Others' Experiences | Digital Healthcare Research

Source	Summary
Babbitt N 2003 "In record time: diary of an EMR installation."	gives an example of an EMR success story at a clinic with nine physicians and six nurse practitioners.
Baron RJ et al. 2005 "Electronic health records: just around the corner? Or over the cliff?"	describes "the effects that the use of electronic health records has had on a practice's finances, work flow, and office environment."
Beeler A 2009 "Response to request for information by Dr. Angela Beeler of South County Pediatrics on July 6, 2009."	gives an account of the implementation of an EMR at South County Pediatrics and the impact it has had on their workflows.
Bostrom AC et al. 2006 "Electronic health record: implementation across the Michigan Academic Consortium."	reports "the experiences of this consortium as it incorporated electronic health records in tandem with an electronic patient management system at several of its member sites reveal the benefits and challenges of such an endeavor."
Brownbridge G et al. 1984 "The doctor's use of a computer in the consulting room: an analysis."	reports "a human factors assessment of an interactive computer aid to history-taking and diagnosis, used during consultations in a hospital outpatient clinic."
Byrne JM et al. 2009 "Initial experience with patient-clinician secure messaging at a VA medical center."	evaluates the clinical adoption of a secure messaging system in a VA Medical Center.
Carayon P et al. 2009 "Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff."	examines "the implementation of an electronic health records (EHR) system in a small family practice clinic" in order to "evaluate user experience, work pattern changes, and organisational changes related to the implementation and use of the EHR system."
Cauldwell M et al. 2007 "The impact of electronic patient records on workflow in general practice."	identifies potential changes in clinical and administrative workflow resulting from the introduction of a system giving patients access to view their electronic health records.
Chapman L 2009 "EHR supports healthier patients and a healthier bottom line."	describes Graybill Medical Group's EHR implementation along with its most distinctive features and how the technology has affected the way the group practices.
Crosson JC et al. 2007 "Variation in electronic prescribing implementation among twelve ambulatory practices."	describes the practice characteristics associated with implementation and use of e-prescribing in ambulatory settings.
Curry L, Reed MH. "Electronic decision support for diagnostic imaging in a primary care setting."	uses mixed methods approach to assess electronic decision support in diagnostic imaging in a rural community family practice. Specifically, will physicians incorporate decision-support technology into their clinical routines? And will physicians follow clinical advice when provided?
Fullerton C et al. 2006 "Lessons learned from pilot site implementation of an ambulatory electronic health record."	describes "the preimplementation clinical process redesign and quality improvement training that has been conducted networkwide in preparation for the introduction of [an] EHR, as well as the specific steps taken to prepare and train clinic staff for the integration of the EHR into daily workflows."
Goldstein MK et al. 2004 "Translating research into practice: organizational issues in implementing automated decision support for hypertension in three medical centers."	describes "the application of a 'sociotechnical' approach to integration of...a decision support system for the treatment of hypertension, into geographically dispersed primary care clinics."
Goud R et al. 2008 "Subjective usability of the CARDSS guideline-based decision support system."	investigates subjective usability of a guideline-based CDSS for outpatient cardiac rehabilitation.
Häkkinen H et al. 2007 "A participatory assessment of IS integration needs in maternity clinics using activity theory."	finds "out what IS integration and software needs exist at Finnish municipal maternity clinics [and] to test and evaluate a participatory method for IS integration needs assessment."
Hollingworth W et al. 2007 "The impact of e-prescribing on prescriber and staff time in ambulatory care clinics: a time-motion study."	compares "the time-efficiency of paper-based versus e-prescribing for physicians, and staff in ambulatory clinics."
Johnson K et al. 2006 "Case report: activity diagrams for integrating electronic prescribing tools into clinical workflow."	facilitates "the future implementation of an electronic prescribing system [by modeling] prescription management processes in various primary care settings" and shares the model developed with "others engaged in building or tailoring an e-prescribing system to meet the specific workflows of various clinic settings."
Khoury A 1998 "Support of quality and business goals by an ambulatory automated medical record system in Kaiser Permanente of Ohio."	describes the use of clinical point-of-care reminders by Kaiser Permanente of Ohio and the effect of these reminders on compliance.
Lamberts R 2003 "Electronic health record in Evans Medical Group."	describes the author's experiences with electronic health records, and the effect they've had on how he practices and runs his clinic.
Lester WT et al. 2009 "Mammography FastTrack: an intervention to facilitate reminders for breast cancer screening across a heterogeneous multi-clinic primary care network."	reports "the development, implementation, and preliminary use of a new breast cancer screening outreach program in a large multicenter primary care network. This installation paired population-based surveillance with customized information delivery based on a validated model linking patients to providers and practices."
Lorenzi NM et al. 2009 "How to successfully select and implement electronic health records (EHR) in small ambulatory practice settings."	discusses the benefits and barriers to EHR use in small ambulatory practices.
Miller RH et al. 2005 "The value of electronic health records in solo or small group practices."	describes the implementation of an electronic health record in "early adopter" solo and small group primary care practices.
