VistA—U.S. Department of Veterans Affairs national-scale HIS

Brown, Steven H.; Lincoln, Michael J.; Groen, Peter J.; Kolodner, Robert M.

doi:10.1016/s1386-5056(02)00131-4

Cited by 199 publications

(140 citation statements)

References 7 publications

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“…150 of the Veterans Affairs (VA) hospitals and 850 outpatient clinics. 17 The institutional review board of the University of Texas Health Science P , .0001) and, among those surviving hospitalization, lower mortality during the 90 days after hospital discharge (14.7% vs 16.0%, P , .0001). Married patients also had a signifi cantly lower hospital length of stay.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Marital Status on the Presentation and Outcomes of Elderly Male Veterans Hospitalized for Pneumonia

Metersky

Fine

Mortensen

2012

Chest

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C ommunity-acquired pneumonia (CAP) remains a frequent cause of morbidity and is a leading cause of death worldwide. 1 In the United States, approximately 12% of elderly patients admitted to the hospital with pneumonia die within 30 days of admission, 2 with men at greater risk than women. Patients who survive the initial hospitalization remain at increased risk of death for many months after discharge. 3 In addition to the substantial morbidity and mortality associated with pneumonia is a tremendous societal cost. Pneumonia care is estimated to cost as much as $17 billion per year in the United States. 4 Because approximately 18% of elderly patients admitted to the hospital with pneumonia are readmitted within 30 days, 5 the true cost is much higher.

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Section: Methodsmentioning

confidence: 99%

The Effect of Marital Status on the Presentation and Outcomes of Elderly Male Veterans Hospitalized for Pneumonia

Metersky

Fine

Mortensen

2012

Chest

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“…Author manuscript; available in PMC 2017 September 15. uses an electronic health record (EHR) known as the Computerized Patient Record System (CPRS). CPRS, through a graphical user interface, integrates multiple Veterans Health Information Systems and Technology Architecture (VistA) software applications designed to allow clinicians to order medications, laboratory tests, consultations, and document actions [3]. Clinicians use Clinical Information Systems (CIS) and Anesthesia Record Keeping (ARK) at bedside workstations, in operating rooms, at nursing stations, in physician's rooms, and in other various settings.…”

Section: Introductionmentioning

confidence: 99%

Understanding barriers and facilitators to the use of Clinical Information Systems for intensive care units and Anesthesia Record Keeping: A rapid ethnography

Saleem

Plew²,

Speir³

et al. 2015

International Journal of Medical Informatics

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Objective-This study evaluated the current use of commercial-off-the-shelf Clinical Information Systems (CIS) for intensive care units (ICU) and Anesthesia Record Keeping (ARK) for operating rooms and post-anesthesia care recovery settings at three Veterans Affairs Medical Centers (VAMCs). Clinicians and administrative staff use these applications at bedside workstations, in operating rooms, at nursing stations, in physician's rooms, and in other various settings. The intention of a CIS or an ARK system is to facilitate creation of electronic records of data, assessments, and procedures from multiple medical devices. The US Department of Veterans Affairs (VA) Office of the Chief of Nursing Informatics sought to understand usage barriers and facilitators to optimize these systems in the future. Therefore, a human factors study was carried AUTHOR CONTRIBUTIONSJJS, NRW, DMR, MSB, and TP conceived and designed the study. JJS, WRP, and RCS participated in data collection. JJS, WRP, RCS, and JH contributed to the analysis and interpretation of the data. NRW, DMR, TAC, JMS, MSB, and TP assisted with the interpretation of data and revised the manuscript critically for important intellectual content. JJS had principal responsibility for drafting the manuscript. All authors critically edited the manuscript and approved the final version. CONFLICT OF INTEREST STATEMENTThe authors report no conflicts of interest.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. U.S. Department of Veterans AffairsPublic Access Author manuscript Int J Med Inform. Author manuscript; available in PMC 2017 September 15. VA Author ManuscriptVA Author Manuscript VA Author Manuscript out to observe the CIS and ARK systems in use at three VAMCs in order to identify best practices and suggested improvements to currently implemented CIS and ARK systems.Methods-We conducted a rapid ethnographic study of clinical end-users interacting with the CIS and ARK systems in the critical care and anesthesia care areas in each of three geographically distributed VAMCs. Two observers recorded interactions and/or interview responses from 88 CIS and ARK end-users. We coded and sorted into logical categories field notes from 69 shadowed participants. The team transcribed and combined data from key informant interviews with 19 additional participants with the observation data. We then integrated findings across observations into meaningful patterns and abstracted the data into themes, which translated directly to barriers to effective adoption and optimization of the CIS and ARK systems.Results-Effective optimization of...

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“…However, the Veterans Health Administration is the largest integrated healthcare system in the US. Due to the implementation of electronic medical records in 1999, large standardized databases, unique in size and content, include a wealth of information not available from other national data sources, including barcode medication administration, microbiology, and lab chemistry data [43].…”

Section: Discussionmentioning

confidence: 99%

The Effects of Obesity on the Comparative Effectiveness of Linezolid and Vancomycin in Suspected Methicillin-Resistant Staphylococcus aureus Pneumonia

Caffrey¹,

Noh²,

Hj³

et al. 2015

Adv Pharmacoepidemiol Drug Saf

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VistA—U.S. Department of Veterans Affairs national-scale HIS

Cited by 199 publications

References 7 publications

The Effect of Marital Status on the Presentation and Outcomes of Elderly Male Veterans Hospitalized for Pneumonia

The Effect of Marital Status on the Presentation and Outcomes of Elderly Male Veterans Hospitalized for Pneumonia

Understanding barriers and facilitators to the use of Clinical Information Systems for intensive care units and Anesthesia Record Keeping: A rapid ethnography

The Effects of Obesity on the Comparative Effectiveness of Linezolid and Vancomycin in Suspected Methicillin-Resistant Staphylococcus aureus Pneumonia

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