Research Topics
| RANDOLPH MILLERSummaryAffiliation: Vanderbilt University Country: USA Publications
Research Grants
| Collaborators
|
Detail Information
Publications
Clinical decision support and electronic prescribing systems: a time for responsible thought and actionRandolph A Miller
Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
J Am Med Inform Assoc 12:403-9. 2005
Computer-assisted diagnostic decision support: history, challenges, and possible paths forwardRandolph A Miller
Department of Biomedical Informatics, Eskind Biomedical Library, Vanderbilt University Medical Center, Room B003C, Nashville, TN 37232 8340, USA
Adv Health Sci Educ Theory Pract 14:89-106. 2009..References indicate the original sources of many of these ideas...- The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at VanderbiltRandolph A Miller
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37232 8340, USA
J Biomed Inform 38:469-85. 2005..Framing decision support in this manner may help both developers and clinical end-users plan future alterations to their systems when needs for new decision support features arise... - Computer-based insulin infusion protocol improves glycemia control over manual protocolJeffrey B Boord
Vanderbilt University, Division of Cardiovascular Medicine, Nashville, TN 37232 8802, USA
J Am Med Inform Assoc 14:278-87. 2007.... - Medication administration discrepancies persist despite electronic orderingFern Fitzhenry
Department of Biomedical Informatics, Vanderbilt University Medical Center, 2525 West End Avenue, Nashville, TN 37203, USA
J Am Med Inform Assoc 14:756-64. 2007.... 
Physicians' response to guided geriatric dosing: initial results from a randomized trialJosh F Peterson
Vanderbilt University School of Medicine, Department of Biomedical Informatics, Nashville, TN, USA
Stud Health Technol Inform 129:1037-40. 2007..0,4.0]) than the control group (median 3.0 interquartile range [1.5,5.0], p<0.001). While physicians selected the recommended dose less than a third of the time, guided geriatric dosing modestly improved compliance with guidelines...- A model for evaluating interface terminologiesS Trent Rosenbloom
Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
J Am Med Inform Assoc 15:65-76. 2008..The authors present a model for evaluating functional utility of interface terminologies based on these intended uses... - Extracting timing and status descriptors for colonoscopy testing from electronic medical recordsJoshua C Denny
Department of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA
J Am Med Inform Assoc 17:383-8. 2010..Further investigations must validate extension of NLP approaches for other types of CRC screening applications... - Behind-the-scenes of patient-centered care: content analysis of electronic messaging among primary care clinic providers and staffRenee A Stiles
Department of General Internal Medicine, Vanderbilt University School of Medicine, Nashville Tennessee, USA
Med Care 45:1205-9. 2007..A taxonomy for codifying clinical text messages into standardized categories could facilitate content analysis of work performed or enhanced via electronic messaging... - A computerized insulin infusion titration protocol improves glucose control with less hypoglycemia compared to a manual titration protocol in a trauma intensive care unitMarcus J Dortch
Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
JPEN J Parenter Enteral Nutr 32:18-27. 2008..Unfortunately, implementation of such protocols has proved challenging. This study evaluated the degree of glucose control using manual paper-based vs computer-based insulin protocols in a trauma intensive care unit... - Identifying QT prolongation from ECG impressions using a general-purpose Natural Language ProcessorJoshua C Denny
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA
Int J Med Inform 78:S34-42. 2009..We investigated the accuracy of natural language processing (NLP) for identifying QT prolongation from cardiologist-generated, free-text ECG impressions compared to corrected QT (QTc) thresholds reported by ECG machines... - Evaluation of a method to identify and categorize section headers in clinical documentsJoshua C Denny
Department of Biomedical Informatics, Vanderbilt UniversitySchool of Medicine, Eskind Biomedical Library, Room 442, 2209 Garland Ave, Nashville TN 37232, USA
J Am Med Inform Assoc 16:806-15. 2009..quot; The authors designed and evaluated an algorithm ("SecTag") to identify both labeled and unlabeled (implied) note section headers in "history and physical examination" documents ("H&P notes")... - Development of inpatient risk stratification models of acute kidney injury for use in electronic health recordsMichael E Matheny
Geriatric Research Education Clinical Center, Tennessee Valley Health System, Veterans Health Administration, Nashville, TN, USA
Med Decis Making 30:639-50. 2010.... - Expert synthesis of the literature to support critical care decision makingRebecca N Jerome
Vanderbilt University Medical Center, Nashville, Tennessee, USA
J Med Libr Assoc 94:376-81. 2006 - Improved compliance with quality measures at hospital discharge with a computerized physician order entry systemJaved Butler
Cardiology Division, Department of Medicine, Vanderbilt University, VAMC, Nashville, TN, USA
Am Heart J 151:643-53. 2006..Implementation of disease-specific computerized physician order entry (CPOE) discharge tools may improve compliance with these measures... - Decision support for patient care: implementing cyberneticsJudy Ozbolt