Mohr T et al. 2008 "The second time around."	describes the integration of a new electronic medical record (EMR) with an existing practice management (PM) system at Pediatric Partners, a single-site medical practice in San Diego, California. The practice aimed "to streamline office workflows and then create a detailed training, implementation and support plan prior to implementation."
Morris CJ et al. 2006 "Preventing drug related morbidity: a process for facilitating changes in practice."	describes "how quantitative data obtained from applying a series of indicators for preventable drug related morbidity (PDRM) in the electronic patient record in English general practice can be used to facilitate changes aimed at helping to improve medicines management."
Morrow J 2004 "Davies Recognition Program: independent primary care practices - North Fulton Family Medicine."	describes the experience of the North Fulton Family Medicine Clinic in implementing an EMR.
Murphy JA et al. 1997 "Nursing process redesign with the implementation of a computer based patient record in the ambulatory setting."	describes "computerization of the ambulatory record in a 45 physician clinic and associated workflow redesign."
Neil N et al. 2003 "Improving rates of screening and prevention by leveraging existing information systems."	describes the "development and implementation of a provider prompting tool--a...report--which prompted providers to complete screening, prevention, and disease management services at every patient appointment."
Nemeth LS, Ornstein SM, Jenkins RG, et al. "Implementing and evaluating electronic standing orders in primary care practice: a PPRNet study."	implements an electronic standing order (SO) system into daily workflow in 8 primary care practices, identifying the best methods and strategies utilized and to determine barriers and facilitators to the use of electronic SOs in these practices; and to measure changes in quality of care indicators resulting from use of electronic SOs.
Pluye P et al. 2004 "How information retrieval technology may impact on physician practice: an organizational case study in family medicine."	explores the impacts of handheld information retrieval technology on physician daily practice "using the medical literature, an organizational case study and the literature on organizations."
Sciamanna CN et al. 2004 "Feasibility of incorporating computer-tailored health behaviour communications in primary care settings."	investigates "the feasibility of incorporating an innovative computer-tailored health behaviour program in a group of primary care practices in Rhode Island."
Soopramanien A et al. 2005 "Using telemedicine to provide post-discharge support for patients with spinal cord injuries."	...evaluates "the effects and costs of telerehabilitation for patients in the first six months after discharge to provide participants with regular telemedicine sessions conducted by specialists in spinal injury,"...compares "the functional and quality of life assessments between the trial and control groups," and ...compares "the cost of providing health care to the two groups."
Steele AW et al. 2005 "The effect of automated alerts on provider ordering behavior in an outpatient setting."	assesses "the impact of automated alerts on medication errors related to [missing or abnormal lab values] in an outpatient primary-care setting."
Tang P et al. 1995 "Methods for assessing information needs of clinicians in ambulatory care."	develops "an assessment methodology to study clinicians' information needs in the context of the workflow and operational constraints of the ambulatory care practice environment, [employing] a combination of methods, including observational studies, process flowcharting, semi-structured interviews and surveys to comprehensively define clinicians' needs."
Tolar M, Balka E. "Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice setting."	documents the changes in work practices of the personnel of a community health center that were necessary in order to make EMR data useful for secondary purposes - chronic disease management and practice performance management.
Toth-Pal E et al. 2008 "Implementing a clinical decision-support system in practice: a qualitative analysis of influencing attitudes and characteristics among general practitioners."	obtains "a better understanding of barriers to the implementation of clinical decision-support systems (CDSSs) in primary health care by exploring general practitioners' (GPs) handling of a CDSS during the implementation process"
Unertl KM et al. 2006 "Applying direct observation to model workflow and assess adoption."	assesses "workflow and information flow [in an outpatient chronic disease clinic] and to develop a general model of workflow and information behavior."
Unertl KM et al. 2007 "Variation in use of informatics tools among providers in a diabetes clinic."	examines the use of health IT in a diabetes specialty clinic, "[provide] direction for developing new functionality that may be needed ... and [suggest] changes to existing functionality."
Unertl KM, Weinger MB, Johnson KB, et al. "Describing and modeling workflow and information flow in chronic disease care."	develops an in-depth understanding of work practices, workflow, and information flow in chronic disease care, to facilitate development of context-appropriate informatics tools.
Wogen S et al. 2003 "Improving the efficiency of the prescription process and promoting plan adherence."	describes "the impact of introducing an automated electronic prescription process in large primary care practice and the benefits realized by plan administrators, members, and physicians."
Zai AH et al. 2007 "Lessons from implementing a combined workflow-informatics system for diabetes management."	describes "the problems in diabetes patient management before we instituted the new application, our implementation of a new workflow model using the [registry population management (RPM)] application, the RPM application itself, and a list of points to consider before building an electronic diabetes registry based on our lessons learned."
Zind B 2009 "Response to request for information by Barbara Zind, physician in a family practice, on August 3, 2009."	describes the experience of Dr. Barbara Zind, physician at a 14-pediatrician practice, in implementing a new EHR system.