An Overview of Efforts to Bring Clinical Knowledge to the Point of Care

An Overview of Efforts to Bring Clinical Knowledge to the Point of Care

Dean F. Sittig (Medical Informatics Department, Kaiser Permanente Northwest, USA, Care Management Institute, Kaiser Permanente, USA and Oregan Health & Sciences University, USA)
Copyright: © 2005 |Pages: 12
DOI: 10.4018/978-1-59140-300-5.ch016
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Abstract

By bringing people the right information in the right format at the right time and place, state of the art clinical information systems with imbedded clinical knowledge can help people make the right clinical decisions. This chapter provides an overview of the efforts to develop systems capable of delivering such information at the point of care. The first section focuses on “library-type” applications that enable a clinician to look-up information in an electronic document. The second section describes a myriad of “real-time clinical decision support systems.” These systems generally deliver clinical guidance at the point of care within the clinical information system (CIS). The third section describes several “hybrid” systems, which combine aspects of real-time clinical decision support systems with library-type information. Finally, section four provides a brief look at various attempts to bring clinical knowledge, in the form of computable guidelines, to the point of care.be sufficiently expressive to explicitly capture the design rational (process and outcome intentions) of the guideline’s author, while leaving flexibility at application time to the attending physician and their own preferred methods.” (Shahar, 2001)

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Dedication
Table of Contents
Foreword
Swamy Laxminarayan
Preface
Rajeev K. Bali
Chapter 1
Rajeev K. Bali, Ashish Dwivedi, Raouf Raouf
The objective of this chapter is to examine some of the key issues surrounding the incorporation of the Knowledge Management (KM) paradigm in... Sample PDF
Issues in Clinical Knowledge Management: Revising Healthcare Management
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Chapter 2
Efstathios Marinos, George Marinos, Antonios Kordatzakis, Maria Pragmatefteli, Aggelos Georgoulas, Dimitris Koutsouris
This chapter discusses the impact of adopting application frameworks in the healthcare (HC) domain. It argues the shortcomings of existing HC... Sample PDF
It's High Time for Application Frameworks for Healthcare
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Chapter 3
Chris D. Nugent, Juan C. Augusto
Technological advancements have and will continue to revolutionize the way healthcare is being delivered and the interaction between patients and... Sample PDF
Management and Analysis of Time-Related Data in Internet-Based Healthcare Delivery
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Chapter 4
Jörg Ontrup, Helge Ritter
The chapter shows how modern information retrieval methodologies can open up new possibilities to support knowledge management in healthcare. Recent... Sample PDF
Interactive Information Retrieval as a Step Towards Effective Knowledge Management in Healthcare
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Chapter 5
Martin Orr
Health information privacy is one of the most important and contentious areas in the development of Health Knowledge Systems. This chapter provides... Sample PDF
The Challenge of Privacy and Security and the Implementation of Health Knowledge Management Systems
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Chapter 6
Maurice Yolles
Healthcare organizations have the same problem as any other organization that is run by sentient but mentally isolated beings. It is a problem that... Sample PDF
Knowledge Cycles and Sharing: Consideration for Healthcare Management
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Chapter 7
Alexander Berler, Sotiris Pavlopoulos, Dimitris Koutsouris
It is paradoxical that, although several major technological discoveries such as Magnetic Resonance Imaging and Nuclear Medicine and Digital... Sample PDF
Key Performance Indicators and Information Flow: The Cornerstones of Effective Knowledge Management for Managed Care
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Chapter 8
Subramanyam Vdaygiri, Stuart Goose
This chapter presents methods and technologies from Siemens Corporate Research that can assist in the process of creating multimedia collaborative... Sample PDF
Multimedia Capture, Collaboration and Knowledge Management
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Chapter 9
Xiu Y. Wang, David D. Feng
The chapter introduces biomedical image registration as a means of integrating and providing complementary and additional information from multiple... Sample PDF
Biomedical Image Registration for Diagnostic Decision Making and Treatment Monitoring
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Chapter 10
Sheila Price, Ron Summers
Issues and complexities that arise from the adoption of clinical knowledge management are explored within the context of delivering drugs to the... Sample PDF
Clinical Knowledge Management: The Role of an Integrated Drug Delivery
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Chapter 11
Srinivasa Raghavan
This chapter discusses about the concept of medical decision support system and the knowledge sharing standards among medical decision support... Sample PDF
Medical Decision Support Systems and Knowledge Sharing Standards
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Chapter 12
Steve Clarke, Brian Lehaney, Huw Evans
This was a practical intervention in the UK, the objective of which was to undertake an examination of the current arrangements between Barfordshire... Sample PDF
Feasibility of Joint Working in Exchange and Sharing of Caller Information Between Ambulance, Fire and Police Services of Barfordshire
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Chapter 13
J. D. Johnson
The Cancer Information Service is a knowledge management organization, charged with delivering information to the public concerning cancer. This... Sample PDF
Organizing for Knowledge Management: The Cancer Information Service as an Exemplar
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Chapter 14
Spyretta Golemati, Stavroula Mougiakakou, John Stoitsis, Ioannis Valavanis, Konstantina S. Nikita
This chapter introduces the basic principles of Clinical Decision Support (CDS) systems. CDS systems aim to codify and strategically manage... Sample PDF
Clinical Decision Support Systems: Basic Principles and Applications in Diagnosis and Therapy
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Chapter 15
Teemu Paavola, Pekka Turunen, Jari Vuori
The aim of this chapter is to share recent findings and understanding on how information systems can be better adopted to support new ways of work... Sample PDF
Towards Knowledge Intensive Inter-Organizational Systems in Healthcare
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Chapter 16
Dean F. Sittig
By bringing people the right information in the right format at the right time and place, state of the art clinical information systems with... Sample PDF
An Overview of Efforts to Bring Clinical Knowledge to the Point of Care
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Chapter 17
Jay Whittaker, John Van Beveren
This chapter introduces social capital as a concept useful in identifying the ingredients necessary for knowledge sharing in Healthcare. Social... Sample PDF
Social Capital, An Important Ingredient to Effective Knowledge Sharing: Meditute, A Case Study
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About the Authors