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 > Apr 15, 2008 : Vol.11 No.8
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Health IT Bibliography
The Health IT Bibliography is a collection of carefully selected, high quality resources for health care and information technology (IT) stakeholders searching for information on how health IT can transform care delivery processes and improve quality, safety, and efficiency.

An electronic prompt in dispensing software to promote clinical interventions by community pharmacists: a randomized controlled trial
Each time an oral antidiabetic agent was dispensed, a prompt was displayed reminding pharmacists to discuss the suitability of aspirin therapy in eligible patients with diabetes. All of the targeted clinical interventions were recorded in the prompt arm; no targeted interventions were recorded in the control group. The effect of the prompt decreased over the study period and was not maintained after prompt deactivation.

New group forms to focus on interoperability
Open Health Tools' stated mission is to accelerate the implementation of electronic health information interoperability platforms, which improve patient quality of care, safety and access to electronic health records. The new tools will be available under an open source agreement so that anyone may use them to provision interoperable healthcare platforms to link clinics, hospitals, pharmacies and other points of care to make the healthcare system more efficient, OHT officials said.

The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review
CPOE with CDS contributed to a statistically significant (P < or = .05) decrease in ADEs in 5 (50.0%) of the 10 studies. Four studies (40.0%) reported a nonstatistically significant reduction in ADE rates, and 1 study (10.0%) demonstrated no change in ADE rates.

Executive support and financial incentives helped Partners HealthCare catapult EMR adoption to new heights
As of September 2007, an astonishing 86 percent of Partners’ primary care physicians were using an electronic medical record (EMR) system. What’s more, the Boston-based integrated health care provider aims to have 100 percent of those physicians onboard by year’s end.

Carefx announced the “go live” of its integrated, open systems platform for the Louisiana Rural Health Information Exchange (LARHIX)
The integrated platform employs a federated model that offers clinicians secure, anywhere, anytime access to a portal-based view of patient-centric data housed in disparate applications across multiple hospitals. Fusion from Carefx provides the platform, architecture and aggregate view of real-time patient data. IBM Websphere provides the portal framework while user authentication and single sign-on, policy-based authorization, identity federation, and auditing of access is provided by CA’s Identity & Access Management suite of products. The architecture and data flow among the four technology partners ensures accurate patient identification based on an enterprise master person index (EMPI) supplied by Initiate Systems.





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