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'''Welcome to the OHSU Clinfowiki'''
  
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'''Emotional Aspects of Computer-based Provider Order Entry: A Qualitative Study'''
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The OHSU Clinical Informatics Wiki (aka ClinfoWiki) is the implementation of a  [http://en.wikipedia.org/wiki/Wiki wiki] website devoted to topics in [[Biomedical Informatics]].
  
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Implementation of Computer-based provider order entry (CPOE) is predicated on increasing efficiency and accuracy of health care. However, some of these efforts have unintended consequences. This article explains some of the myriad of emotions that characterize the use of CPOE systems. Accordingly, the authors investigated the emotions surrounding CPOE implementation and usage.  
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The Department of Medical Informatics & Clinical Epidemiology (DMICE) is one of 27 academic departments in the School of Medicine at Oregon Health & Science University (OHSU). The mission of DMICE is to provide leadership, discovery and dissemination of knowledge in clinical informatics, clinical epidemiology, and bioinformatics / computation biology. This mission is fulfilled through programs of research, education, and service. DMICE programs are recognized internationally for their accomplishment and innovation. The OHSU Biomedical Informatics program is one of the largest of its kind in the world.  
  
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The method employed was that, the researchers performed a secondary analysis of “several previously collected qualitative data sets from interviews and observations of over 50 individuals.” Three researchers who worked in parallel were able to identify themes that expressed emotional responses to the use of CPOE. The sites selected, which included University of Virginia, a west coast Veterans Administration (VA) hospital and a non-teaching hospital on the west coast have various lengths of experience with CPOE. According to the authors, the researchers attempted to balance the groups with respect to specialty, physicians, non-physicians, and gender.  
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Clinfowiki is edited by [https://www.ohsu.edu/people/vishnu-mohan/2BD88C7AE00A4A21861DFB0964974984 Vishnu Mohan, M.D., M.B.I.], and was created in 2005 by [https://en.wikipedia.org/wiki/Dean_F._Sittig Dean F. Sittig, Ph.D.].
  
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In the end they were able to observe that some participants show positive reactions, while another group evoked negative reactions and the rest were indifferent. However, the researchers noted that the negative emotional responses were the most prevalent. Those who were indifferent were higher than those with positive emotions.  On those with positive responses, one of them claimed that, with the increase in more medication interactions, it is helpful to have a reminder that would alert clinicians of the occurrence of such event. One with indifference responded that, the “…actual entry of orders is not really as important….” And as such the thought process on the plan of what they would like to do is more important. Those with negative emotions considered CPOE to be a nuisance, since they have to constantly deal with alerts, rather than focusing on their job. Some even were sad, having to work on CPOE rather than devoting their time to research program.  
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The site can be browsed by anyone.  To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki. The easiest way to create a new page is to edit an existing page where you want your article to link from, and then place your page's name within double square brackets, like so: <nowiki> [[Your page name here]] </nowiki> If you then save the page and click on that link, you will be taken to a screen with a box where you can begin to write your content.
  
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According to the authors, while participants cover organizations with clinical and information technology personnel with experience with CPOE, they were not randomly selected. Therefore, the participants who evoked negative emotions may have done it in the hope that the researchers would take their complaints to those who manage the system.
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[[Special:ActiveUsers|We]] are currently working on [[Special:Statistics|{{NUMBEROFARTICLES}}]] articles, and we '''[[Clinfowiki To Do|need your help]]''' to complete this study of Informatics. See [[Special:Statistics]] for more complete information on the site.
  
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According to the authors, suggestions were made to reward clinicians for using CPOE systems [to reduce negative emotions], for instance by providing them with gift certificates or sending them some congratulatory messages, after they may have completed all their patients’ encounter within three days of an event over a one-month period.
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The Clinfowiki has recently been reorganized into the <u>20</u> categories below. When adding (or editing) content, please try to ensure the content traces back to one of these categories.
  
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In conclusion, the authors agreed that implementation of CPOE systems can be very difficult, and as such, if designers do not recognize that various features of the systems can increase clinicians’ negative emotions, there is likelihood that the system would fail. And as such, the clinicians are unlikely to routinely use the systems.
 
