The Informatics Review
e-journal of the Association of Medical Directors of Information Systems and The Improve-IT Institute

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Home > Archive > Dec 1, 2007 : Vol.10 No.23
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Electronic Medical Record Use by Office-Based Physicians and Their Practices: United States, 2006
In 2006, 29.2 percent of office-based physicians reported using full or partial EMR systems, which represented a 22% increase since 2005 and a 60% increase since 2001, when the NAMCS began monitoring this technology. Starting in 2005, the NAMCS included questions about EMR system features that health information technology experts consider minimal for a comprehensive EMR, namely computerized orders for prescriptions, computerized orders for tests, reporting of test results (lab or imaging), and clinical notes. Based on these requirements, 12.4 percent of physicians surveyed used comprehensive EMR systems in 2006, a figure not significantly different from the 9.3 percent reported for 2005.

Processor cleans up doctors' notes
The intensive care unit at Sydney's Royal Prince Alfred Hospital is using a world-first natural language processing system for clinical note-taking at the bedside. The ward rounds system automatically populates clinical note templates with information from patient monitoring systems and cuts 10 minutes from the time it takes staff to add their observations during the morning and afternoon ward rounds.

EMR demonstrations using Dragon Naturally Speaking
This site contains several examples of different EMR's using Dragon Naturally Speaking to enter data.

The VA's computer systems meltdown: What happened and why -- Not following best practices can render the best technology useless
Characterized by Dr. Ben Davoren, the director of clinical informatics for the San Francisco VA Medical Center, as "the most significant technological threat to patient safety the VA has ever had," the outage has moved some observers to call into question the VA's direction in consolidating its IT operations. Yet the shutdown grew from a simple change management procedure that wasn't properly followed.

Medical records pioneer maintains research path
Collen implemented a new way of doing physical exams that became known as the Multiphasic Health Checkup. Prior to this time, physical exams typically involved a patient seeing a doctor, who gathered a medical history and then ordered some tests. But Collen reversed the order, having patients get a battery of tests before seeing the doctor. It was all done during one appointment, with patients traveling from station to station for 35 screenings, including electrocardiograms, chest and breast X-rays, hearing tests, and blood and urine analyses.

Health IT Helps Hospital Identify, Prevent Infections Through Better Patient Tracking
"Infection control is a poster child for what you can accomplish with health and information technology," Samore, said. A three-month pilot project using electronic health records to track Utah hospital patients has allowed researchers to identify patients with MRSA infections and take preventive measures as patients move to new facilities.

Nurses Talk Tech 2007 The Catch-22 of Nursing and Information Technology
CDW Healthcare, conducted its second annual study of nurses to understand:

  • How nurses use information technology (IT) in executing their duties
  • Nurses’ attitudes on the potential of IT to improve patient care
  • The role nurses play in determining the IT used at their healthcare facility




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