Effect of CPOE user interface design on user-initiated access to educational and patient information during clinical care

Journal of the American Medical Informatics Association

Volumn 12, Issue 4, 2005, Pages 458-473

  Rosenbloom, S Trent ^a,b,f   Geissbuhler, Antoine J ^c   Dupont, William D ^b   Giuse, Dario A ^a   Talbert, Douglas A ^a,d   Tierney, William M ^e   Plummer, W Dale ^b   Stead, William W ^a,b   Miller, Randolph A ^a,b  

^a VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

^b VANDERBILT UNIVERSITY   (United States)

^c GENEVA UNIVERSITY HOSPITALS   (Switzerland)

^d TENNESSEE TECHNOLOGICAL UNIVERSITY   (United States)

^e INDIANA UNIVERSITY   (United States)

^f Eskind Biomedical Library   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BIOINFORMATICS; CLINICAL TRIAL; COMPUTER INTERFACE; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; HEALTH CARE ACCESS; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HOSPITAL PATIENT; HUMAN; MEDICAL INFORMATION; MEDICAL INFORMATION SYSTEM; PATIENT CARE; PATIENT INFORMATION; RANDOMIZED CONTROLLED TRIAL;

DECISION MAKING, COMPUTER-ASSISTED; DECISION SUPPORT SYSTEMS, CLINICAL; HOSPITAL INFORMATION SYSTEMS; HOSPITALS, UNIVERSITY; HUMANS; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; TENNESSEE; USER-COMPUTER INTERFACE;

EID: 21544456092     PISSN: 10675027     EISSN: None     Source Type: Journal    
DOI: 10.1197/jamia.M1627     Document Type: Article

References (118)

