RANDOLPH MILLER

Summary

Affiliation: Vanderbilt University
Country: USA

Publications

  1. pmc Clinical decision support and electronic prescribing systems: a time for responsible thought and action
    Randolph A Miller
    Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
    J Am Med Inform Assoc 12:403-9. 2005
  2. doi request reprint Computer-assisted diagnostic decision support: history, challenges, and possible paths forward
    Randolph 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
  3. pmc The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt
    Randolph A Miller
    Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37232 8340, USA
    J Biomed Inform 38:469-85. 2005
  4. pmc Computer-based insulin infusion protocol improves glycemia control over manual protocol
    Jeffrey B Boord
    Vanderbilt University, Division of Cardiovascular Medicine, Nashville, TN 37232 8802, USA
    J Am Med Inform Assoc 14:278-87. 2007
  5. pmc Medication administration discrepancies persist despite electronic ordering
    Fern 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
  6. ncbi request reprint Physicians' response to guided geriatric dosing: initial results from a randomized trial
    Josh F Peterson
    Vanderbilt University School of Medicine, Department of Biomedical Informatics, Nashville, TN, USA
    Stud Health Technol Inform 129:1037-40. 2007
  7. pmc A model for evaluating interface terminologies
    S Trent Rosenbloom
    Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
    J Am Med Inform Assoc 15:65-76. 2008
  8. pmc Extracting timing and status descriptors for colonoscopy testing from electronic medical records
    Joshua C Denny
    Department of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA
    J Am Med Inform Assoc 17:383-8. 2010
  9. ncbi request reprint Behind-the-scenes of patient-centered care: content analysis of electronic messaging among primary care clinic providers and staff
    Renee A Stiles
    Department of General Internal Medicine, Vanderbilt University School of Medicine, Nashville Tennessee, USA
    Med Care 45:1205-9. 2007
  10. ncbi request reprint A computerized insulin infusion titration protocol improves glucose control with less hypoglycemia compared to a manual titration protocol in a trauma intensive care unit
    Marcus J Dortch
    Department of Pharmaceutical Services, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
    JPEN J Parenter Enteral Nutr 32:18-27. 2008

Detail Information

Publications28

  1. pmc Clinical decision support and electronic prescribing systems: a time for responsible thought and action
    Randolph A Miller
    Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
    J Am Med Inform Assoc 12:403-9. 2005
  2. doi request reprint Computer-assisted diagnostic decision support: history, challenges, and possible paths forward
    Randolph 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...
  3. pmc The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt
    Randolph 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...
  4. pmc Computer-based insulin infusion protocol improves glycemia control over manual protocol
    Jeffrey B Boord
    Vanderbilt University, Division of Cardiovascular Medicine, Nashville, TN 37232 8802, USA
    J Am Med Inform Assoc 14:278-87. 2007
    ....
  5. pmc Medication administration discrepancies persist despite electronic ordering
    Fern 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
    ....
  6. ncbi request reprint Physicians' response to guided geriatric dosing: initial results from a randomized trial
    Josh 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...
  7. pmc A model for evaluating interface terminologies
    S 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...
  8. pmc Extracting timing and status descriptors for colonoscopy testing from electronic medical records
    Joshua 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...
  9. ncbi request reprint Behind-the-scenes of patient-centered care: content analysis of electronic messaging among primary care clinic providers and staff
    Renee 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...
  10. ncbi request reprint A computerized insulin infusion titration protocol improves glucose control with less hypoglycemia compared to a manual titration protocol in a trauma intensive care unit
    Marcus 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...
  11. pmc Identifying QT prolongation from ECG impressions using a general-purpose Natural Language Processor
    Joshua 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...
  12. pmc Evaluation of a method to identify and categorize section headers in clinical documents
    Joshua 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")...
  13. doi request reprint Development of inpatient risk stratification models of acute kidney injury for use in electronic health records
    Michael E Matheny
    Geriatric Research Education Clinical Center, Tennessee Valley Health System, Veterans Health Administration, Nashville, TN, USA
    Med Decis Making 30:639-50. 2010
    ....
  14. pmc Expert synthesis of the literature to support critical care decision making
    Rebecca N Jerome
    Vanderbilt University Medical Center, Nashville, Tennessee, USA
    J Med Libr Assoc 94:376-81. 2006
  15. ncbi request reprint Improved compliance with quality measures at hospital discharge with a computerized physician order entry system
    Javed 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...
  16. ncbi request reprint Decision support for patient care: implementing cybernetics
    Judy 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...
  17. pmc Experience in implementing inpatient clinical note capture via a provider order entry system
    S 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...
  18. pmc Effect of CPOE user interface design on user-initiated access to educational and patient information during clinical care
    S Trent Rosenbloom
    Department of Biomedical Informatics, School of Nursing, Vanderbilt University, Nashville, TN, USA
    J Am Med Inform Assoc 12:458-73. 2005
    ....
  19. pmc Interventions to regulate ordering of serum magnesium levels: report of an unintended consequence of decision support
    S 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...
  20. pmc Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarction
    Asli Ozdas
    Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
    J Am Med Inform Assoc 13:188-96. 2006
    ....
  21. pmc Interface terminologies: facilitating direct entry of clinical data into electronic health record systems
    S 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...
  22. ncbi request reprint The impact of peer management on test-ordering behavior
    Eric 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...
  23. pmc Commonly used surrogates for baseline renal function affect the classification and prognosis of acute kidney injury
    Edward 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...
  24. pmc "Understanding" medical school curriculum content using KnowledgeMap
    Joshua C Denny
    Department of Biomedical Informatics, Vanderbilt School of Medicine, Nashville, Tennessee 37232, USA
    J Am Med Inform Assoc 10:351-62. 2003
    ..The long-term goal of the KnowledgeMap (KM) project is to provide faculty and students with an improved ability to develop, review, and integrate components of the medical school curriculum...
  25. pmc 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 Informatics
    J 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...
  26. ncbi request reprint On exemplary scientific conduct regarding submission of manuscripts to biomedical informatics journals
    Randolph A Miller
    Comput Methods Programs Biomed 81:195-6. 2006
  27. pmc Service-oriented architecture in medical software: promises and perils
    Prakash M Nadkarni
    J Am Med Inform Assoc 14:244-6. 2007
  28. pmc Pragmatics of implementing guidelines on the front lines
    Lemuel R Waitman
    J Am Med Inform Assoc 11:436-8. 2004

Research Grants8

  1. TIME:(Tools for Inpatient Monitoring using Evidence)for Safe & AppropriateTesting
    RANDOLPH 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. ..
  2. MOMENT (Monitoring for Outpatient Medication Effects and New Toxicities) in TIME
    RANDOLPH 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. ..
  3. TIME:(Tools for Inpatient Monitoring using Evidence)for Safe & AppropriateTesting
    RANDOLPH 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. ..
  4. MOMENT (Monitoring for Outpatient Medication Effects and New Toxicities) in TIME
    RANDOLPH 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. ..
  5. 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. ..