Journal of the American Medical Informatics Association: JAMIA 2003: Vol 10 Index

15 Pages·2003·3.7 MB·English

INDEX TO VOLUME 10
Index to Volume 10 # 2003
This index covers JAMIA issues for 2003 as follows: Jan—Feb, pages 1-114; Mai Apr, pages 115-228; May-Jun, pages 229-294; Jul-Aug,
pages 295-398; Sep-Oct, pages 399-514; and Nov-Dec, pages 515-632.
of
SUBJECTS participant training in, 12
setting of, 12
A Applied Strategies for Improving Patient Safety (ASIPS),
Abstract PROforma Engine, 438-439, 439f
IO
ACTION project, 504-511, 509t, 510t Arden Syntax, 53
age- and disability-related design implications in, 506 AR-DRG system, DRG grouping according to, 467-468
content of, 506-507 Asbru, 53
current status of, 510 ASIPS. See Applied Strategies for Improving Patient Safety
design and implementation of, 504-506 (ASIPS)
discussion of, 510 Asthma Critic, 419-424, 420f, 421f, 422t
exploratory needs assessment in, 504 described, 419-421, 420f
supporting hardware and software, 506 design choices for, 421-422, 422t
trials with, 507-509 discussion of, 422-423
usability evaluation of, 509, 509t, 510t implementation of, 421, 421f
USERfit methodology in, 506 Automated syndromic surveillance, for 2002 Winter
ADEs. See Adverse drug events (ADEs) Olympics, 547-554, 552t. See also 2002 Winter
Adverse drug events (ADEs) Olympics, automated syndromic surveillance for
information technology in detection of Automating complex guidelines
in inpatients, 124-125 for chronic disease, 154-165, 157f-161f. See also Chronic
in outpatients, 125 disease, automating complex guidelines for
reduced, simulation of, inflated impacts of medication use of National Guideline Clearinghouse, 154
technology in, 290-291
Adverse event concepts, trigger words in, 342t-343t
Adverse events detection (AEDs), information technology B
in, 226-228 Bioinformatics
future work in, 227 education and training in, 520
policy issues related to, 227 informatics goals of, 516, 518
Adverse medical events, electronically screening discharge medical informatics and
summaries for, 339-350, 342t-343t, 344f, 345f, 346t, collaborations between, 515-522, 51 7 DZ
347t. See also Electronically screening discharge for genomic medicine, 516-520, 517t, 521f
summaries, for adverse medical events data and knowledge integration in, 518-519
Africa, sub-Saharan, computer-based patient record system data quality and analysis in, 518
in, implementation of, 295-303, 297f-299f, 301t, 302t. patient continuing education related to, 519
See also Mosoriot Medical Record System, professional continuing education related to, 519
implementation of tools for research and practice in, 519
Agency for Healthcare Research and Quality (AHRQ), 531 relationship between, 515-516
AHRQ, 531 scientific goals of, 516, 518
Anthrax, inhalational, mediastinal findings associated with, strategy in, development of, 520
automatic detection of chest radiograph reports Biomedical informatics manuscripts, reviewers of, criteria
consistent with, creation of text classifier for, for, development and evaluation of, 512-514
494-503, 495f, 496f, 498f-500f, 499t, 501t. Biosciences, data management in, RDBMSs in, 444-453,
See also Inhalational anthrax 447f, 448f
Antiretroviral adherence, enhancement of, two-way Business management, PDAs in, 145-146
messaging system in, 11-15
equipment for, 12-13
maintenance of, 14 C
messages in, 13 CACs. See Clinical Application Coordinators (CACs)
methods in, 12-13 Cancer patients, symptom management in, shared decision
observation in, 13-14 making in, computerized system effects on, 573-579,
participant enrollment in, 12 575f, 576t, 577t, 578f
INDEX TO VOLUME 10
Index to Volume 10 # 2003
This index covers JAMIA issues for 2003 as follows: Jan—Feb, pages 1-114; Mai Apr, pages 115-228; May-Jun, pages 229-294; Jul-Aug,
pages 295-398; Sep-Oct, pages 399-514; and Nov-Dec, pages 515-632.
