Journal ArticleDOI
Comparison of computer-aided and human review of general practitioners' management of hypertension
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TLDR
A computer program called hypercritic is written that audits general practitioners' management of patients with essential hypertension by taking patient-specific data from the ELIAS system, and automated review of computer-based medical records compares favourably with review by physicians.About:
This article is published in The Lancet.The article was published on 1991-12-14. It has received 53 citations till now. The article focuses on the topics: Medical consensus & Medical record.read more
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Book ChapterDOI
Clinical decision-support systems
TL;DR: From the earliest days of computing people have recognized that computers might support physicians by helping these people to sift through the vast collection of possible diseases and symptoms, and this idea has been echoed in futuristic works of science fiction.
Book
Evaluation Methods in Medical Informatics
TL;DR: This chapter discusses Subjectivist Approaches to Evaluation, the design and conduct of Subjectivist Studies, and Organizational Evaluation of Medical Information Resources.
Journal ArticleDOI
Towards personal health record: current situation, obstacles and trends in implementation of electronic healthcare record in Europe.
TL;DR: The electronic healthcare record is defined and its purpose as a tool for continuity of care is presented, and the major challenges to wide implementation in Europe and beyond are described.
Journal ArticleDOI
The Introduction of Computer-based Patient Records in the Netherlands
Johan van der Lei,J. S. Duisterhout,Henk P. Westerhof,Emiel van der Does,Paul V. M. Cromme,Wilfried M. Boon,Jan H. van Bemmel +6 more
TL;DR: The term information system is used to denote all interrelated modules, and the term patient-record module to identify the specific module that enables replacement of the paper-based patient record with a computer- based patient record.
Journal ArticleDOI
Measuring agreement in medical informatics reliability studies
TL;DR: In this article, the authors use decision making models to understand the behavior of different agreement metrics, such as observed agreement and specific agreement, in reliability studies that involve categorical data.
References
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Journal ArticleDOI
A Coefficient of agreement for nominal Scales
TL;DR: In this article, the authors present a procedure for having two or more judges independently categorize a sample of units and determine the degree, significance, and significance of the units. But they do not discuss the extent to which these judgments are reproducible, i.e., reliable.
Journal ArticleDOI
An experimental study of group opinion
TL;DR: The results of an extensive set of experiments, conducted at RAND, concerned with evaluating the effectiveness of the Delphi procedures for formulating group judgements are described in this article, which represents a small beginning in the field of research that could be called "opinion technology" and is of direct relevance for the use of experts as advisers in decision making.
Journal ArticleDOI
Internist-I, an Experimental Computer-Based Diagnostic Consultant for General Internal Medicine
TL;DR: It is demonstrated that the present form of the INTERNIST-I program is not sufficiently reliable for clinical applications and specific deficiencies that must be overcome include the program’s inability to reason anatomically or temporally, its inability to construct differential diagnoses spanning multiple problem areas, and its occasional attribution of findings to improper causes.
Journal ArticleDOI
Protocol-based computer reminders, the quality of care and the non-perfectability of man.
TL;DR: It appears that the prospective reminders do reduce errors, and that many of these errors are probably due to man's limitations as a data processor rather than to correctable human deficiencies.
Journal ArticleDOI
Reminders to physicians from an introspective computer medical record. A two-year randomized trial.
Clement J. McDonald,Siu L. Hui,David M. Smith,William M. Tierney,Stuart J. Cohen,Morris Weinberger,George P. McCabe +6 more
TL;DR: A computer-stored medical record system containing a limited set of the total clinical data base--primarily diagnostic studies and treatments responds to its own content according to physician-authored reminder rules according to 1490 rules on physician behavior.