Research
Search a database of peer-reviewed papers on workflow and health IT implementation in ambulatory care settings. Included articles were published in English between January 1980 and May 2009.
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Aas IH 2002 "Telemedicine and changes in the distribution of tasks between levels of care." | answers "the question 'Has telemedicine produced changes in the distribution of tasks between the general practitioner and specialist, or between the local hospital and university/central hospital?'" |
af Klercker T et al. 1998 "Dilemmas in introducing world wide web-based information technology in primary care: a focus group study." | assesses "how the introduction of new technology is accepted and what means are available to influence this, and whether there are recognizable stages and factors in the process that might in turn, be modified.... The specific aim was to use and evaluate a case-based computerization decision support system (CDSS) using WWW tools and utilizing the internet in an ordinary Swedish [primary health care] centre." |
Andre B et al. 2008 "Experiences with the implementation of computerized tools in health care units: a review article." | identifies "the main challenges to the introduction of computer technology in health care and to identify what kinds of factors may promote or hamper the implementation process". |
Andriole KP et al. 2002 "Workflow assessment of digital versus computed radiography and screen-film in the outpatient environment." | compares the workflow, productivity, speed of service, and potential cost "of the two digital modalities, namely CR versus DR, for performing a two-view upright chest examination." |
Apkon M et al. 2005 "A randomized outpatient trial of a decision-support information technology tool." | examines the effects of the decision support system on "quality, resource consumption and patient and provider satisfaction." |
Arar NH et al. 2005 "Communicating about medications during primary care outpatient visits: the role of electronic medical records." | describes the effect of prescription data availability via an EMR on the content of patient-physician communication regarding medications. |
Arreola M et al. 2003 "Enterprise-wide CR implementation: the Shands Healthcare System experience." | describes "the experience and the methodological approach followed by the Radiological Physics Division at [Shands Hospital at University of Florida (SUF)] in the specification, vendor selection, installation, and clinical implementation of" the conversion to computed radiography (CR) ... [at SUF and] in the five community hospitals affiliated with the Shands Healthcare System." |
Ash JS et al. 2007 "Categorizing the unintended sociotechnical consequences of computerized provider order entry." | describes "the kinds of unintended sociotechnical consequences related to the implementation of computerized provider order entry (CPOE) in the outpatient setting." |
Balas E et al. 1997 "Electronic communication with patients: evaluation of distance medicine technology." | evaluates "controlled evidence on the efficacy of distance medicine technologies in clinical practice and health care outcome. Also, (1) to collect published randomized controlled trials evaluating distance medicine technologies, (2) to evaluate the quality of the randomized controlled trials using a previously developed methodologic evaluation tool, (3) to categorize and describe the various distance medicine interventions evaluated, and (4) to summarize the available evidence on the ability of distance medicine to improve care in specific clinical areas." |
Barnett GO et al. 2004 "Overcoming information overload: an information system for the primary care physician." | discusses "the important characteristics of the Web site, specific functions that improve the workflow of the practicing clinician, and limitations of the present implementation." |
Berghout RM et al. 2007 "Evaluation of general practitioner's time investment during a store-and-forward teledermatology consultation." | quantifies "the average time investment of GPs in a TD consultation (i.e. the duration of a TD consultation) and variations in that time investment among GPs. Also, to identify the relative share of the separate (TD) activities in the total duration of a TD consultation." |
Berlin A et al. 2006 "A taxonomic description of computer-based clinical decision support systems." | describes "the characteristics of CDSSs (computer-based clinical decision support systems)" reported in the literature, using a taxonomy developed by the authors. |
Berman H 2009 "Response to request for information by Heidi Berman, employee of a EMR reseller, on August 24, 2009." | answers "the question 'Has telemedicine produced changes in the distribution of tasks between the general practitioner and specialist, or between the local hospital and university/central hospital?" |
Berner ES et al. 1999 "Effects of a decision support system on physicians' diagnostic performance." | examines "how the information provided by a diagnostic decision support system for clinical cases of varying diagnostic difficulty affects physicians' diagnostic performance." |
Bindels R et al. 2003 "The efficacy of an automated feedback system for general practitioners." | assesses "the efficacy of an automated feedback system, [where] efficacy is defined as the percentage of decisions made that are in line with relevant practice guidelines." |
Birmingham E, Catallozzi M, Findley SE, et al. "FluAlert: a qualitative evaluation of providers' desired characteristics and concerns regarding computerized influenza vaccination alerts." | explores pediatric providers' perceived barriers to influenza vaccine delivery, and desired characteristics and potential concerns regarding an influenza vaccine alert integrated into the electronic health record (EHR). |
Bloomfield H et al. 2005 "A trial of education, prompts, and opinion leaders to improve prescription of lipid modifying therapy by primary care physicians for patients with ischemic heart disease." | develops and tests "an intervention designed to increase the rate of prescription of lipid modifying therapy" and determines "the relative effectiveness of three different prompts (progress notes, patient letters, or computer chart reminders)." |
Bonnevie L et al. 2005 "The use of computerized decision support systems in preventive cardiology-principal results from the national PRECARD survey in Denmark." | reports the use of and attitudes toward an electronic risk management tool on cardiovascular disease risk assessment and management. |
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." |
Brownbridge G et al. 1986 "An interactive computerized protocol for the management of hypertension: effects on the general-practitioner's clinical behavior." | reports "an experimental study of general practitioners' use of an interactive computerized protocol for the management of hypertension, focussing particularly on the protocol's effects on doctors' clinical behaviour." |
Buchanan BG et al. 1995 "An intelligent interactive system for delivering individualized information to patients." | increases "the overall effectiveness of physicians' time, and thus the quality of health care, by improving the information exchange between physicians and patients in clinical settings." |
