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The Practice of Clinical Decision Support: Applying Standards and Technology to Deliver Knowledge-Driven Interventions

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The Practice of Clinical Decision Support: Applying Standards and Technology to Deliver Knowledge-Driven Interventions American Medical Informatics Association Annual Symposium (AMIA 2012) Chicago, Illinois, USA 3-7 November 2012 Volume 1 of 3 ISBN: 978-1-62748-473-2 Printed from e-media with permission by: Curran Associates, Inc. 57 Morehouse Lane Red Hook, NY 12571 Some format issues inherent in the e-media version may also appear in this print version. Copyright© (2013) by the American Medical Informatics Association All rights reserved. Printed by Curran Associates, Inc. (2013) For permission requests, please contact the American Medical Informatics Association at the address below. American Medical Informatics Association 4915 St. Elmo Avenue, Suite 401 Bethesda, Maryland 20814 Phone: (301) 657-1291 Fax: (301) 657-1296 [email protected] Additional copies of this publication are available from: Curran Associates, Inc. 57 Morehouse Lane Red Hook, NY 12571 USA Phone: 845-758-0400 Fax: 845-758-2634 Email: [email protected] Web: www.proceedings.com TABLE OF CONTENTS Volume 1 THE PRACTICE OF CLINICAL DECISION SUPPORT: APPLYING STANDARDS AND TECHNOLOGY TO DELIVER KNOWLEDGE-DRIVEN INTERVENTIONS ...........................................................................................................................1 Robert Jenders, Guilherme Del Fiol, Kensaku Kawamoto THE LIFE CYCLE OF CLINICAL DECISION SUPPORT(CDS): CDS THEORY AND PRACTICE FROM REQUEST TO MAINTENANCE ....................................................................................................................................................................3 Joseph Kannry, David Bates, Tonya Hongsermeier, Michael Krall, Thomas Yackel ELECTRONIC TOOLS FOR COGNITIVE SUPPORT DURING RESIDENT HANDOFFS: STATE OF THE PRACTICE AND FUTURE DIRECTIONS ...................................................................................................................................................5 Karen Dunn Lopez, Vineet Arora, Andrew Johnson, Andrew Boyd, Gail Keenan, Diana Wilkie MANAGING THE FLOOD OF CODES: MAINTAINING PATIENT PROBLEM LISTS IN THE ERA OF MEANINGFUL USE AND ICD10 ...................................................................................................................................................................8 Samuel Rosenbloom, Edward Shultz, Adam Wright SAFER ELECTRONIC HEALTH RECORDS: USING THE SCIENCE OF INFORMATICS TO DEVELOP SAFETY ASSESSMENT GUIDES ................................................................................................................................................................11 Dean Sittig, Joan Ash, Adam Wright, Hardeep Singh THE SCIENCE BEHIND HEALTH INFORMATION TECHNOLOGY IMPLEMENTATION: UNDERSTANDING FAILURES AND BUILDING ON SUCCESSES.....................................................................................................14 Kim Unertl, Laurie Novak, Cindy Gadd, Nancy Lorenzi ENSURING PATIENT SAFETY IN CARE TRANSITIONS: AN EMPIRICAL EVALUATION OF A HANDOFF INTERVENTION TOOL ................................................................................................................................................................................17 Joanna Abraham, Thomas Kannampallil, Bela Patel, Khalid Almoosa, Vimla Patel DATA ANALYSIS: EVALUATION OF NANOSCALE CONTRAST AGENT ENHANCED CT SCAN TO DIFFERENTIATE BETWEEN BENIGN AND MALIGNANT LUNG CANCER IN MOUSE MODEL............................................27 Robert Bell, Deevakar Rogith, Craig Johnson, Cristian Badea, Khannan Athreya, Gabriela Espinosa, Darin Clark, David Kirsch, Ananth Annapragada, Ketankumar Ghaghada A SEMI-AUTOMATED AUTOMATED CLASSIFICATION OF PULMONARY HYPERTENSION BASED ON FEATURES OF COMPUTED TOMOGRAPHY PULMONARY ANGIOGRAPHY IMAGES ...........................................................36 Holly Berty, Marc Simon, Brian Chapman EVALUATING SEMANTIC RELATEDNESS AND SIMILARITY MEASURES WITH STANDARDIZED MEDDRA QUERIES .......................................................................................................................................................................................43 Robert Bill, Ying Liu, Bridget McInnes, Genevieve Melton, Ted Pedersen, Serguei Pakhomov TOWARD A VIRTUAL LIFETIME ELECTRONIC RECORD: THE DEPARTMENT OF VETERANS AFFAIRS EXPERIENCE WITH THE NATIONWIDE HEALTH INFORMATION NETWORK .....................................................51 Omar Bouhaddou, Jamie Bennett, Jennifer Teal, Margaret Pugh, Melissa Sands, Frank Fontaine, Marie Swall, Sanjay Dhar, Anthony Mallia, Brian Morgan, Timothy Cromwell LEXICAL CONCEPT DISTRIBUTION REFLECTS CLINICAL PRACTICE.....................................................................................61 Eugene Breydo, Maria Shubina, James Shalaby, Jonathan