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Special online issue focusing on patients and caregivers 关注患者和护理人员的在线特刊
Pub Date : 2015-04-01 DOI: 10.1093/jamia/ocv042
L. Ohno-Machado
This special focus issue contains prime examples of how our field is changing—technology and processes increasingly involve patient interaction with systems such as patient portals and health promotion apps, and joint decision-making with health care providers. A report from AMIA’s policy meeting (see page e2) discusses the role our professional society can play in ensuring that systems—for care, collaboration, and communication—become more patient centered than they are today.This issue of JAMIA covers a large number of patient-centered topics. A brief communication by Gelb (see page e39) discusses how to direct the public to evidence-based content online. …
这个特别的焦点问题包含了我们的领域如何变化的主要例子-技术和流程越来越多地涉及患者与系统(如患者门户和健康促进应用程序)的互动,以及与医疗保健提供者的联合决策。AMIA政策会议的一份报告(见第2页)讨论了我们的专业协会在确保护理、合作和交流系统比现在更加以病人为中心方面可以发挥的作用。本期《jama》涵盖了大量以患者为中心的主题。Gelb的一份简短报告(见e39页)讨论了如何引导公众浏览基于证据的在线内容。…
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引用次数: 0
2014 AMIA Annual Symposium 2014年AMIA年会
Pub Date : 2014-09-01 DOI: 10.1136/amiajnl-2014-003170
B. Westra
The 2014 AMIA Annual Symposium is just around the corner. There were more than 1080 submissions this year, the most ever submitted to AMIA. We continue the tradition of having scientific papers, posters, demonstrations, tutorials, and symposia to share cutting edge knowledge with participants. This year we have expanded the working group symposia which provide an opportunity for networking and the sharing of specialty knowledge between AMIA members. We have two exciting keynote speakers: Amy Abernethy, MD, PhD is a leader in NIH and PCORI's patient-centered outcomes research and Karen DeSalvo, MD, MPH, MSc is the new National Coordinator for Health Information Technology.There are new features this year as well. We have added interactive panels with the goal of engaging the audience in the discussion and debate of various topics or encouraging them to contribute ideas for advancing work in a particular area. Panelists will have 5 min each to present their points of view on controversial topics, and then will engage the audience …
2014年AMIA年会即将召开。今年有超过1080份申请,是提交给AMIA最多的一年。我们延续了科学论文、海报、演示、教程和专题讨论会的传统,与参与者分享前沿知识。今年,我们扩大了工作组专题讨论会,为AMIA成员之间建立网络和分享专业知识提供了机会。我们有两位令人兴奋的主题演讲者:Amy Abernethy,医学博士,博士是NIH和PCORI以患者为中心的结果研究的领导者,Karen DeSalvo,医学博士,公共卫生硕士,理学硕士是新的国家卫生信息技术协调员。今年也有新的功能。我们增加了互动小组,目的是让观众参与各种主题的讨论和辩论,或鼓励他们为推进特定领域的工作贡献想法。小组成员将有5分钟的时间就有争议的话题发表自己的观点,然后与观众互动。
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引用次数: 2
Informatics support for clinical decisions 临床决策的信息学支持
Pub Date : 2014-05-01 DOI: 10.1136/amiajnl-2014-002815
L. Ohno-Machado
The utilization of Clinical Decision Support (CDS) systems is increasing with implementation of Electronic Health Record (EHR) systems across the USA. One of the first and most studied CDS applications has been computerized provider order entry (CPOE), particularly CPOE related to medications. Many EHR systems check drug dosage, allergies, and drug-drug interactions as clinicians enter their orders, and issue alerts as needed. However, alert overriding in CPOE systems is common practice. Nanji et al ( see page 487 ) reports that over 50% of alerts are overridden at a particular academic health center and proposes how to decrease unintended CPOE effects on workflows and communications ( see page 481 ). Related to workflows, Coiera ( see page 414 ) offers a model to study workspaces in which critical communications among clinicians occur.Many articles in this issue focus on medication management, including three systematic reviews that address barriers and facilitators …
临床决策支持(CDS)系统的使用随着电子健康记录(EHR)系统在美国的实施而增加。第一个也是研究最多的CDS应用之一是计算机化提供者订单输入(CPOE),特别是与药物相关的CPOE。许多EHR系统在临床医生输入医嘱时检查药物剂量、过敏和药物-药物相互作用,并根据需要发出警报。然而,在CPOE系统中,警报重写是常见的做法。Nanji等人(见第487页)报告说,在一个特定的学术医疗中心,超过50%的警报被覆盖,并提出了如何减少意外的CPOE对工作流和通信的影响(见第481页)。关于工作流程,Coiera(见第414页)提供了一个模型来研究临床医生之间发生关键沟通的工作空间。这期的许多文章都集中在药物管理上,包括三个系统的评论,解决障碍和促进因素……
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引用次数: 0
First diplomates board certified in the subspecialty of clinical informatics 第一个获得临床信息学亚专业认证的文凭委员会