  
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=[[:Category:Technologies | Technologies]]=
  
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Comment: As the authors alluded to earlier, the negative responses of the participants in the experiment may have been deliberate. Those who were indifferent to the system could actually be the truer of negative responses. It appears that those neutral emotions are actually born out of frustrations and that the participants were not particularly interested in the experiment. A random selection of the participants would have produced a better scientific representation of users’ actual responses to CPOE systems. The suggestion of monetary gift certificate or any form of reward for the clinicians for using CPOE is tantamount to bribery and deprecating. Are the clinicians so impervious to changes, and never proactive? I don’t think so. Otherwise, I would wonder how they manage to graduate medical schools, if they are that resistant to improvement or changes –GAbimbola
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==[[:Category: EHR | Electronic Medical Record (EMR)]]==
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* [[EHR | What is the Electronic Medical Record]]
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* [[EMR v. EHR]]
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* [[Interface Design of the EHR]]
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* [[EHR-enabled Research]]
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* [[Security of the distributed electronic patient record: a case-based approach to identifying policy issues]]
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* [[Purpose of EMRs]]
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* [[Registries]]
  
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==[[:Category: CPOE | Computerized Physician Order Entry (CPOE)]]==
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* [[CPOE | Computerized Physician Order Entry]]
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* [[Barcode medication administration]]
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* [[E-prescribing | Electronic Prescribing (E-prescribing)]]
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* [[Medication Errors]]
  
