journal focuses on an important but often underpublished area of biomedical informatics: the cost-effectiveness of informatics interventions in healthcare. The adoption of electronic health records (EHR) across the USA has been accelerated in response to legislation, but there is still much uncertainty regarding costs as well as short and long-term effects, given the many different ways in which systems are implemented and the high diversity of institutions served. A systematic review by O'Reilly ( see page 423 ) covers economic evaluations of medication management systems, and the author also describes the cost-effectiveness of a clinical decision support system (CDSS) for diabetes in another article ( see page 341 ). Frisse ( see page 328 ) reports on the financial impact of EHR in an emergency department, and Subramanian ( see page 439 ) analyzes the financial impact of a CDSS for renal dose adjustments.\u0000\u0000The financial aspects are not sufficient to assess the full impact of information systems and informatics interventions. Several articles relate to the impact of systems in the quality of care. Connelly ( see page 334 ) describes …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"326 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133035097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
President's column: reflections on AMIA's past 3 years 主席专栏:对AMIA过去三年的反思
J. Am. Medical Informatics Assoc. Pub Date : 2012-03-01 DOI: 10.1136/amiajnl-2012-000861
E. Shortliffe
{"title":"President's column: reflections on AMIA's past 3 years","authors":"E. Shortliffe","doi":"10.1136/amiajnl-2012-000861","DOIUrl":"https://doi.org/10.1136/amiajnl-2012-000861","url":null,"abstract":"AMIA has been the home for informatics professionals for 22 years, and has undergone a remarkable evolution during that time. Its autumn meeting continues to be a vibrant setting for the best in informatics science and practice, building on a tradition that started with SCAMC (the Symposium on Computer Applications in Medical Care) in 1977. Its journal, created in the early 1990s, is now arguably the preeminent journal in our discipline, combining cutting-edge science with important insights from the practice community. I have been honored to serve as AMIA's President during the past 3 of those 22 years and would like to take a moment to reflect on our recent accomplishments while acknowledging our ongoing challenges and exciting opportunities for the future. Among our recent accomplishments:","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129094633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of electronic health record systems for decision support 使用电子健康记录系统进行决策支持
J. Am. Medical Informatics Assoc. Pub Date : 2011-11-01 DOI: 10.1136/amiajnl-2011-000577
L. Ohno-Machado
{"title":"Use of electronic health record systems for decision support","authors":"L. Ohno-Machado","doi":"10.1136/amiajnl-2011-000577","DOIUrl":"https://doi.org/10.1136/amiajnl-2011-000577","url":null,"abstract":"This issue of JAMIA completes my first year as the Editor-in-Chief. The extended scope, improved workflow, and increase in editorial staff have allowed us to reduce the median review time to <30 days, even with a nearly 70% increase in original submissions. It is exciting to see an increasing number of authors with diverse backgrounds submitting from many different institutions in numerous countries, reinforcing our intent to reflect the best work of informatics without borders .\u0000\u0000This issue focuses on electronic health records (EHRs, including medical and personal health records (PHRs)) and Clinical Decision Support Systems (CDSS). The debate on what really constitutes meaningful use of information technology (IT) in healthcare has never been so intense, with informatics professionals playing a central role in designing, implementing, and evaluating relevant information systems. EHRs and CDSS are critical components of meaningful use.\u0000\u0000An editorial by …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125927039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
AMIA president's column: AMIA's corporate relations activities AMIA会长专栏:AMIA的企业关系活动
J. Am. Medical Informatics Assoc. Pub Date : 2011-09-01 DOI: 10.1136/AMIAJNL-2011-000469
E. Shortliffe
{"title":"AMIA president's column: AMIA's corporate relations activities","authors":"E. Shortliffe","doi":"10.1136/AMIAJNL-2011-000469","DOIUrl":"https://doi.org/10.1136/AMIAJNL-2011-000469","url":null,"abstract":"As I discussed in a recent president's column,1 the roots of AMIA's founding and early identity were largely academic, with an emphasis on informatics and computer science research, both basic and applied. Yet, with the passage of time, yesterday's research has evolved into standard approaches and tools. Today's clinical computing products often reflect research that was carried out in academia or other investigational settings 10, 20, or 30 years ago. Similarly, today's research and development work will be reflected in products a decade or so in the future. This observation emphasizes the ongoing importance of basic and applied research, to fill the pipeline with the ideas and methods that will define the systems of tomorrow.\u0000\u0000With the evolution of the field, AMIA has necessarily evolved as well, and now embraces a much more diverse membership and, accordingly, different member expectations.2 There is a greater emphasis on applied research and practice, health information technology policy, broad workforce development, and the increasingly successful and mature world of commercial health information technology. In this column I would like to focus on AMIA's increasing interactions with the corporate world and our major efforts to identify and nurture synergies at that interface.\u0000\u0000AMIA, its members, and the biomedical informatics community have much to contribute to industry and much to gain from healthy relationships with the companies that work in diverse …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128579716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