1. The Leapfrog group. Available from: http://www.leapfroggroup.org/. Accessed February 10, 2005.
2. Committee on Quality of Health Care in America, Using Information Technology. Crossing the quality chasm: a new health system for the 21st century 2001 IOM Washington, DC p 175-92
3. R.G. Berger, and J.P. Kichak Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc 11 2004 100 103
4. C.J. McDonald Protocol-based computer reminders, the quality of care and the non-perfectability of man N Engl J Med 295 1976 1351 1355
5. P.R. Dexter, S. Perkins, J.M. Overhage, K. Maharry, R.B. Kohler, and C.J. McDonald A computerized reminder system to increase the use of preventive care for hospitalized patients N Engl J Med 345 2001 965 970
6. W.M. Tierney, M.E. Miller, and C.J. McDonald The effect on test ordering of informing physicians of the charges for outpatient diagnostic tests N Engl J Med 322 1990 1499 1504
7. D.W. Bates, R.S. Evans, H. Murff, P.D. Stetson, L. Pizziferri, and G. Hripcsak Detecting adverse events using information technology J Am Med Inform Assoc 10 2003 115 128
8. D.L. Hunt, R.B. Haynes, S.E. Hanna, and K. Smith Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review JAMA 280 1998 1339 1346
9. G.J. Kuperman, and R.F. Gibson Computer physician order entry: benefits, costs, and issues Ann Intern Med 139 2003 31 39
10. C.J. McDonald, G.A. Wilson, and G.P. McCabe Jr. Physician response to computer reminders JAMA 244 1980 1579 1581
11. D.W. Bates, G.J. Kuperman, and S. Wang Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality J Am Med Inform Assoc 10 2003 523 530
12. D.A. Davis, M.A. Thomson, A.D. Oxman, and R.B. Haynes Changing physician performance. A systematic review of the effect of continuing medical education strategies JAMA 274 1995 700 705
13. N.L. Davis, and C.E. Willis A new metric for continuing medical education credit J Contin Educ Health Prof 24 2004 139 144
14. N.L. Bennett, D.A. Davis, and W.E. Easterling Jr. Continuing medical education: a new vision of the professional development of physicians Acad Med 75 2000 1167 1172
15. D.E. Moore Jr., and F.C. Pennington Practice-based learning and improvement J Contin Educ Health Prof 23 Suppl1 2003 S73 S80
16. M.L. Chambliss, and J. Conley Answering clinical questions J Fam Pract 43 1996 140 144
17. D.G. Covell, G.C. Uman, and P.R. Manning Information needs in office practice: are they being met? Ann Intern Med 103 1985 596 599
18. D.E. Forsythe, B.G. Buchanan, J.A. Osheroff, and R.A. Miller Expanding the concept of medical information: an observational study of physicians' information needs Comput Biomed Res 25 1992 181 200
19. N.B. Giuse, J.T. Huber, D.A. Giuse, C.W. Brown Jr., R.A. Bankowitz, and S. Hunt Information needs of health care professionals in an AIDS outpatient clinic as determined by chart review J Am Med Inform Assoc 1 1994 395 403
20. J.A. Osheroff, D.E. Forsythe, B.G. Buchanan, R.A. Bankowitz, B.H. Blumenfeld, and R.A. Miller Physicians' information needs: analysis of questions posed during clinical teaching Ann Intern Med 114 1991 576 581
21. M.L. Green, M.A. Ciampi, and P.J. Ellis Residents' medical information needs in clinic: are they being met? Am J Med 109 2000 218 223
22. J.W. Ely, J.A. Osheroff, and M.H. Ebell Analysis of questions asked by family doctors regarding patient care BMJ 319 1999 358 361
23. P.N. Gorman, J. Ash, and L. Wykoff Can primary care physicians' questions be answered using the medical journal literature? Bull Med Libr Assoc 82 1994 140 146
24. P.N. Gorman, and M. Helfand Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered Med Decis Making 15 1995 113 119
25. J.W. Ely, J.A. Osheroff, M.L. Chambliss, M.H. Ebell, and M.E. Rosenbaum Answering physicians' clinical questions: obstacles and potential solutions J Am Med Inform Assoc 12 2005 217 224
26. S.T. Rosenbloom, N.B. Giuse, R.N. Jerome, and J.U. Blackford Providing evidence-based answers to complex clinical questions: evaluating the consistency of article selection Acad Med 80 2005 109 114