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. |
Cammisa M et al. 2004 "Design and implementation of an integrated HIS-RIS-PACS system: our experience." | outlines the plan for implementation of the RIS-PACS system and describe its effects on the institution. |
Campbell JR et al. 1989 "Computerized medical records and clinic function." | evaluates the effect of computerised medical records systems use in ambulatory patient care. |
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. |
Chan D et al. 2003 "An internet-based store-and-forward video home telehealth system for improving asthma outcomes in children." | develops "an Internet-based store-and forward video monitoring system for patients with asthma, demonstrate its use in pediatric patients, assess a range of outcome measures, and determine whether virtual follow-up over the Internet can be effective for managing asthma." |
Chan WS et al. 2008 "Do general practitioners change how they use the computer during consultations with a significant psychological component?" | describes the patterns of computer use during patient visits to family doctors and to determine whether doctors alter their pattern of computer use in consultations which have significant psychological content. |
Chase H et al. 2003 "Modem transmission of glucose values reduces the costs and need for clinic visits." | determines "whether modem technology allows for effective management of type 1 diabetes when used in lieu of a clinic visit" |
Chaudhry B et al. 2006 "Systematic review: impact of health information technology on quality, efficiency, and costs of medical care." | systematically reviews "evidence on the effect of health information technology on quality, efficiency, and costs of health care." |
Chen C et al. 2009 "The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care." | examines the impact of EHR implementation "on several types of ambulatory care patient contacts: outpatient, urgent care, and emergency department (ED) visits; external referrals; scheduled telephone visits; and secure patient-physician e-mail messaging." |
Christakis DA et al. 2001 "A randomized controlled trial of point-of-care evidence to improve the antibiotic prescribing practices for otitis media in children." | determines " whether point-of-care evidence delivery regarding the use and duration of antibiotics for otitis media decreases the duration of therapy from 10 days and decreases the frequency of prescriptions written." |
Christensen T et al. 2008 "Instant availability of patient records, but diminished availability of patient information: a multi-method study of GP's use of electronic patient records." | studies "primary care physicians' use of electronic patient record (EPR) systems in terms of use of different EPR functions and the time spent on using the records, as well as the potential effects of EPR systems on the clinician-patient relationship. |
Chumbler N et al. 2004 "The association of home-telehealth use and care coordination with improvement of functional and cognitive functioning in frail elderly men." | compares "health-related outcomes, during a 1-year period, for two groups of frail elders-one that received care coordination via distance monitoring (home-telehealth) and one that received no intervention." |
Cimino JJ et al. 2001 "Studying the human-computer-terminology interface." | explores "the use of an observational, cognitive-based approach for differentiating between successful, suboptimal, and failed entry of coded data by clinicians in actual practice, and to detect whether causes for unsuccessful attempts to capture true intended meaning were due to terminology content, terminology representation, or user interface problems." |
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. |
Crosson JC, Etz RS, Wu S, et al. "Meaningful use of electronic prescribing in 5 exemplar primary care practices." | identifies successful implementation and use techniques of e-prescribing; describes best practices of e-prescribing implementation with workflow redesign integrated early in the implementation process. |
Currell R et al. 2000 "Telemedicine versus face to face patient care: effects on professional practice and health care outcomes." | assesses "the effects of telemedicine as an alternative to face-to-face patient care." |
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? |
Dackiewicz D et al. 2000 "Impact of digital radiography on clinical workflow and patient satisfaction." | compares "both the actual procedure time and patient time involved for chest examination in a fully RIS integrated system with that of the traditional film process." |
Dansky KH et al. 1999 "Electronic medical records: are physicians ready?" | 1) identifies "specific attitude or factors that should be targeted for successful EMR implementation" and (2) demonstrates "empirical support for the predictors of perceived usefulness model." |
Davis P et al. 2001 "An evaluation of telehealth in the provision of rheumatologic consults to a remote area." | evaluates "the feasibility and acceptability of providing telehealth consultations in rheumatology." |
de Lusignan S et al. 2002 "Does feedback improve the quality of computerized medical records in primary care?" | analyzes whether providing feedback to providers based on the collection of data quality markers had a significant effect on data quality. |
Delpierre C et al. 2004 "A systematic review of computer-based patient record systems and quality of care: more randomized clinical trials or a broader approach?" | analyzes "the impact of computer-based patient record systems (CBPRS) on medical practice, quality of care, and user and patient satisfaction." |
Dexter PR et al. 1998 "Effectiveness of computer-generated reminders for increasing discussions about advance directives and completion of advance directive forms - a randomized, controlled trial." | determines "the effects of computer generated reminders to physicians on the frequency of advance directive discussions between patients and their primary caregivers and the frequency of consequent establishment of advanced directives." |
Dorr D et al. 2007 "Informatics systems to promote improved care for chronic illness: a literature review." | understands "the specific information technology components important for success" in supporting and improving care for chronically ill patients. |
Dowding D et al. 2009 "Nurses' use of computerised clinical decision support systems: a case site analysis." | explores "how nurses use computerized clinical decision support systems in clinical practice and the factors that influence use." |
Du Moulin MFMT et al. 2003 "The reliability of diagnosis using store-and-forward teledermatology." | examines "the reliability of diagnosis made using store-and-forward teledermatology." |
Durieux P et al. 2008 "Computerized advice on drug dosage to improve prescribing practice." | determines "whether there is evidence that computerized advice on drug dosage is beneficial" and finds out "whether any technical features of computerized systems or organizational aspects concerning their implementation are critical to obtain this benefit." |
Eccles M et al. 2002 "Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial." | evaluates "the use of a computerised support system for decision making for implementing evidence based clinical guidelines for the management of asthma and angina in adults in primary care." |