of
SUBJECTS participant training in, 12
setting of, 12
A Applied Strategies for Improving Patient Safety (ASIPS),
Abstract PROforma Engine, 438-439, 439f
IO
ACTION project, 504-511, 509t, 510t Arden Syntax, 53
age- and disability-related design implications in, 506 AR-DRG system, DRG grouping according to, 467-468
content of, 506-507 Asbru, 53
current status of, 510 ASIPS. See Applied Strategies for Improving Patient Safety
design and implementation of, 504-506 (ASIPS)
discussion of, 510 Asthma Critic, 419-424, 420f, 421f, 422t
exploratory needs assessment in, 504 described, 419-421, 420f
supporting hardware and software, 506 design choices for, 421-422, 422t
trials with, 507-509 discussion of, 422-423
usability evaluation of, 509, 509t, 510t implementation of, 421, 421f
USERfit methodology in, 506 Automated syndromic surveillance, for 2002 Winter
ADEs. See Adverse drug events (ADEs) Olympics, 547-554, 552t. See also 2002 Winter
Adverse drug events (ADEs) Olympics, automated syndromic surveillance for
information technology in detection of Automating complex guidelines
in inpatients, 124-125 for chronic disease, 154-165, 157f-161f. See also Chronic
in outpatients, 125 disease, automating complex guidelines for
reduced, simulation of, inflated impacts of medication use of National Guideline Clearinghouse, 154
technology in, 290-291
Adverse event concepts, trigger words in, 342t-343t
Adverse events detection (AEDs), information technology B
in, 226-228 Bioinformatics
future work in, 227 education and training in, 520
policy issues related to, 227 informatics goals of, 516, 518
Adverse medical events, electronically screening discharge medical informatics and
summaries for, 339-350, 342t-343t, 344f, 345f, 346t, collaborations between, 515-522, 51 7 DZ
347t. See also Electronically screening discharge for genomic medicine, 516-520, 517t, 521f
summaries, for adverse medical events data and knowledge integration in, 518-519
Africa, sub-Saharan, computer-based patient record system data quality and analysis in, 518
in, implementation of, 295-303, 297f-299f, 301t, 302t. patient continuing education related to, 519
See also Mosoriot Medical Record System, professional continuing education related to, 519
implementation of tools for research and practice in, 519
Agency for Healthcare Research and Quality (AHRQ), 531 relationship between, 515-516
AHRQ, 531 scientific goals of, 516, 518
Anthrax, inhalational, mediastinal findings associated with, strategy in, development of, 520
automatic detection of chest radiograph reports Biomedical informatics manuscripts, reviewers of, criteria
consistent with, creation of text classifier for, for, development and evaluation of, 512-514
494-503, 495f, 496f, 498f-500f, 499t, 501t. Biosciences, data management in, RDBMSs in, 444-453,
See also Inhalational anthrax 447f, 448f
Antiretroviral adherence, enhancement of, two-way Business management, PDAs in, 145-146
messaging system in, 11-15
equipment for, 12-13
maintenance of, 14 C
messages in, 13 CACs. See Clinical Application Coordinators (CACs)
methods in, 12-13 Cancer patients, symptom management in, shared decision
observation in, 13-14 making in, computerized system effects on, 573-579,
participant enrollment in, 12 575f, 576t, 577t, 578f
Journal of the American Medical Informatics Association Volume 10 Number 6 Nov / Dec 2003 619
CHOICEs in, 574 comparative benchmarking of MS SQL server and
study design considerations in, 575 dtSearch in, 29-31, 30t, 31t
study discussion in, 577 comparative evaluation of IR/RDBMs software in,
study 24-29, 26t, 28f
study considerations posed by, 35-3 7, 36f
study limitations of, 34-35
study methods in, 574-576, 575f motivation for, 22-23
study procedures, 574-575 present status of, 34-35
study results in, 576-577, 576t, 577t system description in, 31-34, 32f, 33f
Cardiac diagnostic program, in clinical setting, evaluation system implementation in, 31-34, 32f, 33f
of, 373-381, 374f-376f, 377t-379t, 378f. See also Heart system objectives in, 23-24
Disease Program (HDP), evaluation of Clinical decision making, diagnostic decision support effects
Cardiology, PDAs in, 147 on, measurement of, 563-572, 565f-567f, 568t, 569f,
Care, primary. See Primary care 570f. See also Diagnostic decision support, impact on
Caregiver(s), multimedia software for, 504-511, 509t, 510t quality of clinical decision making, measurement of
CDSTC. See HL7 Clinical Decision Support Technical Clinical decision support, effective
Committee (CDSTC) study site, 524
Charmed device, 170 ten commandments for, 523-530, 524f-527f
Charting deficiencies, in ICU, computer-generated anticipate needs and deliver in real time, 524-525, 524f,
reminders effects on, 177-187, 179t, 180f, 181t, 183t, 525f
184f. See also Intensive care unit (ICU), charting ask for additional information only when you really
deficiencies in, computer-generated reminders need it, 527-528
effects on changing direction is easier than stopping, 526-527,
Children 527f
diarrhea in, over-the-counter electrolyte products and, discussion of, 528-529
555-562, 558t, 559t, 561f. See also Electrolyte fit into user’s workflow, 525
products, over-the-counter limitations of, 529
respiratory problems in, over-the-counter electrolyte little things make a difference, 525
products and, 555-562, 558t, 559t, 560f, 561f. See manage and maintain your knowledge-based systems,
528
also Electrolyte products, over-the-counter
