« Previous
Next »
International Journal of Medical Informatics
Volume 79, Issue 5
, Pages 332-338
, May 2010
Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance
References
- Comprehensive Accreditation Manual for Hospitals, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1996.
- . Medical records that guide and teach. N. Engl. J. Med. 1968;278:593–600
- . Medical Records, Medical Education, and Patient Care. Chicago: Yearbook Medical Publishers; 1969;
- . Quality ambulatory care: the role of the diagnostic and medication summary lists. Qual. Rev. Bull. 1988;14(6):192–197
- . Effects of computer-based clinical decision support systems on clinician performance and patient outcome: a critical appraisal of research. Ann. Intern. Med. 1994;120(2):135–142
- . Enthusiastic Adopter and Reluctant Users: Faculty Physician Attitude towards an Electronic Health Record One-Year after Implementation. University of Illinois Hospital Internal Document; 2000;
- Synopsis: integrating physician sign-out with the electronic medical record. J. Hosp. Med. 2007;2(5):336–342
- . Improving physician communication through an automated, integrated sign-out system. J. Healthc. Inf. Manag. 2005;19(4):68–74
- . Use of computer-based records, completeness of documentation, and appropriateness of documented clinical decisions. J. Am. Med. Inform. Assoc. 1999;6:245–251
- . Accuracy of computerized outpatient diagnoses in a Veterans Affairs general medicine clinic. Am. J. Manag. Care. 2002;8:37–43
- . Strategies for problem list implementation in a complex clinical enterprise. AMIA Annu. Symp. Proc. 1998;285–289
- D.B. Hier, Unpublished Audit of Medical Records at the University of Illinois Hospital, 2002.
- ICD-9-CM, International Classification of Diseases, ninth revision, Clinical Modification, http://www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm (accessed December 17, 2007).
- ICD-10, The International Statistical Classification of Diseases and Related Health Problems, tenth revision, http://www.who.int/classifications/icd/en/ (accessed December 17, 2007).
- SNOMED®, Systematized Nomenclature of Medicine, http://www.cap.org/apps/cap.portal?_nfpb=true&_pageLabel=snomed_page (accessed December 17, 2007).
- S.M. Meystre, P.J. Haug, Randomized controlled trial of an automated problem list with improved sensitivity, Int. J. Med. Inform. (2008), in press.
- . Methodology to ease the construction of a terminology of problems. Int. J. Med. Inform. 2006;75(August (8)):624–632
- A randomized controlled trial of the accuracy of clinical record retrieval using SNOMED-RT as compared with ICD9-CM. Proc. AMIA Symp. 2001;159–163
- Automated coded ambulatory problem lists: evaluation of a vocabulary and a data entry tool. Int. J. Med. Inform. 2003;72(December (1–3)):17–28
- . Categorization of free-text problem lists: an effective method of capturing clinical data. Proc. Annu. Symp. Comput. Appl. Med. Care. 1995;416–420
- . Just-in-time coding of the problem list in a clinical environment. Proc. AMIA Symp. 1998;280–284
- . An applied evaluation of SNOMED CT as a clinical vocabulary for the computerized diagnosis and problem list. AMIA Annu. Symp. Proc. 2003;699–703
- . Using medication list - problem list mismatches as markers of potential error. AMIA Annu. Symp. Proc. 2002;106–110
- . Simulating a problem list decision support system: can CPOE help maintain the problem list?. Medinfo. 2004;1666
- . Overcoming limitations of data entry for the semi-automated detection of drug orphans in the EMR. AMIA Annu. Symp. Proc. 2006;967
- A computer alert system to prevent injury from adverse drug events. JAMA. 1998;280(15):1317–1320
- . A trial of automated safety alerts for inpatient digoxin use with computerized physician order entry. J. Am. Med. Inform. Assoc. 2004;11(July–August (4)):270–277
- . A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. J. Am. Med. Inform. Assoc. 2005;12(3):269–274
- . A modified outpatient prescription form to reduce prescription errors. J. Comm. J. Qual. Saf. 2004;30(9):480–487
- . Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. Pediatrics. 2006;118(4):e1124–e1129
- . Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch. Intern. Med. 2003;163(12):1409–1416
- . Off-label prescribing among office-based physicians. Arch. Intern. Med. 2006;166(May (9)):1021–1026
- . Medicare Laboratory Payment Policy: Now and in the Future. Washington, D.C.: Institute of Medicine, National Academy Press; 2000;p. 81
PII: S1386-5056(08)00081-6
doi: 10.1016/j.ijmedinf.2008.05.005
© 2008 Elsevier Ireland Ltd. All rights reserved.
« Previous
Next »
International Journal of Medical Informatics
Volume 79, Issue 5
, Pages 332-338
, May 2010