Emery J et al. 2007 "The GRAIDS trial: a cluster randomised controlled trial of computer decision support for the management of familial cancer risk in primary care." | evaluates "the effect of an assessment strategy using the computer decision support system ... on the management of familial cancer risk in British general practice in comparison with best current practice." |
Eslami S et al. 2007 "Evaluation of outpatient computerized physician medication order entry systems: a systematic review." | provides a "systematic literature review of CPOE evaluation studies in the outpatient setting on: safety; cost and efficiency; adherence to guideline; alerts; time; and satisfaction, usage, and usability." |
Fish A, George S, Terrien E, et al. "Workflow concerns and workarounds of readers in an urban safety net teleretinal screening study." | documents how reader workflow issues are resolved when using teleretinal screening in a safety net clinic environment. |
Fitzmaurice DA et al. 1996 "Evaluation of computerized decision support for oral anticoagulation management based in primary care." | tests "the effectiveness of using DSS for oral anticoagulation monitoring in primary care" |
Friedman CP et al. 1999 "Enhancement of clinicians' diagnostic reasoning by computer-based consultation - a multisite study of 2 systems." | explores "the extent to which consultations with [decision support systems] improve clinicians' diagnostic hypotheses in a set of diagnostically challenging cases." |
Friedman R et al. 1996 "A telecommunications system for monitoring and counseling patients with hypertension: impact on medication adherence and blood pressure control." | evaluates "the effect of automated telephone patient monitoring and counseling on patient adherence to antihypertensive medications and on blood pressure control." |
Fung CH 2006 "Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting." | develops and assesses "the usefulness of condition-specific computerized templates in a primary care setting." |
Gamm LD et al. 1998 "Pre- and post- control model research on end-users' satisfaction with an electronic medical record: preliminary results." | addresses "the process of computerizing medical records in multiple ambulatory care sites of a health system" with a focus "on end-user attitudes before, during and after implementation". |
Garg AX et al. 2005 "Effects of computerized clinical decision support systems on practitioner performance and patient outcomes - a systematic review." | ...reviews "controlled trials assessing the effects of computerized clinical decision support systems (CDSSs)" and identifies "study characteristics predicting benefit.... The primary questions of this review were (1) Do CDSSs improve practice performance or patient outcomes? and (2) Which CDSS and study-level factors are associated with effective CDSSs?" |
Gilmet GP et al. 1998 "The use of an integrated clinical laboratory and pharmacy diabetes database to provide physician performance feedback in an IPA-model HMO." | describes "the initial design of a disease management report and data set characteristics and its potential utility as a physician educational and behavioral change agent" in this large health maintenance organization, using diabetes as a prototype illness. |
Glazner JE et al. 2004 "Using an immunization registry: effect on practice costs and time." | determines the effects of immunization registry use on costs and time. |
Goetz Goldberg D, Kuzel AJ, Feng LB, et al. "EHRs in primary care practices: benefits, challenges, and successful strategies." | understands the current use of electronic health records (EHRs) in small primary care practices and explores experiences and perceptions of physicians and staff toward the benefits, challenges, and successful strategies for implementation and meaningful use of advanced EHR functions. |
Goetz MB et al. 2008 "Implementing and evaluating a regional strategy to improve testing rates in VA patients at risk for HIV, utilizing the QUERI process as a guiding framework: QUERI series." | develops a program to improve rates of diagnostic testing for HIV using electronic clinical reminders, audit/feedback and appropriate changes in delivery system design. |
Goldman RE, Soran CS, Hayward GL, et al. "Doctors' perceptions of laboratory monitoring in office practice." | characterizes doctors' perceptions of the barriers to and facilitators of laboratory monitoring in the office practice setting. |
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." |
Guillen S et al. 2002 "Multimedia telehomecare system using standard TV set." | presents "presents a telehomecare multimedia platform that runs over integrated services digital network and internet protocol using videoconferencing standards H.320 and H.323, and standard TV set for patient interaction." |
Hakansson S et al. 2000 "What do we really know about the cost-effectiveness of telemedicine?" | updates "our knowledge about the cost-effectiveness of telemedicine." |
Harno K et al. 2000 "Patient referral by telemedicine: effectiveness and cost analysis of an Intranet system." | examines "the clinical effectiveness and costs of telemedicine in improving the referral process from primary to secondary care" |
Harrison P et al. 1998 "Teledermatology - high technology or not?" | examines "the diagnosis accuracy of teledermatology" |
Haukipuro K et al. 2000 "The feasibility of telemedicine for orthopaedic outpatient clinics: a randomized controlled trial." | investigates "the use of videoconferencing in the examination of orthopaedic outpatients." |
Haynes RB et al. 1987 "Computer-aided quality assurance: a critical appraisal." | apprises "ourselves of the best evidence currently available concerning the role of computers and computer programs in improving the process and outcomes of medical care." |
Hicks LS et al. 2008 "Impact of computerized decision support on blood pressure management and control: a randomized controlled trial." | examines "the effectiveness of CDS, designed to remind physicians about hypertension treatment guidelines with the goals of: (1) improving levels of blood pressure control, (2) improving provider adherence with recommended drug therapy, and (3) reducing racial/ethnic disparities in hypertension care and outcomes." |
Hoch I et al. 2003 "Countrywide computer alerts to community physicians improve potassium testing in patients receiving diuretics." | describes "the design, process, and results of" an alert system that generates "reminders for potassium blood testing in patients taking diuretics" in order to decrease adverse drug events. |
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." |
Howard J, Clark EC, Friedman A, et al. "Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices." | studies the impact of EHR use on clinician and staff work burden in small, community-based primary care practices. |
Hsu J et al. 2005 "Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visits." | evaluates "the impact of introducing [examination room computers] on physician-patient interactions during outpatient visits." |
Huber JT et al. 2006 "Informing neighborhood health: a health information outreach project targeting community clinics." | facilitates "access to electronic health information resources at select community faith-based clinics." |
