Integrating Knowledge-Based Resources into the Electronic Health Record

Abstract Satisfying clinical information needs remains a major challenge in medicine, underscored by recent studies showing high medical error rates and suboptimal physician adherence to evidence-based practice guidelines. Advanced clinical decision support systems can improve practitioner performance and patient outcomes. Similarly, integrating online information resources into electronic health records (EHRs) shows great potential for positively impacting health care quality. This paper explores the evolution and current status of knowledge-based resource linkages within EHRs, including the benefits and drawbacks, as well as the important role librarians can play in this process.

[1]  W. Hersh,et al.  Factors associated with successful answering of clinical questions using an information retrieval system. , 2002, Bulletin of the Medical Library Association.

[2]  E. Balas,et al.  Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success , 2005, BMJ : British Medical Journal.

[3]  V Florance,et al.  The Informationist: A New Health Profession? , 2000, Annals of Internal Medicine.

[4]  P. Basch Quality of health care delivered to adults in the United States. , 2003, New England Journal of Medicine.

[5]  H. Mcdonald,et al.  Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. , 2005, JAMA.

[6]  William DuMouchel,et al.  A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. , 1996, Journal of the American Medical Informatics Association : JAMIA.

[7]  D. Bates,et al.  Improving safety with information technology. , 2003, The New England journal of medicine.

[8]  David W. Bates,et al.  Research Paper: KnowledgeLink: Impact of Context-Sensitive Information Retrieval on Clinicians' Information Needs , 2006, J. Am. Medical Informatics Assoc..

[9]  James J. Cimino,et al.  Use, Usability, Usefulness, and Impact of an Infobutton Manager , 2006, AMIA.

[10]  Johanna I. Westbrook,et al.  Do online information retrieval systems help experienced clinicians answer clinical questions? , 2005, Journal of the American Medical Informatics Association : JAMIA.

[11]  P L Miller,et al.  Automated bibliographic retrieval based on current topics in hepatology: hepatopix. , 1989, Computers and biomedical research, an international journal.

[12]  S L Sowell LATCH at the Washington Hospital Center, 1967-1975. , 1978, Bulletin of the Medical Library Association.

[13]  Michael N. Liebman,et al.  An Introduction to Biomedical Informatics , 2007 .

[14]  S S Fuller,et al.  Integrating knowledge resources at the point of care: opportunities for librarians. , 1999, Bulletin of the Medical Library Association.

[15]  William W. Stead,et al.  Review Paper: Integration and Beyond: Linking Information from Disparate Sources and into Workflow , 2000, J. Am. Medical Informatics Assoc..

[16]  Farah Magrabi,et al.  General practitioners' use of online evidence during consultations , 2005, Int. J. Medical Informatics.

[17]  Elizabeth Connor An Interview with Denise Basow and Fritz Hofheinz of UpToDate , 2005 .

[18]  C. C. Nippert Online LATCH. , 1985, Medical reference services quarterly.

[19]  P. Pluye,et al.  How information retrieval technology may impact on physician practice: an organizational case study in family medicine. , 2004, Journal of evaluation in clinical practice.

[20]  Nunzia Bettinsoli Giuse,et al.  Viewpoint Paper: Evolution of a Mature Clinical Informationist Model , 2005, J. Am. Medical Informatics Assoc..

[21]  M. Ebell,et al.  Analysis of questions asked by family doctors regarding patient care , 1999, BMJ.

[22]  P. Shekelle,et al.  Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care , 2006, Annals of Internal Medicine.

[23]  B. A. Rapp,et al.  Use of MEDLINE by physicians for clinical problem solving. , 1993, JAMA.

[24]  William R. Hersh,et al.  MedWeaver: integrating decision support, literature searching, and Web exploration using the UMLS Metathesaurus , 1997, AMIA.

[25]  D. Bates,et al.  Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. , 1998, JAMA.

[26]  R. Haynes,et al.  Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. , 1998, JAMA.

