Strategies and Methods for Aligning Current and Best Medical Practices. The Role of Information Technologies

Overview

Journal West J Med

Specialty General Medicine

Date 1998 Jun 6

PMID 9614787

Citations 3

Authors

E C Schneider

J M Eisenberg

Affiliations

Soon will be listed here.

Abstract

Rapid change in American medicine requires that physicians adjust established behaviors and acquire new skills. In this article, we address three questions: What do we know about how to change physicians' practices? How can physicians take advantage of new and evolving information technologies that are likely to have an impact on the future practice of medicine? and What strategic educational interventions will best enable physicians to show competencies in information management and readiness to change practice? We outline four guiding principles for incorporating information systems tools into both medical education and practice, and we make eight recommendations for the development of a new medical school curriculum. This curriculum will produce a future medical practitioner who is capable of using information technologies to systematically measure practice performance, appropriateness, and effectiveness while updating knowledge efficiently.

Citing Articles

Assessing and treating pain in hospices: current state of evidence-based practices.

Herr K, Titler M, Fine P, Sanders S, Cavanaugh J, Swegle J J Pain Symptom Manage. 2010; 39(5):803-19.

PMID: 20471542 PMC: 2884963. DOI: 10.1016/j.jpainsymman.2009.09.025.

Shaping the future of academic health centers: the potential contributions of departments of family medicine.

Newton W, DuBard C Ann Fam Med. 2006; 4 Suppl 1:S2-11.

PMID: 17003157 PMC: 1578669. DOI: 10.1370/afm.587.

Using a decade of data on medical student computer literacy for strategic planning.

Seago B, Schlesinger J, Hampton C J Med Libr Assoc. 2002; 90(2):202-9.

PMID: 11999178 PMC: 100765.

References

Massaro T . Introducing physician order entry at a major academic medical center: I. Impact on organizational culture and behavior. Acad Med. 1993; 68(1):20-5. DOI: 10.1097/00001888-199301000-00003. View

Massaro T . Introducing physician order entry at a major academic medical center: II. Impact on medical education. Acad Med. 1993; 68(1):25-30. DOI: 10.1097/00001888-199301000-00004. View

Soumerai S, Avorn J, Casteris C, Ross-Degnan D, Popovsky M . A controlled trial of educational outreach to improve blood transfusion practice. JAMA. 1993; 270(8):961-6. View

Greco P, Eisenberg J . Changing physicians' practices. N Engl J Med. 1993; 329(17):1271-3. DOI: 10.1056/NEJM199310213291714. View

van der Lei J, Duisterhout J, Westerhof H, van der Does E, Cromme P, Boon W . The introduction of computer-based patient records in The Netherlands. Ann Intern Med. 1993; 119(10):1036-41. DOI: 10.7326/0003-4819-119-10-199311150-00011. View

Grimshaw J, Russell I . Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet. 1993; 342(8883):1317-22. DOI: 10.1016/0140-6736(93)92244-n. View

Johnston M, Langton K, Haynes R, Mathieu A . Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research. Ann Intern Med. 1994; 120(2):135-42. DOI: 10.7326/0003-4819-120-2-199401150-00007. View

Hannan E, Kilburn Jr H, Racz M, Shields E, Chassin M . Improving the outcomes of coronary artery bypass surgery in New York State. JAMA. 1994; 271(10):761-6. View

Tierney W, Overhage J, McDonald C, Wolinsky F . Medical students' and housestaff's opinions of computerized order-writing. Acad Med. 1994; 69(5):386-9. DOI: 10.1097/00001888-199405000-00013. View

10.

Tunis S, Hayward R, Wilson M, Rubin H, Bass E, Johnston M . Internists' attitudes about clinical practice guidelines. Ann Intern Med. 1994; 120(11):956-63. DOI: 10.7326/0003-4819-120-11-199406010-00008. View

11.

Genesen L, Sharp H, Genesen M . Faxing medical records: another threat to confidentiality in medicine. JAMA. 1994; 271(18):1401-2. View

12.

Berner E, Webster G, Shugerman A, Jackson J, Algina J, Baker A . Performance of four computer-based diagnostic systems. N Engl J Med. 1994; 330(25):1792-6. DOI: 10.1056/NEJM199406233302506. View

13.

Fihn S, McDonell M, Vermes D, Henikoff J, Martin D, Callahan C . A computerized intervention to improve timing of outpatient follow-up: a multicenter randomized trial in patients treated with warfarin. National Consortium of Anticoagulation Clinics. J Gen Intern Med. 1994; 9(3):131-9. DOI: 10.1007/BF02600026. View

14.

Glowniak J, Bushway M . Computer networks as a medical resource. Accessing and using the Internet. JAMA. 1994; 271(24):1934-9. View

15.

Byrne A, Hilton P, Lunn J . Basic simulations for anaesthetists. A pilot study of the ACCESS system. Anaesthesia. 1994; 49(5):376-81. DOI: 10.1111/j.1365-2044.1994.tb03466.x. View

16.

LILIENFIELD L, Broering N . Computers as teachers: learning from animations. Am J Physiol. 1994; 266(6 Pt 3):S47-54. DOI: 10.1152/advances.1994.266.6.S47. View

17.

McDonald C, Hui S, Zhou X . Analyzing computer-based decision support systems. Ann Intern Med. 1994; 121(6):469. DOI: 10.7326/0003-4819-121-6-199409150-00017. View

18.

Chopra V, Gesink B, de Jong J, Bovill J, SPIERDIJK J, Brand R . Does training on an anaesthesia simulator lead to improvement in performance?. Br J Anaesth. 1994; 73(3):293-7. DOI: 10.1093/bja/73.3.293. View

19.

Frisse M, Braude R, Florance V, Fuller S . Informatics and medical libraries: changing needs and changing roles. Acad Med. 1995; 70(1):30-5. DOI: 10.1097/00001888-199501000-00010. View

20.

Perednia D, Allen A . Telemedicine technology and clinical applications. JAMA. 1995; 273(6):483-8. View