ISABEL Interfaced with EMR - Impact on diagnosis error, patient, safety and quality of care
Isabel (Isabel Healthcare Inc, USA), a Web-based diagnosis reminder system is an award-winning, diagnosis decision support system designed by clinicians to enhance the quality of diagnosis decision making. For a given set of clinical features Isabel instantly provides a checklist of likely diagnoses including bio-terrorism conditions, related diagnoses and causative drugs. Isabel has been independently evaluated in a number of studies. Isabel is available over the Internet at www.isabelhealthcare.com.

Oregon Health Science University's 10x10 Clinical Informatic Offering to Begin in July, 2006!
The 10x10 program aims to provide introductory training to build the workforce that will enable information technology to improve the quality, safety, and cost-effectiveness of health care. Since the program was launched in 2005, over 120 people have completed the course, with many going to advanced study in the field. The next offering of the course runs from July to November, 2006.

Funding RHIO Startup and Financing for Life: The Survey of Regional Health Information Organization Finance Findings
FIFTY U.S. RHIOs reported on financial information, stakeholder leadership and financial participation over the lifecycle of their organizations, from startup through a transitional period and on into the mature production stage. The report discusses financial leadership/management, as well as contributed and earned revenue participants and methodologies, at each lifecycle stage.

Types of Unintended Consequences Related to Computerized Provider Order Entry
Unintended adverse consequences (UACs) fell into nine major categories (in order of decreasing frequency): 1) more/new work for clinicians, 2) unfavorable workflow issues, 3) never ending system demands, 4) problems related to paper persistence, 5) untoward changes in communication patterns and practices, 6) negative emotions, 7) generation of new kinds of errors, 8) unexpected changes in the power structure, and 9) overdependence on the technology. Clinical decision support features introduced many of these unintended consequences. Identifying and understanding the types and in some instances the causes of unintended adverse consequences associated with CPOE will enable system developers and implementers to better manage implementation and maintenance of future CPOE projects.

The Story Behind the Development of the First Whole-body Computerized Tomography Scanner as Told by Robert S. Ledley
Dr. Robert S. Ledley is credited with sowing the seeds for the field of medical informatics, initiating the development of computerized medical image analysis, and for being the principal investigator of the Protein Information Resource (PIR) for 20 years. Dr. Ledley is best known for developing the first whole-body computerized tomography (CT or CAT) scanner in 1973 (Patent No. 3,922,552), which revolutionized diagnostic medicine. The following story describes his efforts to develop this scanner.

Short reviews of recent articls on Clinical Informatics
This is new section on the ClinfoWiki. The goal is to help people become more familiar with recent contributions to the literature in the field of clinical informatics. Feel free to jump in and edit or add to any of these reviews.