Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium最新文献_第6页

The impact of anticipatory patient data displays on physician decision making: a pilot study. 预期患者数据显示对医生决策的影响:一项初步研究。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

R B Elson, D P Connelly

引用次数: 0

Evaluation of a decision support system for pressure ulcer prevention and management: preliminary findings. 压疮预防和管理决策支持系统的评价:初步结果。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

R D Zielstorff, G Estey, A Vickery, G Hamilton, J B Fitzmaurice, G O Barnett

{"title":"Evaluation of a decision support system for pressure ulcer prevention and management: preliminary findings.","authors":"R D Zielstorff, G Estey, A Vickery, G Hamilton, J B Fitzmaurice, G O Barnett","doi":"","DOIUrl":"","url":null,"abstract":"A decision support system for prevention and management of pressure ulcers was developed based on AHCPR guidelines and other sources. The system was implemented for 21 weeks on a 20-bed clinical care unit. Fifteen nurses on that unit volunteered as subjects of the intervention to see whether use of the system would have a positive effect on their knowledge about pressure ulcers and on their decision-making skills related to this topic. A similar care unit was used as a control. In addition, the system was evaluated by experts for its instructional adequacy, and by end users for their satisfaction with the system. Preliminary results show no effect on knowledge about pressure ulcers and no effect on clinical decision making skills. The system was rated positively for instructional adequacy, and positively for user satisfaction. User interviews related to satisfaction supplemented the quantitative findings. A discussion of the issues of conducting experiments like this in today's clinical environment is included.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"248-52"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233550/pdf/procamiaafs00001-0286.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving information management in family practice: testing an adult learning model. 改进家庭医疗信息管理:一种成人学习模式的检验。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

S Teasdale, M Bainbridge

{"title":"Improving information management in family practice: testing an adult learning model.","authors":"S Teasdale, M Bainbridge","doi":"","DOIUrl":"","url":null,"abstract":"Information management training has been neglected in family practice in the UK in the past. An adult learning model for such training is introduced. A pilot study using the adult learning approach showed improvements in information management processes over the six-month study period. The research project described in this paper compares the effectiveness of on-site training using adult learning methods, written information, and no intervention, in 33 family practices in the UK. Nine of the eleven practices in the on-site training group completed the training sessions and eight provided full data, whereas only one of the eleven practices in the written information group, and only one of the eleven practices in the control group provided full data. Preliminary analysis demonstrates that on-site training practices made considerable changes to the information systems in their practices, and appreciated the importance of high-quality data, both for patient care and reporting requirements. Full comparisons of data quality and information management methods are presented, and an assessment of priority training needs for maximum benefit is made.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"687-92"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233466/pdf/procamiaafs00001-0721.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

E-mail access to NetCME: implementation of server push paradigm. 电子邮件访问NetCME:服务器推送范例的实现。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

K W McEnery, J E Grossman

引用次数: 0

Implementing cognitive learning strategies in computer-based educational technology: a proposed system. 在基于计算机的教育技术中实施认知学习策略:一个拟议的系统。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

M J Wang, P B Contino, E S Ramirez

引用次数: 0

Teaching skills for accessing and interpreting information from systematic reviews/meta-analyses, practice guidelines, and the Internet 教授从系统评论/元分析、实践指南和互联网获取和解释信息的技能

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01 DOI: 10.1007/978-94-011-4886-3_104

F. Wolf, Judith G. Miller, L. Gruppen, W. Ensminger

引用次数: 5

The PartnerWeb Project: a component-based approach to enterprise-wide information integration and dissemination. PartnerWeb项目:一种基于组件的企业范围信息集成和发布方法。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

T H Karson, C Perkins, C Dixon, J P Ehresman, G L Mammone, L Sato, J L Schaffer, R A Greenes