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Sittig DF, Krall M, Kaalaas-Sittig J, Ash JS. Emotional aspects of computer-based provider order entry: a qualitative study. J Am Med Inform Assoc. 2005 Sep-Oct;12(5):561-7.
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==[[:Category: CDS | Clinical Decision Support (CDS)]]==
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* [[CDS | Clinical Decision Support]]
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* [[Timeline of the Development of Clinical Decision Support]]
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* [[The Evolution of Clinical Decision Support]]
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* [[Decision Support Service]]
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* [[Effect of Computerized Clinical Decision Support on the Use and Yield of CT Pulmonary Angiography in the Emergency Department]]
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* [[Automated Clinical Decision Support (CDS) using Pattern Recognition/Temporal Relationships]]
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==[[:Category: PHR | Personal Health Record (PHR)]]==
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* [[PHR | Personal Health Records]]
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* [[PHA | Personal Health Applications]]
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==[[:Category: Reviews | Reviews of scientific papers]]==
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==[[:Category:Integrated Data Repositories (IDR) | Integrated Data Repositories (IDR)]]==
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* [[CIDR | Clinical Integrated Data Repositories (CIDR)]]
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==[[:Category:Ancillary Systems | Ancillary Systems]]==
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* [[Ancillary Clinical Information Systems]]
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* [[BioBanking | Biobanking -- a.k.a. Biorepositories or Tissue Bank]]
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* [[Anesthesia Information Management Systems (AIMS)]]
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==[[:Category:Medical Devices | Medical Devices]]==
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<DynamicPageList>
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category = Medical Devices
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</DynamicPageList>
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*  [[mHealth]]
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==[[:Information Retrieval]]==
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* [[Semantic MEDLINE]]
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==[[:Category:Other Technologies | Other Technologies]]==
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* [[:Category:New_Technology| New CIS-related Technologies]]
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* [[FOSSM | Free and Open Source Software (FOSS) licensing in medicine]]
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* [[Unintended Consequences of HIT]]
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* [[i2b2 Informatics for Integrating Biology and the Bedside]]
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*  [[The Cloud and it's impact on Health IT]]
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* [[Teleconcussion - An Emerging Sports Concussion Management Model]]
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* [[The Blockchain in Healthcare]]
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* [[Robot Anesthesia]]
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* [[American College of Emergency Physicians:  InnovatED]]
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* [[Software-Guided insulin therapy]]
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* [[L1000 assay and the Connectivity Map dataset]]
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* [[5G and Healthcare]]
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=[[:Category:Applications | Applications]]=
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==[[:Category:Evidence Based Medicine (EBM) | Evidence Based Medicine (EBM)]]==
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* [[EBM | Evidence Based Medicine]]
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* [[Hierarchy of Evidence]]
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*  Rationale, design,and implementation protocol of an electronic health record integrated clinical prediction rule (iCPR) randomized trial in primary care
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* [[Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices A Randomized Clinical Trial]]
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==[[:Category:Methodologies and Frameworks | Methodologies and Frameworks]]==
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* [[Evaluation and Design Methodologies]]
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* [[EHR Data Quality]]
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* [[The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation]]
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* [[Sociotechnical systems]]
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* [[Data Center Planning and Design Overview for Healthcare Organizations]]
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* [[EHR Participatory Deployment Vs Black box Deployment methods]]
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* [[Real-time automatic polyp detection system for colonoscopy using artificial intelligence]]
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==[[:Category:Government, Public and Private Initiatives | Government, Public and Private Initiatives]]==
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* [[HITREC | Health Information Technology Regional Extension Centers (HITREC)]]
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* [[RHIO | Regional Health Information Organization (RHIO)]]
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* [[NHIN | Nationwide Health Information Network (NwHIN)]]
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* [[Assistant Secretary for Planning & Evaluation]]
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* [[Office of the National Coordinator for Health Information Technology (ONC)]]
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* [[Trusted Exchange Framework and Common Agreement (TEFCA)]]
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* [[Council on the Application of Health Information Technology (CAHIT)]]
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* [[Agency for Healthcare Research and Quality (AHRQ)]]
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* [[Centers for Medicare and Medicaid Services (CMS)]]
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* [[U.S. Food and Drug Administration (FDA)]]
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* [[National Institutes of Health (NIH)]]
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* [[Big Data to Knowledge (BD2K)]]
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* [[Indian Health Service (IHS)]]
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* [[Health Services and Resource Administration (HRSA)]]
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* [[Centers for Disease Control and Prevention (CDC)]]
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* [[U.S. Department of Commerce]]
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* [[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]
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* [[U.S. Department of Defense (DoD) Initiatives]]
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* [[Department of Veterans Affairs Initiatives]]
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* [[U.S. Department of Homeland Security]]
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* [[Healthcare Information Technology Standards Panel (HITSP)]]
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* [[Purpose and overview | International perspectives]]
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* [[UK]]
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* [[National Electronic Health Record Program in United Kingdom]]
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* [[:Category:Blogposium|All articles resulting from the Blogposium collaboration]]
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* [[Maternal and Perinatal Quality Care Collaboratives]]
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* [[EHealth Initiative]]
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* [[Meaningful use]]
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* [[Electronic Laboratory Reporting]]
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* [[Department of Education]]
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* [[PMI | Precision Medicine Initiative (PMI)]]
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* [[Health Information and Management Systems Society (HIMSS)]]
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* [[Society for Participatory Medicine]]
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* [[Veteran’s Affairs Switch from VistA based Electronic Health Record to Cerner Millennium]]
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* [[Singapore NEHR]]
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* [[ORCATECH | Oregon Center for Aging and Technology (ORCATECH)]]
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==[[:Category:Training and User Support | Training and User Support]]==
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* [[Learning Health Systems (LHS)]]
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==[[:Category:Terminology and Coding | Terminology and Coding]]==
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*  [[Glossary of acronyms]]
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*  [[Definition and Use of Interface Terminologies]]
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*  [[Common Terminology Services | Common Terminology Services (CTS)]]
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*  [[Distributed Cognition and Knowledge-based Controlled Medical Terminologies]]
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*  [[Ontology]]
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*  [[International Statistical Classification of Diseases | International Statistical Classification of Diseases (ICD)]]
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*  [[Systematized Nomenclature Of Medicine | Systematized Nomenclature Of Medicine (SNOMED)]]
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*  [[International Dietetics and Nutrition Terminology | International Dietetics and Nutrition Terminology (IDNT)]]
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*  [[International Classification of Primary Care | International Classification of Primary Care (ICPC)]]
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*  [[Unified Medical Language System | Unified Medical Language System (UMLS)]]
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*  [[Aggregated data]]
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==[[:Category:Workflow | Workflow]]==
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* [[Methods to capture workflow]]
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* [[Measurement]]
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* [[Importance of Workflow Analysis During Physician Office EMR Implementation]]
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* [[Workflow Management System]]
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* [[Process Mining]]
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* [[Using Evidence-Based Layout Design to Enhance Workflow in the Clinical Laboratory]]
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* [[Planning for Radiology CDS Technology]]
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==[[:Category:Interface, Usability and Accessibility | Interface, Usability and Accessibility]]==
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*  [[Usability]]
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* [[Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA]]
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*  [[Software Test Documentation]]
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* [[Data Model to Enhance the Security and Privacy of Healthcare Data]]
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==[[:Category:Data Visualization | Data Visualization]]==
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* [[Clinically Relevant Data Visualization]]
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=[[:Category:Reference | Reference]]=
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==[[:Category:Academics and Education | Academics and Education]]==
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* [[Informatics Students' Contributions|Contributions from OHSU students]]
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* [[List of Informatics Departments]]
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* [[Endowed Professorships | Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics]]
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* [[Graduate Medical Education Milestones]]
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* [[List of Clinical Informatics Conferences]]
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==[[:Category:Specialties and Disciplines | Specialties and Disciplines]]==
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* [[Bioinformatics]]
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* [[Chief Nursing Informatics Officer]]
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* [[Clinical Informatics Fellowship]]
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* [[Clinical research informatics]]
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* [[Clinical Social Work Informatics]]
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* [[Cognitive Informatics]]
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* [[Consumer health informatics]]
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* [[Dental informatics]]
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* [[Health informatics]]
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* [[Imaging informatics]]
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* [[Medical laboratory informatics]]
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* [[Medical Subspecialty Board of Clinical Informatics]]
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* [[Mental health informatics]]
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* [[Neuroinformatics]]
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* [[Nursing informatics]]
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* [[Pediatric Informatics]]
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* [[Pharmacy Informatics]]
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* [[Public Health Informatics]]
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* [[Quality Informatics]]
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* [[Traditional Chinese Medicine (TCM) informatics]]
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* [[Translational Bioinformatics]]
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* [[Ethics in Informatics]]
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==[[:Category:Research Groups | Research Groups]]==
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* [[CIRCLE: Clinical Informatics Research Collaborative]]
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* [[Biomedical Informatics Research Network (BIRN)]]
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==[[:Category:Literature | Literature]]==
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* [[Books | Books on Topics in Clinical Informatics]]
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* [[Leading Health Informatics and Medical Informatics Journals]]
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==[[:Category:External Links | External Links]]==
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* [http://www.ohsu.edu/xd/ Oregon Health & Science University]
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* [http://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/dmice/ The Department of Medical Informatics and Clinical Epidemiology at OHSU]
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* [http://www.cpoe.org Website of the Provider Order Entry Team from Oregon Health]
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* [http://hittransition.com/tools.htm Links to online tools for HIT/RHIO development]
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* [http://www.hitdashboard.com/unitedStates.aspx Health Information Technology Dashboard]
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* [http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Wellness Wiki: Use Evolving Health Information Technology Tools]
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* [http://www.emedicine.com/ eMedicine] Physician contributed medical articles and CME
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* [http://www.kmle.com KMLE Medical Dictionary] Medical dictionary and medical related links
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* [http://www.merckmedicus.com Merck Medicus] Contains a significant number of textbook resources (requires free registration
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* [http://www.nlm.nih.gov NLM] (US National Library of Medicine)
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* [http://www.webmd.com WebMD] General comprehensive online health information
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* [http://www.open.medicdrive.org Medicine 2.0] Comprehensive online Personal health record information.
 +
* [http://www.searchmedica.com SearchMedica.com] Searches medical literature for health care professionals
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* [http://www.ahima.org AHIMA] American Health Information Management Association
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* [http://www.amia.org AMIA] American Medical Informatics Association
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* [http://www.ania-caring.org ANIA-CARING] American Nursing Informatics Association and the Capital Area Roundtable on Informatics in NursinG
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* [http://www.himss.org HIMSS] Healthcare Information and Management Systems
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* [http://www.imia-medinfo.org IMIA] International Medical Informatics Association
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* [http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Use Evolving Health Information Technology Tools]
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* [http://wellness.wikispaces.com/Blueprint+for+an+Integrated+HIT+system+-+The+Patient+Life-Cycle+Wellness+System Blueprint for an Integrated HIT system - The Patient Life-Cycle Wellness System]
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* [http://circleinformatics.org CIRCLE: Clinical Informatics Research Collaborative]