Hunt DL et al. 1998 "Effects of computer-based clinical decision support systems on physician performance and patient outcomes - a systematic review." | provides "a cumulative picture of the state of documentation of the effects CDSSs have on clinician performance and patient outcomes based on the strongest trials in health care settings to date." |
Jaatinen P et al. 2002 "Teleconsultation as a replacement for referral to an outpatient clinic." | determines "the success of and patient satisfaction with teleconsultation (between the specialist and GP about the patient's condition) or telereferral (transfer of responsibility for treatment to the specialist via an electronic form) in lieu of paper referrals. |
Jarvis-Selinger S et al. 2008 "Clinical telehealth across the disciplines: lessons learned." | understands "the impact of videoconferencing technologies on clinical workflow practices and interprofessional collaboration." |
Jerome RN et al. 2008 "Exploring clinician adoption of a novel evidence request feature in an electronic medical record system." | evaluates "strategies for facilitating physician adoption of an evidence-based medicine literature request feature recently integrated into an existing electronic medical record (EMR) system." |
Jimbo M et al. 2006 "Information technology and cancer prevention." | examines "[how] the literature on information technology impacts on the delivery of cancer preventive services in primary care offices." |
John R et al. 2007 "Development and evaluation of a PDA-based decision support system for pediatric depression screening." | describes "the development and initial evaluation of the [personal digital assistant-based decision support system] for pediatric depression screening in ages 8 to 18 years of age by pediatric [advanced practice nursing] students." |
Kaplan B 2001 "Evaluating informatics applications - clinical decision support systems literature review." | reviews "literature that focuses on evaluation of clinical decision support systems (CDSS)." |
Kaushal R et al. 2003 "Effects of computerized physician order entry and clinical decision support systems on medication safety - a systematic review." | systematically reviews "the cummulative evidence on the effects of CPOE and CDSSs on medication safety." |
Kawamoto K et al. 2005 "Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success." | identifies "features of clinical decision support systems critical for improving clinical practice." |
Keyser DJD et al. 2009 "Using health information technology-related performance measures and tool to improve chronic care." | evaluates the impact of EHRs, clinical decision support systems, and CPOE on data collection for performance measures, integrating evidence based clinical guidelines with patient data, and quality improvement. |
Kim J et al. 2005 "Development and initial testing of a computer-based patient decision aid to promote colorectal cancer screening for primary care practice." | develops "a patient-directed, computer-based decision aid about colorectal cancer screening and investigate whether it could increase patient interest in screening." |
Kim Y, Chen AH, Keith E, et al. "Not perfect, but better: primary care providers' experiences with electronic referrals in a safety net health system." | assesses the impact of electronic referrals on workflow and clinical care. |
Kobb R et al. 2003 "Enhancing elder chronic care through technology and care coordination: report from a pilot." | evaluates "rural health acre project in terms of resource utilization and user satisfaction." |
Krall M et al. 1995 "Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO." | describes the implementation of an EMR in two clinics. |
Kruger DF et al. 2003 "Effect of modem transmission of blood glucose data on telephone consultation time, clinic work flow, and patient satisfaction for patients with gestational diabetes mellitus." | determines "if modem transmission of blood glucose data by patients with gestational diabetes could provide faster communication of results, increased clinic work-flow efficiency, and equivalent accuracy, and also to assess participant and health care provider satisfaction." |
Kuilboer MM et al. 2006 "Computed critiquing integrated into daily clinical practice affects physicians' behavior - a randomized clinical trial with AsthmaCritic." | assesses "the effect of [a decision support system] on monitoring and treatment of asthma and COPD by Dutch general practitioners in daily practice." |
Kuperman GJ et al. 2003 "Computer physician order entry: benefits, costs, and issues." | examines the "potential benefits, costs and other important issues associated with CPOE." |
Kuperman GJ et al. 2007 "Medication-related clinical decision support in computerized provider order entry systems: a review." | outlines "some of the challenges associated with both basic and advanced decision support and discuss how those challenges might be addressed." |
Lang E et al. 2006 "Impact of an electronic link between the emergency department and family physicians: a randomized controlled trial." | determines "the impact of the [health information exchange (HIE) system] on measures of resource utilization in the emergency department and family physician offices." |
Lapane KL, Rosen RK, Dubé C. "Perceptions of e-prescribing efficiencies and inefficiencies in ambulatory care." | reports healthcare providers' opinions about the role of e-prescribing applications in improving efficiency. |
Larizza C et al. 2006 "The M2DM Project--the experience of two Italian clinical sites with clinical evaluation of a multi-access service for the management of diabetes mellitus patients." | presents "a multi-access service for the management of diabetes mellitus patients and the results of its assessment in two Italian clinical sites." |
Lesselroth BJ, Felder RS, Adams SM, et al. "Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID)." | describes the Automated Patient History Intake Device (APHID) project design and implementation, review preliminary findings on feasibility, and discuss barriers to adoption encountered by the development team. |
Litzelman DK et al. 1993 "Requiring physicians to respond to computerized reminders improves their compliance with preventative care protocols." | improves "compliance with computer-generated reminders to perform fecal occult blood testing (FOBT), mammography, and cervical Papanicolaou (Pap) testing." |
Lobach DF et al. 1997 "Computerized decision support based on a clinical practice guideline improves compliance with care standards." | determines "whether clinician use of a clinical practice guideline would increase in response to having, at the patient visit, a decision support system ... that generates a customized management protocol for the individual patient using data from the patient's electronic medical record." |
Logan A et al. 2007 "Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients." | develops and pilot-tests "a home BP tele-management system that actively engages patients in the process of care." |
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. |
