Richard Shiffman

Summary

Affiliation: Yale University
Country: USA

Publications

  1. ncbi request reprint Evidence-based clinical decision support
    R N Shiffman
    Yale Center for Medical Informatics, 300 George St, Ste 501, New Haven, CT 06511 USA E mail
    Yearb Med Inform 8:120-7. 2013
  2. pmc A draft framework for measuring progress towards the development of a National Health Information Infrastructure
    Dean F Sittig
    Department of Medical Informatics, Northwest Permanente, P C, Portland, OR, USA
    BMC Med Inform Decis Mak 5:14. 2005
  3. pmc Building better guidelines with BRIDGE-Wiz: development and evaluation of a software assistant to promote clarity, transparency, and implementability
    Richard N Shiffman
    Yale Center for Medical Informatics, New Haven, Connecticut, USA
    J Am Med Inform Assoc 19:94-101. 2012
  4. pmc The GuideLine Implementability Appraisal (GLIA): development of an instrument to identify obstacles to guideline implementation
    Richard N Shiffman
    Yale Center for Medical Informatics, Yale University School of Medicine, New Haven, CT, USA
    BMC Med Inform Decis Mak 5:23. 2005
  5. ncbi request reprint A convocation of wizards: synergies at the intersection of child health care, public health, and information technology
    Richard N Shiffman
    Department of Pediatrics, Yale School of Medicine, Yale Center for Medical Informatics, New Haven, Connecticut, USA
    J Public Health Manag Pract . 2004
  6. ncbi request reprint Transition to a computer-based record using scannable, structured encounter forms
    R N Shiffman
    Department of Pediatrics, Yale University School of Medicine, New Haven, Conn, USA
    Arch Pediatr Adolesc Med 151:1247-53. 1997
  7. ncbi request reprint Toward improved guideline quality: using the COGS statement with GEM
    Richard N Shiffman
    Yale Center for Medical Informatics, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA
    Stud Health Technol Inform 107:159-63. 2004
  8. pmc Bridging the guideline implementation gap: a systematic, document-centered approach to guideline implementation
    Richard N Shiffman
    Yale Center for Medical Informatics, 300 George Street, Suite 501, New Haven, CT 06511, USA
    J Am Med Inform Assoc 11:418-26. 2004
  9. pmc Computer-based guideline implementation systems: a systematic review of functionality and effectiveness
    R N Shiffman
    Center for Medical Informatics, Yale School of Medicine, New Haven, CT 06520 8009, USA
    J Am Med Inform Assoc 6:104-14. 1999
  10. pmc A design model for computer-based guideline implementation based on information management services
    R N Shiffman
    Center for Medical Informatics, Yale School of Medicine, New Haven, CT 06520 8009, USA
    J Am Med Inform Assoc 6:99-103. 1999

Research Grants

  1. Guideline Development & Implementation - XML-Based Tools
    Richard Shiffman; Fiscal Year: 2004
  2. Improving Guideline Development and Implementation
    Richard Shiffman; Fiscal Year: 2007
  3. Guideline Development & Implementation - XML-Based Tools
    Richard Shiffman; Fiscal Year: 2007
  4. Improving Guideline Development and Implementation
    Richard N Shiffman; Fiscal Year: 2010