CHOICEs, 574 monitor impact, get feedback, and respond, 528
Chronic disease, automating complex guidelines for, recognize that physicians will strongly resist stopping,
154-165, 157f-161f 525-526, 526f
described, 155 simple interventions work best, 527
design objectives, 156 speed, 524
discussion of, 160-163 Clinical Laboratory Improvement Amendments, 2-3
guideline authoring in, 156-157, 158f, Clinical patient record systems (CPRSs), historical
159f, 162 background of, 22
guideline content in, 156, 161-162 Clinical radiology reports, XML-structured, concept-based
guideline execution in, 157, 158f, 162 representation in, precision of, contextual UMLS
guideline representation in, 156, 157f, 162 indexing to improve. See also Contextual UMLS
guideline selection in, 156, 160-161 indexing
setting of, 155-156 Coastal North Carolina Domestic Preparedness Training
status report of, 158-159, 160f Exercise, 166-176, 169f, 170f, 172f, 173t
system description in, 156-158, 157f-160f Collection(s), defined, 22
workflow in, 157-158, 160f, 162-163 Communication
Clinical Application Coordinators (CACs), 325 patient—-physician, Web messaging in, study of, 260-270,
Clinical care, computers for, advanced U.S. sites study, 262t, 263f-267f, 268t, 269t. See also Web messaging,
94-107, 96, 97f, 98t-100f, 101f, 102t, 104t. See also in patient-physician communication, study of
Computer(s), for clinical care, advanced U.S. sites satellite “reach-back,” 169-170
study Computer(s)
Clinical computerization, in Hong Kong incentives and for clinical care, advanced U.S. sites study, 94-107, 96, 97f,
o
barriers influencing. See also Hong Kong, clinical 98t-100f, 101f, 102t, 104t
computerization in, incentives and barriers approach to computerization in, 96-97
influencing clinical information systems in use in, 97-100, 98t-100t,
population-based physician survey of, 201-212, 203t, 205t, 101f
206f, 207t-209t impact of, 100-103, 102t
Clinical Data Warehouse Initiative, 23 data analysis in, 96
Clinical databases data collection in, 95-96
historical background of, 22 discussion of, 105-106
relational and textual data in, integrating query of, case implementation of, organization factors associated
study, 21-38, 26t, 28f, 30t, 31t, 32f, 33f, 36f with, 103-105, 104t
INDEX TO VOLUME 10
methods in, 95-96, 96t methods in, 229-230
results of, 96-105, 97f, 98t-100f, 101f, 102t, 104t postconference activities, 230
site selection in, 95, 96t preconference activities, 230
handheld, in medicine, 139-149, 141t-143t results of, 230-233
Computer interpretation, of EKGs, as source of conference on data from, 230-231
interpretation error, 478-483, 479t-482t. See also described, 322-323
Electrocardiogram(s) (EKGs), computer study of
interpretation of, as source of interpretation error content for, gathering and implementation of,
Computer-based nursing documentation, user acceptance 324-325
of, study of, 69-84, 72t-75t, 76f-78f, 79t, 80t, 81f data used in, 325
course of, 74-75, 75t, 76f-78f discussion of, 327-328
data analysis in, 73 historical background of, 323
design of, 72, 72t lessons learned from, 328-329
discussion of, 82-83 materials in, 323-325, 324f
environment of, 73-74, 73t, 74t methods in, 323-325, 324f
intervention in, 71-72 order configuration entities in
measurements in, 72 change in, 326f, 327
methods in, 71-75, 72t-75f, 76f-78f distribution of, by service, 327, 327t
research questions in, 71 frequency of use of, 326, 327t
results of, 75-81, 79t, 80t, 81f number of, 325-326
Computer-based patient record system, in sub-Saharan results of, 325-327, 326f, 327
Africa, implementation of, 295-303, 297f-299f, 301t, software in, configuration of, 323-324, 323f
302t. See also Mosoriot Medical Record System, Confidentiality
implementation of in automated syndromic surveillance for 2002 Winter
Computer-generated reminders, effects on charting Olympics, 550-552
deficiencies in ICU, 177-187, 179t, 180f, 181t, 183t, patient-related, handheld computing in medicine and,
184f. See also Intensive care unit (ICU), charting 147-148
deficiencies in, computer-generated reminders’ of PSRS data, threats to, 532-533
effects on in Regenstrief Medical Records System, 394-395
Computer-interpretable guidelines models, comparison of, Consultation(s), patient-centered vs. disease-centered, in
case-study approach to, 52-68, 56f, 57t, 58f, 59t, 60f, primary care informatics, 308
61t, 62f-64f Contextual UMLS indexing, in improving precision of
analysis in, 54-55 concept-based representation in XML-structured
background of, 53-54 clinical radiology reports, pilot study of, 580-587,
decision models in, 59-60, 60f, 61t 582f, 583f, 584t, 585f, 586t, 587¢
differences in, 66 discussion of, 586-587
dimensions of comparison in, 54 research hypotheses and methods in, 581-584, 582f, 583f,
discussion of, 65-67 584t
expression/criterion languages used to specify decision results of, 584-586, 586t, 587t
criteria in, 60-62, 64f Country-wide computer, community physicians alerted by,
limitations of, 66-67 in improvement of potassium testing in patients on
methods in, 54-55 diuretics, 541-546, 542f-546f, 544t. See also Diuretic(s)
model of guideline actions in, 57-58, 58f, 59t potassium testing in patients on, improvement of
representation of medical concept model in, 62f, 64 CPOE system. See Computerized provider order entry
research question in, 54 (CPOE) system
results of, 55-65, 56f, 57t, 58f, 59t, 60f, 61t, 62f-64f CPRSs. See Clinical patient record systems (CPRSs)