Maass MC et al. 2008 "Usefulness of a regional health care information system in primary care - a case study." | describes "some benefits and possible cost consequences of computer based access to specialised health care information" through the networking of health care information systems in a geographic region. |
MacFarlane A et al. 2005 "Role flexibility among telemedicine service providers in the north-west and west of Ireland." | examines "ways in which the participants have worked to organize and deliver telemedicine services." |
Magnus D et al. 2002 "GPs' views on computerized drug interaction alerts: questionnaire survey." | (i) ...assesses "GPs views on the relevance of information provided by [drug] alert systems;" (ii) ...determines "the proportion of GPs that admit to frequently overriding [drug] interaction alerts without properly checking them; and" (iii) ...explores "factors that might be associated with a tendency to override alerts." |
Malasanos T et al. 2005 "Improved access to subspecialist diabetes care by telemedicine: cost savings and care measures in the first two years of the FITE diabetes project." | tests "the hypothesis: "Telemedicine clinics, supplemented with online education, could provide effective care for children with diabetes while making efficient use of physician time" |
Margalit RS et al. 2006 "Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encounters." | examines "the relationships between the extent of electronic medical record use and physician-patient communication within the context of Israeli primary care." |
Marzegalli M et al. 2008 "Remote monitoring of CRT-ICD: the multicenter Italian CareLink evaluation - ease of use, acceptance, and organizational implications." | (1) ...evaluates "the ease of use of the system by the patient and the clinician;" (2) ...evaluates "their acceptance and satisfaction with the monitor and with reviewing device data via the website." |
Mayo-Smith MF et al. 2007 "Factors associated with improved completion of computerized clinical reminders across a large healthcare system." | analyzes "the relationship of completion rates for a standardized set of computerized clinical reminders across a large healthcare system to practice and provider characteristics." |
McBride MR et al. 2004 "Harnessing technology and collaboration for an online ethnogeriatric educational resource." | describes "the development and testing of a Web-based educational resource for usability and acceptability by health care providers who care for ethnic older adults." |
McCowan C et al. 2001 "Lessons from a randomized controlled trial designed to evaluate computer decision support software to improve the management of asthma." | investigates "whether computer decision support software used in the management of patients with asthma improves clinical outcomes." |
McDonald CJ et al. 1980 "Physician response to computer reminders." | assesses the impact of clinical reminders on the care provided by physicians. |
McDonald CJ et al. 1984 "Reminders to physicians from an introspective computer medical record." | ...determines "the effect of [a] reminder system on physician's use of individual clinical actions," identifies and explains "the variability in the response rate of physicians to indications for these actions," and finds "improvements in patient outcomes that may result from the computer reminders." |
McDonald T et al. 1998 "A comparison of a manual and a computer system in a primary health care clinic." | determines "whether computerising the clinic at the point of service will naturally lead to less time devoted to administrative tasks [by nurses], thus increasing the time available for direct patient care." |
McDowell I et al. 1989 "A randomized trial of computerized reminders for blood-pressure screening in primary care." | compares "three ways of encouraging patients in a large family practice to obtain a blood pressure check", computer-generated reminders to physicians, nurse phone calls to patients and letters mailed to patients. |
McDowell I et al. 1989 "Computerized reminders to encourage cervical screening in family-practice." | compares ""the effectiveness of three types of [computer-generated] reminders for cervical screening." |
Mehta A et al. 2001 "Pediatric tele-echocardiography: evaluation of transmission modalities." | examines "the effectiveness of several tele-echocardiography connections and the satisfaction of the referring physicians using these services." |
Meigs JB et al. 2003 "A controlled trial of web-based diabetes disease management - the MGH diabetes primary care improvement project." | tests "effects of a web-based decision support tool...developed to improve evidence-based management of type 2 diabetes." |
Miller RA 1994 "Medical diagnostic decision-support systems - past, present, and future - a threaded bibliography and brief commentary." | provides "a review and a threaded bibliography for some of the important work on MDDS systems over the years from 1954 to 1993." |
Miller RH et al. 2004 "Physicians' use of electronic medical records: barriers and solutions." | suggests "policy interventions that can promote opportunities for and lower barriers to using EMRs for quality improvement." |
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. |
Mitchell E et al. 2001 "A descriptive feast but an evaluative famine: systematic review of published articles on primary care computing during 1980-97." | appraises "findings from studies examining the impact of computers on primary care consultations." |
Miyasaka K et al. 1997 "Interactive communication in high-technology home care: videophones for pediatric ventilatory care." | develops an assesses "the clinical impact of a near-television quality home digital videophone system which would provide respiratory care specialists' resources to primary care physicians and their pediatric patients receiving home respiratory care." |
Mollon B et al. 2009 "Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials." | conducts "a systematic review of randomized trials, to evaluate the effectiveness of [prescribing decision support systems (RxCDSS)] using a hierarchical approach to defining success, and to determine which features of system design or implementation were associated with the success or failure of RxCDSS implementation, change in provider behaviour, and change in patient outcomes." |
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." |
Morris L et al. 2003 "How will practices cope with information for the new GMS contract? Coronary heart disease data recording in five Scottish practices." | examines the ease of extracting data from the electronic and paper patient records in five Scottish practices, using coronary heart disease as an example. |
Murray MD et al. 1998 "Effects of computer-based prescribing on pharmacist work patterns." | measures "the effect of computer-based outpatient prescription writing by internal medicine physicians on pharmacist work patterns." |
Nease DE et al. 2008 "Impact of a generalizable reminder system on colorectal cancer screening in diverse primary care practices - a report from the prompting and reminding at encounters for prevention project." | evaluates "whether a generalizable [computerized reminder system] could improve screening rates for [colorectal cancer] in diverse primary care practices." |
