Abstract
MINDscape is a web based integrated interface to diverse sources of clinical information including both patient specific information (electronic medical record) as well as medical knowledge (the "digital library") to provide "just in time" information at the point of care. It was developed at the University of Washington to meet clinical information needs both as identified locally and by a review of the literature. Beta testing by over 600 clinicians is in progress and medical centers wide access scheduled for Fall 1997. We describe the information needs we sought to meet and the ongoing evaluation approach we are taking to ensure the information needs of a diverse group of clinicians are met. The iterative evolution of the interface from prototype, to alpha to large scale beta testing is reported. Integration of information occurs at three levels: integration of information by patient, integration of information by provider, and integration of patient specific information with medical reference material and decision support tools.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cimino J. J., Socratous S. A., Clayton P. D. Internet as clinical information system: application development using the World Wide Web. J Am Med Inform Assoc. 1995 Sep-Oct;2(5):273–284. doi: 10.1136/jamia.1995.96073829. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Elhanan G., Socratous S. A., Cimino J. J. Integrating DXplain into a clinical information system using the World Wide Web. Proc AMIA Annu Fall Symp. 1996:348–352. [PMC free article] [PubMed] [Google Scholar]
- Fuller S. S. Creating the future: IAIMS planning premises at the University of Washington. Bull Med Libr Assoc. 1992 Jul;80(3):288–293. [PMC free article] [PubMed] [Google Scholar]
- Fuller S., Braude R. M., Florance V., Frisse M. E. Managing information in the academic medical center: building an integrated information environment. Acad Med. 1995 Oct;70(10):887–891. doi: 10.1097/00001888-199510000-00012. [DOI] [PubMed] [Google Scholar]
- Fuller S. Regional health information systems: applying the IAIMS model. J Am Med Inform Assoc. 1997 Mar-Apr;4(2 Suppl):S47–S51. [PMC free article] [PubMed] [Google Scholar]
- Ketchell D. S., Ibrahim K. N., Murri N. A., Wareham P. S., Bell D. M., Jankowski T. A. Architecture for a Federated Drug Reference in a managed care environment. Proc AMIA Annu Fall Symp. 1996:413–417. [PMC free article] [PubMed] [Google Scholar]
- Kohane I. S., Greenspun P., Fackler J., Cimino C., Szolovits P. Building national electronic medical record systems via the World Wide Web. J Am Med Inform Assoc. 1996 May-Jun;3(3):191–207. doi: 10.1136/jamia.1996.96310633. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lindberg D. A., Siegel E. R., Rapp B. A., Wallingford K. T., Wilson S. R. Use of MEDLINE by physicians for clinical problem solving. JAMA. 1993 Jun 23;269(24):3124–3129. [PubMed] [Google Scholar]
- Osheroff J. A., Forsythe D. E., Buchanan B. G., Bankowitz R. A., Blumenfeld B. H., Miller R. A. Physicians' information needs: analysis of questions posed during clinical teaching. Ann Intern Med. 1991 Apr 1;114(7):576–581. doi: 10.7326/0003-4819-114-7-576. [DOI] [PubMed] [Google Scholar]
- Smith R. What clinical information do doctors need? BMJ. 1996 Oct 26;313(7064):1062–1068. doi: 10.1136/bmj.313.7064.1062. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williamson J. W., German P. S., Weiss R., Skinner E. A., Bowes F., 3rd Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders. Ann Intern Med. 1989 Jan 15;110(2):151–160. doi: 10.7326/0003-4819-110-2-151. [DOI] [PubMed] [Google Scholar]