Pub Date : 2014-03-01 DOI: 10.1136/amiajnl-2014-002668
Blackford Middleton
The purpose of the Messages from AMIA section is to provide a forum for AMIA to inform and involve its current and potential members about the goals and the directions of the association. These messages, which reflect the directions and opinions of AMIA leaders only, are intended to inspire members and readers to connect with the association on strategic objectives and activities. See also http://www.amia.org/presidents-page.The newly certified diplomates in the subspecialty of clinical informatics received notice of their board certification in December 2013, a development that will contribute to the major systemic overhaul that is underway in healthcare delivery. As leaders in the field, these subspecialists are expected to apply innovative informatics solutions within health systems and encourage interdisciplinary collaboration to improve the value of care delivered.The American Medical Informatics Association (AMIA) has led development of the new clinical informatics subspecialty, working for more than 5 years to define and help create the discipline with the goal of advancing the field and the role of informaticians in improving healthcare. The creation of …
“AMIA讯息”部分的目的是为AMIA提供一个论坛,让其现有和潜在会员了解协会的目标和方向。这些信息仅反映了AMIA领导人的方向和意见,旨在激励会员和读者就战略目标和活动与协会建立联系。另见http://www.amia.org/presidents-page.The临床信息学亚专业的新认证文凭于2013年12月收到了其委员会认证的通知,这一发展将有助于正在进行的医疗保健服务的重大系统改革。作为该领域的领导者,这些专科医生有望在卫生系统内应用创新的信息学解决方案,并鼓励跨学科合作,以提高所提供护理的价值。美国医学信息学协会(AMIA)领导了新的临床信息学亚专业的发展,工作了5年多的时间来定义和帮助创建学科,目标是推进该领域和信息学家在改善医疗保健方面的作用。创造……
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引用次数: 3
President's column: the community imperative - Share to Care and Cure 主席专栏:社区的当务之急-分享关怀和治疗
Pub Date : 2013-11-01 DOI: 10.1136/AMIAJNL-2013-002299
K. Fickenscher
The purpose of the Messages from AMIA section is to provide a forum for AMIA to inform and involve its current and potential members about the goals and the directions of the association. These messages, which reflect the directions and opinions of AMIA leaders only, are intended to inspire members and readers to connect with the association on strategic objectives and activities. See also http://www.amia.org/presidents-page.The magnitude of change in the innovation and use of electronic health records (EHRs) and personal health records (PHRs) has been dramatic in recent years. The 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act stimulated the use of EHRs among providers and, coupled with the ubiquitous nature of the internet, created a comparable increase in the use of PHRs by consumers. As sophisticated, interoperable EHRs are used, individual patients are much more likely to receive the care ordered by their doctor, be monitored more carefully, and have their medical record available regardless of where they are seeking care.Those of us in the field of informatics know that these advances are slowly but surely moving us toward a learning health system . We also know that—as a result of digitizing healthcare information and analyzing the …
“AMIA讯息”部分的目的是为AMIA提供一个论坛,让其现有和潜在会员了解协会的目标和方向。这些信息仅反映了AMIA领导人的方向和意见,旨在激励会员和读者就战略目标和活动与协会建立联系。另见http://www.amia.org/presidents-page.The近年来,电子健康记录(EHRs)和个人健康记录(PHRs)的创新和使用发生了巨大的变化。2009年经济和临床健康卫生信息技术(HITECH)法案刺激了医疗服务提供者对电子病历的使用,再加上互联网的无所不在,消费者对医疗记录的使用也出现了相应的增长。由于使用了复杂的、可互操作的电子病历,单个患者更有可能接受医生的护理,受到更仔细的监控,并且无论他们在哪里寻求治疗,都可以获得他们的医疗记录。我们这些信息学领域的人知道,这些进步正在缓慢但肯定地将我们推向学习型卫生系统。我们也知道,由于医疗保健信息数字化和分析…
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引用次数: 1
Health surveillance using the internet and other sources of information 利用互联网和其他信息来源进行健康监测
Pub Date : 2013-05-01 DOI: 10.1136/amiajnl-2013-001812
L. Ohno-Machado
The rapid accumulation of large amounts of data from Internet searches, social network sites, and self-monitoring devices, in addition to the widespread adoption of electronic health records (EHR) in the past few years have increased opportunities as well as challenges in effectively integrating and using these data. JAMIA has recently issued requests for papers (RFPs) for two special issues: one is dedicated to EHR Phenotype Extraction, and another one is dedicated to Big Data. The first RFP addresses the problem that, even though they are electronic, the data in EHRs are not always easy to structure and to harmonise across different institutions. Scalable and reliable approaches to extract meaningful phenotypes that can be integrated with genetic and environmental data are urgently needed, and we expect to publish the best work in this area in this special issue. The second RFP relates to ‘meaningful use’ of big health-related data. We will feature …