American College of Medical Informatics In Memoriam, 2009-2010 美国医学信息学纪念学院,2009-2010
J. Am. Medical Informatics Assoc. Pub Date : 2011-07-01 DOI: 10.1136/amiajnl-2011-000278
M. Bloom
{"title":"American College of Medical Informatics In Memoriam, 2009-2010","authors":"M. Bloom","doi":"10.1136/amiajnl-2011-000278","DOIUrl":"https://doi.org/10.1136/amiajnl-2011-000278","url":null,"abstract":"In this special section, initiated by Past President Joyce Mitchell in the expectation that it will become an ACMI tradition, we memorialize the lives of the fellows who died during her presidency. There were seven. Six were born a generation before the term informatics was coined and more than 50 years before the founding of AMIA. Six lived through World War II, four through the Great Depression. Two of the deceased— Helmuth Orthner and William Yamamoto —were founding fellows of ACMI in 1984, while three— Allan Pryor , Harold Schoolman , and William Schwartz —were elected the following year. Joachim Dudeck and Mario Stefanelli became fellows in 2001. Most of us are aware of the accomplishments of these men (for details, visit the ACMI wiki), but few are familiar with the lives they lived. Here, aided by the reminiscences of families, friends, and colleagues, we celebrate those lives. (An article about Marco Ramoni , who was elected to ACMI posthumously, appears on page 369 of this issue.)\u0000\u0000Joachim Dudeck, a physician, recognized the medical potential of informatics early in his career and greatly enjoyed the intellectual camaraderie of others of like mind. In fact, he reveled in it. Joachim treasured his colleagues. He loved visiting them, hosting them, opera-going with them, dining with them, wining with them, discoursing with them, and seeing to their comfort. Joachim was a devotee of fine living and a consummately social being.\u0000\u0000 ![Graphic][1] \u0000“When I visited for his 65th birthday conference, I was constantly accompanied by someone from his staff to make sure I got from the airport to the hotel, from the hotel to the airport, and everywhere in between. I was a guest at his home for dinner, as well. And he didn't know me from Adam,” recalls Jim Cimino of the National Institutes …\u0000\u0000 [1]: /embed/inline-graphic-1.gif","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126723233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Memoriam: Darlene P Vian 纪念达琳·P·维安
J. Am. Medical Informatics Assoc. Pub Date : 2011-07-01 DOI: 10.1136/amiajnl-2011-000352
B. P. McCune, E. Shortliffe
{"title":"In Memoriam: Darlene P Vian","authors":"B. P. McCune, E. Shortliffe","doi":"10.1136/amiajnl-2011-000352","DOIUrl":"https://doi.org/10.1136/amiajnl-2011-000352","url":null,"abstract":"Darlene LeMay Pearson Vian, 78, of Palo Alto, California passed away on February 9, 2011. Ms Vian worked at the Stanford University Medical School for over 37 years. She was Secretary of the Faculty Senate for nearly 10 years. She was … \u0000\u0000Correspondence to Brian P McCune, Cyladian Technology Consulting, 825 Oak Grove Avenue, Suite D101, Menlo Park, CA 94025-4427, USA; mccune{at}cyladian.com","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"19 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116749881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electronic health records and computer-based clinical decision support: are we there yet? 电子健康记录和基于计算机的临床决策支持:我们做到了吗?
J. Am. Medical Informatics Assoc. Pub Date : 2011-03-01 DOI: 10.1136/amiajnl-2011-000141
L. Ohno-Machado
{"title":"Electronic health records and computer-based clinical decision support: are we there yet?","authors":"L. Ohno-Machado","doi":"10.1136/amiajnl-2011-000141","DOIUrl":"https://doi.org/10.1136/amiajnl-2011-000141","url":null,"abstract":"Electronic health record systems are in different phases of implementation in the US and abroad. From the perspective of enhancing the quality of healthcare, one of the most attractive features of electronic health record systems is the ability to implement computer-based clinical decision support. However, utilization of two main subsets of electronic health record systems, electronic medical records systems (EMRs) and personal health records systems (PHRs), is still very heterogeneous across institutions and individuals. EMRs are not always perceived as advantageous from the standpoint of individual clinicians, with paper records still being the main form of documentation in several institutions. PHRs are still not well integrated into EMRs and their adoption by patients is not widespread.\u0000\u0000In this issue, we include articles that focus on how electronic health records are being used and how clinical decision support is making …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"80 12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125918299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
American College of Medical Informatics Fellows, 2009 美国医学信息学院研究员,2009年
J. Am. Medical Informatics Assoc. Pub Date : 2010-05-01 DOI: 10.1136/jamia.2009.002741
D. Masys
