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 > May 15, 2006 : Vol.9 No.10
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Reducing warfarin medication interactions: an interrupted time series evaluation
At baseline, nearly a third of patients had an interacting prescription. Coinciding with the alerts, there was an immediate and continued reduction in the warfarin-interacting medication prescription rate (from 3294.0 to 2804.2 per 10,000 warfarin users per month), resulting in a 14.9% relative reduction (95% confidence interval, -19.5 to -10.2) at 12 months.

Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis
After CPOE deployment, daily chemotherapy orders were less likely to have improper dosing (relative risk [RR], 0.26; 95% confidence interval [CI], 0.11-0.61), incorrect dosing calculations (RR, 0.09; 95% CI, 0.03-0.34), missing cumulative dose calculations (RR, 0.32; 95% CI, 0.14-0.77), and incomplete nursing checklists (RR, 0.51; 95% CI, 0.33-0.80).

Fitch Rates Kaiser Permanente 2006 Bonds 'A+/F1'; Upgrades Outstanding Debt to 'A+'
Kaiser's ratings reflect its solid financial profile and the underlying strength of Kaiser's integrated health care delivery system. Additional credit strengths include Kaiser's strong brand name recognition, strong market share in all of its markets, and potential benefits of a KP Health Connect, Kaiser's new clinical information system. (Ed. Now here is a real benefit from implementation of a clinical information system.)

Google Co-op page for the health topic
Google Co-op gives you a way to improve search in the topics you know best. If you're a doctor, for instance, with specific expertise in a particular disease, you can contribute by using the labels in the health topic to annotate all the webpages that you know provide useful, reliable information about that disease. Your patients and other Google users could then subscribe to your labels and benefit from your expertise.

Who’s Using PDAs? Estimates of PDA Use by Health Care Providers: A Systematic Review of Surveys
Younger physicians and residents and those working in large and hospital-based practices are more likely to use PDAs. The adoption rate is now at its highest rate of increase according to a commonly accepted diffusion of innovations model. A common problem with the evaluation of information technology is that use frequently precedes research. This is the case here, in which PDA adoption rates are already high and projections are for rapid growth in the short term. In general, it appears that professional PDA use in health care settings involves more administrative and organizational tasks than those related to patient care, perhaps signaling where the growth in adoption is most likely to occur.

Medical researchers set records straight
Today Regenstrief's technology is used by major hospitals around Indianapolis to securely transmit lab results and other patient information from location to location as part of the Indiana Health Information Exchange's clinical messaging system. In addition, Regenstrief's Indianapolis Network for Patient Care helps emergency room physicians quickly access information on patients. (Note: some great recognition for a great group of researchers!)

Ohio University continues to take steps to secure computer systems against attempts to breach university databases.
Chicago-based AHIMA is piloting its e-HIM Virtual Lab with 1,900 students and instructors from 47 academic programs around the country. Its aim is to have 100 academic programs and 4,000 students participating by the end of 2007. The test "lab" includes applications for patient identification, administrative and reimbursement coding, data capture, and abstracting. Additional applications scheduled for implementation this year include electronic document management, documentation quality management, dictation, transcription, speech recognition and natural language processing.

AHIMA Piloting Virtual I.T. Lab
Event 3: On Thursday, May 4, the IT Security Team discovered that a computer system affiliated with Hudson Health Center had been compromised. The compromised system contained personal information on approximately 60,000 current and former students as well as some faculty and staff at Ohio University.In response to recent attacks against University computers and networks, OHIO has formed a Security Incident Response Team (SIRT) to take immediate and aggressive steps to inform members of the University community and to improve the security of data and IT resources on all Ohio University campuses. (Note: Whether true or not, it raises the question, what is your organization doing to prevent such attacks?)

FDA moves to make prescription drug labelling info more accessible
The FDA's adoption of the Systematized Nomenclature of Medicine (SNOMED) codes to encode the highlights section of drug labelling could be one of the most significant advances in patient care since the introduction of automated drug-drug and drug-allergy checking software.





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