27. F. Davidoff, and V. Florance The informationist: a new health profession? Ann Intern Med 132 2000 996 998
28. J.W. Ely, J.A. Osheroff, and M.H. Ebell Obstacles to answering doctors' questions about patient care with evidence: qualitative study BMJ 324 2002 710
29. J.W. Williamson, P.S. German, R. Weiss, E.A. Skinner, and F. Bowes 3rd Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders Ann Intern Med 110 1989 151 160
30. MEDLINE to PubMed and beyond. Available from: http://www.nlm.nih.gov/bsd/ historypresentation.html/. Accessed February 10, 2005.
31. J. Wyatt Use and sources of medical knowledge Lancet 338 1991 1368 1373
32. G.O. Barnett, M.J. Barry, C. Robb-Nicholson, and M. Morgan Overcoming information overload: an information system for the primary care physician Medinfo 2004 2004 273 276
33. H. Chueh, and G.O. Barnett "Just-in-time" clinical information Acad Med 72 1997 512 517
34. C.J. McDonald, and W.M. Tierney Computer-stored medical records. Their future role in medical practice JAMA 259 1988 3433 3440
35. R.M. Gardner, T.A. Pryor, and H.R. Warner The HELP hospital information system: update 1998 Int J Med Inf 54 1999 169 182
36. R.M. Gardner, O.K. Golubjatnikov, R.M. Laub, J.T. Jacobson, and R.S. Evans Computer-critiqued blood ordering using the HELP system Comput Biomed Res 23 1990 514 528
37. W.M. Tierney, S.L. Hui, and C.J. McDonald Delayed feedback of physician performance versus immediate reminders to perform preventive care. Effects on physician compliance Med Care 24 1986 659 666
38. W.M. Tierney, C.J. McDonald, S.L. Hui, and D.K. Martin Computer predictions of abnormal test results. Effects on outpatient testing JAMA 259 1988 1194 1198
39. W.M. Tierney, C.J. McDonald, D.K. Martin, and M.P. Rogers Computerized display of past test results. Effect on outpatient testing Ann Intern Med 107 1987 569 574
40. W.M. Tierney, J.M. Overhage, and B.Y. Takesue Computerizing guidelines to improve care and patient outcomes: the example of heart failure J Am Med Inform Assoc 2 1995 316 322
41. J.A. Osheroff, and R.A. Bankowitz Physicians' use of computer software in answering clinical questions Bull Med Libr Assoc 81 1993 11 19
42. D.W. Bates, L.L. Leape, and D.J. Cullen Effect of computerized physician order entry and a team intervention on prevention of serious medication errors JAMA 280 1998 1311 1316
43. A.L. Potts, F.E. Barr, D.F. Gregory, L. Wright, and N.R. Patel Computerized physician order entry and medication errors in a pediatric critical care unit Pediatrics 113 2004 59 63
44. R.M. Gardner, and R.S. Evans Using computer technology to detect, measure, and prevent adverse drug events J Am Med Inform Assoc 11 2004 535 536
45. C.J. McDonald, S.L. Hui, and D.M. Smith Reminders to physicians from an introspective computer medical record. A two-year randomized trial Ann Intern Med 100 1984 130 138
46. R.S. Evans, S.L. Pestotnik, and D.C. Classen Development of a computerized adverse drug event monitor Proc Annu Symp Comput Appl Med Care 1991 23 27
47. W.M. Tierney Improving clinical decisions and outcomes with information: a review Int J Med Inf 62 2001 1 9
48. D.F. Lobach, and W.E. Hammond Computerized decision support based on a clinical practice guideline improves compliance with care standards Am J Med 102 1997 89 98
49. R.N. Shiffman, B.T. Karras, A. Agrawal, R. Chen, L. Marenco, and S. Nath GEM: a proposal for a more comprehensive guideline document model using XML J Am Med Inform Assoc 7 2000 488 498
50. W.W. Stead, R.A. Miller, M.A. Musen, and W.R. Hersh Integration and beyond: linking information from disparate sources and into workflow J Am Med Inform Assoc 7 2000 135 145
51. J.S. Ash, P.N. Gorman, and M. Lavelle A cross-site qualitative study of physician order entry J Am Med Inform Assoc 10 2003 188 200
52. J.S. Ash, D.F. Sittig, V. Seshadri, R.H. Dykstra, J.D. Carpenter, and P.Z. Starvi Adding insight: a qualitative cross-site study of physician order entry Medinfo 2004 2004 1013 1017