{"title":"American College of Medical Informatics Fellows, 2009","authors":"D. Masys","doi":"10.1136/jamia.2009.002741","DOIUrl":"https://doi.org/10.1136/jamia.2009.002741","url":null,"abstract":"In 2009, 11 new fellows were elected to the American College of Medical Informatics, and were inducted into the College at a ceremony held in conjunction with the American Medical Informatics Association conference in San Francisco on November 15, 2009. A brief synopsis of the background and accomplishments of each of the new fellows is provided here, in alphabetical order.\u0000\u0000Riccardo Bellazzi, PhD\u0000\u0000![Formula][1] \u0000Dr Bellazzi graduated laurea cum laude with a degree in Electronics Engineering from the University of Pavia in Italy, with a concentration in planning and temporal reasoning in medical expert systems. He earned his PhD in Bioengineering at the Milan Politecnico and the University of Pavia, with emphasis on causal models and machine learning applied to clinical monitoring. Dr Bellazzi is currently Associate Professor of Medical Informatics in the Department of Computer Science and Systems (Dipartimento di Informatica e Sistemistica), Universita di Pavia, Pavia, Italy.\u0000\u0000At the time of his election to the College, Professor Bellazzi was a lecturer in Medical Informatics, Machine Learning, Probabilistic Modeling and Bioinformatics applied to genomics and proteomics. He organized the National School of Bioengineering in 2007 with an educational program focused on Computational Genomics and Proteomics.\u0000\u0000Dr Bellazzi's research interests range across clinical and molecular domains, including data mining, web-based telemedicine for the management of chronic disease, mathematical modeling of biological systems, and the development of novel bioinformatics methods, particularly in the temporal analysis of gene expression patterns, proteomics and analysis of tissue microarray data. He has authored more than 200 publications, and has been an active contributor to both AMIA and IMIA conferences. He was an AMIA Student Paper award winner for work associated with his PhD thesis in 1992.\u0000\u0000Dr Riccardo Bellazzi is one of the renaissance figures of our field, whose work is having international impact in the …\u0000\u0000 [1]: /embed/graphic-1.gif","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123079852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Special Feature: Presentation of Morris F. Collen Award to Dr. Marion J. Ball 特辑:颁发Morris F. Collen奖给Marion J. Ball博士
J. Am. Medical Informatics Assoc. Pub Date : 2003-05-01 DOI: 10.1197/jamia.M1327
C. Safran
{"title":"Special Feature: Presentation of Morris F. Collen Award to Dr. Marion J. Ball","authors":"C. Safran","doi":"10.1197/jamia.M1327","DOIUrl":"https://doi.org/10.1197/jamia.M1327","url":null,"abstract":"The Morris F. Collen Award is given each year, when appropriate, to pioneers in the field of medical informatics who best exemplify the teaching and practice of Morrie Collen. This year's recipient, Dr. Marion Ball, has devoted her career to building bridges, trying to bridge the gaps that divided countries and regions, professions and disciplines, colleagues and co-workers, public sector and private entities.\u0000\u0000Marion Jokl was born in Johannesburg, South Africa in 1940, where her parents had settled in 1933 after leaving Nazi Germany. Her father, Ernst Jokl, was an international leader in sports medicine, and her mother was a sports teacher and corrective therapist. Both of her parents were on the 1928 German Olympic team and her mother was a gold medalist in track and field. In 1951, when the oppressive apartheid policy was proclaimed in South Africa, the family quickly left and returned to Germany. In 1952 they immigrated to the United States. In 1953, at the urging of famed University of Kentucky basketball coach Adolph Rupp, Dr. Jokl joined the medical faculty at the University in Lexington to develop a sports medicine program. Both Marion and her younger brother, Peter, graduated from high school in Lexington. Marion, who had attended eight schools on three continents, completed one year at Northwestern University in Evanston, Illinois, before returning to …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127202186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Poster Abstract: Impact of Basic Computerized Prescribing on Outpatient Medication Errors and Adverse Drug Events 摘要:基本计算机处方对门诊用药错误和不良事件的影响
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1225
T. Gandhi, S. Weingart, A. Seger, D. Seger, J. Borus, E. Burdick, L. Leape, D. Bates
{"title":"Poster Abstract: Impact of Basic Computerized Prescribing on Outpatient Medication Errors and Adverse Drug Events","authors":"T. Gandhi, S. Weingart, A. Seger, D. Seger, J. Borus, E. Burdick, L. Leape, D. Bates","doi":"10.1197/JAMIA.M1225","DOIUrl":"https://doi.org/10.1197/JAMIA.M1225","url":null,"abstract":"Few data exist about the impact of computerized prescribing systems on outpa- tient medication errors (MEs) and adverse drug events (ADEs). We compared the rates of MEs and ADEs in handwritten sites versus sites with basic computerized prescribing. These systems reduced ME rates but did not significantly reduce ADE rates. Failure to monitor accounted for a large per- centage of preventable ADEs. More advanced computerized prescribing systems with decision sup- port and monitoring functions may be necessary to reduce outpatient ADE rates.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114494812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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