Research Topics
| Joan AshSummaryAffiliation: Oregon Health and Science University Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative studyJoan S Ash
Oregon Health and Science University, Portland, OR, USA
BMC Med Inform Decis Mak 12:6. 2012..abstract:..- Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health recordsDean F Sittig
UTHealth Memorial Hermann Center for Healthcare Quality and Safety, School of Biomedical Informatics, University of Texas Health Science Center, Houston, TX, USA
BMC Med Inform Decis Mak 11:13. 2011.... - Categorizing the unintended sociotechnical consequences of computerized provider order entryJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, Portland, OR 97201 3098, USA
Int J Med Inform 76:S21-7. 2007..To describe the kinds of unintended consequences related to the implementation of computerized provider order entry (CPOE) in the outpatient setting... - Organizational factors that influence information technology diffusion in academic health sciences centersJ Ash
Biomedical Information Communication Center, Oregon Health Sciences University, Portland 97201 3098, USA
J Am Med Inform Assoc 4:102-11. 1997..To identify the organizational factors which influence the diffusion of end user online literature searching, the computer-based patient record, and electronic mail systems in academic health sciences centers in the United States... - The extent and importance of unintended consequences related to computerized provider order entryJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97201 3098, USA
J Am Med Inform Assoc 14:415-23. 2007..The extent to which hospitals experience unintended consequences of CPOE, which include more than errors, has not been quantified in prior research... - Qualitative evaluation of health information exchange effortsJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239 3098, USA
J Biomed Inform 40:S33-9. 2007..This paper describes important HIE-related research questions and outlines appropriate qualitative research techniques for addressing them... - Exploring the unintended consequences of computerized physician order entryJoan S Ash
Oregon Health and Science University, School of Medicine, Portland, OR 97239 3098, USA
Stud Health Technol Inform 129:198-202. 2007..With the assistance of a panel of experts, the team identified strategies for managing unintended adverse consequences and outlined contents of a toolkit for CPOE implementers for addressing them... - People and organizational issues in research systems implementationJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239 3098, USA
J Am Med Inform Assoc 15:283-9. 2008..This article summarizes that discussion, which covered organizational issues, implications of how knowledge about clinical systems implementation can inform research systems implementation, and those issues unique to each kind of system... - The unintended consequences of computerized provider order entry: findings from a mixed methods explorationJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR 97239 3098, USA
Int J Med Inform 78:S69-76. 2009..To describe the foci, activities, methods, and results of a 4-year research project identifying the unintended consequences of computerized provider order entry (CPOE)... - Identifying best practices for clinical decision support and knowledge management in the fieldJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA
Stud Health Technol Inform 160:806-10. 2010.... - Clinical decision support in small community practice settings: a case studyJoan S Ash
Oregon Health and Science University, Portland, Oregon, USA
J Am Med Inform Assoc 18:879-82. 2011..The eight-dimensional model proved useful as an organizing structure for the evaluation... - Adding insight: a qualitative cross-site study of physician order entryJoan S Ash
Oregon Health and Science University, School of Medicine, BICC, Department of Medical Informatics and Clinical Epidemiology, 3181 SW Sam Jackson Park Road, Portland, OR 97201 3098, USA
Int J Med Inform 74:623-8. 2005..The study has produced detailed descriptions of factors related to CPOE success and insight into the implementation process... - Perceptions of physician order entry: results of a cross-site qualitative studyJ S Ash
Division of Medical Informatics and Outcomes Research School of Medicine, Oregon Health and Science University 3181 SW Sam Jackson Park Road Partland, OR 97201 3098, USA
Methods Inf Med 42:313-23. 2003..To identify perspectives of success factors for implementing computerized physician order entry (POE) in the inpatient setting... - Some unintended consequences of information technology in health care: the nature of patient care information system-related errorsJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201 3098, USA
J Am Med Inform Assoc 11:104-12. 2004.... - A consensus statement on considerations for a successful CPOE implementationJoan S Ash
Division of Medical Informatics and Outcomes Research, School of Medicine, Oregon Health and Science University, Portland, OR 97201 3098
J Am Med Inform Assoc 10:229-34. 2003..A qualitative research approach was used to generate and validate a list of categories and considerations to guide CPOE implementation... - Report of conference Track 4: socio-technical issues of HISJoan Ash
Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201 3098, USA
Int J Med Inform 69:305-6. 2003 - A cross-site qualitative study of physician order entryJoan S Ash
Division of Medical Informatics and Outcomes Research, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201 3098, USA
J Am Med Inform Assoc 10:188-200. 2003..To describe the perceptions of diverse professionals involved in computerized physician order entry (POE) at sites where POE has been successfully implemented and to identify differences between teaching and nonteaching hospitals... - Implementing computerized physician order entry: the importance of special peopleJoan S Ash
Division of Medical Informatics and Outcomes Research, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201 3098, USA
Int J Med Inform 69:235-50. 2003..To articulate important lessons learned during a study to identify success factors for implementing computerized physician order entry (CPOE) in inpatient and outpatient settings... - Adding insight: a qualitative cross-site study of physician order entryJoan S Ash
Oregon Health and Science University, Portland, 97201 3098, USA
Stud Health Technol Inform 107:1013-7. 2004..The study has produced detailed descriptions of factors related to CPOE success and insight into the implementation process... - Investigating physician order entry in the field: lessons learned in a multi-center studyJ Ash
Division of Medical Informatics and Outcomes Research, Oregon Health Sciences University, Portland, OR 97201 3098, USA
