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