Nemeth LS et al. 2007 "Strategies to accelerate translation of research into primary care within practices using electronic medical records." | describes "implementation strategies used by primary care practices using electronic medical records in a national quality improvement demonstration project." |
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. |
Nordal EJ et al. 2001 "A comparative study of teleconsultations versus face-to-face consultations." | evaluates "teledermatology in a comparative study of videoconferences versus face-to-face consulations." |
O'Brien C et al. 2000 "Combating information overload: a six-month pilot evaluation of a knowledge management system in general practice." | determines "the usefulness and usability of a representative electronic knowledge management tool...for 19 general practitioners." |
O'Connell RT et al. 2004 "Take note(s): differential EHR satisfaction with two implementations under one roof." | rigorously evaluates "perceived differences in satisfaction with an electronic health record (EHR) between residents of two medical specialties who share the same health record, practice location, administration, and information technology support." |
Oakley AMM et al. 2000 "Patient cost-benefits of realtime teledermatology-a comparison of data from Northern Ireland and New Zealand." | compares "the costs and benefits of realtime teledermatology with conventional face-to-face appointments" |
Ong RSG et al. 2008 "Call-duration and triage decisions in out of hours cooperatives with and without the use of an expert system." | gains "more insight into call duration, triage decisions and the way they affect total care time, answers were sought to the following questions: -'Is there a difference between call duration of a cooperative using an expert system and one not using it?' -'Is there a difference in triage decisions between a cooperative using an expert system and one not using it?'" |
Ornstein S et al. 1995 "Implementation and evaluation of a computer-based preventive services system." | develops, implements, and evaluates "a comprehensive, computer-based preventive services delivery and educational system, based on the recommendations in the US Preventive Services Task Force (USPSTF) Report." |
Ou MH et al. 2008 "Evaluation of TELEDERM for dermatological services in rural and remote areas." | describes the Web-based decision support system (TELEDERM) that provides medical services to rural and remote general practitioners (GPs), and to present qualitative results on the usefulness and usability of the system obtained from trials in the GoldFields, Western Australia." |
Overhage JM et al. 2001 "Controlled trial of direct physician order entry: effects on physicians' time utilization in ambulatory primary care internal medicine practices." | determines whether "physicians using [computerized provider order entry] would not spend any more time writing orders than physicians using paper-based methods." |
Pacht ER et al. 1998 "Effectiveness of telemedicine in the outpatient pulmonary clinic." | determines "if there was any difference between care delivered using video conferencing-based telemedicine technology and that given by a traditional face-to-face encounter in a pulmonary medicine clinic." |
Pagliari C et al. 2003 "DARTS 2000 online diabetes management system: formative evaluation in clinical practice." | assesses "the usability and utility of the [web-based diabetes management] prototype in order to inform system refinements prior to implementation," and investigates "barriers and facilitators to system use so as to aid the development of a tailored implementation plan." |
Pagliari C et al. 2004 "Electronic Clinical Communications Implementation (ECCI) in Scotland: a mixed-methods programme evaluation." | facilitates "implementation of electronic systems for primary-secondary care communication, focusing on laboratory results reporting, outpatient appointment booking, referral, discharge and clinic correspondence, and clinical e-mail." |
Patterson V et al. 2004 "Email triage of new neurological outpatient referrals from general practice." | determines "whether an email triage system between general practitioners and a neurologist for new outpatient referrals is feasible, acceptable, efficient, safe, and effective." |
Perednia DA et al. 1998 "The effect of a teledermatology program on rural referral patterns to dermatologists and the management of skin disease." | understands "the potential impact of these technologies and understanding the advantages and limitations of telemedicine using this particular practice model." |
Pizziferri L et al. 2005 "Primary care physician time utilization before and after implementation of an electronic health record: a time-motion study." | evaluates "the effect of the EHR on physicians' overall time in clinic sessions [and] how converting from a paper record to an electronic record affects the time the physicians spend in direct care with patients." |
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." |
Pluye P et al. 2005 "Impact of clinical information-retrieval technology on physicians: a literature review of quantitative, qualitative and mixed methods studies." | appraises "empirical studies examining the impact of clinical information-retrieval technology on physicians and medical students." |
Ramaiah M, Subrahmanian E, Sriram RD, et al. "Workflow and electronic health records in small medical practices." | develops a deeper insight into understanding the workflow, the operational mode used in completing a task, the effect of context (primary care vs. specialty offices), and the interactions with external entities that are part of the workflow. |
Randeree E et al. 2007 "Exploring physician adoption of EMRs: a multi-case analysis." | 1) ...looks "at the actual versus expected costs and benefits that small practices encounter" in EMR adoption, 2) ...looks "at what items or concerns caused the budget to increase and what primary themes should be investigated prior to the adoption of EMRs (trust, customizability, supplier presence, and costs)," and 3) ...documents "the implementation of EMRs in small practices and provide a roadmap for others to follow." |
Raza T et al. 2009 "Pulmonary telemedicine - a model to access the subspecialist services in underserved rural areas." | (1) ...evaluates "the use of telemedicine technology to provide consultative outpatient care for a broad range of pulmonary conditions; and" (2) ...evaluates "the effect of a telemedicine program in terms of (a) access to care (including reduction in both travel for patients and waiting time for appointments), (b) clinical decision making (medical interview and physical exam, medical work-up required, and outcome of telemedicine consultation), and patient disposition (need for follow-up care and need for inperson evaluation)." |
Redfern RO et al. 2000 "Radiology workflow and patient volume: effect of picture archiving and communication systems on technologists and radiologists." | evaluates "the relationship between patient volume and workflow for" radiologists "who began interpreting images from multiple clinical sites after the introduction of PACS to determine the effect of increased volume." |
Rivkin S 1997 "Opportunities and challenges of electronic physician prescribing technology." | investigates "the advantages and disadvantages of electronic prescribing computer programs in five IPA physicians' offices." |
