Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium最新文献_第7页

A patient workflow management system built on guidelines. 基于指南的患者工作流程管理系统。

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

L Dazzi, C Fassino, R Saracco, S Quaglini, M Stefanelli

引用次数: 0

Capturing clinical reports in a large academic medical center: feeding a central patient data repository. 在大型学术医疗中心捕获临床报告:提供中央患者数据存储库。

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

M K Ekstrom, H F Orthner, H R Warner

{"title":"Capturing clinical reports in a large academic medical center: feeding a central patient data repository.","authors":"M K Ekstrom, H F Orthner, H R Warner","doi":"","DOIUrl":"","url":null,"abstract":"Clinical reports, notes, and other narratives are highly used components in the patient record. Unfortunately, the methods by which these reports are generated are as diverse as the fiscal autonomy of academic clinical departments in a university-based health science center. In this paper, we report on electronically capturing clinical reports, notes, and other text fragments from several hospital sources and many outpatient clinics. The purpose of the capture is to feed the ACIS (Advanced Clinical Information System) central patient data repository that is in use at the University of Utah Health Sciences Center (UUHSC). A survey conducted in early 1994 indicated that about 917,150 reports were generated per year at UUHSC representing about 1.2 million pieces of paper, occupying about 2.3 gigabytes of storage. The most crucial problem encountered in capturing the reports was linking them to the proper patient. Systems that had functioning and well-maintained admit-discharge-transfer (ADT) information performed well, but systems that relied on the human dictator to identify patients, produced patient linkage errors. In our open loop telephone dictation systems this error rate averaged between 6 and 10%. Subsequent to the wide-spread availability of clinical reports on ACIS, this error rate dropped to 3-5%, presumably due to increased demand for on-line availability of this information. From clinical secretaries who use their word processor to create the clinical reports, the linkage error rate was < 1% due to the use of our Advanced Text Upload (ATU) utility. The clinical text component in ACIS contributed significantly to the success of a JCAHO site visit in December 1995.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"2-6"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233442/pdf/procamiaafs00001-0041.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20287519","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 strategy for the development of secure telemedicine applications. 开发安全远程医疗应用的战略。

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

R S Raman, R Reddy, V Jagannathan, S Reddy, K J Cleetus, K Srinivas

引用次数: 0

Comparing SNOMED and ICPC retrieval accuracies using relational database models. 比较使用关系数据库模型的SNOMED和ICPC检索精度。

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

Y A Lussier, M Bourque

{"title":"Comparing SNOMED and ICPC retrieval accuracies using relational database models.","authors":"Y A Lussier, M Bourque","doi":"","DOIUrl":"","url":null,"abstract":"While SNOMED International has been generally accepted by the international community of pathologists, its use for primary and secondary care remains limited. This can probably be attributed to the coding complexity of clinical concepts into this multiaxial postcoordinated nomenclature. The SNOMED editors propose the use of multiple codes (aggregates) for any nuanced clinical concept, thus allowing alternative rigorous representations of the concept with SNOMED codes. Some classification critics argue whether such redundant coding precludes precise retrieval of data. This research was initiated to compare the retrieval accuracies of a relational database using a simplified model of SNOMED against a classification-based model. SNOMED-based queries showed improvement over ICPC-based queries, regardless of the use of SNOMED cross-references. The addition of the latter significantly improved the queries sensitivity and false negative rate. In conclusion, the authors recommend using aggregates of SNOMED codes in relational database designs over classification-based designs in order to improve retrieval accuracy.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"514-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233545/pdf/procamiaafs00001-0550.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288079","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

MedWeaver: integrating decision support, literature searching, and Web exploration using the UMLS Metathesaurus. MedWeaver:使用UMLS元词典集成决策支持、文献搜索和Web探索。

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

W M Detmer, G O Barnett, W R Hersh

{"title":"MedWeaver: integrating decision support, literature searching, and Web exploration using the UMLS Metathesaurus.","authors":"W M Detmer, G O Barnett, W R Hersh","doi":"","DOIUrl":"","url":null,"abstract":"Integrating functions from disparate and widely-distributed information systems has been an interest of the medical informatics community for some time. Barriers to progress have included the lack of network-accessible information sources, inadequate methods for inter-system messaging, and lack of vocabulary translation services. With the advent of the World Wide Web (WWW) and the evolution of the National Library of Medicine's Unified Medical Language System (UMLS), it is now possible to develop applications that integrate functions from diverse, distributed systems. In this paper we describe one such system, MedWeaver, a WWW application that integrates functions from a decision support application (DXplain), a literature searching system (WebMedline), and a clinical Web searching system (CliniWeb) using the UMLS Metathesaurus for vocabulary translation. This system demonstrates how application developers can design systems around anticipated clinical information needs and then draw together the needed content and functionality from diverse sources.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"490-4"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233429/pdf/procamiaafs00001-0526.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288532","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

Evaluating a normalized conceptual representation produced from natural language patient discharge summaries. 评估由自然语言病人出院摘要产生的标准化概念表示。

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

P Zweigenbaum, J Bouaud, B Bachimont, J Charlet, J F Boisvieux

引用次数: 0

Development of a change model for a controlled medical vocabulary. 开发受控医学词汇的变更模型。

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

D E Oliver, Y Shahar

引用次数: 0

Evaluating the potential effectiveness of using computerized information systems to prevent adverse drug events. 评估使用计算机信息系统预防药物不良事件的潜在有效性。

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

J G Anderson, S J Jay, M Anderson, T J Hunt

{"title":"Evaluating the potential effectiveness of using computerized information systems to prevent adverse drug events.","authors":"J G Anderson, S J Jay, M Anderson, T J Hunt","doi":"","DOIUrl":"","url":null,"abstract":"In this study a dynamic computer simulation model is used to estimate the effectiveness of various information systems applications designed to detect and prevent medication errors that result in adverse drug events (ADEs). The model simulates the four stages of the drug ordering and delivery system: prescribing, transcribing, dispensing and administering drugs. In this study we simulated interventions that have been demonstrated in prior studies to decrease error rates. The results demonstrated that a computerized information system that detected 26% of medication errors and prevented associated ADEs could save 1,226 days of excess hospitalization and $1.4 million in hospital costs annually. Those results suggest that such systems are potentially a cost-effective means of preventing ADEs in hospitals. The results demonstrated the importance of viewing adverse drug events from a systems perspective. Prevention efforts that focus on a single stage of the process had limited impact on the overall error rate. This study suggests that system-wide changes to the drug-ordering and delivery system are required to significantly reduce adverse drug events in a hospital setting.","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"228-32"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233438/pdf/procamiaafs00001-0266.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288989","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

Operationalization of clinical practice guidelines using fuzzy logic. 应用模糊逻辑的临床实践指南操作化。

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

J C Liu, R N Shiffman

引用次数: 0

Lightweight, mobile E-mail for intra-clinic communication. 轻量级的移动电子邮件，用于诊所内沟通。

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

R D Acuff, L M Fagan, T C Rindfleisch, B J Levitt, P M Ford

引用次数: 0