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 > Feb 15, 2008 : Vol.11 No.4
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User Satisfaction With EHRs: Report of a Survey of 422 Family Physicians
The survey collected information on the users' satisfaction with the EHR systems they used. It assessed satisfaction in several areas:

  • Functions facilitated or performed by the system (22 items)
  • Ease of use and flexibility (4 items)
  • Service and support (4 items)
  • Cost (3 items)
  • Interoperability (10 items)
  • Security (3 items)
  • Overall satisfaction (6 items)
  • Blue Cross Blue Shield of Massachusetts calls for hospitals to use CPOE
    BCBSMA believes that in addition to improving quality, the CPOE Initiative will promise a significant return on investment in both money and time. The Massachusetts CPOE Initiative projects that, 26 months after implementation, the system will provide annual savings of $2.7 million per hospital, with a total savings of $170 million per year throughout the state.

    Rates of medication errors among depressed and burnt out residents: prospective cohort study
    20% of the participating residents met the criteria for depression and 74% met the criteria for burnout. Active surveillance yielded 45 errors made by participants. Depressed residents made 6.2 times as many medication errors per resident month as residents who were not depressed. Burnt out residents and non-burnt out residents made similar rates of errors.

    Performance of a Web-Based Clinical Diagnosis Support System for Internists
    The authors tested 50 consecutive Internal Medicine case records published in the New England Journal of Medicine. The clinical decision support system suggested the correct diagnosis in 48 of 50 cases (96%) with 3-6 key findings entered, and in 37 of the 50 cases (74%) if the entire case history was pasted in. Pasting took seconds, manual entry less than a minute, and results were provided within 2–3 seconds with either approach.

    AMIA Conference: Diagnostic Error in Medicine, May 31 - June 1, 2008 immediately following the AMIA Spring Congress at the Arizona Grand Resort
    The ultimate goal of this conference is to improve patient safety by reducing the likelihood of diagnostic error in medicine. Minimizing diagnostic error is an essential, although relatively neglected, aspect of patient safety. This conference aims to summarize the current state of the field by reviewing research in the clinical and cognitive sciences, and to catalyze emerging ideas on the educational and research agenda that should be implemented to minimize diagnostic error in the future.

    Clinical decision support tools: performance of personal digital assistant versus online drug information databases
    Among the PDA databases, composite rankings, from highest to lowest, were as follows: Lexi-Drugs, Clinical Pharmacology OnHand, Epocrates Rx Pro, mobileMicromedex (now called Thomson Clinical Xpert), and Epocrates Rx free version. In terms of composite scores, only the online versions of Clinical Pharmacology and Micromedex demonstrated superiority over their PDA versions (p>0.01). Conclusions: Lexi-Drugs performed significantly better than all of the other PDA databases evaluated. No PDA database demonstrated superiority to its online counterpart.

    Marriott E-Health Record System Spots Medical Mishaps
    Marriott rolled out to 50,000 workers nationwide access to a Web-based personal health record system from ActiveHealth Management after piloting the system with a smaller group of users a few months ago. ActiveHealth members go online and fill out a health risk assessment, answering questions such as whether they smoke, as well as other information about their medical history. This data becomes part of the person's personal health record and is combined with data ActiveHealth collects from other sources. ActiveHealth's CareEngine system analyzes patients' data -- including medical and pharmacy claims data and lab results -- and compares it with thousands of evidence-based clinical rules, metrics, and algorithms.

    Design and Implementation of an Interactive Website to Support Long-Term Maintenance of Weight Loss
    Key interactive features of the final site include social support, self-monitoring, written guidelines for diet and physical activity, links to appropriate websites, supportive tools for behavior change, check-in accountability, tailored reinforcement messages, and problem solving and relapse prevention training. The mean age of the 348 participants enrolled in an ongoing randomized trial and assigned to use the website was 56 years; 63% were female, and 38% were African American. While weight loss data will not be available until mid-2008, website use remained high during the first year with over 80% of the participants still using the website during month 12.





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