J. Am. Medical Informatics Assoc.最新文献_第5页

Introductory Paper: Bridging the Gap in Medical Informatics and Health Services Research: An Introduction 导论论文:弥合医学信息学与卫生服务研究的差距:导论

J. Am. Medical Informatics Assoc. Pub Date : 2002-03-01 DOI: 10.1197/jamia.M0972

Betsy L. Humphreys, Kenneth D. Mandl, M. Cahn

引用次数: 12

Research Paper: Randomized Testing of Alternative Survey Formats Using Anonymous Volunteers on the World Wide Web 研究论文:在万维网上使用匿名志愿者随机测试替代调查格式

J. Am. Medical Informatics Assoc. Pub Date : 2001-11-01 DOI: 10.1136/jamia.2001.0080616

D. Bell, C. Mangione, C. E. Kahn

引用次数: 14

Review: The HL7 Clinical Document Architecture 回顾:HL7临床文件架构

J. Am. Medical Informatics Assoc. Pub Date : 2001-11-01 DOI: 10.1136/jamia.2001.0080552

R. Dolin, L. Alschuler, C. Beebe, P. V. Biron, S. Boyer, D. Essin, E. Kimber, T. Lincoln, J. Mattison

{"title":"Review: The HL7 Clinical Document Architecture","authors":"R. Dolin, L. Alschuler, C. Beebe, P. V. Biron, S. Boyer, D. Essin, E. Kimber, T. Lincoln, J. Mattison","doi":"10.1136/jamia.2001.0080552","DOIUrl":"https://doi.org/10.1136/jamia.2001.0080552","url":null,"abstract":"Many people know of Health Level 7 (HL7) as an organization that creates health care messaging standards. Health Level 7 is also developing standards for the representation of clinical documents (such as discharge summaries and progress notes). These document standards make up the HL7 Clinical Document Architecture (CDA). The HL7 CDA Framework, release 1.0, became an ANSI-approved HL7 standard in November 2000. This article presents the approach and objectives of the CDA, along with a technical overview of the standard.\u0000\u0000The CDA is a document markup standard that specifies the structure and semantics of clinical documents. A CDA document is a defined and complete information object that can include text, images, sounds, and other multimedia content. The document can be sent inside an HL7 message and can exist independently, outside a transferring message. The first release of the standard has attempted to fill an important gap by addressing common and largely narrative clinical notes. It deliberately leaves out certain advanced and complex semantics, both to foster broad implementation and to give time for these complex semantics to be fleshed out within HL7.\u0000\u0000Being a part of the emerging HL7 version 3 family of standards, the CDA derives its semantic content from the shared HL7 Reference Information Model and is implemented in Extensible Markup Language. The HL7 mission is to develop standards that enable semantic interoperability across all platforms. The HL7 version 3 family of standards, including the CDA, are moving us closer to the realization of this vision.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114387405","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: 191

Research Paper: Physician Satisfaction with Two Order Entry Systems 研究论文:医生对两种订单输入系统的满意度

J. Am. Medical Informatics Assoc. Pub Date : 2001-09-01 DOI: 10.1136/jamia.2001.0080499

H. Murff, J. Kannry

{"title":"Research Paper: Physician Satisfaction with Two Order Entry Systems","authors":"H. Murff, J. Kannry","doi":"10.1136/jamia.2001.0080499","DOIUrl":"https://doi.org/10.1136/jamia.2001.0080499","url":null,"abstract":"Objectives: In the wake of the Institute of Medicine report, To Err Is Human: Building a Safer Health System (LT Kohn, JM Corrigan, MS Donaldson, eds; Washington, DC: National Academy Press, 1999), numerous advisory panels are advocating widespread implementation of physician order entry as a means to reduce errors and improve patient safety. Successful implementation of an order entry system requires that attention be given to the user interface. The authors assessed physician satisfaction with the user interface of two different order entry systems—a commercially available product, and the Department of Veterans Affairs Computerized Patient Record System (CPRS).\u0000\u0000Design and Measurement: A standardized instrument for measuring user satisfaction with physician order entry systems was mailed to internal medicine and medicine-pediatrics house staff physicians. The subjects answered questions on each system using a 0 to 9 scale.\u0000\u0000Results: The survey response rates were 63 and 64 percent for the two order entry systems. Overall, house staff were dissatisfied with the commercial system, giving it an overall mean score of 3.67 (95 percent confidence interval [95%CI], 3.37–3.97). In contrast, the CPRS had a mean score of 7.21 (95% CI, 7.00–7.43), indicating that house staff were satisfied with the system. Overall satisfaction was most strongly correlated with the ability to perform tasks in a “straightforward” manner.\u0000\u0000Conclusions: User satisfaction differed significantly between the two order entry systems, suggesting that all order entry systems are not equally usable. Given the national usage of the two order entry systems studied, further studies are needed to assess physician satisfaction with use of these same systems at other institutions.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128225623","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: 70

