J. Am. Medical Informatics Assoc.最新文献

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Poster Abstract: A New Metaphor to Display Critical Pulmonary Events during Anesthesia 摘要:一种新的隐喻来显示麻醉期间的关键肺事件
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1239
S. Wachter, J. Agutter, Noah Syroid, F. Drews, D. Westenskow
{"title":"Poster Abstract: A New Metaphor to Display Critical Pulmonary Events during Anesthesia","authors":"S. Wachter, J. Agutter, Noah Syroid, F. Drews, D. Westenskow","doi":"10.1197/JAMIA.M1239","DOIUrl":"https://doi.org/10.1197/JAMIA.M1239","url":null,"abstract":"The anesthesiologist is faced with a fire-hose of information in the operating room. Data from the patient monitors include numerical data, waveforms, control settings, and alarm conditions. During an unexpected event, the anesthesiologist must quickly assess available information in order to diagnose and treat the patient before the patient is injured. However, human error is associated with more than 80% of critical anesthesia incidents and more than 50% of anesthetic deaths.1 In a recent study at the University of Washington, Department of Anesthesiology, 32% of the reported human error incidents were related …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"7 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":"121303805","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
Clinical Informatics and Patient Safety at the Agency for Healthcare Research and Quality 医疗保健研究和质量机构的临床信息学和患者安全
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1216
E. Ortiz, G. Meyer, H. Burstin
{"title":"Clinical Informatics and Patient Safety at the Agency for Healthcare Research and Quality","authors":"E. Ortiz, G. Meyer, H. Burstin","doi":"10.1197/JAMIA.M1216","DOIUrl":"https://doi.org/10.1197/JAMIA.M1216","url":null,"abstract":"In 1998, the Institute of Medicine (IOM) issued a report on medical errors, which estimated that up to 98,000 people die in U.S. hospitals each year from errors. This report raised concerns that medical errors have become a national public health problem that should be addressed in the same manner as other epidemics such as heart disease, diabetes, and obesity. In 2001, the IOM released a follow-up report encompassing a broader range of quality issues. They concluded that the U.S. healthcare system is outmoded and incapable of providing consistent, high-quality care. They outlined a strategy for redesigning U.S. healthcare delivery to achieve safe, dependable, high-quality care, which emphasizes information technology as an integral part of the solution. AHRQ's fiscal year 2001 appropriation included $50 million dollars for initiatives to reduce medical errors and improve patient safety. AHRQ responded to this mandate by developing a series of research solicitations that form an integrated set of activities to design and test best practices for reducing errors in multiple health care settings. This paper discusses the components of this program and the central role of medical informatics research in the Agency's efforts to improve the safety of medical care in America.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"13 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":"123446821","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: 30
Poster Abstract: Use of Wireless Technology for Reducing Medical Errors 摘要:利用无线技术减少医疗事故
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1245
Elizabeth S. Chen, J. Cimino
{"title":"Poster Abstract: Use of Wireless Technology for Reducing Medical Errors","authors":"Elizabeth S. Chen, J. Cimino","doi":"10.1197/JAMIA.M1245","DOIUrl":"https://doi.org/10.1197/JAMIA.M1245","url":null,"abstract":"We have established that inadequate access to timely information and ineffective communication among patient care team members are frequent events that are proximal causes of medical errors.1 We are exploring the use of wireless mobile computing technology to help reduce these problems through extensions to the Web-based clinical information system at New York Presbyterian Hospital (NYPH).\u0000\u0000Currently, there are several wireless devices that allow Web browsing and e-mail messaging along with other features. The advantage of Palm devices over other personal digital assistants (PDA) is size and the enormous amount of software available for the Palm OS. Compared to cellular phones and alphanumeric pagers, …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"109 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":"122417209","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: 5
Poster Abstract: Drug-Lab Triggers Have Potential to Prevent Adverse Drug Events in Outpatients 摘要:药物实验室触发器有可能预防门诊患者的药物不良事件
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1223
J. Peterson, Deborah H. Williams, A. Seger, T. Gandhi, D. Bates