School of Nursing, Vanderbilt University, Nashville, TN, USA
Stud Health Technol Inform 107:70-3. 2004..Work is underway at Vanderbilt University Medical Center to implement feedback loops in care and management processes and to evaluate the effects... - Experience in implementing inpatient clinical note capture via a provider order entry systemS Trent Rosenbloom
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA
J Am Med Inform Assoc 11:310-5. 2004..This case report is provided as an example of how an existing care provider order entry environment can facilitate clinical end-user adoption of a computer-assisted documentation tool-a concept that may seem counterintuitive to some... - Effect of CPOE user interface design on user-initiated access to educational and patient information during clinical careS Trent Rosenbloom
Department of Biomedical Informatics, School of Nursing, Vanderbilt University, Nashville, TN, USA
J Am Med Inform Assoc 12:458-73. 2005.... - Interventions to regulate ordering of serum magnesium levels: report of an unintended consequence of decision supportS Trent Rosenbloom
Eskind Biomedical Library, Room 440, 2209 Garland Avenue, Nashville, TN 37232 8340, USA
J Am Med Inform Assoc 12:546-53. 2005..Unintended consequences of computerized patient care system interventions may increase resource use, foster clinical errors, and reduce users' confidence... - Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarctionAsli Ozdas
Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
J Am Med Inform Assoc 13:188-96. 2006.... - Interface terminologies: facilitating direct entry of clinical data into electronic health record systemsS Trent Rosenbloom
Department of Biomedical Informatics, School of Nursing, Vanderbilt University, and Department of Veterans Affairs, Nashville, TN, USA
J Am Med Inform Assoc 13:277-88. 2006..To place interface terminologies in context, this article reviews historical goals and challenges of clinical terminology development in general and then focuses on the unique features of interface terminologies... - The impact of peer management on test-ordering behaviorEric G Neilson
Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37232, USA
Ann Intern Med 141:196-204. 2004..Laboratory testing of hospitalized patients, although essential, can be expensive and sometimes excessive. Attempts to reduce unnecessary testing have often been difficult to implement or sustain... - Commonly used surrogates for baseline renal function affect the classification and prognosis of acute kidney injuryEdward D Siew
Division of Nephrology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
Kidney Int 77:536-42. 2010..Our study found that commonly used surrogates for baseline serum creatinine result in bi-directional misclassification of the incidence and prognosis of acute kidney injury in a hospital setting... - "Understanding" medical school curriculum content using KnowledgeMapJoshua C Denny
Department of Biomedical Informatics, Vanderbilt School of Medicine, Nashville, Tennessee 37232, USA
J Am Med Inform Assoc 10:351-62. 2003..In addition, the ability of KM to meet specific, personal information needs should be assessed... - Does national regulatory mandate of provider order entry portend greater benefit than risk for health care delivery? The 2001 ACMI debate. The American College of Medical InformaticsJ Marc Overhage
Indiana University School of Medicine, Indianapolis, USA
J Am Med Inform Assoc 9:199-208. 2002..They also noted the potential for errors introduced by the systems themselves and the fact that the safety and utility of commercially available CPOE products have yet to be proved... - On exemplary scientific conduct regarding submission of manuscripts to biomedical informatics journalsRandolph A Miller
Comput Methods Programs Biomed 81:195-6. 2006 - Service-oriented architecture in medical software: promises and perilsPrakash M Nadkarni
J Am Med Inform Assoc 14:244-6. 2007 - Pragmatics of implementing guidelines on the front linesLemuel R Waitman
J Am Med Inform Assoc 11:436-8. 2004
Research Grants
- TIME:(Tools for Inpatient Monitoring using Evidence)for Safe & AppropriateTestingRANDOLPH MILLER; Fiscal Year: 2006..Aim 6: Publish/provide access for qualified researchers to an anonymous version of the therapy-lab database as a general research tool to further study adverse effect monitoring strategies. ..
- MOMENT (Monitoring for Outpatient Medication Effects and New Toxicities) in TIMERANDOLPH MILLER; Fiscal Year: 2007..The project will develop tools and algorithms to detect the patient symptoms, physical exam signs, test results, and medical diagnoses that may indicate drug-induced injury. ..
- TIME:(Tools for Inpatient Monitoring using Evidence)for Safe & AppropriateTestingRANDOLPH MILLER; Fiscal Year: 2007..The project will develop tools and algorithms to detect the patient symptoms, physical exam signs, test results, and medical diagnoses that may indicate drug-induced injury. ..
- MOMENT (Monitoring for Outpatient Medication Effects and New Toxicities) in TIMERANDOLPH MILLER; Fiscal Year: 2009..The project will develop tools and algorithms to detect the patient symptoms, physical exam signs, test results, and medical diagnoses that may indicate drug-induced injury. ..
- Evidence-based Diagnostic Tools for Translational and Clinical Research (eTfor2)Randolph A Miller; Fiscal Year: 2010..The eTfor2 resources should improve the quality and cross-institutional validity of EMR-based translational and clinical studies. ..