53. D.W. Bates, G.J. Kuperman, and E. Rittenberg A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests Am J Med 106 1999 144 150
54. K.M. Cummings, K.B. Frisof, M.J. Long, and G. Hrynkiewich The effects of price information on physicians' test-ordering behavior. Ordering of diagnostic tests Med Care 20 1982 293 301
55. S.L. Gortmaker, A.F. Bickford, H.O. Mathewson, K. Dumbaugh, and P.C. Tirrell A successful experiment to reduce unnecessary laboratory use in a community hospital Med Care 26 1988 631 642
56. M.M. Hagland Physicians using computers show lower resource utilization Hospitals 67 1993 17
57. L.C. Hampers, S. Cha, D.J. Gutglass, S.E. Krug, and H.J. Binns The effect of price information on test-ordering behavior and patient outcomes in a pediatric emergency department Pediatrics 103 1999 877 882
58. H.H. Hawkins, R.W. Hankins, and E. Johnson A computerized physician order entry system for the promotion of ordering compliance and appropriate test utilization J Healthc Inf Manage 13 1999 63 72
59. M.S. Klein, F.V. Ross, D.L. Adams, and C.M. Gilbert Effect of online literature searching on length of stay and patient care costs Acad Med 69 1994 489 495
60. J.A. Pugh, L.M. Frazier, E. DeLong, A.G. Wallace, P. Ellenbogen, and E. Linfors Effect of daily charge feedback on inpatient charges and physician knowledge and behavior Arch Intern Med 149 1989 426 429
61. K.G. Shojania, D. Yokoe, R. Platt, J. Fiskio, N. Ma'luf, and D.W. Bates Reducing vancomycin use utilizing a computer guideline: results of a randomized controlled trial J Am Med Inform Assoc 5 1998 554 562
62. D.H. Solomon, R.H. Shmerling, P.H. Schur, R. Lew, J. Fiskio, and D.W. Bates A computer based intervention to reduce unnecessary serologic testing J Rheumatol 26 1999 2578 2584
63. J. Studnicki, D.D. Bradham, J. Marshburn, P.R. Foulis, and J.V. Straumfjord A feedback system for reducing excessive laboratory tests Arch Pathol Lab Med 117 1993 35 39
64. J.M. Teich, P.R. Merchia, J.L. Schmiz, G.J. Kuperman, C.D. Spurr, and D.W. Bates Effects of computerized physician order entry on prescribing practices Arch Intern Med 160 2000 2741 2747
65. D.L. Sanders, and R.A. Miller The effects on clinician ordering patterns of a computerized decision support system for neuroradiology imaging studies Proc AMIA Symp 2001 583 587
66. E.G. Neilson, K.B. Johnson, and S.T. Rosenbloom The impact of peer management on test ordering behavior Ann Intern Med 2004 196 204
67. D. Aronsky, and P.J. Haug An integrated decision support system for diagnosing and managing patients with community-acquired pneumonia Proc AMIA Symp 1999 197 201
68. R.A. Bankowitz, M.A. McNeil, S.M. Challinor, R.C. Parker, W.N. Kapoor, and R.A. Miller A computer-assisted medical diagnostic consultation service. Implementation and prospective evaluation of a prototype Ann Intern Med 110 1989 824 832
69. P.P. Breitfeld, M. Weisburd, J.M. Overhage, G. Sledge Jr., and W.M. Tierney Pilot study of a point-of-use decision support tool for cancer clinical trials eligibility J Am Med Inform Assoc 6 1999 466 477
70. N.C. Dean, M.R. Suchyta, K.A. Bateman, D. Aronsky, and C.J. Hadlock Implementation of admission decision support for community-acquired pneumonia Chest 117 2000 1368 1377
71. R.S. Evans, R.A. Larsen, and J.P. Burke Computer surveillance of hospital-acquired infections and antibiotic use JAM 256 1986 1007 1011
72. M.J. Feldman, G.O. Barnett, and M.M. Morgan The sensitivity of medical diagnostic decision-support knowledge bases in delineating appropriate terms to document in the medical record Proc Annu Symp Comput Appl Med Care 1991 258 262
73. M.G. Kahn, S.A. Steib, V.J. Fraser, and W.C. Dunagan An expert system for culture-based infection control surveillance Proc Annu Symp Comput Appl Med Care 1993 171 175
74. R.A. Miller, H.E. Pople Jr., and J.D. Myers Internist-1, an experimental computer-based diagnostic consultant for general internal medicine N Engl J Med 307 1982 468 476