selection of models in, 54 Critical care, management of, PDAs in, 147
specification of goals/intentions in, 56-57, 58f “Crossing the Quality Chasm,” 2
Computerization, clinical, in Hong Kong, incentives and
barriers influencing. See also Hong Kong, clinical D
computerization in, incentives and barriers Database(s), clinical, relational and textual data in,
influencing integrating query of, case study, 21-38, 26t, 28f,
population-based physician survey of, 201-212, 203t, 205t, 30t, 31t, 32f, 33f, 36f. See also Clinical databases
206f, 207t-209t Decentralized Hospital Computer Program (DHCP), 22-23
Computerized provider order entry (CPOE) system, Decision-making process, in primary care, deductive
322-329, 323t, 324f, 326f, 327t reasoning vs. heuristic reasoning in, 306-307, 307t
consensus statement on considerations for successful Deductive reasoning, vs. heuristic reasoning, in decision-
conference on, 229-234 making process in primary care, 306-307, 307t
activities of, 230 DHCP. See Decentralized Hospital Computer Program
conference goals, 229-230 (DHCP)
discussion of, 233-234 Diagnosis-related groups (DRGs), grouping of, according to
issues faced by, 231-233 AR-DRG system, 467-468
Journal of the American Medical Informatics Association Volume 10 Number 6 Nov Dec 2003
Diagnostic decision support, impact on quality of clinical
Lo
decision making, measurement of, 563-572 East Carolina University (ECU) Telemedicine Center,
565f-567f£, 568t, 569, 570f telehealth technologies of, applications for terrorism
study of response, 166-176, 169f, 170f, 172f, 173t
aims of, 564 alternative power, 174
discussion of, 568-571 background of, 167-168
factors contributing to plan quality in, 565 clinical and environmental data telemetry, 170-171,
methods in, 565-568, 565f-567f 173-174
reliability and validity analysis of scoring system in, design objectives of, 168
567-568
discussion of, 174-176, 176t
reliability in, 568 in-place networks, 168-169, 168f, 172-173
results of, 568, 569f, 570f local wireless networking, 170
scoring procedure in, 565-567, 565f-567f on-scene communications, 173, 173t
validity in, 568, 569f, 570f on-scene video, 170, 173
Diagnostic decision support systems, 608-610 satellite “reach-back” communications, 169-170
amount of use of CDSS, 609-610 status report of, 171-174, 172f, 173t
correct diagnosis in, 608-609 system's description, 168-171, 168f, 169f
management suggestions in, 609 EAV/CR framework
quality of differential in, 608-609 background of, 444-445
user acceptance/satisfaction in, 609 design principles in, 449-450
Diarrhea, in children, over-the-counter electrolyte products discussion of, 450-452
and, 56-f, 555-562, 558t, 559t, 561f. See also Electrolyte enhancements in, 445-450, 447f, 448f
products, over-the-counter evolvable Web-database bioscience applications using,
DICOM structured reporting standard, XML schema 444-453, 447f, 448f
representation of, 213-223, 216f-219f, 217t example of, 453
described, 21 3-214 future directions in, 451-452
features of, 214, 215f goals of, 444-445
framework for generation of, 215-216 interoperability with, facilitation of, 449
future work related to, 219-220 limitations of, 451-452
generated schema for numeric measurement macro, links to controlled vocabularies, 450
metadata-driven ad hoc queries in, 447-449, 448f
generated top-level schema, 220-22 motivation in, 445-446
limitations of, 214-215 objectives of, 444-445
representation of numeric measurement macro, portals of, creation of, 446-447, 447f
297999 principles of, 445-446
root element and namespaces in, 217-219, 217f-219f, 217t semantic descriptors in, 450
type for measured value sequence elements, 223 system enhancements in, 444-445
validation of, 219 Education
Digital Imaging and Communications in Medicine electronic medical records—related, 6
(DICOM) Structured Reporting (SR) standard, imaging order entry system-related, 317
XML schema representation of, 213-223, 216f-219f, medical, PDAs in, 144-145
217t. See also DICOM structured reporting standard, EKGs. See Electrocardiogram(s) (EKGs)
XML schema representation of Electrical power, for Mosoriot Medical Record System, 297
Disease-centered consultations, vs. patient-centered Electrocardiogram(s) (EKGs), computer interpretation of, as
consultations, in primary care informatics, 308 source of interpretation error, 478-483, 479t-482t
Diuretic(s) study of
adverse drug events with, 541-542 analysis of, 480-481
potassium testing In patients on, improvement of, case materials in, 479
country-wide computer alerts community categorization of findings in, 479-480, 479t, 480t
physicians in, 541-546, 542t-546f, 544t discussion of, 481-483, 481t, 482t
background of 541-542 methods in, 479-481, 479t, 480t
design objectives in, 542 proc edure of, 480
discussion of, 544-546 results of, 481
existing system in, 542 scoring metrics in, 480
organizational information in, 541 site of, 479
postintervention changes, 543-544, 544t, 545f, subjects in, 480
prevention of adverse drug events in, 541 Electrolyte products, over-the-counter, pediatric respiratory
system description in, 542-543, 542f-544¢ and diarrheal outbreaks from, detection of, 555-562
Document(s), defined, 22 detection algorithm method for measuring earliness, 557
Document frequency index, defined, 22 discussion of, 559-561
DRGs. See Diagnosis-related groups (DRGs) hospital diagnoses, 556-557
dtSearch, 29-31, 30t, 31t IRB approval in, 557