Einbinder, Alexander Turchin APPLYING AN ORGANIZATIONAL FRAMEWORK FOR HEALTH INFORMATION TECHNOLOGY TO ALERTS ............................................................................................................................................................................................................67 Colene Byrne, Eric Pan, Cynthia Russell, Scott Finley, Helga Rippen PUSH AND PULL: PHYSICIAN USAGE OF AND SATISFACTION WITH HEALTH INFORMATION EXCHANGE .....................................................................................................................................................................................................77 Thomas Campion, Jessica Ancker, Alison Edwards, Vaishali Patel, Rainu Kaushal CHARACTERIZING THE USE AND CONTENTS OF FREE-TEXT FAMILY HISTORY COMMENTS IN THE ELECTRONIC HEALTH RECORD ............................................................................................................................................................85 Elizabeth Chen, Genevieve Melton, Timothy Burdick, Paul Rosenau, Indra Sarkar AUDITING MEDICAL RECORDS ACCESSES VIA HEALTHCARE INTERACTION NETWORKS............................................93 You Chen, Steve Nyemba, Bradley Malin LEVERAGING DERIVED DATA ELEMENTS IN DATA ANALYTIC MODELS FOR UNDERSTANDING AND PREDICTING HOSPITAL READMISSIONS.................................................................................................................................103 Sharath Cholleti, Andrew Post, Jingjing Gao, Xia Lin, William Bornstein, Dedra Cantrell, Joel Saltz MEETING THE ELECTRONIC HEALTH RECORD “MEANINGFUL USE” CRITERION FOR THE HL7 INFOBUTTON STANDARD USING OPENINFOBUTTON AND THE LIBRARIAN INFOBUTTON TAILORING ENVIRONMENT (LITE) .....................................................................................................................................................112 James Cimino, Xia Jing, Guilherme Del Fiol SYNTACTIC DEPENDENCY PARSERS FOR BIOMEDICAL-NLP ...................................................................................................121 Raphael Cohen, Michael Elhadad A MULTI-PERSPECTIVE ANALYSIS OF LESSONS LEARNED FROM BUILDING AN INTEGRATED CARE COORDINATION INFORMATION SYSTEM (ICCIS) ..........................................................................................................................129 Jordan Dale, Nima Behkami, David Dorr, Gwenivere Olsen ADVANCED PROFICIENCY EHR TRAINING: EFFECT ON PHYSICIANS’ EHR EFFICIENCY, EHR SATISFACTION AND JOB SATISFACTION ..........................................................................................................................................136 M. Tariq Dastagir, Homer Chin, Michael McNamara, Kathy Potrej, Sarah Battaglini, Lauren Alstot BUILDING GOLD STANDARD CORPORA FOR MEDICAL NATURAL LANGUAGE PROCESSING TASKS .......................144 Louise Deleger, Qi Li, Todd Lingren, Megan Kaiser, Katalin Molnar, Laura Stoutenborough, Michal Kouril, Keith Marsolo, Imre Solti OPTIMIZING PERIOPERATIVE DECISION MAKING: IMPROVED INFORMATION FOR CLINICAL WORKFLOW PLANNING ..........................................................................................................................................................................154 Bradley Doebbeling, Matthew Burton, Spencer Miller, Donald Miller, Larry Baxter, Jorge Alvarez, Joseph Pekny TESTING THE CALIBRATION OF CLASSIFICATION MODELS FROM FIRST PRINCIPLES ................................................164 Stephan Dreiseitl, Melanie Osl A CASE CONTROL STUDY TO IMPROVE ACCURACY OF AN ELECTRONIC FALL PREVENTION TOOLKIT .......................................................................................................................................................................................................170 Patricia Dykes, I-Ching Hou, Jane Soukup, Frank Chang, Stuart Lipsitz BARRIERS TO RETRIEVING PATIENT INFORMATION FROM ELECTRONIC HEALTH RECORD DATA: FAILURE ANALYSIS FROM THE TREC MEDICAL RECORDS TRACK.......................................................................................180 Tracy Edinger, Aaron Cohen, Steven Bedrick, Kyle Ambert, William Hersh CLINICAL USE OF AN ENTERPRISE DATA WAREHOUSE.............................................................................................................189 R. Scott Evans, James Lloyd, Lee Pierce GENERALIZABILITY AND COMPARISON OF AUTOMATIC CLINICAL TEXT DE-IDENTIFICATION METHODS AND RESOURCES ..................................................................................................................................................................199 Oscar Ferrandez, Brett South, Shuying Shen, Jeff Friedlin, Matthew Samore, Stephane Meystre OPTIMIZATION OF AN EHR MOBILE APPLICATION USING THE UFURT CONCEPTUAL FRAMEWORK ..............................................................................................................................................................................................209
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