Browsing by Author "Wright, Adam"
Now showing items 1-14 of 14
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Ability to Generate Patient Registries Among Practices With and Without Electronic Health Records
Wright, Adam; McGlinchey, Elizabeth A; Poon, Eric G; Jenter, Chelsea A; Bates, David; Simon, Steven R; Simon, Steven (JMIR Publications Inc., 2009-08-10)Background: The ability to generate registries of patients with particular clinical attributes, such as diagnoses or medications taken, is central to measuring and improving the quality of health care. However, it is not ... -
Clinician Attitudes Toward and Use of Electronic Problem Lists: A Thematic Analysis
Wright, Adam; Maloney, Francine L; Feblowitz, Joshua Colin (BioMed Central, 2011)Background: The clinical problem list is an important tool for clinical decision making, quality measurement and clinical decision support; however, problem lists are often incomplete and provider attitudes towards the ... -
Distribution of Problems, Medications and Lab Results in Electronic Health Records: The Pareto Principle at Work
Bates, David; Wright, Adam (Georg Thieme Verlag KG, 2010)Background: Many natural phenomena demonstrate power-law distributions, where very common items predominate. Problems, medications and lab results represent some of the most important data elements in medicine, but their ... -
Electronic problem list documentation of chronic kidney disease and quality of care
Samal, Lipika; Linder, Jeffrey A; Bates, David W; Wright, Adam (BioMed Central, 2014)Background: Chronic kidney disease (CKD) is increasingly common and under-recognized in primary care clinics, leading to low rates of stage-appropriate monitoring and treatment. Our objective was to determine whether ... -
Healthcare Provider Attitudes Towards the Problem List in an Electronic Health Record: A Mixed-Methods Qualitative Study
Holmes, Casey; St Hilaire, Daniel Joseph; Brown, Michael Eric; Wright, Adam (BioMed Central, 2012)Background: The problem list is a key part of the electronic health record (EHR) that allows practitioners to see a patient’s diagnoses and health issues. Yet, as the content of the problem list largely represents the ... -
Improving Completeness of Electronic Problem Lists through Clinical Decision Support: A Randomized, Controlled Trial
Wright, Adam; Pang, Justine; Feblowitz, Joshua Colin; Maloney, Francine L.; Wilcox, Allison R.; McLoughlin, Karen Sax; Ramelson, Harley Z.; Schneider, Louise Isabel; Bates, David Westfall (BMJ Group, 2012)Background: Accurate clinical problem lists are critical for patient care, clinical decision support, population reporting, quality improvement, and research. However, problem lists are often incomplete or out of date. ... -
Measuring agreement between decision support reminders: the cloud vs. the local expert
Dixon, Brian Edward; Simonaitis, Linas; Perkins, Susan M; Wright, Adam; Middleton, Blackford (BioMed Central, 2014)Background: A cloud-based clinical decision support system (CDSS) was implemented to remotely provide evidence-based guideline reminders in support of preventative health. Following implementation, we measured the agreement ... -
Measuring patient-perceived quality of care in US hospitals using Twitter
Hawkins, Jared B; Brownstein, John S; Tuli, Gaurav; Runels, Tessa; Broecker, Katherine; Nsoesie, Elaine O; McIver, David J; Rozenblum, Ronen; Wright, Adam; Bourgeois, Florence T; Greaves, Felix (BMJ Publishing Group, 2016)Background: Patients routinely use Twitter to share feedback about their experience receiving healthcare. Identifying and analysing the content of posts sent to hospitals may provide a novel real-time measure of quality, ... -
Multiple perspectives on clinical decision support: a qualitative study of fifteen clinical and vendor organizations
Ash, Joan S; Sittig, Dean F; McMullen, Carmit K; Wright, Adam; Bunce, Arwen; Mohan, Vishnu; Cohen, Deborah J; Middleton, Blackford (BioMed Central, 2015)Background: Computerized clinical decision support (CDS) can help hospitals to improve healthcare. However, CDS can be problematic. The purpose of this study was to discover how the views of clinical stakeholders, CDS ... -
Nephrology co-management versus primary care solo management for early chronic kidney disease: a retrospective cross-sectional analysis
Samal, Lipika; Wright, Adam; Waikar, Sushrut S.; Linder, Jeffrey A. (BioMed Central, 2015)Background: Primary care physicians (PCPs) typically manage early chronic kidney disease (CKD), but recent guidelines recommend nephrology co-management for some patients with stage 3 CKD and all patients with stage 4 CKD. ... -
Preoperative Hyponatremia and Perioperative Complications
Leung, Alexander A.; McAlister, Finlay A.; Rogers, Selwyn O.; Pazo, Valeria; Bates, David W.; Wright, Adam (American Medical Association (AMA), 2012-10-22)Background Although hyponatremia has been linked to increased morbidity and mortality in a variety of medical conditions, its association with perioperative outcomes remains uncertain. Methods To determine whether ... -
A qualitative study of the activities performed by people involved in clinical decision support: recommended practices for success
Wright, Adam; Ash, Joan S; Erickson, Jessica L; Wasserman, Joe; Bunce, Arwen; Stanescu, Ana; St Hilaire, Daniel; Panzenhagen, Morgan; Gebhardt, Eric; McMullen, Carmit; Middleton, Blackford; Sittig, Dean F (BMJ Publishing Group, 2014)Objective: To describe the activities performed by people involved in clinical decision support (CDS) at leading sites. Materials and methods We conducted ethnographic observations at seven diverse sites with a history of ... -
Recommended Practices for Computerized Clinical Decision Support and Knowledge Management in Community Settings: A Qualitative Study
Ash, Joan S; Sittig, Dean F; Guappone, Kenneth P; Dykstra, Richard H; Richardson, Joshua; Carpenter, James; McMullen, Carmit; Shapiro, Michael; Bunce, Arwen; Wright, Adam; Middleton, Blackford (BioMed Central, 2012)Background: The purpose of this study was to identify recommended practices for computerized clinical decision support (CDS) development and implementation and for knowledge management (KM) processes in ambulatory clinics ... -
Standard practices for computerized clinical decision support in community hospitals: a national survey
Ash, Joan S; McCormack, James L; Sittig, Dean F; Wright, Adam; McMullen, Carmit; Bates, David W (BMJ Group, 2012)Objective: Computerized provider order entry (CPOE) with clinical decision support (CDS) can help hospitals improve care. Little is known about what CDS is presently in use and how it is managed, however, especially in ...