Roine R et al. 2001 "Assessing telemedicine: a systematic review of the literature." | ...examines "the evidence for the effectiveness and economic efficiency of telemedicine." |
Roland MO et al. 1985 "Evaluation of a computer assisted repeat prescribing programme in a general practice." | quantifies "the costs and benefits of installing a computer assisted repeat prescribing programme into a general practice." |
Rollman BL et al. 2001 "The electronic medical record." | describes the effect of EMR-based decision support on depression care. |
Rollman BL et al. 2002 "A randomized trial using computerized decision support to improve treatment of major depression in primary care." | examines "whether feedback and treatment advice for depression presented to primary care physicians (PCPs) via an electronic medical record (EMR) system can potentially improve clinical outcomes and care processes for patients with major depression." |
Rose AF et al. 2005 "Using qualitative studies to improve the usability of an EMR." | describes the usability of EMR based on information from physicians and nurses of primary care practices associated with Brigham and Women's Hospital and Massachusetts General Hospital. |
Rosenberg SN et al. 2008 "Supporting the patient's role in guideline compliance: a controlled study." | measures "any additional impact on compliance [with evidence-based guidelines] when alerting messages were...sent to patients" in addition to physicians. |
Ross S et al. 2005 "Effects of electronic prescribing on formulary compliance and generic drug utilization in the ambulatory care setting: a retrospective analysis of administrative claims data." | assesses "the effects of e-prescribing on formulary compliance and generic utilization." |
Rosser WW et al. 1992 "Use of reminders to increase compliance with tetanus booster vaccination." | assesses "the effect of three computerized reminder systems on compliance with tetanus vaccination." |
Rotich JK et al. 2003 "Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record System." | describes the implementation of an electronic medical record in a rural Kenyan health center. |
Rouf E et al. 2007 "Computers in the exam room: differences in physician-patient interaction may be due to physician experience." | determines the impact of physician experience on the use of exam room computers and the physician-patient interaction at a VA hospital in New York City. |
Rubenstein LV et al. 1995 "Improving patient quality-of-life with feedback to physicians about functional status." | improves "functional status among primary care patients" through providing computer-generated feedback to physicians. |
Safran C et al. 1998 "Electronic communication and collaboration in a health care practice." | applies "cognitive evaluation techniques to the assessment of the effectiveness of clinical systems deployed in a health care practice." |
Saleem JJ et al. 2005 "Exploring barriers and facilitators to the use of computerized clinical reminders." | conducts observations in order to "determine barriers and facilitators to the effective use of" clinical reminders. |
Samore MH et al. 2005 "Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial." | measures "the added value of CDSS when coupled with a community intervention to reduce inappropriate prescribing of antimicrobial drugs for acute respiratory tract infections." |
Schade CP et al. 2006 "e-Prescribing, efficiency, quality: Lessons from the computerization of UK family practice." | discusses the benefits of and barriers to implementation of EHR systems in US ambulatory primary care practices based on experience in the UK. |
Schectman JM et al. 2005 "Determinants of physician use of an ambulatory prescription expert system." | determines "whether physician experience with and attitude towards computers is associated with adoption of a voluntary ambulatory prescription writing expert system" at an academic primary care program. |
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." |
Sequist T et al. 2005 "A randomized trial of electronic clinical reminders to improve quality of care for diabetes and coronary artery disease." | evaluates "the impact of an integrated patient-specific electronic clinical reminder system on diabetes and coronary artery disease (CAD) care and to assess physician attitudes toward this reminder system" in an ambulatory primary care setting. |
Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis." | describes "[Israeli primary care] physicians' patterns of using an [e]lectronic [m]edical [r]ecord (EMR) system; to reveal the underlying cognitive elements involved in EMR use, possible resulting errors, and influences on patient doctor communication; to gain insight into the role of expertise in incorporating EMRs into clinical practice in general and communicative behavior in particular." |
Shah NR et al. 2006 "Improving acceptance of computerized prescribing alerts in ambulatory care." | determines the impact on clinician override rates of interrupting clinician workflow only for high-severity drug alerts in a primary care setting. |
Shea CM, Halladay JR, Reed D, et al. "Integrating a health-related-quality-of-life module within electronic health records: a comparative case study assessing value added." | explores factors that primary care providers consider when assessing the value added of an HRQL application for their geriatric patients. |
Shebl NA et al. 2007 "Clinical decision support systems and antibiotic use." | summarizes " the relevant literature available regarding the use of CDSS and antibiotics[, by] review[ing], summaris[ing], and apprais[ing] randomised controlled trials (RCT) and before and after trials published on CDSS used to support the use of antibiotics, and ... identify[ing] gaps in the existing literature." |
Shiffman RN et al. 1999 "Computer-based guideline implementation systems: a systematic review of functionality and effectiveness." | performs "a detailed analysis of the functionality delivered by current computer-based implementation systems." Also the authors sought to "analyze which information management services have been delivered by recently described guideline implementations" and to "review the effectiveness of the computer-based interventions in influencing clinicians' behavior and changing patient outcomes." |
Shojania K et al. 2009 "The effects of on-screen, point of care computer reminders on processes and outcomes of care." | evaluates "the effects on processes and outcomes of care attributable to on-screen computer reminders delivered to clinicians at the point of care."; "In this review, we address the following questions: 1. Do on-screen computer reminders effectively improve processes or outcomes of care? 2. Do any readily identifiable elements of on-screen reminders influence their effectiveness (e.g. inclusion of patient-specific information as opposed to generic reminders for a given condition, requiring a response from users). 3. Do any readily identifiable elements of the targeted activity (e.g. chart documentation, test ordering, medication prescribing) influence the effectiveness of on-screen reminders?" |
Simon SR et al. 2006 "Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people." | examines "the effect of replacing drug-specific computerized prescribing alerts with age-specific alerts on rates of dispensing potentially inappropriate medications in older people" and determines "whether group academic detailing enhances the effectiveness of these alerts." |
