MLA '06: Electronic Health Record Resources

Sunrise Seminar

Tuesday, May 23, 7:00 a.m.-8:15 a.m., Convention Center: Tuscan 39
Introduction to Clinical Information Systems for the Medical Librarian
Patti Corbett and Howard Strasberg
Wolters Kluwer Health and Ovid
This prelude to Wednesday's plenary session, Integrating Reference Information into the Electronic Health Record: Practice and Standards, is designed to provide an introduction to the world of clinical information systems and electronic medical records. The concepts of clinical workflow integration and the need for point of care information will be discussed. In addition, a wide array of current terms and acronyms will be demystified for the practicing medical librarian (e.g., clinical pathways, order sets, and CPOE). Finally, the role of the medical librarian as a key stakeholder in the development and implementation of these systems will be explored.

Selected List of Integrated Systems

• iConsult: http://iconsult.elsevier.com/demo.html
• eMedicine: http://www.emedicine.com/
• Cline-guide: http://www.clineguide.com/
• TheraDoc: http://www.theradoc.com/
• Micromedex: http://www.micromedex.com/
• Isabel: http://www.isabelhealthcare.com/
• Intelligent Medical Objects: http://www.e-imo.com/
• Zynx Health: http://www.zynx.com/
• More clinical decision support systems: http://www.openclinical.org/suppliers.html
  

Selected Reading

HL7 Infobutton Standard API Proposal. HL7 Clinical Decision Support Technical Committee. Prepared by Guilherme Del Fiol, Roberta Rocha, James Cimino. Draft, Feb 10, 2005. http://cslxinfmtcs.csmc.edu/hl7/arden/2005-05-AMS/HL7-Infobutton-API-2-10-05.doc

Improving outcomes with clinical decision support: an implementer's guide. Jerome Osheroff, Jonathan Teich, Dean Sittig, Robert Jenders. Healthcare Information Management and Systems Society, 2005. http://www.himss.org/ASP/topics_cds_workbook.asp?faid=108&tid=14

Chapter 10: Augmenting Systems for Users. In: Information retrieval: a health and biomedical perspective. William Hersh. 2nd ed. Springer-Verlag, 2003. [updated to 2005] http://medir.ohsu.edu/~hersh/irbook/updates/update10.html

Resolving clinicians' online information needs: a short history of buttons. James Cimino. Stanford Center Clinical Informatics, video lecture, Feb 11, 2005. http://clinicalinformatics.stanford.edu/scci_seminars/02_11_05.html

Evidence-based medical practice in the 21st century. EPS Focus Report, Jan 1, 2006.http://www.epsltd.com/clients/viewBriefingReport.asp

Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. Bates DW, et al. J Am Med Inform Assoc 2003 Dec:10(6):523-30. http://square.umin.ac.jp/DMIESemi/y2004/20040531/20040531_2.pdf

Clinical decision support for the independent physician practice. Metzger J, MacDonald K. First Consulting Group, 2002. http://www.chcf.org/topics/view.cfm?itemID=20050

Clinical Decision Support Bibliography

Applyby, Julie, Health spending rises at blistering pace. USA Today Cover Story, February 22, 2006.

Ely, John W., et al., Answering physicians' clinical questions: obstacles and potential solutions. Journal of the American Medical Informatics Association, Mar/April 2005, p. 217.

Ely, John W, et al., Obstacles to answering doctors' questions about patient care with evidence: qualitative study. BMJ 3/23/2002, p. 710.

Electronic Publishing Services Ltd. Evidence-based medical practice in the 21st century, EPS Focus Report. January 2006.

Fineberg, Harvey V., MD, PhD, Crossing health care's quality chasm. Guest editorial. Clinical Psychiatry News p. 10, April 2006.

Garg, Amit X., MD, et al., Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA 293:1223-1238, March 2005.

Green, Michael L. Why do residents fail to answer their clinical questions? A qualitative study of barriers to practicing evidence-based medicine. Academic Medicine, February 2005, p. 176.

Institute of Medicine Report-Crossing the Quality Chasm: A New Health System for the 21st Century, Committee on Quality of Health Care in America, National Academy Pres, March 2001, Washington, D.C.

Kawamoto, Kensaku, et al., Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ 330: 765, April 2005.

Ketchell, DS, et al., PrimeAnswers: a practical interface for answering primary care questions. Journal of the American Medical Informatics Association, Sep/Oct 2005, p. 537.

Rochon, Paula A., et al. Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care. CMAJ-JAMC 174:52-54, January 2006.

Savage, Richard, What clinical information do doctors need? BMJ 10/26/1996, p. 1062

Schilling, Lisa M, et al. Residents' patient-specific clinical questions: opportunities for evidence-based learning. Academic Medicine, January 2005, p. 51.

Steinbrook, Robert, Searching for the Right Search-Reaching the Medical Literature. New England Journal of Medicine, January 5, 2006, p. 4.

Exhibit Hall: EHR Integration with Vendors

A partial list of exhibitors (PDF, 13KB) that have existing or planned EHR products. The list is provided as convenience for MLA'06 attendees interested in EHR.