In The Second Self, Sherry Turkle looks at the computer not as a tool, but part of our social and psychological lives; she beyond how we use games spreadsheets to explore affects awareness ourselves, one another, relationship with world. Technology, writes, catalyzes changes only in what do think. First published 1984, Self is still essential reading primer psychology computation. This twentieth anniversary edition allows us reconsider two decades culture -- (re)experience was most novel new...

This article reports how quantitative and qualitative methods were combined in a longitudinal multidisciplinary study of interrelationships between perceptions work computer information system. The describes the problems contributions stemming from different research perspectives methodological approaches. It illustrates four points: (1) value combining methods; (2) need for context-specific measures job characteristics rater than exclusive reliance on standard context-independent...

Background: The use of clinical decision support systems to facilitate the practice evidence-based medicine promises substantially improve health care quality. Objective: To describe, on basis proceedings Evidence and Decision Support track at 2000 AMIA Spring Symposium, research policy challenges for capturing practice-based evidence in machine-interpretable repositories, present recommendations accelerating development adoption medicine. Results: fall into five broad areas—capture...

Abstract Due to the heritage and history of operations management, its research methodologies have been confined mainly that quantitative modeling and, on occasion, statistical analysis. The field has changing dramatically in recent years. Firms now face numerous worldwide competitive challenges, many which require major improvements function. Yet, largely remained stagnant. paradigm these are based, while useful, limits kinds questions researchers can address. This paper presents a review...

With the United States joining other countries in national efforts to reap many benefits that use of health information technology can bring for care quality and savings, sobering reports recall complexity difficulties implementing even smaller-scale systems. Despite best practice research identified success factors projects, a majority, some sense, still fail. Similar problems plague variety different kinds applications, have done so years. Ten AMIA working groups sponsored workshop at Fall...

As healthcare institutions expand and vertically integrate, delivery is less constrained by geography, nationality, or even institutional boundaries. part of this trend, some aspects the process are shifted from medical centers back into home communities. Telehealth applications intended for health promotion, social services, other activities—for healthy as well ill—provide services outside clinical settings in homes, schools, libraries, governmental community sites. Such developments...

New system design and evaluation methodologies are being developed to address social, organizational, political, other non-technological issues in medical informatics. This paper describes a social interactionist framework for researching these kinds of organizational issues, based on research within informatics disciplines over the past 20 years. It discusses how effective strategies may be undertaken concerning computer information systems medicine health care. The begins with theoretical...

To review evaluation literature concerning people, organizational, and social issues provide recommendations for future research.Analyze this research make recommendations.Evaluation is key in identifying how - all crucial to system design, development, implementation, use interplay with informatics projects. Building on a long history of contributions using variety methods, researchers continue developing theories methods while producing significant interesting studies. We recommend that...

The track entitled “Consumer Informatics Supporting Patients as Co-Producers of Quality” at the AMIA Spring 2000 Congress was devoted to examining new field consumer health informatics. This area is developing rapidly, worldwide changes are occurring in organization and delivery care traditional roles patient provider. paper describes key themes track; implications growing informatics; recommendations for informatics research, design, policy. Key that emerged from panels discussions involved...

The coronavirus crisis is causing considerable disruption and anguish. However, the COVID-19 pandemic consequent explosion of telehealth services also provide an unparalleled opportunity to consider ethical, legal, social issues (ELSI) beyond immediate needs. Ethicists, informaticians, others can learn from experience, evaluate information technology practices evidence on which base policy standards, identify significant values issues, revise ethical guidelines. This paper builds...

Abstract Background The emergency department (ED) is a high‐stakes training environment for medicine (EM) residents and residents' ability to reflect self‐evaluate patient care of critical importance. Patient dashboards have been shown increase adherence quality guidelines improve outcomes. objectives this study were: (1) create comprehensive list evidence‐based, psychologically safe metrics include in dashboard EM residents; (2) design an residency secure, cloud‐based integrated with the...

The current commercial health information technology (HIT) arena encompasses a number of competing firms that provide electronic applications to hospitals, clinical practices, and other healthcare-related entities. Such collect, store, analyze patient information. Some vendors incorporate contract language whereby purchasers HIT systems, such as hospitals clinics, must indemnify for malpractice or personal injury claims, even if those events are not caused fostered by the purchasers. require...

Abstract Introduction Increasing the diversity of emergency medicine (EM) workforce is imperative, with more diverse teams showing improved patient care and increased innovation. Holistic review, adapted from Association American Medical Colleges (AAMC), focuses on screening applicants a balanced method, valuing their experiences, attributes, academic metrics equally. A core tenet to holistic review that essential excellence. Objective Implementation into residency application process...

As we have advanced in medical informatics and created many impressive innovations, also learned that technologic developments are not sufficient to bring the value of computer information technologies health care systems. This paper proposes a model for improving how develop deploy technology. The authors focus on trends people, organizational, social issues (POI/OSI), which becoming more complex as both institutions changing rapidly. They outline key suggest high-priority research areas....

Since the early days of medical computing, computer researchers have envisioned how computers could benefit research and practice deplored inability medicine to take full advantage computer's power. They, others, analyzed causes for computing “lag.” These analyses identify a wide range difficulties that introduction into faced, continues face.

During residency, some trainees require the identification and remediation of deficiencies to achieve knowledge, skills attitudes necessary for independent practice. Given limited published frameworks remediation, we characterize from perspective educators propose a holistic framework guide approach remediation.We conducted semistructured focus groups to: explore methods identifying struggling residents; categorize common domains struggle; describe personal factors that contribute...

This article traces past trends and current developments in medical computing the United States. It suggests a link between shifts emphases federal government policy toward health care delivery. The development of was not driven solely by internal imperatives science technology, but dreams visions how computers could revolutionize medicine. Such constitute mythical charter similar to ideologies rhetoric used mobilize support other computerization movements. influenced tying medicine goals....