[27]  Suzanne Bakken,et al.  Using Patient Data to Retrieve Health Knowledge , 2005, AMIA.

[28]  P D Clayton,et al.  IAIMS at Columbia-Presbyterian Medical Center: accomplishments and challenges. , 1992, Bulletin of the Medical Library Association.

[29]  K. Cimpl Clinical medical librarianship: a review of the literature. , 1985, Bulletin of the Medical Library Association.

[30]  Charles P. Friedman,et al.  Research Paper: Factors Associated with Success in Searching MEDLINE and Applying Evidence to Answer Clinical Questions , 2002, J. Am. Medical Informatics Assoc..

[31]  D. Covell,et al.  Information needs in office practice: are they being met? , 1985, Annals of internal medicine.

[32]  Randolph A. Miller,et al.  The anatomy of decision support during inpatient care provider order entry (CPOE): Empirical observations from a decade of CPOE experience at Vanderbilt , 2005, J. Biomed. Informatics.

[33]  T. Plutchak The informationist-two years later. , 2002, Journal of the Medical Library Association : JMLA.

[34]  Eta S. Berner,et al.  Clinical Decision Support Systems: Impacting the Future of Clinical Decision Making , 2004 .

[35]  Jianhua Li,et al.  Sharing Infobuttons to Resolve Clinicians' Information Needs , 2003, AMIA.

[36]  James J. Cimino,et al.  Supporting infobuttons with terminological knowledge , 1997, AMIA.

[37]  P. Miller,et al.  Automated Online Transition from the Medical Record to the Psychiatric Literature , 1992, Methods of Information in Medicine.

[38]  M. DiFrancesco,et al.  Alamance Regional Medical Center improves patient safety with CPOE. , 2004, Journal of healthcare information management : JHIM.

[39]  J. Cimino,et al.  Linking Patient Information Systems to Bibliographic Resources , 1996, Methods of Information in Medicine.

[40]  L. Kohn,et al.  COMMITTEE ON QUALITY OF HEALTH CARE IN AMERICA , 2000 .

[41]  K. A. McKibbon,et al.  Online access to MEDLINE in clinical settings. A study of use and usefulness. , 1990, Annals of internal medicine.

[42]  R T West,et al.  IAIMS: an interview with Dick West. Integrated Advanced Information Management Systems. Interview by Joan S Ash and Frances E Johnson. , 1999, Journal of the American Medical Informatics Association : JAMIA.

[43]  Antoine Geissbühler,et al.  Distributing knowledge maintenance for clinical decision-support systems: the "knowledge library" model , 1999, AMIA.

[44]  Joan S. Ash,et al.  Viewpoint: IAIMS: An Interview with Dick West , 1999, J. Am. Medical Informatics Assoc..

[45]  Paul N. Gorman,et al.  Information needs of physicians , 1995 .

[46]  M. Cabana,et al.  Why don't physicians follow clinical practice guidelines? A framework for improvement. , 1999, JAMA.

[47]  Plutchak Ts,et al.  The informationist-two years later. , 2002 .

[48]  Jianhua Li,et al.  Theoretical, empirical and practical approaches to resolving the unmet information needs of clinical information system users , 2002, AMIA.

[49]  W R Hersh,et al.  How well do physicians use electronic information retrieval systems? A framework for investigation and systematic review. , 1998, JAMA.

[50]  Randolph A. Miller,et al.  Review Paper: The Basis for Using the Internet to Support the Information Needs of Primary Care , 1999, J. Am. Medical Informatics Assoc..

[51]  J Marc Overhage,et al.  Indianapolis I3: the third generation Integrated Advanced Information Management Systems. , 2004, Journal of the Medical Library Association : JMLA.

[52]  William W. Stead,et al.  Research Paper: Effect of CPOE User Interface Design on User-Initiated Access to Educational and Patient Information during Clinical Care , 2005, J. Am. Medical Informatics Assoc..

[53]  Donald A B Lindberg,et al.  2015--the future of medical libraries. , 2005, The New England journal of medicine.