Richard H Dykstra

Summary

Affiliation: Oregon Health and Science University
Country: USA

Publications

  1. pmc Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, the Michael E, DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, 2002 Holcombe Blvd, Houston, TX 77030, USA
    BMC Med Inform Decis Mak 13:46. 2013
  2. pmc Standard practices for computerized clinical decision support in community hospitals: a national survey
    Joan S Ash
    Oregon Health and Science University, Portland, Oregon, USA
    J Am Med Inform Assoc 19:980-7. 2012
  3. pmc Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study
    Joan S Ash
    Oregon Health and Science University, Portland, OR, USA
    BMC Med Inform Decis Mak 12:6. 2012
  4. pmc Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records
    Dean 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
  5. ncbi request reprint Categorizing the unintended sociotechnical consequences of computerized provider order entry
    Joan 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
  6. pmc The extent and importance of unintended consequences related to computerized provider order entry
    Joan 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
  7. pmc Qualitative evaluation of health information exchange efforts
    Joan 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
  8. ncbi request reprint Exploring the unintended consequences of computerized physician order entry
    Joan S Ash
    Oregon Health and Science University, School of Medicine, Portland, OR 97239 3098, USA
    Stud Health Technol Inform 129:198-202. 2007
  9. pmc People and organizational issues in research systems implementation
    Joan 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
  10. pmc The unintended consequences of computerized provider order entry: findings from a mixed methods exploration
    Joan 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

