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The Effect of Automated Alerts on Provider Ordering Behavior in an Outpatient Setting Focusing on 18 high-volume and high-risk medications revealed a significant increase in the percentage of time the provider
stopped
the ordering process and did not complete the medication order when an alert for an abnormal rule-associated laboratory result
was displayed
(5.6% vs. 10.9%, p = 0.03, Generalized Estimating Equations test). The provider also increased ordering of the rule-associated
laboratory
test when an alert was displayed (39% at baseline vs. 51% during post intervention, p < 0.001).
A trial of automated decision support alerts for contraindicated medications using computerized physician order entry The likelihood of a patient receiving at least one dose of contraindicated drug after the order was initiated decreased from
89% to
47% (p < 0.0001) after alert implementation. Analysis of the alerts seen by housestaff showed that alert compliance was higher
in male
patients (57% vs. 38%, p = 0.02), increased with the duration of housestaff training (p = 0.04), and increased in patients
with worsening
renal function (p = 0.007).
Computer aid for decision to biopsy breast masses on mammography: validation on new cases Using a 100% sensitivity cutoff threshold established on the training data (100% negative predictive value), the classifier
correctly identified 100% of the malignant masses in the validation test set, while potentially obviating 26% of the biopsies
performed on
benign masses.
Seven Steps to a Business Case 1. Understand Your Business Goal; 2. Let the Numbers Talk; 3. Present Various Scenarios; 4. Consider Your Culture; 5. Give
Nonfinancials Their Due; 6. Include Collateral Costs; 7. Consult Business Partners
Will the Future Be a Trillion Times Better? "The Singularity Is Near" is startling in scope and bravado. Mr. Kurzweil envisions breathtakingly exponential progress,
and he is merely extrapolating from established data. To his way of thinking, "when scientists become a million times more
intelligent
and operate a million times faster, an hour would result in a century of progress (in today's terms)."
Unattended PCs a menace, says Gartner The main risk is that confidential information could be accessed and changed as a means of carrying out fraud, but the tendency
of
employees to send bogus or prank e-mails is also noted. A less obvious but equally damaging issue is that lax PC security
offered employees
gaining illegal access to data a cover of plausible deniability for their actions. There is little point in implementing some
sort of
sophisticated identity and access management system unless you can ensure that when people are logged in to systems, they
stay at their
PCs.
Automation of a problem list using natural language processing The global aim of this project is to automate the process of creating and maintaining a problem list for hospitalized patients
and
thereby help to guarantee the timeliness, accuracy and completeness of this information.
Medical groups' adoption of electronic health records and information systems This article surveyed a nationally representative sample of medical group practices to assess their current use of information
technology (IT). Their results suggest that adoption of electronic health records (EHRs) is progressing slowly, at least in
smaller
practices. The process of choosing and implementing an EHR appears to be more complex and varied than expected.
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