{"title":"Poster Abstract: Drug-Lab Triggers Have Potential to Prevent Adverse Drug Events in Outpatients","authors":"J. Peterson, Deborah H. Williams, A. Seger, T. Gandhi, D. Bates","doi":"10.1197/JAMIA.M1223","DOIUrl":"https://doi.org/10.1197/JAMIA.M1223","url":null,"abstract":"Previous studies have found that many adverse drug events (ADEs) in inpatients can be detected or prevented by alerting physicians to measured physiologic parameters such as an elevated creatinine or hyperkalemia.1,2 In developing a decision support system for an outpatient Electronic Medical Record, we have begun to retrospectively study associations between drugs and labs that could trigger an alert to physicians. …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"10 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":"126127914","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: 8
Poster Abstract: Identification of Special Patterns of Numerical Typographic Errors Increases the Likelihood of Finding a Misplaced Patient File 摘要:数字印刷错误的特殊模式的识别增加了发现错位病人档案的可能性
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1233
Ying-Chou Sun, D. Tang, Q. Zeng-Treitler, R. Greenes
{"title":"Poster Abstract: Identification of Special Patterns of Numerical Typographic Errors Increases the Likelihood of Finding a Misplaced Patient File","authors":"Ying-Chou Sun, D. Tang, Q. Zeng-Treitler, R. Greenes","doi":"10.1197/JAMIA.M1233","DOIUrl":"https://doi.org/10.1197/JAMIA.M1233","url":null,"abstract":"When a typographic error of a patient identification number occurs on a patient document such as an envelope for radiology films or the cover of a patient record, it will result in misplacement of the document. Once misplaced, such documents are often extremely difficult to recover. After analyzing 290 numerical typos, we found that errors do not occur randomly. Instead, many of the typos share certain specific patterns. Six major types of non-random numeral typographic error patterns have been identified and their frequency characterized. Knowing these patterns and their odds increases the likelihood of finding a misplaced file. In addition, awareness of these patterns during transcribing or writing a patient ID may decrease the chance of typographic errors.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"17 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":"129676656","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: Patient Safety - Incorporating Drawing Software into Root Cause Analysis Software 摘要:患者安全-将绘图软件纳入根本原因分析软件
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1227
Linda Williams, Diana Grayson, J. Gosbee
{"title":"Poster Abstract: Patient Safety - Incorporating Drawing Software into Root Cause Analysis Software","authors":"Linda Williams, Diana Grayson, J. Gosbee","doi":"10.1197/JAMIA.M1227","DOIUrl":"https://doi.org/10.1197/JAMIA.M1227","url":null,"abstract":"Drawing software from Lassalle Technologies1 (France) designed for Visual Basic is the tool we used to standardize the creation, storage, and retrieval of flow diagrams containing information about adverse events and close calls.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"144 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":"124885494","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: 4
Human Factors Research in Anesthesia Patient Safety: Techniques to Elucidate Factors Affecting Clinical Task Performance and Decision Making 麻醉患者安全的人为因素研究:阐明影响临床任务表现和决策因素的技术
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1229
M. Weinger, J. Slagle
{"title":"Human Factors Research in Anesthesia Patient Safety: Techniques to Elucidate Factors Affecting Clinical Task Performance and Decision Making","authors":"M. Weinger, J. Slagle","doi":"10.1197/JAMIA.M1229","DOIUrl":"https://doi.org/10.1197/JAMIA.M1229","url":null,"abstract":"Patient safety has become a major public concern. Human factors research in other high-risk fields has demonstrated how rigorous study of factors that affect job performance can lead to improved outcome and reduced errors after evidence-based redesign of tasks or systems. These techniques have increasingly been applied to the anesthesia work environment. This paper describes data obtained recently using task analysis and workload assessment during actual patient care and the use of cognitive task analysis to study clinical decision making. A novel concept of “non-routine events” is introduced and pilot data are presented. The results support the assertion that human factors research can make important contributions to patient safety. Information technologies play a key role in these efforts.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"37 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":"128038818","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: 108