Viewpoint: A Manifesto on Telehealth and Telemedicine 观点:远程保健和远程医疗宣言

J. Am. Medical Informatics Assoc. Pub Date : 2001-07-01 DOI: 10.1136/jamia.2001.0080349

F. Pinciroli

引用次数: 3

Research Paper: Searching for Clinical Prediction Rules in MEDLINE 研究论文:在MEDLINE中搜索临床预测规则

J. Am. Medical Informatics Assoc. Pub Date : 2001-07-01 DOI: 10.1136/jamia.2001.0080391

B. J. Ingui, M. Rogers

{"title":"Research Paper: Searching for Clinical Prediction Rules in MEDLINE","authors":"B. J. Ingui, M. Rogers","doi":"10.1136/jamia.2001.0080391","DOIUrl":"https://doi.org/10.1136/jamia.2001.0080391","url":null,"abstract":"Objectives: Clinical prediction rules have been advocated as a possible mechanism to enhance clinical judgment in diagnostic, therapeutic, and prognostic assessment. Despite renewed interest in the their use, inconsistent terminology makes them difficult to index and retrieve by computerized search systems. No validated approaches to locating clinical prediction rules appear in the literature. The objective of this study was to derive and validate an optimal search filter for retrieving clinical prediction rules, using the National Library of Medicine's MEDLINE database. Design: A comparative, retrospective analysis was conducted. The \"gold standard\" was established by a manual search of all articles from select print journals for the years 1991 through 1998, which identified articles covering various aspects of clinical prediction rules such as derivation, validation, and evaluation. Search filters were derived, from the articles in the July through December issues of the journals (derivation set), by analyzing the textwords (words in the title and abstract) and the medical subject heading (from the MeSH Thesaurus) used to index each article. The accuracy of these filters in retrieving clinical prediction rules was then assessed using articles in the January through June issues (validation set). Measurements: The sensitivity, specificity, positive predictive value, and positive likelihood ratio of several different search filters were measured. Results: The filter \"predict$ OR clinical$ OR outcome$ OR risk$\" retrieved 98 percent of clinical prediction rules. Four filters, such as \"predict$ OR validat$ OR rule$ OR predictive value of tests,\" had both sensitivity and specificity above 90 percent. The top-performing filter for positive predictive value and positive likelihood ratio in the validation set was \"predict$.ti. AND rule$.\" Conclusions: Several filters with high retrieval value were found. Depending on the goals and time constraints of the searcher, one of these filters could be used.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128601369","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: 71