Latest revision as of 13:46, 26 April 2022

Welcome to the OHSU Clinfowiki

The OHSU Clinical Informatics Wiki (aka ClinfoWiki) is the implementation of a wiki website devoted to topics in Biomedical Informatics.

The Department of Medical Informatics & Clinical Epidemiology (DMICE) is one of 27 academic departments in the School of Medicine at Oregon Health & Science University (OHSU). The mission of DMICE is to provide leadership, discovery and dissemination of knowledge in clinical informatics, clinical epidemiology, and bioinformatics / computation biology. This mission is fulfilled through programs of research, education, and service. DMICE programs are recognized internationally for their accomplishment and innovation. The OHSU Biomedical Informatics program is one of the largest of its kind in the world.

Clinfowiki is edited by Vishnu Mohan, M.D., M.B.I., and was created in 2005 by Dean F. Sittig, Ph.D..

The site can be browsed by anyone. To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki. The easiest way to create a new page is to edit an existing page where you want your article to link from, and then place your page's name within double square brackets, like so: [[Your page name here]] If you then save the page and click on that link, you will be taken to a screen with a box where you can begin to write your content.

We are currently working on 1,583 articles, and we need your help to complete this study of Informatics. See Special:Statistics for more complete information on the site.

The Clinfowiki has recently been reorganized into the 20 categories below. When adding (or editing) content, please try to ensure the content traces back to one of these categories.


Technologies

Electronic Medical Record (EMR)

Computerized Physician Order Entry (CPOE)

Clinical Decision Support (CDS)

Personal Health Record (PHR)

Reviews of scientific papers

Integrated Data Repositories (IDR)

Ancillary Systems

Medical Devices

Information Retrieval

Other Technologies

Applications

Evidence Based Medicine (EBM)

Methodologies and Frameworks

Government, Public and Private Initiatives

Training and User Support

Terminology and Coding

Workflow

Interface, Usability and Accessibility

Data Visualization

Reference

Academics and Education

Specialties and Disciplines

Research Groups

Literature

External Links

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