G J Kuperman
Affiliation: Massachusetts General Hospital
- Patient safety and computerized medication ordering at Brigham and Women's HospitalG J Kuperman
Department of Information Systems, Partners HealthCare System, Harvard Medical School, Boston, MA, USA
Jt Comm J Qual Improv 27:509-21. 2001..Computerized physician order entry (CPOE), one important way that technology can be used to improve the medication process, has been in place at Brigham and Women's Hospital (BWH; Boston) since 1993...
- Computer physician order entry: benefits, costs, and issuesGilad J Kuperman
Partners HealthCare System, Inc, Harvard Medical School, Boston, Massachusetts, USA
Ann Intern Med 139:31-9. 2003..This technology can yield many significant benefits and is an important platform for future changes to the health care system. Organizational leaders must advocate for CPOE as a critical tool in improving health care quality...
- Effective drug-allergy checking: methodological and operational issuesGilad J Kuperman
Partners HealthCare System, 93 Worcester Street, Wellesley, MA 02481, USA
J Biomed Inform 36:70-9. 2003....
- Improving response to critical laboratory results with automation: results of a randomized controlled trialG J Kuperman
Partners HealthCare System, Department of Information Systems, Chestnut Hill, Massachusetts 02467, USA
J Am Med Inform Assoc 6:512-22. 1999..To evaluate the effect of an automatic alerting system on the time until treatment is ordered for patients with critical laboratory results...
- How promptly are inpatients treated for critical laboratory results?G J Kuperman
Division of Clinical Systems Research and Development, Brigham and Women s Hospital, Partners HealthCare System, Boston, MA, USA
J Am Med Inform Assoc 5:112-9. 1998..A CLR was defined as a result that met either the critical reporting criteria used by the laboratory at Brigham and Women's Hospital or other, more complex criteria...
- The impact of computerized physician order entry on medication error preventionD W Bates
Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
J Am Med Inform Assoc 6:313-21. 1999..A small proportion do have the potential to cause injury, and some cause preventable adverse drug events...
- Measuring and improving quality using information systemsD W Bates
Partners Information Systems, Boston, MA, USA
Stud Health Technol Inform 52:814-8. 1998..Such systems make feasible implementation of care improvement and cost reduction initiatives on a scale which could not previously be considered...
- Automated evidence-based critiquing of orders for abdominal radiographs: impact on utilization and appropriatenessL H Harpole
Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02115, USA
J Am Med Inform Assoc 4:511-21. 1997..The purpose of this study was to measure the impact of presenting real time, evidence-based critiques about the appropriateness of abdominal radiograph (KUB) orders on physician decision making...
- Components of the optimal ambulatory care computing environmentJ M Teich
Partners HealthCare System, Boston, USA
Stud Health Technol Inform 52:1273-7. 1998..Component applications and data structures built with this framework in mind will afford a maximum combination of functionality and flexibility to handle future changes in the clinical environment...
- Gender and utilization of ancillary servicesA K Jha
Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Mass 02115, USA
J Gen Intern Med 13:476-81. 1998..05). When we compared ancillary utilization within the five largest diagnosis-related groups, these differences persisted. CONCLUSIONS: Men receive more ancillary services than women, even after adjusting for potential confounders...
- Design of a standards-based external rules engine for decision support in a variety of application contexts: report of a feasibility study at Partners HealthCare SystemRobert A Greenes
Decision Systems Group, Brigham and Women s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
Stud Health Technol Inform 107:611-5. 2004..The result of analysis was to design an architecture to accomplish this goal. We also did preliminary analysis of requirements for authoring for such a representation, and for implementation...
- An analysis of inpatient nursing communications needsDavid P Taylor
Clinical Informatics R and D, Partners HealthCare, Boston, MA 02481, USA
Stud Health Technol Inform 107:1393-7. 2004..The pilot of cellular phones has demonstrated improvements in nursing communications at MGH and there are indications that other emerging technologies will be better able to address the ideal communication needs of nurses...
- Comprehensive analysis of a medication dosing error related to CPOEJan Horsky
Laboratory of Decision Making and Cognition, Department of Biomedical Informatics, Columbia University, 622 West 168th Street, Vanderbilt Clinic, 5th Floor, New York, NY 10032 3720, USA
J Am Med Inform Assoc 12:377-82. 2005....
- Improving acceptance of computerized prescribing alerts in ambulatory careNidhi R Shah
Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont Street, 3rd Floor, Boston, MA 02120, USA
J Am Med Inform Assoc 13:5-11. 2006..These data suggest that it is possible to design computerized prescribing decision support with high rates of alert recommendation acceptance by clinicians...
- Return on investment for a computerized physician order entry systemRainu Kaushal
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 1620 Tremont Street, Boston, MA 02120 1613, USA
J Am Med Inform Assoc 13:261-6. 2006..The high costs and limited data on financial benefits of CPOE systems are a major barrier to adoption. The authors assessed the costs and financial benefits of the CPOE system at Brigham and Women's Hospital over ten years...