622 INDEX TO VOLUME 10
measurement of correlation in, 557 discussions of, 429-431, 431f
methods in, 556-558 focus groups in, 427
outbreaks in, 557 information model in, 427, 429t
plotting data in, 557 literature search in, 427
results of, 558-559, 558t, 559t, 560f, 561f methods in, 426-429, 426f, 428f, 429t
sensitivity analyses, 557 outcomes of, 429-431, 431f
sensitivity and specificity measurement, 557 privacy concerns in, 428
SIGNAL strength on earliness effects on, 557 prototype for, development of, 428, 430f
in urban regions, 556 prototype of, testing and evaluation of, 428-429
Electronic medical record (EMR) systems, outpatient, types term set development in, 427, 429t
of, 3t Family medicine, PDAs in, 146-147
Electronic medical records (EMRs) Federal Aviation Administration (FAA), 533
defined, 3-4 FRAMS. See Falls Risk Assessment and Management
investment of, return on, 5 System (FRAMS)
primary care, open-source software and, 616
in U.S. primary care
G
barriers to adoption of, 6-7
GCS. See Global Communications Solutions (GCS)
education related to, 6
Genomic medicine, bioinformatics and medical informatics
implementation of, models of, 5-6
collaboration in, 516-520, 517t, 521f. See also
motivation for, 3t, 4-5, 5f
Bioinformatics, medical informatics and,
proposal for, 1-10, 2f, 3t, 5f, 8t
collaborations between, for genomic medicine
recommendations related to, 7-8, 8t
Global Communications Solutions (GCS), 170
research on, 6
Graduate medical informatics education, telemedicine in,
risks of failure to adopt, 7
integration of, 310-314. See also Telemedicine, in
Electronic patient records (EPRs), PBRs vs., 470-477, 471f,
graduate medical informatics education
473f. See also Paper-based patient records (PBRs),
GUIDE, 54
EPRs vs.
Guideline Interchange Format (GLIF) version 3, 53-54
Electronic tools, in detection of adverse events, 116
identification of studies using, 118, 119t, 123t
Electronically screening discharge summaries, for adverse H
medical events, 339-350, 342-343t, 344f, 345f, 346t, Handheld computing, in medicine, 139-149, 141t-143t
347t background of, 139
described, 339-340 costs related to, 148
study of handheld systems, implementation issues related to,
adverse events detected in, 345-346 147-148
definitions related to, 340 methods of, 140, 141t-142t
discharge summary review in, 341, 344f patient confidentiality with, 147-148
discussion of, 346-349, 347t PDAs, 140, 142-147, 143t. See also Personal digital
false-negative hits in, 346, 347t assistants (PDAs), in medicine
methods in, 340-344, 342t-343t, 344f, 345f Health care delivery, telemedicine’s impact on, 312
results of, 344-346, 345f, 346t, 347t Health Insurance Portability and Accountability Act
second-cohort, 346 (HIPAA) of 1996, 2-3, 294
sample selection in, 340 Health Insurance Portability and Accountability Act
sampling strategy in, 341 (HIPAA) Privacy Rule, 611-612
screening tool for, objectives and development of, Heart Disease Program (HDP)
340-341, 344f background of, 374-375, 374f, 375f
site of, 340 evaluation of, 373-381, 374f-376f, 377t-379t, 378f
statistical analysis in, 343-344 data collection from, 377
total alerts detected in, 344-345, 345f described, 373-374
EMRs. See Electronic medical records (EMRs) discussion of, 378-380
EON, 53 methods in, 375-377, 376f
Ethical issues, in telemedicine in graduate medical results of, 377, 377t, 378f, 378t
informatics education, 312-313 outcome of, creating ROC curves from, 377
usability of, 378, 379t
F Heuristic reasoning, vs. deductive reasoning, in decision-
FAA. See Federal Aviation Administration (FAA) making process in primary care, 306-307, 307t
Fall(s), information technology in detection of, 125 HIPAA. See Health Insurance Portability and
Falls prevention, reasons for, 426 Accountability Act (HIPAA) of 1996
Falls Risk Assessment and Management System (FRAMS), HIPAA Privacy Rule, 611-612
425-432, 426f, 428, 429t, 430f, 431f physician PDA use and, 611-612
clinical model of, 427 HL7 Clinical Decision Support Technical Committee
described, 425-426 (CDSTC), 65
Journal of the American Medical Informatics Association Volume 16 Number 6 Nov / Dec 2003
Hong Kong, clinical computerization in, incentives and historical background of, 316, 317f
barriers influencing, population-based physician implementation of
survey of, 201-212, 203t, 205t, 206f, 207t-209t dialogue in, 317
canonical correlation in, 208 discussion of, 319-321
cluster analysis in, 206, 208, 2 education related to, 317
described, 201-202 familiarization in, 316-317
discussion of, 209-211 feedback and real-time improvement in, 318,
instrumentation in, 202-203, 2 319f, 3206
limitations of, 210-211 key personnel in, 316
MDPREF dimensions in, 205-206, 206f ongoing enhancement in, 319
mean rank scores in, 205-206, 206f problems related to, 317
methods in, 202-204, 203t process of, 316-319, 318f, 319f
questions related to, 212 time study to foster acceptance in, 318-319, 320t
recommendations related to, 211 users’ involvement in, 315-321, 317f-320f, 320t
results of, 204-209, 205t, 206f, 207t-209t software in, 316, 317f
statistical analysis in, 203-204 Index(es), defined, 22
subject characteristics in, 204-205, 205t Informatic(s), primary care, 304-309, 305t, 307t. Se
subject recruitment in, 202 Primary care informatics
Hospital infection control, clinical data warehouse for, Information retrieval (IR), described, 22
development of, 454-462, 456f, 457t-459t, 461t Information technology