Collaborators

Detail Information

Publications43

  1. pmc Safety Assurance Factors for Electronic Health Record Resilience (SAFER): study protocol
    Hardeep Singh
    Houston VA HSR and D Center of Excellence, the Michael E, DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine, 2002 Holcombe Blvd, Houston, TX 77030, USA
    BMC Med Inform Decis Mak 13:46. 2013
    ..The overall objective of this project is to develop and validate proactive assessment tools to ensure that EHR-enabled clinical work systems are safe and effective...
  2. pmc Standard practices for computerized clinical decision support in community hospitals: a national survey
    Joan S Ash
    Oregon Health and Science University, Portland, Oregon, USA
    J Am Med Inform Assoc 19:980-7. 2012
    ..This study sought to address this knowledge gap by identifying standard practices related to CDS in US community hospitals with mature CPOE systems...
  3. pmc Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study
    Joan S Ash
    Oregon Health and Science University, Portland, OR, USA
    BMC Med Inform Decis Mak 12:6. 2012
    ..s...
  4. pmc Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records
    Dean 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
    ....
  5. ncbi request reprint Categorizing the unintended sociotechnical consequences of computerized provider order entry
    Joan 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...
  6. pmc The extent and importance of unintended consequences related to computerized provider order entry
    Joan 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...
  7. pmc Qualitative evaluation of health information exchange efforts
    Joan 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...
  8. ncbi request reprint Exploring the unintended consequences of computerized physician order entry
    Joan 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...
  9. pmc People and organizational issues in research systems implementation
    Joan 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...
  10. pmc The unintended consequences of computerized provider order entry: findings from a mixed methods exploration
    Joan 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)...
  11. ncbi request reprint Identifying best practices for clinical decision support and knowledge management in the field
    Joan 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
    ....
  12. pmc Clinical decision support in small community practice settings: a case study
    Joan 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...
  13. pmc Adding insight: a qualitative cross-site study of physician order entry
    Joan 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...
  14. pmc Computerized physician order entry in U.S. hospitals: results of a 2002 survey
    Joan 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...
  15. ncbi request reprint Report of conference Track 4: socio-technical issues of HIS
    Joan 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
  16. pmc Some unintended consequences of information technology in health care: the nature of patient care information system-related errors
    Joan 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
    ....
  17. ncbi request reprint Implementing computerized physician order entry: the importance of special people
    Joan 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...
  18. ncbi request reprint Adding insight: a qualitative cross-site study of physician order entry
    Joan 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...
  19. pmc A consensus statement on considerations for a successful CPOE implementation
    Joan 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...
  20. pmc A cross-site qualitative study of physician order entry
    Joan 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...
  21. pmc Factors and forces affecting EHR system adoption: report of a 2004 ACMI discussion
    Joan 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...
  22. ncbi request reprint Investigating physician order entry in the field: lessons learned in a multi-center study
    J 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...
  23. pmc Organizational factors that influence information technology diffusion in academic health sciences centers
    J 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...
  24. ncbi request reprint Perceptions of physician order entry: results of a cross-site qualitative study
    J 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...
  25. pmc Persistent paper: the myth of "going paperless"
    Richard H Dykstra
    Department of Medical Informatics and Clinical Epidemiology Oregon Health and Science University, Portland, OR, USA
    AMIA Annu Symp Proc 2009:158-62. 2009
    ..Paper has unique attributes allowing it to fill gaps in information timeliness, availability, and reliability in pursuit of improved patient care. Creative uses have led to "better paper."..
  26. pmc Computerized provider order entry adoption: implications for clinical workflow
    Emily 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...
  27. pmc Multiple perspectives on the meaning of clinical decision support
    Joshua E Richardson
    Oregon Health and Science University, Portland, OR
    AMIA Annu Symp Proc 2010:1427-31. 2010
    ..Using subjects' multiple perspectives we were able to gain new insights as to what stakeholders want CDS to achieve and how to achieve it even when those perspectives are competing and conflicting...
  28. pmc Assessing the anticipated consequences of Computer-based Provider Order Entry at three community hospitals using an open-ended, semi-structured survey instrument
    Dean F Sittig
    Medical Informatics Department, Northwest Permanente, Portland, OR 97227, USA
    Int J Med Inform 77:440-7. 2008
    ..To determine what "average" clinicians in organizations that were about to implement Computer-based Provider Order Entry (CPOE) were expecting to occur, we conducted an open-ended, semi-structured survey at three community hospitals...
  29. pmc Multiple perspectives on the meaning of clinical decision support
    Joshua E Richardson
    Oregon Health and Science University, Portland, OR
    AMIA Annu Symp Proc 2010:672-6. 2010
    ..Using subjects' multiple perspectives we were able to gain new insights as to what stakeholders want CDS to achieve and how to achieve it; even at times when those perspectives are competing and conflicting...
  30. pmc Types of unintended consequences related to computerized provider order entry
    Emily M Campbell
    Department of Medical Informatics and Clinical Epidemiology, Portland, OR 97239 3098, USA
    J Am Med Inform Assoc 13:547-56. 2006
    ..To identify types of clinical unintended adverse consequences resulting from computerized provider order entry (CPOE) implementation...
  31. pmc Emotional aspects of computer-based provider order entry: a qualitative study
    Dean 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...
  32. pmc A survey of factors affecting clinician acceptance of clinical decision support
    Dean F Sittig
    Department of Medical Informatics, Northwest Permanente PC, Portland, OR, USA
    BMC Med Inform Decis Mak 6:6. 2006
    ..We hypothesized that factors affecting CDS system acceptance could be categorized as relating to differences in patients, physicians, CDS-type, or environmental characteristics...
  33. ncbi request reprint A survey of U.S.A. acute care hospitals' computer-based provider order entry system infusion levels
    Dean 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...
  34. pmc The effects of hands-free communication device systems: communication changes in hospital organizations
    Joshua 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...
  35. ncbi request reprint Health Information Technology Systems profoundly impact users: a case study in a dental school
    Heather 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...
  36. ncbi request reprint Does failure breed success: narrative analysis of stories about computerized provider order entry
    P 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)...
  37. pmc The effects of a hands-free communication device system in a surgical suite
    Joshua 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...
  38. pmc Grand challenges in clinical decision support
    Dean 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...
  39. pmc An evaluation of five bedside information products using a user-centered, task-oriented approach
    Rose 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...
  40. ncbi request reprint 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
  41. pmc The United Hospital Fund meeting on evaluating health information exchange
    George 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...
  42. pmc Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption
    Paul 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...
  43. ncbi request reprint A qualitative study of the implementation of a bioinformatics tool in a biological research laboratory
    Nicholas 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 Grants7

  1. PHYSICIAN ORDER ENTRY: FIELD STUDY OF SUCCESS FACTORS
    Joan 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. ..
  2. Unintended Consequences of Physician Order Entry
    Joan 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. ..
  3. Clinical Decision Support in Community Hospitals: Barriers & Facilitators
    Joan S Ash; Fiscal Year: 2010
    ..S. hospitals to Increase quality, safety and efficiency benefits from CPOE with CDS. ..