Clinical Informatics

Toward a Process-Oriented Clinical Care System

by Jerome Carter on July 18, 2016 · 0 comments

My explorations in clinical care system design are progressing well.   In particular, I am pleased with the responses to the posts on primary care and EHR design.  There is a groundswell of interest in better systems that do more to help clinicians with the tasks they find burdensome.  Perhaps the retrenchment of MU has […]

{ 0 comments }

Drug Alert Fatigue and Software Design

by Jerome Carter on April 4, 2016 · 0 comments

The rise in EHR adoption has brought with it a 21st-century headache–alert fatigue.   Every day clinicians deal with numerous medication-related alerts, such as allergies, drug interactions, and duplicate medications.   Making matters worse is the fact that many alerts are clinically insignificant, causing cognitive overload and workflow disruptions, which could result in lower quality care.   Faced […]

{ 0 comments }

What is the Smallest Viable Unit of Clinical Data?

by Jerome Carter on April 13, 2015 · 4 comments

In trying to free myself from past assumptions about clinical information system design, I decided it was a good idea to question everything. Like everyone else, my view of electronic systems has been colored by the use of paper charts. Shaking off preconceptions is hard. In doing so, I have found it helpful to look […]

{ 4 comments }

Understanding How Physicians Use EHR Systems

by Jerome Carter on March 23, 2015 · 0 comments

Technology usage patterns differ from person to person. Any number of factors could account for the differences such as varying needs for specific features, lack of familiarity, or being unaware of available functions. Two recent studies that looked at physicians’ EHR use may offer a much more nuanced and interesting take on this topic. Like […]

{ 0 comments }

Clinical Workflow Center—It’s Alive!

by Jerome Carter on January 19, 2015 · 0 comments

Well, six weeks later than expected, Clinical Workflow Center (CWC) is finally up and running! I had no idea it would take this long–the original target date was December 8th. Such is the way of software projects, no matter how simple they seem at the outset. Q & A forum The site has a minimal […]

{ 0 comments }

A Place for Everything Clinical Workflow…

by Jerome Carter on December 15, 2014 · 0 comments

According to Google, “clinical workflow analysis” is the most popular search term that brings visitors to EHR Science. I am not surprised. Workflow disruptions are increasingly being recognized as workarounds, usability issues, safety concerns, and CDS problems. The first step to solving any problem is recognizing that it exists. In the case of HIT, this […]

{ 0 comments }

Many Theories, No Math…

by Jerome Carter on October 13, 2014 · 0 comments

In my quest to develop a mathematically-based theoretical framework for understanding the relationship between clinical work and clinical systems, I have been reviewing theory-focused articles in the academic informatics literature.   So far, I have waded through socio-technical theory and human factors engineering.   Interestingly, neither uses mathematics to convey their points of view.  Why is this? […]

{ 0 comments }