来自互联网搜索、社交网站和自我监测设备的大量数据的快速积累,以及过去几年电子健康记录(EHR)的广泛采用,增加了有效整合和使用这些数据的机会和挑战。JAMIA最近发布了两个特刊的论文征集(rfp):一个是EHR表型提取,另一个是大数据。第一个RFP解决的问题是,尽管电子病历是电子的,但不同机构的电子病历中的数据并不总是容易构建和协调。迫切需要可扩展和可靠的方法来提取可与遗传和环境数据集成的有意义的表型,我们期望在这一期特刊上发表这一领域的最佳工作。第二个RFP涉及“有意义地使用”与健康相关的大数据。我们将介绍……
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引用次数: 1
Consistency or efficiency? A dilemma for designers 一致性还是效率?设计师的两难选择
Pub Date : 2012-11-01 DOI: 10.1136/AMIAJNL-2012-001254
M. Baysari, R. Day, J. Westbrook
In this issue of the journal, Russ et al 1 present a discussion of our paper.2 In our study, we found that prescribers were not utilizing all e-prescribing system functions, despite the functions’ potential to improve efficiency of work, and a consequence of this was the generation of clinically unnecessary alerts.2In their response, ‘When ‘technically preventable’ alerts occur, the design—not the prescriber—has failed,’1 Russ et al suggest that we have diagnosed the problem correctly (a discordance between …
在本期杂志中,Russ等人对我们的论文进行了讨论在我们的研究中,我们发现开处方者并没有利用所有的电子处方系统功能,尽管这些功能有提高工作效率的潜力,其结果是产生了临床不必要的警报。2在他们的回答中,“当‘技术上可预防的’警报发生时,是设计而不是处方方失败了”,1 Russ等人认为我们已经正确地诊断了问题(…
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引用次数: 1
President's column: making a difference 总统专栏:有所作为
Pub Date : 2012-07-01 DOI: 10.1136/amiajnl-2012-001105
K. Fickenscher
The purpose of the Messages from AMIA section is to provide a forum for AMIA to inform and involve its current and potential members about the goals and the directions of the association. These messages, which reflect the directions and opinions of AMIA leaders only, are intended to inspire members and readers to connect with the association on strategic objectives and activities. See also http://www.amia.org/presidents-page.As the new President and CEO of AMIA, I've been immersing feverishly in the ways of AMIA. I've talked with many leaders in the field and the organization to distill their advice concerning the future course of AMIA. The flood of information from all directions is at times a bit overwhelming and reminds me of my first days in med school at the University of North Dakota. But, if one listens and focuses, one learns … and, I am learning!What connections do I have with informatics? As a young family physician, I not only practiced, but also served as the founding Director of The Center for Rural Health at the University of North Dakota. In my work with rural communities, I came to the conclusion that if we had better information systems and robust connections between the rural providers and the larger healthcare delivery systems, we could markedly enhance the quality of care for the people living in rural America. Those formative years lit my flame of passion for informatics which has continued in my work as a leader in large healthcare systems and in new industry efforts related to web-based health education and electronic information systems. I have long felt inspired, even compelled, to pursue work that involved creating knowledge from information to improve healthcare .Here at AMIA, my clinical and industry background makes me a different kind of leader for …
“AMIA讯息”部分的目的是为AMIA提供一个论坛,让其现有和潜在会员了解协会的目标和方向。这些信息仅反映了AMIA领导人的方向和意见,旨在激励会员和读者就战略目标和活动与协会建立联系。也见http://www.amia.org/presidents-page.As AMIA的新总裁兼首席执行官,我一直沉浸在AMIA的方式狂热。我与该领域和该组织的许多领导人进行了交谈,以提取他们对AMIA未来进程的建议。从四面八方涌来的信息有时让我有点不知所措,这让我想起了我在北达科他州大学医学院的第一天。但是,如果一个人倾听并集中注意力,他就会学习……而且,我正在学习!我和信息学有什么联系?作为一名年轻的家庭医生,我不仅行医,而且还是北达科他州大学农村卫生中心的创始主任。在我与农村社区的合作中,我得出了这样的结论:如果我们有更好的信息系统,并在农村医疗服务提供者和更大的医疗服务系统之间建立起牢固的联系,我们就可以显著提高生活在美国农村的人们的医疗质量。那些成长的岁月点燃了我对信息学的热情之火,这种热情在我作为大型医疗保健系统的领导者以及与基于网络的健康教育和电子信息系统相关的新行业的努力中一直持续着。长期以来,我一直感到鼓舞,甚至是被迫,从事从信息中创造知识以改善医疗保健的工作。在AMIA,我的临床和行业背景使我成为一个不同类型的领导者……
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引用次数: 0
Where do we stand in the maze of health information systems? 我们在错综复杂的卫生信息系统中处于什么位置?
