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MedWISE: a highly user-configurable 'web 2.0' EHR

Published: 11 November 2010 Publication History

Abstract

Health information systems have extremely complex, variable and changeable information requirements and vendor-controlled development has resulted in systems that frequently neither reflect clinical users' domain knowledge nor meet their needs. 'Web 2.0' approaches have transformed the commercial/public internet world. Consequently we created MedWISE, a 'web 2.0' EHR interface which allows users to create, select, configure, and share information, displays and tools, via simple drag/drop interfaces, without programmers1. Possible advantages include greater suitability to user needs, incorporation of multiple information sources, interoperability, agile reconfiguration, capture of user tacit knowledge, efficiencies due to workflow and Human-Computer Interaction (HCI) improvements, and greater user acceptance.

References

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Hsiao C-J, Beatty PC, Hing ES, Woodwell DA, Rechtsteiner EA, Sisk JE. Electronic Medical Record/Electronic Health Record Use by Office-based Physicians: United States, 2008 and Preliminary 2009. National Center for Health Statistics, Centers for Disease Control and Prevention; 2009 {cited 2010 May 8}; Available from: http://www.cdc.gov/nchs/data/hestat/emr_ehr/emr_ehr.htm.
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Lin H. Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions 2009.
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Wears RL. Computer Technology and Clinical Work: Still Waiting for Godot. Journal of the American Medical Association, 2005.
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Horsky J, Kaufman, Patel, VL. The Cognitive Complexity of a Provider Order Entry Interface. AMIA Annu Symp Proc. 2003:294-8.
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Xiao Y. Artifacts and collaborative work in healthcare: methodological, theoretical, and technological implications of the tangible. Journal of Biomedical Informatics. 2005 February 2005; 38(1): 26--33.
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Chen E. Knowledge discovery in clinical information system log files and the implications for wireless handheld clinical applications {Doctoral dissertation}. {Doctoral}. New York: Columbia University; 2004.
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Cheung KH YK, Townsend JP, Scotch M. HCLS2.0/3.0: health care and life sciences data mashup using Web 2.0/3.0. Journal of Biomedical Informatics. 2008; 41(5): 694--705.
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Woods D. Toward a theoretical base for representation design in the computer medium: Ecological perception and aiding human cognition. In: J. Flach PH, J. Caird, K.J. Vicente, editor. Global perspectives on the ecology of human-machine systems. Hillsdale, NJ: Lawrence Erlbaum.; 1995. p. 157--88.
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Cited By

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  • (2013)‘You can’t just hit a button’: an ethnographic study of strategies to repurpose data from advanced clinical information systems for clinical process improvementBMC Medicine10.1186/1741-7015-11-10311:1Online publication date: 10-Apr-2013

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Reviews

Tony Rozan Sahama

Accepting controversial technologies is debatable in any field of science and technology. The healthcare sector is no different, with discordant conceptualization and user perspective that includes associated risk. In this scenario, the authors comprehensively describe the features and advantages of a system developed using user-configurable Web 2.0 electronic health records (EHRs). There's no doubt the healthcare sector is rich with information. Integration of such information when making informed decisions, however, is a gigantic challenge. Given that the characterization of the Web 2.0 approach is clear, precise, and solution-driven, more user perspective is a valid move. Clinical information systems (CISs) are complex and demand human judgment for making expert decisions. MedWISE user-configurable application development is a promising start for EHR application design and development, but the use of agile reconfiguration approaches requires more clinician involvement to quantify the versatility and accuracy of the decision-making process. Though the attempt is commendable, the presentation requires further clarity, particularly in the areas of architecture and the clinical data-summary time-dependent life cycle. Furthermore, the study is constrained with a conclusion; the authors could have improved it further by including the clinicians' involvement. Overall, the MedWISE application is novel and significant to EHR management and its allied application development. This application provides unique insights, and is regarded to be at the forefront of innovative application development and dissemination for health (medical) informatics. Online Computing Reviews Service

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cover image ACM Other conferences
IHI '10: Proceedings of the 1st ACM International Health Informatics Symposium
November 2010
886 pages
ISBN:9781450300308
DOI:10.1145/1882992
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 11 November 2010

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Author Tags

  1. human-computer interaction
  2. user-configurable ehr
  3. user-configurable emr
  4. web 2.0 ehr

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IHI '10
IHI '10: ACM International Health Informatics Symposium
November 11 - 12, 2010
Virginia, Arlington, USA

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Cited By

View all
  • (2013)‘You can’t just hit a button’: an ethnographic study of strategies to repurpose data from advanced clinical information systems for clinical process improvementBMC Medicine10.1186/1741-7015-11-10311:1Online publication date: 10-Apr-2013

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