AMIA's New Statement Of Vision, Mission, and Strategic Goals AMIA的新愿景，使命和战略目标声明

J. Am. Medical Informatics Assoc. Pub Date : 2001-05-01 DOI: 10.1136/jamia.2001.0080294

Dennis Reynolds

{"title":"AMIA's New Statement Of Vision, Mission, and Strategic Goals","authors":"Dennis Reynolds","doi":"10.1136/jamia.2001.0080294","DOIUrl":"https://doi.org/10.1136/jamia.2001.0080294","url":null,"abstract":"During 2000, the AMIA Board of Directors was engaged in a strategic planning process to re-examine the vision, mission, and goals of the association. As a comparatively new association founded just over a decade ago, this was only the second major strategic planning process for the association, the first having occurred in the early 1990s.\u0000\u0000The resulting document includes a new vision and mission statement, a set of six major goals to guide the activities of the association, and a set of more specific shorter-term objectives under each of the six goals. The Board examined the overall objectives at some length and identified those it felt to be of particularly high priority in guiding the activities of the association over the next two to three years. The full listing of the objectives can be found on the AMIA Web site at www.amia.org. The purpose of the discussion of objectives below is to highlight those that the Board identified as being the highest priorities in the near term.\u0000\u0000The role of a vision statement in a strategic plan is to put forward an organization's highest aspirations. It does not address the whys and hows, or the details of implementation, but rather states what the organization sees itself as, and what it wants the world to perceive it to be. For AMIA, this is succinctly stated in the Board's vision for the association: The American Medical Informatics Association is the premier organization to advance discovery and innovation in the use of information in health and biomedicine. \u0000\u0000This vision is the focus against which the success of the association's programs, products, and planning efforts is ultimately measured. Any of the organization's activities should be justifiable in terms of effectively working to help make and keep AMIA on track toward realizing this vision. …","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123415977","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

Research Paper: Record Linkage of Health Care Insurance Claims 研究论文:医疗保险索赔的记录联动

J. Am. Medical Informatics Assoc. Pub Date : 2001-05-01 DOI: 10.1136/jamia.2001.0080281

T. Victor, R. Mera

引用次数: 13

Viewpoint: An Informatics Infrastructure Is Essential for Evidence-based Practice 观点:信息学基础设施对循证实践至关重要

J. Am. Medical Informatics Assoc. Pub Date : 2001-05-01 DOI: 10.1136/jamia.2001.0080199

S. Bakken

引用次数: 67

Research Paper: Comparison of Information Processing Technologies 研究论文:信息处理技术比较

J. Am. Medical Informatics Assoc. Pub Date : 2001-03-01 DOI: 10.1136/jamia.2001.0080174

J. Piniewski-Bond, G. Buck, R. Horowitz, J. H. Schuster, D. Weed, J. Weiner

{"title":"Research Paper: Comparison of Information Processing Technologies","authors":"J. Piniewski-Bond, G. Buck, R. Horowitz, J. H. Schuster, D. Weed, J. Weiner","doi":"10.1136/jamia.2001.0080174","DOIUrl":"https://doi.org/10.1136/jamia.2001.0080174","url":null,"abstract":"Objective: To examine the type of information obtainable from scientific papers, using three different methods for the extraction, organization, and preparation of literature reviews.\u0000\u0000Design: A set of three review papers was identified, and the ideas represented by the authors of those papers were extracted. The 161 articles referenced in those three reviews were then analyzed using 1) a formalized data extraction approach, which uses a protocol-driven manual process to extract the variables, values, and statistical significance of the stated relationships; and 2) a computerized approach known as “Idea Analysis,” which uses the abstracts of the original articles and processes them through a computer software program that reads the abstracts and organizes the ideas presented by the authors. The results were then compared. The literature focused on the human papillomavirus and its relationship to cervical cancer.\u0000\u0000Results: Idea Analysis was able to identify 68.9 percent of the ideas considered by the authors of the three review papers to be of importance in describing the association between human papillomavirus and cervical cancer. The formalized data extraction identified 27 percent of the authors' ideas. The combination of the two approaches identified 74.3 percent of the ideas considered important in the relationship between human papillomavirus and cervical cancer, as reported by the authors of the three review articles.\u0000\u0000Conclusion: This research demonstrated that both a technically derived and a computer derived collection, categorization, and summarization of original articles and abstracts could provide a reliable, valid, and reproducible source of ideas duplicating, to a major degree, the ideas presented by subject specialists in review articles. As such, these tools may be useful to experts preparing literature reviews by eliminating many of the clerical-mechanical features associated with present-day scientific text processing.","PeriodicalId":344533,"journal":{"name":"J. Am. Medical Informatics Assoc.","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125577981","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