Revision as of 20:26, 3 November 2005

The Clinical Informatics Wiki -- Clinfowiki

The Clinical Informatics Wiki is version of a wikipedia devoted to topics in clinical informatics.

Please see documentation on customizing the interface and the User's Guide for usage and configuration help.

You can test your edits as much as you want in the Sandbox.

We are currently working on 1,582 articles, and we need your help to complete this study of Clinical Informatics. See Special:Statistics for more complete information on the site.

Electronic Medical Record Systems

• Clinician Sign-out applications
• Free and Open Source EMRs

Computer-based Provider Order Entry -- CPOE

• History
• Project Governance
• Readiness Assessment
• Setting up the Project Team
• System Selection
  1. Creating the Request for Proposals
  2. Making Site Visits
• System Configuration
  1. Co-signing rules
  2. Time-out settings
  3. Password Strength - length, frequency of change, etc.
  4. Dealing with Patient Transfers
  5. Using Controlled Medical Terminologies
     1. RxNorm
     2. LOINC - Logical Observation Identifiers Names and Codes
• Implementation Strategies
  1. Big Bang vs. Incremental Roll-out
• Physical Computing Environment
  1. Office Setting
     1. Effect of Computers in the Examination Room
  2. Inpatient Setting
     1. Wall Mounted Computers
     2. Desktop Computers
     3. Mobile Computers
        1. Laptop Computers
        2. Tablet Computers
        3. Handheld Computers
  3. Emergency Department Setting
  4. Mobile Computers
• Monitoring and Evaluation
  1. Study Designs
• Unintended Consequences
  1. Increased Resource Utilization
  2. Emotional Reactions

Clinical Decision Support -- CDS

• Overview
  1. General system features associated with improvements in clinical practice
• Modes of Interaction
  1. Interpretation
  2. Consultation
  3. Monitoring
  4. Critiquing
  5. Teaching
• Order Sets
• Information Resources
• Alerts and Reminders
  1. Drug-drug Interactions
  2. Drug-Allergy Interactions
  3. Alert Fatigue?
  4. Alert placement in clinical workflow
• Examples available on the web
  1. GIDEON (Global Infectious Diseases and Epidemiology Network)

Personal Health Records -- PHRs

• Standards based
  1. HL7 CDA
  2. openEHR
  3. ASTM CCR

Regional Health Information Organizations RHIOs

• Governance Models
• Technical Models
• Example Communities

External Links

Website of the Provider Order Entry Team from Oregon Health & Science University

Improving Outcomes with Clinical Decision Suppport: An Implementer's Guide, Health Information Management and Systems Society, 2005.