75. R.A. Miller, F.M. Gieszczykiewicz, J.K. Vries, and G.F. Cooper CHARTLINE: providing bibliographic references relevant to patient charts using the UMLS Metathesaurus Knowledge Sources Proc Annu Symp Comput Appl Med Care 1992 86 90
76. B.H. Rocha, J.C. Christenson, A. Pavia, R.S. Evans, and R.M. Gardner Computerized detection of nosocomial infections in newborns Proc Annu Symp Comput Appl Med Care 1994 684 688
77. K.S. White, A. Lindsay, T.A. Pryor, W.F. Brown, and K. Walsh Application of a computerized medical decision-making process to the problem of digoxin intoxication J Am Coll Cardiol 4 1984 571 576
78. E.A. Balas, S. Weingarten, C.T. Garb, D. Blumenthal, S.A. Boren, and G.D. Brown Improving preventive care by prompting physicians Arch Intern Med 160 2000 301 308
79. T.J. Balcezak, H.M. Krumholz, G.S. Getnick, V. Vaccarino, Z.Q. Lin, and E.C. Cadman Utilization and effectiveness of a weight-based heparin nomogram at a large academic medical center Am J Manag Care 6 2000 329 338
80. P.R. Dexter, F.D. Wolinsky, and G.P. Gramelspacher Effectiveness of computer-generated reminders for increasing discussions about advance directives and completion of advance directive forms. A randomized, controlled trial Ann Intern Med 128 1998 102 110
81. M. Eccles, J. Grimshaw, and N. Steen The design and analysis of a randomized controlled trial to evaluate computerized decision support in primary care: the COGENT study Fam Pract 17 2000 180 186
82. R.A. Greenes, D.B. Tarabar, and M. Krauss Knowledge management as a decision support method: a diagnostic workup strategy application Comput Biomed Res 22 1989 113 135
83. M.E. Johnston, K.B. Langton, R.B. Haynes, and A. Mathieu Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research Ann Intern Med 120 1994 135 142
84. G.J. Kuperman, J.M. Teich, and M.J. Tanasijevic Improving response to critical laboratory results with automation: results of a randomized controlled trial J Am Med Inform Assoc 6 1999 512 522
85. R.A. Larsen, R.S. Evans, J.P. Burke, S.L. Pestotnik, R.M. Gardner, and D.C. Classen Improved perioperative antibiotic use and reduced surgical wound infections through use of computer decision analysis Infect Control Hosp Epidemiol 10 1989 316 320
86. A. Margolis, B.E. Bray, E.M. Gilbert, and H.R. Warner Computerized practice guidelines for heart failure management: the HeartMan system Proc Annu Symp Comput Appl Med Care 1995 228 232
87. C.J. McDonald, J.M. Overhage, W.M. Tierney, G.R. Abernathy, and P.R. Dexter The promise of computerized feedback systems for diabetes care Ann Intern Med 124 1996 170 174
88. A.A. Montgomery, T. Fahey, T.J. Peters, C. MacIntosh, and D.J. Sharp Evaluation of computer based clinical decision support system and risk chart for management of hypertension in primary care: randomised controlled trial BMJ 320 2000 686 690
89. M. Persson, J. Bohlin, and P. Eklund Development and maintenance of guideline-based decision support for pharmacological treatment of hypertension Comput Methods Programs Biomed 61 2000 209 219
90. R.A. Raschke, B. Gollihare, and T.A. Wunderlich A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital JAMA 280 1998 1317 1320
91. D.L. Schriger, L.J. Baraff, W.H. Rogers, and S. Cretin Implementation of clinical guidelines using a computer charting system. Effect on the initial care of health care workers exposed to body fluids JAMA 278 1997 1585 1590
92. D.L. Schriger, L.J. Baraff, and K. Buller Implementation of clinical guidelines via a computer charting system: effect on the care of febrile children less than three years of age J Am Med Inform Assoc 7 2000 186 195
93. H.P. Selker, J.R. Beshansky, and J.L. Griffith Use of the electrocardiograph-based thrombolytic predictive instrument to assist thrombolytic and reperfusion therapy for acute myocardial infarction. A multicenter, randomized, controlled, clinical effectiveness trial Ann Intern Med 137 2002 87 95
