Quality of health care: informatics foundations

A. Hasman; C. Safran; H. Takeda

doi:10.1055/s-0038-1638160

Yearbook of Medical Informatics, Inhaltsverzeichnis

Yearb Med Inform 2003; 12(01): 143-152
DOI: 10.1055/s-0038-1638160

Review

Georg Thieme Verlag KG Stuttgart

Quality of health care: informatics foundations

A. Hasman

^aDepartment of Medical Informatics University Maastricht The Netherlands

,

C. Safran

^bHarvard Medical School Boston, MA and Clinician Support Technology Newton, MA, USA

,

H. Takeda

^cDepartment of Medical Information Science, Graduate School of Medicine Osaka University, Japan

› Institutsangaben

Abstract

Abstract:

In this article we will discuss in what ways computer systems can contribute to the quality of healthcare and on which principles of informatics successful systems are founded. Section 2 presents an overview of studies that investigate the usefulness of decision support, and Section 3 discusses factors that determine the success of decision support systems. The foundations of guideline systems are presented in Section 4. Section 5 offers a brief review of physician order entry, and Section 6 presents a discussion of medical risk management and the results of Japanese studies in this area.

Volltext

Referenzen

References
1 Miller RA., Pople HE., Myers JD.. INTERNIST-1, an experimental computer- based diagnostic consultant for general internal medicine. N Engl J Med 1982; 307: 468-76.
2 Berman L., Miller RA.. Problem area formation as an element of computer aided diagnosis: a comparison of two strategies within Quick Medical Reference (QMR). Methods Inf Med 1991; 30: 90-5.
3 Lau LM., Warner HR.. Performance of a diagnostic system (Iliad) as a tool for quality assurance. Comput Biomed Res 1992; 25: 314-23.
4 Feldman MJ., Barnett GO.. An approach to evaluating the accuracy of Dxplain. Comput Methods Programs Biomed 1991; 35: 261-6.
5 Blois MS.. Information and medicine. The nature of medical descriptions. Berkeley, CA: University of California Press; 1984
6 Kohn LT., Corrigan JM., Donaldson MS.. editors To Err Is Human: Building a Safer Health Care System. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National Academy Press; 1999
7 Staender S., Davies J., Helmreich B., Sexton B., Kaufmann BM.. The anaesthesia critical incident reporting system: an experience based database. Int J Med Inf 1997; 47: 87-90.
8 Fox J., Das S.. Safe and sound: artificial intelligence in hazardous applications. Menlo Park, CA: AAAI Press/ The MIT Press; 2000
9 Kobus DA., Amundson D., Moses JD., Rascona D., Gubler KD.. A computerized medical incident reporting system for errors in the intensive care unit: initial evaluation of interrater agreement. Mil Med 2001; 166: 350-3.
10 Stanhope N., Crowley-Murphy M., Vincent C., O’Connor AM., Taylor-Adams SE.. An evaluation of adverse incident reporting. J Eval Clin Pract 1999; 5: 1-4.
11 Deming W.. Out of the Crisis. Boston: MIT Press; 1982
12 Blumenthal D., Scheck AC.. Improving Clinical Practice. San Francisco: Jossey- Bass; 1995
13 Berner ES., Webster GD., Shugerman AA.. et al. Performance of four computer-based diagnostic systems. N Engl J Med 1994; 330: 1792-6.
14 Elstein AE., Friedman CP., Wolf FM et al.. Effects of a decision support system on the diagnostic accuracy of users: a preliminary report. J Am Med Inform Assoc 1996; 3: 422-8.
15 Friedman CP., Elstein AE., Wolf FM.. et al. Enhancement of clinician’s diagnostic reasoning by computer based consultation. A multi-site study of 2 systems. J Am Med Inform Assoc 1999; 282: 1851-6.
16 Balas EA., Austin SM., Mitchell JA., Ewigman BG., Bopp KD., Brown GD.. The clinical value of computerized information services. A review of 98 randomized clinical trials. Arch Fam Med 1996; 5: 271-6.
17 Shea S., Dumouchel W., Bahamonde L.. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. JAm Med Inform Assoc 1996; 3 (06) 399-409.
18 Austin SM., Balas EA., Mitchel JA., Ewigman BG.. Effect of physician reminders on preventive care: metaanalysis of randomised clinical trials. J Am Med Inform Assoc 1994; 1 suppl 121-4.
19 Johnston ME., Langton KB., Haynes RB., Mathieu A.. Effects of computer-based clinical decision support systems on clinical performance and patient outcome. Ann Intern Med 1994; 120: 135-42.
20 Hunt DL., Haynes RB., Hanna SE., Smith K.. Effects of computer-based clinical decision support systems on physician performance and patient outcomes. JAMA 1998; 280: 1339-46.