- Medication-related clinical decision support in computerized provider order entry systems: a reviewGilad J Kuperman
Quality Informatics, NewYork Presbyterian Hospital, 525 E 68 Street, Box 298, New York, NY 10021, USA
J Am Med Inform Assoc 14:29-40. 2007..The authors conclude with summary recommendations for delivering effective medication-related clinical decision support addressed to healthcare organizations, application and knowledge base vendors, policy makers, and researchers...
- To what extent do pediatricians accept computer-based dosing suggestions?Brigid K Killelea
New York Presbyterian Hospital, New York, New York, USA
Pediatrics 119:e69-75. 2007..Our objective was to determine physician acceptance of dosing and frequency decision support elements in an inpatient pediatric computerized physician order entry system at 1 academic medical center...
- Impact of an automated test results management system on patients' satisfaction about test result communicationMichael E Matheny
Division of General Medicine, Brigham and Women s Hospital, Harvard Medical School, 1620 Tremont Street, Boston, MA 02120, USA
Arch Intern Med 167:2233-9. 2007..The objective of this study was to assess the impact of physicians' use of a test results management tool embedded in an electronic health record on patient satisfaction with test result communication...
- Characteristics and consequences of drug allergy alert overrides in a computerized physician order entry systemTyken C Hsieh
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
J Am Med Inform Assoc 11:482-91. 2004..The aim of this study was to determine characteristics of drug allergy alert overrides, assess how often they lead to preventable adverse drug events (ADEs), and suggest methods for improving the allergy-alerting system...
- Information technology as an infrastructure for patient safety: nursing research needsSusan K Newbold
University of Maryland School of Nursing, 655 N Lombard ST, Baltimore, MD 21201 1579, USA
Int J Med Inform 73:657-62. 2004....
- Real-time notification of laboratory data requested by users through alphanumeric pagersEric G Poon
Department of Medicine, Brigham and Women s Hospital Boston, MA 02115, USA
J Am Med Inform Assoc 9:217-22. 2002..This event-monitor-based feature illustrates one way that information technology can be applied to improve communication in health care...
- Automating complex guidelines for chronic disease: lessons learnedSaverio M Maviglia
Partners HealthCare System, Inc, 93 Worcester Street, PO Box 81905, Wellesley, MA 02481, USA
J Am Med Inform Assoc 10:154-65. 2003..Although obstacles were encountered at each of these steps, the most difficult were related to workflow integration...
- 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...
- A computer-based intervention for improving the appropriateness of antiepileptic drug level monitoringPhilip Chen
Department of Pathology, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
Am J Clin Pathol 119:432-8. 2003..The sustained benefit supports the idea that computerized interventions may durably affect physician behavior. Computerized delivery of such evidence-based boundary guidelines can help narrow the gap between evidence and practice...
- A cost-benefit analysis of electronic medical records in primary careSamuel J Wang
Department of Information Systems, Partners HealthCare System, Boston, Massachusetts 02481, USA
Am J Med 114:397-403. 2003..Implementation of an electronic medical record system in primary care can result in a positive financial return on investment to the health care organization. The magnitude of the return is sensitive to several key factors...
- Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a realityDavid W Bates
Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
J Am Med Inform Assoc 10:523-30. 2003..The goal of this report is to discuss these lessons learned in the interest of informing the efforts of others working to make the practice of evidence-based medicine a reality...
- Design and implementation of a comprehensive outpatient Results ManagerEric G Poon
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
J Biomed Inform 36:80-91. 2003..We also discuss its underlying architectural design, which revolves around a clinical event monitor and a rules engine, and the methodological challenges encountered in designing this application...
- Automated coded ambulatory problem lists: evaluation of a vocabulary and a data entry toolSamuel J Wang
Department of Information Systems, Partners HealthCare System, 93 Worcester Street, Wellesley, MA 02481, USA
Int J Med Inform 72:17-28. 2003..Problem lists are fundamental to electronic medical records (EMRs). However, obtaining an appropriate problem list dictionary is difficult, and getting users to code their problems at the time of data entry can be challenging...
- Guided prescription of psychotropic medications for geriatric inpatientsJosh F Peterson
Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
Arch Intern Med 165:802-7. 2005..Inappropriate use or excessive dosing of psychotropic medications in the elderly is common and can lead to a variety of adverse drug events including falls, oversedation, and cognitive impairment...
- Using commercial knowledge bases for clinical decision support: opportunities, hurdles, and recommendationsGilad J Kuperman
J Am Med Inform Assoc 13:369-71. 2006
- Discovering how to think about a hospital patient information system by struggling to evaluate it: a committee's journalJoseph Schulman
Department of Pediatrics, Division of Newborn Medicine, Weill Medical College of Cornell University, 525 East 68th Street, Box 106, New York, NY 10065, USA
J Am Med Inform Assoc 14:537-41. 2007....
- Challenges to EHR implementation in electronic- versus paper-based office practicesStephanie O Zandieh
Department of Pediatrics, Weill Cornell Medical College, New York, NY 10065, USA
J Gen Intern Med 23:755-61. 2008..Challenges in implementing electronic health records (EHRs) have received some attention, but less is known about the process of transitioning from legacy EHRs to newer systems...