94. S. Shea, W. DuMouchel, and L. Bahamonde A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting J Am Med Inform Assoc 3 1996 399 409
95. S.A. Smith, M.E. Murphy, and T.R. Huschka Impact of a diabetes electronic management system on the care of patients seen in a subspecialty diabetes clinic Diabetes Care 21 1998 972 976
96. J.J. Cimino, S.B. Johnson, A. Aguirre, N. Roderer, and P.D. Clayton The MEDLINE Button Proc Annu Symp Comput Appl Med Care 1992 81 85
97. R.A. Miller INTERNIST-1/CADUCEUS: problems facing expert consultant programs Methods Inf Med 23 1984 9 14
98. R.A. Miller Why the standard view is standard: people, not machines, understand patients' problems J Med Philos 15 1990 581 591
99. P. Mongerson A patient's perspective of medical informatics J Am Med Inform Assoc 2 1995 79 84
100. J.S. Ash, L. Fournier, P.Z. Stavri, and R. Dykstra Principles for a successful computerized physician order entry implementation AMIA Annu Symp Proc 2003 36 40
101. E.H. Shortliffe The adolescence of AI in medicine: will the field come of age in the '90s? Artif Intell Med 5 1993 93 106
102. J.M. Overhage, B. Middleton, R.A. Miller, R.D. Zielstorff, and W.R. Hersh Does national regulatory mandate of provider order entry portend greater benefit than risk for health care delivery? The 2001 ACMI debate. The American College of Medical Informatics J Am Med Inform Assoc 9 2002 199 208
103. J.S. Ash, P.Z. Stavri, and G.J. Kuperman A consensus statement on considerations for a successful CPOE implementation J Am Med Inform Assoc 10 2003 229 234
104. J.S. Ash, M. Berg, and E. Coiera Some unintended consequences of information technology in health care: the nature of patient care information system-related errors J Am Med Inform Assoc 11 2004 104 112
105. S.B. Wachter, J. Agutter, N. Syroid, F. Drews, M.B. Weinger, and D. Westenskow The employment of an iterative design process to develop a pulmonary graphical display J Am Med Inform Assoc 10 2003 363 372
106. N. Staggers, and D. Kobus Comparing response time, errors, and satisfaction between text-based and graphical user interfaces during nursing order tasks J Am Med Inform Assoc 7 2000 164 176
107. G. Hripcsak IAIMS architecture J Am Med Inform Assoc 4 1997 S20 S30
108. W.W. Stead, R.A. Bates, J. Byrd, D.A. Giuse, R.A. Miller, and E.K. Shultz Case study: the Vanderbilt University Medical Center information management architecture R. Van De Velde P. Degoulet Clinical information systems: a component-based approach 2003 Springer-Verlag New York Appendix C
109. A. Geissbuhler, and R.A. Miller A new approach to the implementation of direct care-provider order entry Proc AMIA Annu Fall Symp 1996 689 693
110. D.A. Giuse, and A. Mickish Increasing the availability of the computerized patient record Proc AMIA Annu Fall Symp 1996 633 637
111. National Library of Medicine PubMed database. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi. Accessed December 29, 2004.
112. AHFS Drug Information Database. Available from: http://www.ashp.org/ahfs. Accessed November 15, 2004.
113. Mosby's GenRx. Available from: www.mosby.com/mosby/genrx/web. Accessed November 1, 2004.
114. R.A. Miller, M.A. McNeil, S.M. Challinor, F.E. Masarie Jr., and J.D. Myers The INTERNIST-1/QUICK MEDICAL REFERENCE project - status report West J Med 145 1986 816 822
115. J. Grimshaw, M. Campbell, M. Eccles, and N. Steen Experimental and quasi-experimental designs for evaluating guideline implementation strategies Fam Pract 17 Suppl1 2000 S11 S16
116. P. Diggle, K.-Y. Liang, and S.L. Zeger Analysis of longitudinal data. Oxford Statistical Science Series, 13 1994 Oxford University Press New York
117. K.J. Rothman, and S. Greenland Modern epidemiology 1998 Lippincott-Raven Philadelphia p. xiii, 737
118. J.S. Ash, P.N. Gorman, V. Seshadri, and W.R. Hersh Computerized physician order entry in U.S. hospitals: results of a 2002 survey J Am Med Inform Assoc 11 2004 95 99