background of, 454 AEDs using, 226-228. See also Adverse events detection
data accuracy in, 455-456 (AEDs), information technology in
data analysis in, 459-460 in detection of adverse events, 115-128, 119t-123t, 124f,
data conversion in, 455 125f
data usability of, 459 \ DEs
database content knowledge in, 458-459 in inpatients, 124-125
design objectives in, 454-455, 456f in outpatients, 125
difficulties encountered in, 456-460, 459t electronic tools, 116-116
elD contents in, 455 identification of studies using, 118, 119t, 123t
evolution of, 459 falls, 125
lessons learned from, 456-460, 459t in inpatients, 124-125
methods in, 455-456, 457t, 458t nosocomial infections, 121, 124, 124f, 125f
personnel resources in, 456 types of events, 118, 121, 124-125, 124f, 125f
politics in, 456-458, 459t impact on medical errors, evaluation of, 292-293
regulatory issues in, 456-458, 459t in Southern California physician offices, geographic
status report of, 460-461, 461t analysis of
system connectivity, 455 Pediatric Services & Technology Readiness Survey,
system requirements, 455 491-493
technical capability in, 458 study of, 484-493, 486t, 487f, 488t, 489f, 489t
trust relationships in, 458 analysis of, 485-486
Hospital physicians’ clinical work practice, scanning and data collection in, 485
elimination of paper-based medical records of, discussion of, 489-490
effects of, 588-595, 589f-594f methods in, 484-486, 486t
study of, 589-591, 589f-591f results of, 486-489, 486t, 487f, 489t, 488t, 489f
described, 589, 589f, 590f survey development in, 485
discussion of, 593-595 Information-processing study, in development of visual
results of, 591-593, 591f-593f diagnostic expertise in pathology, 39-51, 42t,
survey in, 589-591, 591f-593f 44t-47t, 48f. See also Pathology, visual diagnostic
expertise in, development of
I Inhalational anthrax
ICD-10, as example of XML, 464-465 mediastinal findings associated with, automatic
ICU. See Intensive care unit (ICU) detection of chest radiograph reports consistent
Identify Patient Sets (IPSs), 494-503, 495f, 496f, 498f-500f, with, creation of text classifier for, 494-503, 495f,
499t, 501t 496f, 498f-500f, 499t, 501t
automatic identification of chest radiograph reports background of, 494-496, 495f, 496f
using, 494-503, 495f, 496f, 498f-500f, 499t, 501t classifiers in, 496-498
described, 495f, 495-497, 496f discussion of, 500-502
future work with, 502 future work with, 502
limitations of, 502 IPS system, 494-503, 495f, 496f, 498f-500f,
Imaging order entry system limitations of, 502
clinical team in, 316 measurements in, 499, 499t
hardware in, 316 methods in, 497-499, 498f, 499f, 499t
INDEX TO VOLUME 10
results of, 500, 500f, 501t Pulmonary graphic display, iterative design process
sampling method in, 498-499, 499f, 502 in development of, employment of
target category in, 496
test set in, 498 J
radiographic evidence of, 494-495 JCAHO, 531
Inpatient clinical information systems, determinants of
Joint Commission on Accreditation of Healthcare
success of, literature review related to, 235-243,
Organization (JCAHO), 53
237t-239t, 241t
contingent factors in, attributes of, 240, 241t
K
data collection methods in, 237, 237t
KnowledgeMap, understanding medical school
dimensions of success in, 237-240, 238t, 239t
curriculum content using
discussion of, 241-242
evaluation in, 241-242 described, 351
future directions in, 360
implementation process in, 240
motivation in, 360
individual impact in, 238-240
study of, 351-362, 353t, 354f, 355f,
information quality in, 238
background of, 352
limitations of, 240-241
concept identification in, 354-355
methods in, 236-237
curricular concept clustering in, 35
organizational characteristics in, 240
curricular document organization in, 35
organizational culture in, 240
curricular sentence structure in, 352
organizational impact in, 240
discussion of, 359-360
results of, 237-240, 237t-239t
evaluation of, 356-357, 357f
study designs in, 237, 237t
excerpt from “Embryology” document, 361-362
system development in, 240
methods in, 353-
system quality in, 238
resources in, 35
types of systems in, 237
results of, 357-359,
usage in, 238
system resources in, 353-354
user satisfaction in, 238
Inpatients, ADEs in, information technology in detection
of, 124-125 L
INQUERY. See Medical Archival Retrieval System Legal issues, in telemedicine in graduate medical
(MARS) informatics education, 312-313
Legislation, peer review, 532
Intensive care unit (ICU), charting deficiencies in,
computer-generated reminders’ effects on, Local wireless networking, 170
177-187, 179t, 180f, 181t, 183t, 184¢f
study of M
assumptions from, 186 MARS. See Medical Archival Retrieval System (MARS)
described, 177-178, 178t MDPREF dimensions, in population-based physician
discussion of, 181t, 181-186, 183t, 184 survey of clinical computerization in Hong Kong,
effectiveness of, 182 205-206, 206f
methods in, 178-181, 179t MED. See Medical Entities Dictionary (MED)
reduction in end-of-shift deficiencies in, 181-182 Medical Archival Retrieval System (MARS), 22
results of, 181 Medical education, PDAs in, 144-145
success rates of, 182-186, 183t, 184f Medical Entities Dictionary (MED), integration of nursing
International Standards Organization (ISO), 22 diagnostic concepts in, ISO Reference Terminology
International Standards Organization (ISO) Reference Model for Nursing Diagnoses in, 382-388, 384f,