21 Balas EA., Weingarten S., Garb CT., Blumenthal D., Boren SA., Brown GD.. Improving preventive care by prompting physicians. Arch Intern Med 2000; 160: 301-8.
22 Oxman AD., Thomson MA., Davis DA., Haynes RB.. No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. Can Med Assoc J 1995; 153 (10) 1423-31.
23 Field MJ., Lohr KN.. eds Clinical practice guidelines: directions for a new program. Washington DC: National Academy Press; 1990
24 Grimshaw JM., Russel IT.. Effects of clinical guidelines on medical practice: a systematic review of rigorous evaluation. Lancet 1993; 342: 1317-1322.
25 Field MJ., Lohr KN.. eds Guidelines for clinical practice guidelines: from development to use. Washington DC: National Academy Press; 1992
26 Payne TH.. Computer decision support systems. Chest 2000; 118: 47S-52S.
27 Teich JM., Wrinn MM.. Clinical decision support systems come of age. MD Comput 2000; 17 (01) 43-6.
28 Reggia JA., Tuhrim S.. Computer-assisted medical decision making. Volumes 1 and 2. New York: Springer Verlag; 1985
29 Miller PL.. Selected topics in medical artificial intelligence. New York: Springer Verlag; 1988
30 Hripcsak G., Ludemann P., Pryor TA., Wigertz OB., Clayon PD.. Rationale for the Arden Syntax. Comput Biomed Res 1994; 27 (04) 291-324.
31 Ohno-Machado L., Gennari JH., Murphy S., Jain NL., Tu Sw.. et al. The Guideline Interchange Format: A model for representing guidelines. J Am Med Inform Assoc 1998; 5 (04) 357-72.
32 Peleg M., Boxwala A., Ogunyemi O., Zeng Q., Tu SW.. et al. GLIF3: the evolution of a guideline representation format. In: Proc. AMIA Annual Symposium 2000; 645: 9.
33 Fox J., Johns N., Lyons C., Rahmanzadeh A.. et al. PROforma: a general technology for clinical decision support systems. Comput Methods Programs Biomed 1997; 54 1-2 59-67.
34 Shahar Y., Miksch S., Johnson P.. The Asgaard project: a task specific framework for the application and critiquing of timeoriented clinical guidelines. Artif Intell Med 1998; 14 1-2 29-51.
35 Musen MA., Tu SW., Das AK., Shahar Y.. EON: a component based approach to automation of protocol-directed therapy. J Am Med Inform Assoc 1996; 3 (06) 367-88.
36 Grosso WE., Eriksson H., Fergerson RW., Gennari JH., Tu SW., Musen MA.. Knowledge Modeling at the Millennium (The Design and Evolution of Protégé- 2000). Twelfth Workshop on Knowledge Acquisition, Modeling and Management (KAW’99). 1999
37 De Clercq PA., Hasman A., Blom JA., Korsten HHM.. Design and implementation of a framework to support the development of clinical guidelines. Int J Med Inf 2001; 64 2-3 285-318.
38 McDonald CJ., Overhage JM., Tierney WM.. et al. The Regenstrief Medical Record System: a quarter century experience. Int J Med Inf 1999; 54 (03) 225-53.
39 Matsumura Y., Takeda H., Inoue M.. Implementation of the totally integrated hospital information system (HUMANE) in Osaka university hospital. In Greenes RA., Peterson HA., Protti DJ.. editors Medinfo ’95. North-Holland, Amsterdam: 1995: 590-3.
40 Sittig DF., Stead WW.. Computer-based physician order entry: the state of the art. J Am Med Inform Assoc 1994; 1: 108-23.
41 Haruki Y., Ogushi Y., Okada Y., Kimura M., Kumamoto I., Sekita Y.. Status and perspective of hospital information systems in Japan. Methods Inf Med 1999; 38: 200-6.
42 Nakajima K., Kuwata S., Matsumura SY., Oshima H., Takeda H.. Operation and effects of computerized incident reporting system for prevention of medical adverse events. J Japanese Med Inform Assoc 2001; 21: 77-82.
43 Takeda H., Matsumura Y., Okada T., Kuwata S., Inoue M.. A Japanese approach to establish an electronic patient record system in an intelligent hospital. Int J Med Inform 1998; 49: 45-51.
44 Matsumura Y., Takeda H., Okada T., Kuwata S., Hiroaki N., Hazumi N.. et al. Devices for structured data entry in electronic patient record. In Cesnik B., McCray AT., Scherrer JR.. editors Medinfo ’98. Amsterdam: IOS Press; 1998: 85-8.
45 Matsumura Y., Kuwata S., Kusuoka H., Takahashi Y., Onishi H., Kawamoto T.. et al. Dynamic Viewer of Medical Events in Electronic Medical Record. In Patel VL., Rogers R., Haux R.. editors Medinfo ’2001. Amsterdam: IOS Press; 2001: 648-52.
46 Kondoh H., Takeda H., Matsumura Y., Kuwata S., Yoshimua H., Narumi Y.. et al. PACS linked to EPR. In Patel VL., Rogers R., Haux R.. editors Medinfo ’2001. Amsterdam: IOS Press; 2001: 915-8.