Decision Support Software to Help Primary Care Physicians Triage Skin Cancer

Gerbert, Barbara; Bronstone, Amy; Maurer, Toby; Hofmann, Roger; Berger, Timothy G.

doi:10.1001/archderm.136.2.187

Cited by 31 publications

(26 citation statements)

References 13 publications

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“…20 The authors found that participants made fewer incorrect decisions on clinical pictures when using the software.…”

Section: Intervention Typementioning

confidence: 97%

“…17,33 Decision-support software and guideline use Four studies, including three good-quality RCTs, tested computer-based interventions to change PHP behaviour. 20,23,26,32 These studies were designed to improve the quality of referrals to secondary care as a proxy to reducing referral delay. Jiwa et al investigated the effectiveness of an educational outreach visit, 23 an 'electronic referral pro forma', or both, on changing the type of colorectal referrals to secondary care.…”

Section: Intervention Typementioning

confidence: 99%

“…Some studies had a high risk of selection bias, [13][14][15][16][17]19,20,22,24,25,27,[29][30][31] with little information given (if any) about whether those who participated were different from those who chose not to take part. Almost all studies reported a follow-up period of less than 1 year; 11,14,[17][18][19]21,23,24,27,28,31,33 several tested participants straight after the intervention; 15,16,29,30 and some did not include or state any follow-up period.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Almost all studies reported a follow-up period of less than 1 year; 11,14,[17][18][19]21,23,24,27,28,31,33 several tested participants straight after the intervention; 15,16,29,30 and some did not include or state any follow-up period. 20,22,25,32 Therefore, it cannot be determined whether any of the reported improvements persisted. Less than half of the 22 studies included recruited more than 100 participants, 11,15,17,21,23,24,26,29,30,32 and several studies suffered from a high dropout rate, 18,19,28,32,33 with only 18% of participants in 6 months.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

See 3 more Smart Citations

Interventions to reduce primary care delay in cancer referral: a systematic review

et al. 2011

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“…20 The authors found that participants made fewer incorrect decisions on clinical pictures when using the software.…”

Section: Intervention Typementioning

confidence: 97%

Section: Intervention Typementioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions to reduce primary care delay in cancer referral: a systematic review

et al. 2011

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“…3 The need for clinical decision supports is evidenced by a much-cited study that found that, despite the promise of evidence-based medicine and the development of clinical guidelines, patients in the United States receive recommended care only half of the time. 4 Studies of the use of clinical decision support software in primary care practice have found increases in the quality of care provided, such as increased use of preventive measures and risk assessments in an urban pediatric primary care center, 5 improved care management for diabetic patients in a multispecialty group practice, 6 improved triage decisions for possible skin cancer in city health clinic and HMO practices, 7 and increased tuberculosis infection screening for at-risk community health center patients. 8 Within our own organization, the decision to invest in an EHR system was prompted by our need to monitor enhancements in the quality of care throughout the 20 locations in our multisite practice.…”

mentioning

confidence: 99%

Using Information Technology to Improve Health Quality and Safety in Community Health Centers

Calman¹,

Kitson²,

Hauser³

2007

cpr

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Problem-Community health centers (CHCs) face a unique set of challenges and can learn much from each other as they prepare for the adoption of health information technology (HIT).Purpose-This paper presents a research agenda aimed at providing information CHCs will need to successfully implement HIT.Key Points-Community health centers must be able to evaluate whether an investment in HIT is the best way to achieve improvements in health outcomes for their communities given the limited resources and high demands they face. Community health centers need better information to guide them in selecting and implementing information technology that will result in improved health quality and safety. Guidance in optimal use of the system, particularly in the effective use of data made available through electronic health records, is needed to realize health care goals. Community health centers need to be active participants in HIT developments in their communities to ensure that their patients benefit from technological advancements that improve health care. Keywordselectronic health records; health information technology; community health centers; health care quality; health care safety Community health centers (CHCs), like many other health care settings, are expanding their use of information technology to improve health care and health outcomes for their patients. Health information technology (HIT) has been defined as "the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision-making." 1 It is considered fundamental to improving the quality of health care. 2 At our organization, the Institute for Urban Family Health, we implemented a fully integrated electronic health record (EHR) and practice management system at our primary care practice sites four years ago. Drawing on our experience using EHRs and our review of the medical literature on the impact of HIT on the quality and safety of patient care at CHCs and other primary care sites, we have developed a set of research questions for the CHC community to consider as it moves forward in the implementation of HIT. STRATEGIC PLANNING FOR HEALTH QUALITY AND SAFETY IMPROVEMENTS How Do CHCs Determine Whether an Investment in HIT will help?As HIT proliferates throughout the country, we must assess the extent to which it will achieve expected goals. The health care system does not have sufficient resources to engage in this expensive new technology without tracking its return on investment-not only financially, but NIH Public Access

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Decision Support Is Changing Health Care

Kvedar¹,

Menn²

2000

Arch Dermatol

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Decision Support Software to Help Primary Care Physicians Triage Skin Cancer

Cited by 31 publications

References 13 publications

Interventions to reduce primary care delay in cancer referral: a systematic review

Interventions to reduce primary care delay in cancer referral: a systematic review

Using Information Technology to Improve Health Quality and Safety in Community Health Centers

Decision Support Is Changing Health Care

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