Terminology Model for Nursing Diagnoses, in 385t-387¢
integration of nursing diagnostic concepts in MED, discussion of, 386-387
383-388, 384f, 385t-387t. See also under Medical methods of, 383-385, 385t-386t
Entities Dictionary (MED) reference terminology model, 383, 384f
Internet smoking cessation program, design and pilot results of, 385-386, 387t
evaluation of, 16-20, 18f, 19f source terminologies in, 382
interventions in, 17 terminology related to, 383
lessons learned from, 19-20 Medical errors, ensurance of anonymous study of,
methods in, 17-18, 18f, 19f database design in, 531-540, 532f, 534t, 535f-538f
observations of, 18-19 background of, 531-532, 532f
procedure for, 17-18 discussion of, 539-540
website in, 17, 18f, 19f experiences in
ISO. See International Standards Organization (ISO) objectives of
Iterative design process, in development of pulmonary status report, 539
graphic display, employment of, 363-372, 364f, system description, 5:
365f, 366t, 367£, 367t, 368f, 369t, 370t, 371f. See also Medical informatics
Journal of the American Medical Informatics Association Volume 10 Number 6 Nov / Dec 2003
bioinformatics and, collaborations between, 515-522, 517t, at Mosoriot Rural Health Centre, 296, 297f
521f. See also Bioinformatics, medical informatics redesign of data entry screen with, 300
and, collaborations between redesigning data entry in, 299
education and training in, 520 redirecting patient flow with, 299-300
informatics goals of, 516, 518 results of, 300-301
scientific goals of, 516, 518 site of, 296, 297f
Medical records in Mosoriot Rural Health Centre, impact on care, 300
electronic, in U.S. primary care, proposal for, 1-10, 2f, 3t, unique patient identifier in, 297-298
5f, 8t. See also Electronic medical records, in Mosoriot Rural Health Centre
U.S. primary care Mosoriot Medical Record System at, 296, 297f
paper-based, of hospital physicians’ clinical work practice, Mosoriot Medical Record System impact on care in, 300
scanning and elimination of, effects of, 588-595, Mosoriot Rural Health Centre encounter form, 296, 297f
589f-594f. See also Hospital physicians’ clinical MRCOC, 353
work practice MRCON, 352
patient access to, promotion of effects of MRRANK, 353
background of, 129-130, 130t MRSO, 352-353
study of, 129-138
analyses of clinical notes in, 131 MS SQL, 29-31, 30t, 31t
clinical trials in, 134-136 Multimedia software, for caregivers, 504-511, 509t, 510t
discussion of, 136 age- and disability-related design implications in, 506
methods in, 130-131 background of, 504-505
patient experiences with, 131-134 content of, 506-507
results of, 131-136, 136t current status of, 510
Medical school curriculum content, KnowledgeMap in design and implementation of, 504-506
understanding of, study of, 351-362, 353t, 354¢ discussion of, 510
355f, 357f, 357t, 358t. See also KnowledgeMap, exploratory needs assessment in, 504
understanding medical school curriculum content previous home-base telehealth projects, 504-505
using, study of supporting hardware and software, 506
Medical text report classification, automation of, domain trials with, 507-509
knowledge in, 330-338, 332f-336f, 336t usability evaluation of, 509, 509t, 510t
MUMPS, 22-23
described, 330-33
study of
algorithm performance in, 334
N
attribute limiting in, 332f, 333
NASA, 533
background of, 331
National Guideline Clearinghouse, automating complex
classifier creation cost in, 334-335
guidelines of, 154
data in, 331-333,
National Retail Data Monitor, for public health
discussion of, 336- surveillance, 409-418, 411f, 412f, 413t, 415f, 416f
methods in, 331-
background of, 410
results of, 334¢
data agreements with retailers in, 411-412, 412f
training set size efficiency in, 334 data feeds in, 412-413, 416f
Medication errors, information technology impact on,
data security in, 413
evaluation of, 292-293
data storage in, 413
Medicine
“data utility” model in, 411
handheld computing in, 139-149, 141t-143
described, 411-416, 412f, 413t, 415f, 416f
PDAs in, 140, 142-147, 143t. See also Personal digital
design objectives of, 410-411, 411f
assistants (PDAs), in medicine
discussion of, 417
Metathesaurus, 352
integrating real-time and day-old data in, 414
Morris F. Collen Award, 287-288, 288f
maintaining UPC-to-category mappings in, 413-414
Mosoriot Medical Record System
mapping UPCs into product categories in, 413, 413t
conceptualization of, 296-297
status report of, 416-417
data dictionary in, 298, 299f
user interfaces and routing data to health departments
data security in, 298, 299f
in, 414-416, 415f, 416f
described, 295 Nosocomial infections, information technology in
design of, 296-299, 297f, 298f detection of, 121, 124, 124f, 125f
development of, 296-297
electrical power for, 297
generation of reports with, 298-299 O
impact of, 301-302, 301f, 302t Olympics, automated syndromic surveillance for, 547
implementation of, 295-303, 297f-299f, 301t, 302t Open-source software, and primary care EMR, 616
discussion of, 302-303 Outpatients, ADEs in, information technology in detection
methods in, 296, 297f of, 125
626
INDEX TO VOLUME 10
Over-the-counter electrolyte products, pediatric respiratory Patient-centered consultations, vs. disease-centered
and diarrheal outbreaks from, detection of, 555-562, consultations, in primary care informatics, 308
558t, 559t, 560f, 561f. See also Electrolyte products, Patient-physician communication, Web messaging in,
over-the-counter study of, 260-270, 262t, 263f-267f, 268t, 269t.