{"title":"The PartnerWeb Project: a component-based approach to enterprise-wide information integration and dissemination.","authors":"T H Karson, C Perkins, C Dixon, J P Ehresman, G L Mammone, L Sato, J L Schaffer, R A Greenes","doi":"","DOIUrl":"","url":null,"abstract":"A component-based health information resource, delivered on an intranet and the Internet, utilizing World Wide Web (WWW) technology, has been built to meet the needs of a large integrated delivery network (IDN). Called PartnerWeb, this resource is intended to provide a variety of health care and reference information to both practitioners and consumers/patients. The initial target audience has been providers. Content management for the numerous departments, divisions, and other organizational entities within the IDN is accomplished by a distributed authoring and editing environment. Structured entry using a set of form tools into databases facilitates consistency of information presentation, while empowering designated authors and editors in the various entities to be responsible for their own materials, but not requiring them to be technically skilled. Each form tool manages an encapsulated component. The output of each component can be a dynamically generated display on WWW platforms, or an appropriate interface to other presentation environments. The PartnerWeb project lays the foundation for both an internal and external communication infrastructure for the enterprise that can facilitate information dissemination.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"359-63"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233447/pdf/procamiaafs00001-0396.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20287532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A natural language parsing system for encoding admitting diagnoses. 入院诊断编码的自然语言解析系统。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

P J Haug, L Christensen, M Gundersen, B Clemons, S Koehler, K Bauer

引用次数: 0

Meeting clinician information needs by integrating access to the medical record and knowledge resources via the Web. 通过Web集成对医疗记录和知识资源的访问，满足临床医生的信息需求。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

P Tarczy-Hornoch, T S Kwan-Gett, L Fouche, J Hoath, S Fuller, K N Ibrahim, D S Ketchell, J P LoGerfo, H I Goldberg

{"title":"Meeting clinician information needs by integrating access to the medical record and knowledge resources via the Web.","authors":"P Tarczy-Hornoch, T S Kwan-Gett, L Fouche, J Hoath, S Fuller, K N Ibrahim, D S Ketchell, J P LoGerfo, H I Goldberg","doi":"","DOIUrl":"","url":null,"abstract":"MINDscape is a web based integrated interface to diverse sources of clinical information including both patient specific information (electronic medical record) as well as medical knowledge (the \"digital library\") to provide \"just in time\" information at the point of care. It was developed at the University of Washington to meet clinical information needs both as identified locally and by a review of the literature. Beta testing by over 600 clinicians is in progress and medical centers wide access scheduled for Fall 1997. We describe the information needs we sought to meet and the ongoing evaluation approach we are taking to ensure the information needs of a diverse group of clinicians are met. The iterative evolution of the interface from prototype, to alpha to large scale beta testing is reported. Integration of information occurs at three levels: integration of information by patient, integration of information by provider, and integration of patient specific information with medical reference material and decision support tools.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"809-13"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233563/pdf/procamiaafs00001-0843.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20287603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurses use of health status data to plan for patient care: implications for the development of a computer-based outcomes infrastructure. 护士使用健康状况数据来规划病人护理:对基于计算机的结果基础设施发展的影响。

Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium Pub Date : 1997-01-01

M T Lush, S B Henry

{"title":"Nurses use of health status data to plan for patient care: implications for the development of a computer-based outcomes infrastructure.","authors":"M T Lush, S B Henry","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to examine the relationships between the patient's health status at hospital admission and the initial care planned by the nurse. Functional status, engagement in care, and psychosocial well-being were measured by the Health Status Outcome Dimensions(HSOD) instrument. The HSOD is the foundation for developing a computer-based infrastructure for the analysis of health related outcomes. The consecutive, convenience sample of 308 subjects was drawn from five acute clinical populations: pulmonary; cerebrovascular, cardiac; gastrointestinal; and infection. Logistic and multiple regression analyses were used to test the relationships between control (patient and setting) variables, health status, and the dependent variables of type of problem identified, number of problems identified, and the time required to implement interventions ordered for the patient. In seven of ten models, control variables of facility, age, and/or severity of illness contributed to a model at p < .01. In six of ten models, at least one health status measure significantly explained variation beyond the control variables, at p < .01. Study results support using data gathered during the course of care, to evaluate the process of that care. Further work is needed to understand the effects of setting and provider variables on the use of health status data in care planning. Computer-based outcomes infrastructures are essential to support the collection and analysis of health status over time.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"136-40"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233240/pdf/procamiaafs00001-0175.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0