AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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Bayesian Communication provides an explicit and quantitative way to combine a reader's preconceived notions with data from a study to help in making decisions, and thus implements the decision-analytic paradigm in the setting of interpreting and adapting research results. Article Assistant employs a three-tier architecture. The interface elicits users' prior belief and values; the article library provides data from the study, the system calculates the posterior belief distribution and sensitivity analysis on the fly, and provides an interpretation of the numerical results.
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To improve health and reduce costs, we need to encourage patients to make better health care decisions. Since email is widely available, it may be useful for patient-directed interventions. However, we know little about how the contents of an email message can influence a health-related decision. We propose a model to understand how patients may process persuasive email messages.
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AMIA Annu Symp Proc · Jan 2005
Incorporation of clinical practice guidelines for glaucoma into an ophthalmology electronic medical record.
Clinical practice guidelines represent the best current thinking on the management of acute and chronic medical conditions. Unfortunately, the implementation of such guidelines in clinical practice has been difficult and problematic. Electronic medical records represent an opportunity to implement guidelines. We have designed a system for incorporating guidelines for the management of glaucoma into an ophthalmology EMR.
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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.