Poster Abstract: Automated Medical Algorithms: Issues for Medical Errors 摘要:自动化医疗算法:医疗差错问题
J. Am. Medical Informatics Assoc. Pub Date : 2002-11-01 DOI: 10.1197/JAMIA.M1228
Kathy A. Johnson, J. Svirbely, M. Sriram, Jack W. Smith, G. Kantor, J. R. Rodriguez
{"title":"Poster Abstract: Automated Medical Algorithms: Issues for Medical Errors","authors":"Kathy A. Johnson, J. Svirbely, M. Sriram, Jack W. Smith, G. Kantor, J. R. Rodriguez","doi":"10.1197/JAMIA.M1228","DOIUrl":"https://doi.org/10.1197/JAMIA.M1228","url":null,"abstract":"The National Patient Safety Foundation has sponsored a report to describe the current research being pursued in the area of medical error reduction and to identify the gaps in this effort.1 A total of 23 gaps were identified—among them was a need for more research in the area of communication and information sharing. One of the areas that we see a need to explore is the wealth of published information in the form of medical algorithms. Centralizing and automating medical algorithms is one way to share information among a wide range of clinical care providers. Furthermore, automation of medical algorithms assists in the correct selection (reducing errors of planning) and application of that information (reducing errors of execution).\u0000\u0000The …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"116 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113999840","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: 8
American College of Medical Informatics Fellows and International Associates, 2001 美国医学信息学院研究员和国际协会,2001年
J. Am. Medical Informatics Assoc. Pub Date : 2002-07-01 DOI: 10.1136/jamia.2002.0090409
W. Stead
{"title":"American College of Medical Informatics Fellows and International Associates, 2001","authors":"W. Stead","doi":"10.1136/jamia.2002.0090409","DOIUrl":"https://doi.org/10.1136/jamia.2002.0090409","url":null,"abstract":"Stephen Altschul is a Senior Investigator at the National Center for Biotechnology Information, which is part of the National Library of Medicine at the National Institutes of Health. He received his AB summa cum laude in mathematics from Harvard College and a PhD in mathematics from the Massachusetts Institute of Technology.\u0000\u0000\u0000\u0000Dr. Altschul held an IRTA postdoctoral fellowship at the Mathematics Research Branch of the National Institute of Diabetes and Digestive and Kidney Diseases before moving to the NCBI, where he has been for the past 12 years. His research has focused on developing measures, algorithms, and statistics for the comparison and analysis of DNA and protein sequences. He played a central role in developing the blast and psi-blast sequence database search programs, and his articles describing these programs have become, respectively, the most cited scientific papers published since 1990 and 1995.\u0000\u0000Dr. Altschul has served on grants committees for the National Human Genome Research Institute of the NIH and for the Medical Research Council of Canada. He has been a member of the editorial boards of Protein Sequences & Data Analysis, Gene-combis , and Genome Biology and is invited to be a keynote speaker at the Tenth Annual Conference on Intelligent Systems for Molecular Biology.\u0000\u0000Dennis Benson is Chief of the Information Resources Branch at the National Center for Biotechnology, National Library of Medicine. Dr. Benson received his undergraduate and graduate degrees in the neuroscience program at the University of Florida.\u0000\u0000Prior to his current position, Dr. Benson was a postdoctoral fellow in the Department of Biomedical Engineering, Johns Hopkins School of Medicine, where his research focused on the neurophysiology of the auditory cortex. He came to the Lister Hill Center for Biomedical Communications at the NLM in 1980 and worked on knowledge-based retrieval systems in the area …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121431727","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
Drs. Murff and Kannry reply Drs。莫夫和卡尼回答道
J. Am. Medical Informatics Assoc. Pub Date : 2002-05-01 DOI: 10.1197/JAMIA.M1057
H. Murff, J. Kannry
{"title":"Drs. Murff and Kannry reply","authors":"H. Murff, J. Kannry","doi":"10.1197/JAMIA.M1057","DOIUrl":"https://doi.org/10.1197/JAMIA.M1057","url":null,"abstract":"Dr. Patterson's letter was greatly appreciated and reinforces the major arguments in our paper: that not all order entry systems are created equal and that user satisfaction is important to the acceptance of order entry systems and must be assessed after system implementation.1\u0000\u0000Mount Sinai's decision to purchase and implement a computerized physician order entry (CPOE) system was …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126792786","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
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