Literature DB >> 10566373

Barriers to the clinical implementation of compositionality.

L K McKnight1, P L Elkin, P V Ogren, C G Chute.   

Abstract

BACKGROUND: Compositional mechanisms for the entry of clinically relevant controlled vocabularies have been suggested as a possible solution to providing adequate descriptive precision while keeping term vocabulary redundancy under control. As of yet, there are no widely accepted term navigators that allow physicians to enter problem lists utilizing controlled vocabularies with compositionality.
METHODS: We report on the results of a usability trial of 5 physicians using our most recent attempt at developing the Mayo Problem List Manager. We tested the implementation of an automated term composition, and hierarchical term dissection.
RESULTS: Participants found acceptable terms 96% of the time and found automated term composition helpful in 85% of the case scenarios. There was significant confusion about the terminology used to describe compositional elements (kernel concepts, modifiers, and qualifiers) however participants used the functions appropriately. Speed of entry was universally stated as the limiting factor.
CONCLUSIONS: The variety of methods that our participants used to enter terms highlights the need for multiple ways to accomplish the task of data entry. Successful implementation of user directed compositionality could be accomplished with further improvement of the user interface and the underlying terminology.

Entities:  

Mesh:

Year:  1999        PMID: 10566373      PMCID: PMC2232608     

Source DB:  PubMed          Journal:  Proc AMIA Symp        ISSN: 1531-605X


  9 in total

1.  The role of compositionality in standardized problem list generation.

Authors:  P L Elkin; M Tuttle; K Keck; K Campbell; G Atkin; C G Chute
Journal:  Stud Health Technol Inform       Date:  1998

2.  Metaphrase: an aid to the clinical conceptualization and formalization of patient problems in healthcare enterprises.

Authors:  M S Tuttle; N E Olson; K D Keck; W G Cole; M S Erlbaum; D D Sherertz; C G Chute; P L Elkin; G E Atkin; B H Kaihoi; C Safran; D Rind; V Law
Journal:  Methods Inf Med       Date:  1998-11       Impact factor: 2.176

3.  A randomized controlled trial of automated term composition.

Authors:  P L Elkin; K R Bailey; C G Chute
Journal:  Proc AMIA Symp       Date:  1998

4.  Distributed cognition and knowledge-based controlled medical terminologies.

Authors:  J J Cimino
Journal:  Artif Intell Med       Date:  1998-02       Impact factor: 5.326

5.  Cognitive evaluation of the user interface and vocabulary of an outpatient information system.

Authors:  A Kushniruk; V Patel; J J Cimino; R A Barrows
Journal:  Proc AMIA Annu Fall Symp       Date:  1996

6.  Categorization of free-text problem lists: an effective method of capturing clinical data.

Authors:  J Zelingher; D M Rind; E Caraballo; M S Tuttle; N E Olson; C Safran
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1995

7.  Standardized problem list generation, utilizing the Mayo canonical vocabulary embedded within the Unified Medical Language System.

Authors:  P L Elkin; D N Mohr; M S Tuttle; W G Cole; G E Atkin; K Keck; T B Fisk; B H Kaihoi; K E Lee; M C Higgins; H J Suermondt; N Olson; P L Claus; P C Carpenter; C G Chute
Journal:  Proc AMIA Annu Fall Symp       Date:  1997

8.  Taking the problem oriented medical record forward.

Authors:  P Salmon; A Rappaport; M Bainbridge; G Hayes; J Williams
Journal:  Proc AMIA Annu Fall Symp       Date:  1996

9.  A shared computer-based problem-oriented patient record for the primary care team.

Authors:  R Linnarsson; K Nordgren
Journal:  Medinfo       Date:  1995
  9 in total
  6 in total

Review 1.  Interface terminologies: facilitating direct entry of clinical data into electronic health record systems.

Authors:  S Trent Rosenbloom; Randolph A Miller; Kevin B Johnson; Peter L Elkin; Steven H Brown
Journal:  J Am Med Inform Assoc       Date:  2006-02-24       Impact factor: 4.497

2.  Use of SNOMED CT to represent clinical research data: a semantic characterization of data items on case report forms in vasculitis research.

Authors:  Rachel L Richesson; James E Andrews; Jeffrey P Krischer
Journal:  J Am Med Inform Assoc       Date:  2006-06-23       Impact factor: 4.497

3.  Variation of SNOMED CT coding of clinical research concepts among coding experts.

Authors:  James E Andrews; Rachel L Richesson; Jeffrey Krischer
Journal:  J Am Med Inform Assoc       Date:  2007-04-25       Impact factor: 4.497

4.  Data from clinical notes: a perspective on the tension between structure and flexible documentation.

Authors:  S Trent Rosenbloom; Joshua C Denny; Hua Xu; Nancy Lorenzi; William W Stead; Kevin B Johnson
Journal:  J Am Med Inform Assoc       Date:  2011-01-12       Impact factor: 4.497

5.  Using SNOMED CT to represent two interface terminologies.

Authors:  S Trent Rosenbloom; Steven H Brown; David Froehling; Brent A Bauer; Dietlind L Wahner-Roedler; William M Gregg; Peter L Elkin
Journal:  J Am Med Inform Assoc       Date:  2008-10-24       Impact factor: 4.497

6.  A model for evaluating interface terminologies.

Authors:  S Trent Rosenbloom; Randolph A Miller; Kevin B Johnson; Peter L Elkin; Steven H Brown
Journal:  J Am Med Inform Assoc       Date:  2007-10-18       Impact factor: 4.497

  6 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.