Detail Information

Publications26

  1. ncbi request reprint Evidence-based clinical decision support
    R N Shiffman
    Yale Center for Medical Informatics, 300 George St, Ste 501, New Haven, CT 06511 USA E mail
    Yearb Med Inform 8:120-7. 2013
    ..If not properly addressed, these challenges can limit the effectiveness of CDS, and potentially risk inaccurate or inappropriate interventions to clinicians...
  2. pmc A draft framework for measuring progress towards the development of a National Health Information Infrastructure
    Dean F Sittig
    Department of Medical Informatics, Northwest Permanente, P C, Portland, OR, USA
    BMC Med Inform Decis Mak 5:14. 2005
    ..We describe a conceptual framework to help measure progress toward that goal...
  3. pmc Building better guidelines with BRIDGE-Wiz: development and evaluation of a software assistant to promote clarity, transparency, and implementability
    Richard N Shiffman
    Yale Center for Medical Informatics, New Haven, Connecticut, USA
    J Am Med Inform Assoc 19:94-101. 2012
    ....
  4. pmc The GuideLine Implementability Appraisal (GLIA): development of an instrument to identify obstacles to guideline implementation
    Richard N Shiffman
    Yale Center for Medical Informatics, Yale University School of Medicine, New Haven, CT, USA
    BMC Med Inform Decis Mak 5:23. 2005
    ..Implementability refers to a set of characteristics that predict ease of (and obstacles to) guideline implementation. Our objective is to develop and validate a tool for appraisal of implementability of clinical guidelines...
  5. ncbi request reprint A convocation of wizards: synergies at the intersection of child health care, public health, and information technology
    Richard N Shiffman
    Department of Pediatrics, Yale School of Medicine, Yale Center for Medical Informatics, New Haven, Connecticut, USA
    J Public Health Manag Pract . 2004
    ....
  6. ncbi request reprint Transition to a computer-based record using scannable, structured encounter forms
    R N Shiffman
    Department of Pediatrics, Yale University School of Medicine, New Haven, Conn, USA
    Arch Pediatr Adolesc Med 151:1247-53. 1997
    ..To evaluate the quality of documentation and user satisfaction with a structured documentation system for pediatric health maintenance encounters, using scanned paper-based forms to generate an electronic medical record...
  7. ncbi request reprint Toward improved guideline quality: using the COGS statement with GEM
    Richard N Shiffman
    Yale Center for Medical Informatics, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA
    Stud Health Technol Inform 107:159-63. 2004
    ..Once a guideline has been marked up according to the GEM hierarchy, its knowledge content can be reused in multiple ways...
  8. pmc Bridging the guideline implementation gap: a systematic, document-centered approach to guideline implementation
    Richard N Shiffman
    Yale Center for Medical Informatics, 300 George Street, Suite 501, New Haven, CT 06511, USA
    J Am Med Inform Assoc 11:418-26. 2004
    ..This work describes a process to systematize and make explicit the translation of document-based knowledge into workflow-integrated clinical decision support systems...
  9. pmc Computer-based guideline implementation systems: a systematic review of functionality and effectiveness
    R N Shiffman
    Center for Medical Informatics, Yale School of Medicine, New Haven, CT 06520 8009, USA
    J Am Med Inform Assoc 6:104-14. 1999
    ..There were 10 controlled trials (9 randomized) and 10 time-series correlational studies. Guideline adherence improved in 14 of 18 systems in which it was measured. Documentation improved in 4 of 4 studies...
  10. pmc A design model for computer-based guideline implementation based on information management services
    R N Shiffman
    Center for Medical Informatics, Yale School of Medicine, New Haven, CT 06520 8009, USA
    J Am Med Inform Assoc 6:99-103. 1999
    ..The authors provide examples of the eight services that make up the model from five evidence-based practice parameters developed by the American Academy of Pediatrics...
  11. ncbi request reprint Standardized reporting of clinical practice guidelines: a proposal from the Conference on Guideline Standardization
    Richard N Shiffman
    Yale University School of Medicine and Yale Center for Medical Informatics, New Haven, Connecticut, USA
    Ann Intern Med 139:493-8. 2003
    ..Most organizations that are active in guideline development found the component items to be comprehensive and to fit within their existing development methods...
  12. pmc Information technology for children's health and health care: report on the Information Technology in Children's Health Care Expert Meeting, September 21-22, 2000
    R N Shiffman
    Yale Center for Medical Informatics, Yale University School of Medicine, New Haven, Connecticut 06520 8009, USA
    J Am Med Inform Assoc 8:546-51. 2001
    ....
  13. ncbi request reprint An approach to guideline implementation with GEM
    R N Shiffman
    Yale Center for Medical Informatics, New Haven, CT, USA
    Stud Health Technol Inform 84:271-5. 2001
    ..goal is to devise a system that can be applied by local clinical domain experts, quality assurance experts, and information systems programmers without requiring trained informaticians and knowledge engineers to serve as intermediaries..
  14. pmc GEM: a proposal for a more comprehensive guideline document model using XML
    R N Shiffman
    Yale University, New Haven, Connecticut, USA
    J Am Med Inform Assoc 7:488-98. 2000
    ..To develop a guideline document model that includes a sufficiently broad set of concepts to be useful throughout the guideline life cycle...
  15. ncbi request reprint A guideline implementation system using handheld computers for office management of asthma: effects on adherence and patient outcomes
    R N Shiffman
    Department of Pediatrics, Yale School of Medicine, New Haven, CT 06520 8009, USA
    Pediatrics 105:767-73. 2000
