Gilad J Kuperman
Affiliation: New York Presbyterian Hospital
- Health-information exchange: why are we doing it, and what are we doing?Gilad J Kuperman
Department of Information Systems, New York Presbyterian Hospital, NYCLIX, Inc, Columbia University, New York, USA
J Am Med Inform Assoc 18:678-82. 2011..This paper describes how interoperability activities have unfolded over the last decade and explores how recent initiatives are likely to affect the directions and benefits of health-information exchange...
- 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...
- Developing data content specifications for the nationwide health information network trial implementationsGilad J Kuperman
Inoperability Informatics, New York Presbyterian Hospital, New York, New York 10065, USA
J Am Med Inform Assoc 17:6-12. 2010..The ability to adhere to specified terminologies still presents significant challenges. This paper describes the process of developing the content specifications and lessons learned...
- A qualitative analysis of an electronic health record (EHR) implementation in an academic ambulatory settingKahyun Yoon-Flannery
Department of Public Health, Weill Cornell Medical College, and New York Presbyterian Hospital, New York, NY 10021, USA
Inform Prim Care 16:277-84. 2008..To determine pre-implementation perspectives of institutional, practice and vendor leadership regarding best practice for implementation of two ambulatory electronic health records (EHRs) at an academic institution...
- 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...
- 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....
- 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...
- 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...
- 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....
- 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...
- 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...
- 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 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...
- 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..Based on these findings, we have made specific recommendations for increasing the specificity of alerting and thereby improving the clinical utility of the drug allergy alerting system...
- Using commercial knowledge bases for clinical decision support: opportunities, hurdles, and recommendationsGilad J Kuperman
J Am Med Inform Assoc 13:369-71. 2006
- 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...
- 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...
- 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...
- 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...
- 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...
- 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 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...