Quality of Health Care: Informatics Foundations

A. Hasman; C. Safran; H. Takeda

doi:10.1055/s-0038-1634377

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2003; 42(05): 509-518
DOI: 10.1055/s-0038-1634377

Original Article

Schattauer GmbH

Quality of Health Care: Informatics Foundations^[*]

A. Hasman

¹Department of Medical Informatics, University Maastricht, The Netherlands

,

C. Safran

²Harvard Medical School, Boston, MA and Clinician Support Technology, Framingham, MA, USA

,

H. Takeda

³Department of Medical Information Science, Graduate School of Medicine, Osaka University, 2-2, Yamada-oka, Suita, Japan

› Author Affiliations

Abstract

Summary

Objective: To discuss in what ways computer systems can contribute to the quality of healthcare and on which principles of informatics successful systems are based.

Methods: Part of the information was obtained via a literature search and part is based on the knowledge of the authors.

Results: The results of the literature search are reported. The answers to the questions whether decision support is useful and which factors determine its success, the foundations of computerized guidelines systems and applications of physician order entry and medical risk management are presented. Conclusions: Despite many publications concerning diagnostic support systems their use in clinical practice is limited. Reminder systems do appear to have an impact on health outcomes. Standards for guideline models are being developed for effective sharing of guidelines across systems. Electronic patient records and physician order entry systems are useful aids in medical risk management.

Keywords

Literature review - decision support - risk management - computerized guideline systems - guideline models - physician order entry systems - decision support methods

Full Text

References

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Quality of Health Care: Informatics Foundations[*]

Quality of Health Care: Informatics Foundations^[*]