    ..To evaluate effects on the process and outcomes of care brought about by use of a handheld, computer-based system that implements the American Academy of Pediatrics guideline on office management of asthma exacerbations...
  16. ncbi request reprint Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors
    Allen L Hsiao
    Yale University School of Medicine, New Haven, CT, USA
    Jt Comm J Qual Patient Saf 35:467-74. 2009
    ..METHODs: Paper charts were reviewed for evidence of continuity of information and continuity of follow-up within the directed five-day period after an asthma exacerbation as recommended in national guidelines...
  17. doi request reprint The Yale Guideline Recommendation Corpus: a representative sample of the knowledge content of guidelines
    Tamseela Hussain
    Yale Center for Medical Informatics, Yale University School of Medicine, New Haven, CT 06511, USA
    Int J Med Inform 78:354-63. 2009
    ..We refer to this sample as the Yale Guideline Recommendation Corpus (YGRC)...
  18. ncbi request reprint Metadata-driven Delphi rating on the Internet
    Aniruddha M Deshpande
    Center for Medical Informatics, Yale University School of Medicine, PO Box 208009, New Haven, CT 06520 8009, USA
    Comput Methods Programs Biomed 77:49-56. 2005
    ..0), acceptable (median 4.5, IQR 4.0-5.0) and easily accessible (median 5, IQR 4.0-5.0). We conclude that Web-based Delphi rating for consensus development is a convenient and acceptable alternative to the traditional paper-based method...
  19. doi request reprint Electronic medical records in a sub-specialty practice: one asthma center's experience
    Concettina Tolomeo
    Yale School of Medicine, Pediatric Respiratory Medicine, New Haven, CT 06520 8064, USA
    J Asthma 45:849-51. 2008
    ..Prior to the EMR system, 4% received an asthma action plan upon discharge. After implementation of the EMR system, 58% received an asthma action plan upon discharge...
  20. pmc Use of statistical analysis in the biomedical informatics literature
    Matthew Scotch
    Yale Center for Medical Informatics, Yale University, New Haven, Connecticut 06511, USA
    J Am Med Inform Assoc 17:3-5. 2010
    ..These results highlight the use of statistics in informatics and the need for biomedical informatics scientists to have, as a minimum, proficiency in descriptive and elementary statistics...
  21. ncbi request reprint Using a guideline-centered approach for the design of a clinical decision support system to promote smoking cessation
    Richard N Shiffman
    Yale Center for Medical Informatics, Yale School of Medicine, New Haven, CT, USA
    Stud Health Technol Inform 101:152-6. 2004
    ..Action types were identified. Extracting the critical concepts from the narrative text facilitates clarification of necessary content. The guideline-centric approach promotes accurate translation of guideline knowledge...
  22. pmc Take note(s): differential EHR satisfaction with two implementations under one roof
    Ryan T O'Connell
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06511, USA
    J Am Med Inform Assoc 11:43-9. 2004
    ....
  23. pmc How "should" we write guideline recommendations? Interpretation of deontic terminology in clinical practice guidelines: survey of the health services community
    E A Lomotan
    Yale Center for Medical Informatics, Yale University School of Medicine, New Haven, Connecticut 06511, USA
    Qual Saf Health Care 19:509-13. 2010
    ..To describe the level of obligation conveyed by deontic terms (words such as "should", "may", "must" and "is indicated") commonly found in clinical practice guidelines...
  24. ncbi request reprint Improving diagnostic testing and reducing overuse of antibiotics for children with pharyngitis: a useful role for the electronic medical record
    Andrea L Benin
    Yale School of Medicine, Robert Wood Johnson Clinical Scholars Program, New Haven, CT, USA
    Pediatr Infect Dis J 22:1043-7. 2003
    ..The purpose of this study was to use an electronic medical record (EMR) to assess use of diagnostic testing and of antibiotics for pharyngitis in a pediatric outpatient setting and to target areas for improvement...
  25. ncbi request reprint Facilitating adherence to the tobacco use treatment guideline with computer-mediated decision support systems: physician and clinic office manager perspectives
    Theodore W Marcy
    Office of Health Promotion Research, University of Vermont College of Medicine, Burlington, VT 05401 3444, USA
    Prev Med 41:479-87. 2005
    ..We then assessed attitudes towards a computer-mediated clinical decision support system (CDSS) to gauge whether this type of intervention could support performance of the guideline...
  26. pmc Developing a decision support system for tobacco use counselling using primary care physicians
    Theodore W Marcy
    Office of Health Promotion Research, and Vermont Cancer Center, University of Vermont College of Medicine, 1 South Prospect Street, Burlington, VT 05401, USA
    Inform Prim Care 16:101-9. 2008
    ..Clinical decision support systems (CDSS) have the potential to improve adherence to guidelines, but only if they are designed to work in the complex environment of ambulatory clinics as otherwise physicians may not use them...

Research Grants8

  1. Guideline Development & Implementation - XML-Based Tools
    Richard Shiffman; Fiscal Year: 2004
    ..4) To extend and refine the GEM model to serve as a precise, comprehensive, and consistently applied ontology of guideline- related concepts. ..
  2. Improving Guideline Development and Implementation
    Richard Shiffman; Fiscal Year: 2007
    ..In addition, the proposed activities focus on systems that will preferentially impact children - a particularly vulnerable population. ..
  3. Guideline Development & Implementation - XML-Based Tools
    Richard Shiffman; Fiscal Year: 2007
    ..In addition, the proposed activities focus on systems that will preferentially impact children¿a particularly vulnerable population. ..
  4. Improving Guideline Development and Implementation
    Richard N Shiffman; Fiscal Year: 2010
    ..In addition, the proposed activities focus on systems that will preferentially impact children - a particularly vulnerable population. ..