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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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