Simon SR et al. 2007 "Physicians and electronic health records - a statewide survey." | addresses the barriers to [e]lectronic [h]ealth [r]ecords adoption, particularly with regards to how physicians use EHR systems. This includes the degree to which physicians use various "higher level" functions available in EHR systems as well as to identify factors that correlate with use and physician views on computers in healthcare. |
Sittig DF et al. 2006 "A survey of factors affecting clinician acceptance of clinical decision support." | begins "exploring [the] other potential factors affecting clinician acceptance of clinical decision support at the point of care." |
Smith MY et al. 2007 "Computerized decision-support systems for chronic pain management in primary care." | examines the use of computerized decision-support systems (CDSSs) "in chronic pain management, and to review the evidence for their feasibility and effectiveness." |
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." |
Tamblyn R et al. 2003 "The medical office of the 21st century (MOXXI): effectiveness of computerized decision-making support in reducing inappropriate prescribing in primary care." | assesses "whether inappropriate prescribing would be reduced when primary care physicians had access to information on all prescriptions dispensed to their elderly patients." |
Terschuren C et al. 2007 "Implementing telemonitoring in the daily routine of a GP practice in a rural setting in northern Germany." | assesses "the potential of a combination of telemedicine and telecare and specialized supporting home care to reduce unnecessary GP home visits in a rural area." |
Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled trial." | assesses "the effects of computer-based cardiac care suggestions" on physician adherence with guideline recommendations." |
Tierney WM et al. 2005 "Can computer-generated evidence-based care suggestions enhance evidence-based management of asthma and chronic obstructive pulmonary disease? A randomized, controlled trial." | evaluates the impact of guideline based care suggestion alerts on physicians and pharmacists in an ambulatory urban academic primary care setting. |
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" |
Tufano JT et al. 2008 "Providers' experience with an organizational redesign initiative to promote patient-centered access: a qualitative study." | elicits, describes, and characterizes "providers' perceptions of the effects of the Access Initiative, an information technology-enabled organizational redesign initiative intended to promote patient-centered access." |
Ullah R et al. 2002 "Otolaryngology consultations by real-time telemedicine." | assesses "the value of real-time telemedicine using low cost videoconferencing equipment for otorhinolaryngology consultations." |
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. |
van Wijk MAM et al. 2001 "Assessment of decision support for blood test ordering in primary care - a randomized trial." | compares "the effect of two versions of ... a computer-based clinical decision support system on blood test ordering among general practitioners." |
Ventres W et al. 2005 "Clinician style and examination room computers: a video ethnography." | explores "how family physicians incorporate the use of [examination room computers] in their interactions with patients." |
Walton RT et al. 1997 "Evaluation of computer support for prescribing (CAPSULE) using simulated cases." | evaluates the potential effect of computer support on general practitioners' prescribing, and compares the effectiveness of three different support levels on general practitioners in the outpatient setting. |
Weingart SN et al. 2003 "Physicians' decisions to override computerized drug alerts in primary care." | assesses "the potential benefits of computerized prescribing among ambulatory patients by examining the behavior of general internists with respect to high-severity drug interaction and drug allergy alerts generated by a CPOE system used at adult primary care practices." |
Wetterneck TB, Lapin JA, Krueger DJ, et al. "Development of a primary care physician task list to evaluate clinic visit workflow." | develops a comprehensive but generic task list of primary care physician (PCP) tasks that occur during a face-to-face patient visit, which can be used as a workflow evaluation tool by healthcare professionals and organizations. The task list would be developed by studying a wide variety of primary care practices. |
Whited J et al. 2002 "Teledermatology's impact on time to intervention among referrals to a dermatology consult service." | determines "if a teledermatology consult system, using store-and-forward digital imaging technology, results in patients achieving a shorter time for referral date to date of initial definitive intervention when compared to a traditional referral process." |
Whittaker S et al. 2004 "Success factors in the long-term sustainability of a telediabetes programme." | identifies "the factors in telediabetes programme sustainability" |
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." |
Wolfstadt JI et al. 2008 "The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review." | systematically reviews "studies evaluating the effects of CPOE with CDS on the development of an ADE as an outcome measure." |
Woods K et al. 2000 "Sickle cell disease telemedicine network for rural outreach." | evaluates "the productivity and efficiency of sickle cell disease telemedicine network." |
Young DW 1981 "Improving the consistency with which investigations are requested." | reports on the effect of a "system on the requesting of a standard set of investigations." |
Yusof MM et al. 2008 "An evaluation framework for health information systems: human, organization and technology-fit factors (HOT-fit)." | shows "how we derived a framework for HIS evaluation that incorporates comprehensive dimensions and measures of HIS and provides a technological, human and organizational fit." |
Yusof MM et al. 2008 "Investigating evaluation frameworks for health information systems." | presents "an overview of evaluation in health informatics and information systems." |
Zandieh SO et al. 2008 "Challenges to EHR implementation in electronic-versus paper-based office practices." | compares and contrasts "perceived benefits and challenges to [EHR] implementation between paper- and electronic-based practice leaders." |
Zheng K et al. 2005 "Understanding technology adoption in clinical care: clinician adoption behavior of a point-of-care reminder system." | assesses "medical residents' acceptance and adoption of a clinical reminder system for chronic disease and preventive care management and to use expressed preferences for system attributes and functionality as a basis for system re-engineering." |
Zheng K et al. 2009 "An interface-driven analysis of user interactions with an electronic health records system." | investigates "user interactions with an electronic health records (EHR) system by uncovering hidden navigational patterns in the EHR usage data automatically recorded as clinicians navigated through the system's software user interface (UI) to perform different clinical tasks." |