Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · Aug 2019
Randomized Controlled Trial Multicenter StudyAn electronic health record-based interoperable eReferral system to enhance smoking Quitline treatment in primary care.
The study sought to determine whether interoperable, electronic health record-based referral (eReferral) produces higher rates of referral and connection to a state tobacco quitline than does fax-based referral, thus addressing low rates of smoking treatment delivery in health care. ⋯ eReferral may help address the challenge of providing smokers with treatment for tobacco use during busy primary care visits.ClinicalTrials.gov; No. NCT02735382.
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J Am Med Inform Assoc · Jan 2017
Randomized Controlled Trial Comparative StudyAn electronic documentation system improves the quality of admission notes: a randomized trial.
There are concerns that structured electronic documentation systems can limit expressivity and encourage long and unreadable notes. We assessed the impact of an electronic clinical documentation system on the quality of admission notes for patients admitted to a general medical unit. ⋯ An electronic admission documentation system improved both the quality of free-text content and the overall quality of admission notes. Authors wrote more in the free-text sections of electronic documents as compared to paper versions.
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J Am Med Inform Assoc · Jan 2015
Randomized Controlled TrialEffects of electronic health record use on the exam room communication skills of resident physicians: a randomized within-subjects study.
The effects of electronic health records (EHRs) on doctor-patient communication are unclear. ⋯ Use of an EHR on a laptop computer appears to improve the ability of first-year residents to communicate with patients relative to using a paper chart.
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J Am Med Inform Assoc · Nov 2011
Randomized Controlled Trial Comparative StudyMaking electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.
Expert authorities recommend clinical decision support systems to reduce prescribing error rates, yet large numbers of insignificant on-screen alerts presented in modal dialog boxes persistently interrupt clinicians, limiting the effectiveness of these systems. This study compared the impact of modal and non-modal electronic (e-) prescribing alerts on prescribing error rates, to help inform the design of clinical decision support systems. ⋯ Both kinds of e-prescribing alerts significantly reduced prescribing error rates, but modal alerts were over three times more effective than non-modal alerts. This study provides new evidence about the relative effects of modal and non-modal alerts on prescribing outcomes.
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J Am Med Inform Assoc · Jul 2010
Randomized Controlled TrialThe design and evaluation of a graphical display for laboratory data.
Advances in healthcare information technology have provided opportunities to present data in new, more effective ways. In this study, we designed a laboratory display that features small, data-dense graphics called sparklines, which have recently been promoted as effective representations of medical data but have not been well studied. The effect of this novel display on physicians' interpretation of data was investigated. ⋯ Data presentation format can affect how physicians interpret laboratory data. Graphic displays have several advantages over numeric displays but are not always optimal. User, task and data characteristics should be considered when designing information displays.