General

Clinical Workflow Center Human factors methods are valuable tools for analyzing the nuances of clinical work.   Gaining familiarity with these methods can require a good deal of time and searching.   A new resource page has been added to Clinical Workflow Center to make life easier for those who want to begin exploring human factors techniques.   […]

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Clinical Workflow Center NIST and AHRQ have funded a collection of studies that focus on EHR-related clinical workflow issues. Overall, the reports contain useful information. However, there were a few things that I found puzzling. NIST and AHRQ Workflow Reports: A Few Observations Clinical Swift Inheritance is one of the cornerstones of object-oriented programming. Unfortunately, […]

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As I have written more about EHR design, I have noticed the term has different meanings among various groups focused on HIT. There are so many different groups focused on HIT — each with its literature and jargon — that at times it is difficult to communicate. The rising interest in user-centered design has made […]

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There is no standard method or process for creating clinical software, and this bothers me – a lot.   There is no information model that everyone agrees on, no object names or properties or methods.   Even though clinical care is a collection of processes, we have no standards for naming those processes, the steps that comprise […]

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Workarounds seem to be an unavoidable fact of using current EHR systems. The volume of research in this area is growing, and hopefully, it will soon lead to better clinical care systems. A few weeks back, I came across an article by Carrington, et al. that discussed the creation of a quantitative instrument to measure […]

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By encouraging adoption of HIT, the EHR incentive programs have forced everyone to deal with the realities of current EHR system designs.   In fact, this might be one of the most significant outcomes of the entire program.   Now that there is a general acceptance that HIT needs to evolve in order to better support clinical […]

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An Informatics Exploratorium for EHR Design

by Jerome Carter on February 9, 2015 · 3 comments

Experimentation is essential to the development of any new field. In the case of Biomedical informatics, and clinical software in particular, the ability to test ideas in concrete form as functioning software provides a much-needed reality check on expectations and claims. There are many aspects of software systems that must be properly aligned to make […]

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