Stud Health Technol Inform 84:1107-11. 2001..Analysis of successful past implementations can provide guidance when the time is right... - Factors and forces affecting EHR system adoption: report of a 2004 ACMI discussionJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201 3098, USA
J Am Med Inform Assoc 12:8-12. 2005..Initial recommendations for addressing these issues include providing communication and education to both providers and consumers and alignment of incentives for clinicians... - Computerized physician order entry in U.S. hospitals: results of a 2002 surveyJoan S Ash
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97201 3098, USA
J Am Med Inform Assoc 11:95-9. 2004..To determine the availability of inpatient computerized physician order entry in U.S. hospitals and the degree to which physicians are using it... - Emotional aspects of computer-based provider order entry: a qualitative studyDean F Sittig
Department of Medical Informatics, Northwest Permanente, P C, Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227, USA
J Am Med Inform Assoc 12:561-7. 2005..This qualitative research investigates the emotions surrounding CPOE implementation and use... - Assessing the anticipated consequences of Computer-based Provider Order Entry at three community hospitals using an open-ended, semi-structured survey instrumentDean F Sittig
Medical Informatics Department, Northwest Permanente, Portland, OR 97227, USA
Int J Med Inform 77:440-7. 2008.... - Does failure breed success: narrative analysis of stories about computerized provider order entryP Zoe Stavri
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 S W Sam Jackson Park Rd, Portland, OR 97239 3098, USA
Int J Med Inform 72:9-15. 2003..To assess the definitions of success and failure as defined by the participants of the Menucha Consensus Conference on Computerized Provider Order Entry (CPOE)... - The effects of hands-free communication device systems: communication changes in hospital organizationsJoshua E Richardson
Oregon Health and Science University, Portland, Oregon 97239, USA
J Am Med Inform Assoc 17:91-8. 2010..To analyze the effects that hands-free communication device (HCD) systems have on healthcare organizations from multiple user perspectives... - Health Information Technology Systems profoundly impact users: a case study in a dental schoolHeather K Hill
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, USA
J Dent Educ 74:434-45. 2010..HITS integration into patient care impacts the work of all system users, especially end-users. The themes highlight areas of potential concern for implementers and users in integrating a HITS into patient care... - The effects of a hands-free communication device system in a surgical suiteJoshua E Richardson
Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, Oregon, USA
J Am Med Inform Assoc 18:70-2. 2011..The authors' findings contribute a valuable insight into the growing body of knowledge about implementation and use of HCD systems... - Types of unintended consequences related to computerized provider order entryEmily M Campbell
Department of Medical Informatics and Clinical Epidemiology, Portland, OR 97239-3098, USA
J Am Med Inform Assoc 13:547-56. 2006.... - A survey of U.S.A. acute care hospitals' computer-based provider order entry system infusion levelsDean F Sittig
Northwest Permanente, Portland, OR, USA
Stud Health Technol Inform 129:252-6. 2007..While CPOE has not been widely adopted after over 30 years of experimentation, there is still much that can be learned from this relatively small number of highly infused (with CPOE and clinical decision support) organizations... - Grand challenges in clinical decision supportDean F Sittig
Department of Medical Informatics, Northwest Permanente, PC, Portland, OR, USA
J Biomed Inform 41:387-92. 2008..Identification of solutions to these challenges is critical if clinical decision support is to achieve its potential and improve the quality, safety and efficiency of healthcare... - Computerized provider order entry adoption: implications for clinical workflowEmily M Campbell
Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR 97239 3098, USA
J Gen Intern Med 24:21-6. 2009..To identify and describe unintended adverse consequences related to clinical workflow when implementing or using computerized provider order entry (CPOE) systems... - An evaluation of five bedside information products using a user-centered, task-oriented approachRose Campbell
Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
J Med Libr Assoc 94:435-41, e206-7. 2006..The paper compares several bedside information tools using user-centered, task-oriented measures to assist those making or supporting purchasing decisions... - Lessons from "Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system"Dean F Sittig
Department of Medical Informatics, Northwest Permanente PC, Portland, Oregon, USA
Pediatrics 118:797-801. 2006 - Personal health records: definitions, benefits, and strategies for overcoming barriers to adoptionPaul C Tang
Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301, USA
J Am Med Inform Assoc 13:121-6. 2006..This paper summarizes the College Symposium discussions on PHR systems and provides definitions, system characteristics, technical architectures, benefits, barriers to adoption, and strategies for increasing adoption... - The United Hospital Fund meeting on evaluating health information exchangeGeorge Hripcsak
Department of Biomedical Informatics, Columbia University, 622 West 168th Street, VC5, New York, NY 10032, USA
J Biomed Inform 40:S3-10. 2007..Unintended consequences should be monitored. A comprehensive study of return on investment requires an assessment of all effects. Program evaluation across several projects may help set future policy... - A qualitative study of the implementation of a bioinformatics tool in a biological research laboratoryNicholas R Anderson
Department of Biomedical and Health Informatics, University of Washington, P O Box 357240, Seattle, WA 98195 7240, United States
Int J Med Inform 76:821-8. 2007..To explore how the implementation of a comprehensive new bioinformatics analysis system would affect workflow, collaboration and information management in a small genetic research lab...
Research Grants
- PHYSICIAN ORDER ENTRY: FIELD STUDY OF SUCCESS FACTORSJoan Ash; Fiscal Year: 2002..The consensus statement will be modified if necessary and will be published in media that will reach a broad audience, including those using the World Wide Web. ..
- Unintended Consequences of Physician Order EntryJoan Ash; Fiscal Year: 2005..The toolkit will be modified after the conference by these experts and published in media to reach a broad audience, including the World Wide Web. ..
- Clinical Decision Support in Community Hospitals: Barriers & FacilitatorsJoan S Ash; Fiscal Year: 2010..S. hospitals to Increase quality, safety and efficiency benefits from CPOE with CDS. ..