See also Web messaging, in patient—-physician
FE communication, study of
Pain, management of, PDAs in, 147 Patient-tracking applications, in medicine, 144
Paper-based patient records (PBRs), EPRs vs., 470-477, PBRs. See Paper-based patient records (PBRs)
471f, 473f PDAs. See Personal digital assistants (PDAs)
described, 470-471 Pediatric Services & Technology Readiness Survey, 491-493
study of, 470-477, 471f, 473f Pediatrics, PDAs in, 147
discussion of, 473-476 Peer review legislation, 532
documentation of Pennsylvania Health Care Cost Containment Council
appropriateness of, 472 (PHC4), 556
precision of, 472 Personal digital assistants (PDAs)
quantity of, 472 in medicine, 140, 142-147, 143t
DRG coding effects on, 473 access to medical literature with, 141t-142t, 142
materials and methods in, 471-472 business management-related, 145-146
reliability in, 472 cardiology-related, 147
results of, 472-473, 473f critical care-related, 147
sample characteristics in, 472 education-related, 144-145
Pathology, visual diagnostic expertise in, development of, family medicine-related, 146-147
39-51, 42t, 44t-47t, 48f functions of, 140, 142
analysis of, 45 pain management-related, 147
background of, 40-41 patient-tracking applications—related, 144
case materials in, 42, 42f pediatric-related, 147
certainty ratings in, 45-46, 47t pharmacopoeia-related, 143-144
coding schemes in, 43-44, 44t, 45t prescribing / pharmacy-related, 146
data collection in, 43 research-related, 145
diagnostic accuracy in, 45, 46t physician use of, and HIPAA privacy rule, 611-612
difficulty ratings in, 45-46, 47t use among trainees and attending physicians, survey
discussion of, 49-50 assessment of, 605-607, 606f, 606t, 607f
error measures in, 48-49 administration of, 605, 606t
implications for future microscopic education systems development in, 605, 606t
in, 50 discussion of, 606-607, 607f
latencies in, 48 methods in, 605-606, 606t
limitations of, 50 population in, 605
measurements in, 44-45 results of, 606, 606f
of certainty, 44 statistical analysis in, 605
coding diagnostic accuracy, 44 Pharmacokinetics, in SPCs, building and evaluation of
of difficulty, 44 structured representation of, study of, 271-280,
latency measures, 45 274f, 275f, 276t, 277t, 278f
process and error, 44-45 discussion of, 277-279
methods in, 42-45, 42f, 44f, 45f methods in, 272-274, 274f
participants in, 42-43 results of, 274-277, 275f, 276t, 277t, 278f
process measures in, 46-48, 48f Pharmacopoeias, in medicine, 143-144
protocol coding in, 44 Physician order entry, cross-site qualitative study of,
research design in, 42 188-200, 190t, 192t
research questions related to, 41-42 data analysis in, 191
results of, 45-49, 46t, 47t, 48f data collection methods in, 189-190
significance of, 49-50 data in, 190, 190t
tasks in, 43 described, 188-189
Patient confidentiality, handheld computing in future issues, 198-199
medicine and, 147-148 methods in, 189-191, 190t
Patient identifier, in Mosoriot Medical Record System, recommendations related to, 198-199
297-298 results of, 189-191, 190t, 191-198, 192t
Patient records clinical/ professional issues in, 194, 198
PBRs vs. EPRs, 470-477, 471f, 473f. See also Paper-based organization of information in, 196-197, 198
patient records (PBRs), EPRs vs. organizational issues in, 191-194, 192t, 198
types of, 471f teaching hospitals vs. nonteaching hospitals, 197-198
Patient Safety Reporting System (PSRS), 531 technical/information technology implementation
data in, confidentiality of, threats to, y 5Ve3 2-533 issues in, 194-196, 198