AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2005
Physician perspective on computerized order-sets with embedded guideline information in a commercial emergency department information system.
Computerized provider order entry (CPOE) is a promising conduit for medical knowledge in support of guideline-consistent decision-making at the point of care. While there are many published examples of successful implementations of CPOE with decision support, there remain questions about the effectiveness of commercially available information system products, particularly in the emergency department (ED). ⋯ Physicians reported that they liked the CPOE order-sets better than the paper version and did use the order-sets, but guide-line compliance did not improve. Cultural and organizational issues as well as limitations in the functionality of the commercial system appear to have limited the effectiveness of this implementation.
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Redesigns of workflow to allow parallel processing of OR tasks in the Operating Room of the Future at Massachusetts General Hospital have reduced non-operative time, increasing OR throughput. Automatically gathered anesthesia times were studied to address concerns that the new process constricted anesthesia work time. Upon close examination, it was found that 'Induction Time' was the only time interval not impacted by extraneous influences that invalidated other metrics based on the automatic data. 'Induction Time' increased in the Operating Room of the Future as compared to Standard Operating Rooms.
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AMIA Annu Symp Proc · Jan 2005
Effect of Computerized Nursing Documentation on Clinical Care Activities in a Neonatal Intensive Care Unit (NICU).
A point of care computerized nursing documentation system is being evaluated to determine if the implementation resulted in a timesaving for neonatal nurse practitioners (NNP) while preparing for patient rounds. A benefit of the hypothesized decreased work process is earlier initiation of care changes thus improving care quality. Observable activities within the work process were timed before and again 4 months after implementation of the computerized nursing documentation system. Data will be analyzed and results reported.
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AMIA Annu Symp Proc · Jan 2005
Web-based residency training program reviews influence applicants who use them.
Scutwork.com is an online, peer-based residency review system. We report preliminary results of an online survey designed to investigate the impact of Scutwork on the residency application process. Overall, 68% of respondents believe that the reviews influenced their decision-making and 91% would use Scutwork again. These results and others reported below suggest that Scutwork may play a significant role in the residency selection process.
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AMIA Annu Symp Proc · Jan 2005
MeSH Speller + askMEDLINE: auto-completes MeSH terms then searches MEDLINE/PubMed via free-text, natural language queries.
Medical terminology is challenging even for healthcare personnel. Spelling errors can make searching MEDLINE/PubMed ineffective. We developed a utility that provides MeSH term and Specialist Lexicon Vocabulary suggestions as it is typed on a search page. The correctly spelled term can be incorporated into a free-text, natural language search or used as a clinical queries search.