Pub Date : 2012-07-01 DOI: 10.1136/amiajnl-2012-001134
L. Ohno-Machado
This issue of JAMIA focuses on the opportunities and challenges for implementing and evaluating practical systems to handle health information for a variety of end users, including patients. Early on, electronic systems usually consisted of simple electronic health records (EHRs) with the purpose of providing clinicians with efficient access to patient information during the encounter. As our field evolved, selecting, implementing, and evaluating these systems became very complex, as EHR systems have increasingly added (a) EHR-based clinical data warehouses to support quality improvement and research, (b) clinical decision support (CDS) features, and (c) programming interfaces to support health information exchange (HIE) across different systems. As the informatics community takes important steps toward developing systematic frameworks to evaluate the cost-effectiveness of these different system features, JAMIA presents studies and perspectives that document the current state of development in health information systems.Two randomized controlled …
本期《JAMIA》聚焦于实施和评估实际系统以处理包括患者在内的各种最终用户的健康信息的机遇和挑战。早期,电子系统通常由简单的电子健康记录(EHRs)组成,目的是在会诊期间为临床医生提供对患者信息的有效访问。随着我们领域的发展,选择、实施和评估这些系统变得非常复杂,因为EHR系统越来越多地增加了(a)基于EHR的临床数据仓库,以支持质量改进和研究,(b)临床决策支持(CDS)功能,以及(c)编程接口,以支持跨不同系统的健康信息交换(HIE)。随着信息界朝着开发系统框架以评估这些不同系统特征的成本效益迈出重要步伐,JAMIA提出了记录卫生信息系统发展现状的研究和观点。两个随机对照…
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引用次数: 0
AMIA policy activities 协会的政策活动
Pub Date : 2012-05-01 DOI: 10.1136/amiajnl-2012-000813
D. Bates, M. Edmunds
The last few years have clearly been the most exciting ever for health information technology (HIT) policy. The nation has made a huge investment in HIT through the Recovery Act of 2009 and its HITECH provisions, on the premise that electronic health records and widespread information exchange can improve the quality, safety, and efficiency of our healthcare system and transform the care delivery experience for providers, patients, and families—all while helping to improve population health and health data systems. But implementation of such an ambitious program brings many challenges. We think that the next few years will be even more important for AMIA and other HIT stakeholders as we realistically face uncertainty about returns on the national investment.Our goals in writing this column are to describe the role of the AMIA and its Public Policy Committee (PPC), to highlight some accomplishments of past years, and to discuss some of the new activities going forward. Through many educational and advocacy efforts, AMIA and its members play a significant role in helping shape HIT policy, and AMIA serves as an independent voice around issues relating to HIT and informatics more broadly. AMIA's influence is enhanced by the diversity of its members' expertise, which includes clinical, public health, and consumer informatics, research, education, health administration, and computer sciences, among many others. Members in academic, government, corporate, and community settings …
过去几年显然是卫生信息技术(HIT)政策最激动人心的一年。在电子健康记录和广泛的信息交换可以提高医疗保健系统的质量、安全性和效率,并改变提供者、患者和家庭的医疗服务体验的前提下,国家通过2009年恢复法案及其HITECH条款,对医疗保健系统进行了巨大的投资,同时有助于改善人口健康和健康数据系统。但实施这样一个雄心勃勃的计划带来了许多挑战。我们认为,对于AMIA和其他HIT利益相关者来说,未来几年将更加重要,因为我们实际上面临着国家投资回报的不确定性。我们写这篇专栏的目的是描述AMIA及其公共政策委员会(PPC)的作用,强调过去几年的一些成就,并讨论一些即将开展的新活动。通过许多教育和宣传工作,AMIA及其成员在帮助制定HIT政策方面发挥了重要作用,AMIA在与HIT和信息学有关的问题上发挥了更广泛的独立声音。协会成员专业知识的多样性增强了协会的影响力,这些专业知识包括临床、公共卫生和消费者信息学、研究、教育、卫生管理和计算机科学等。学术、政府、企业和社区的成员……
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引用次数: 0
期刊
J. Am. Medical Informatics Assoc.
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