Ambulatory Pediatrics
Volume 4, Issue 1 , Pages 64-72 , January 2004

Information Technology: Its Importance to Child Safety

  • Kevin B. Johnson, MD, MS

      Affiliations

    • From the Departments of Biomedical Informatics and Pediatrics (Dr Johnson), Vanderbilt University Medical Center, Nashville, Tenn; and Division of Research (Mr Davison), Johns Hopkins University School of Medicine, Baltimore, Md
    • Corresponding Author InformationAddress correspondence to Kevin B. Johnson, MD, MS, Associate Professor, Biomedical Informatics, Pediatrics, Vanderbilt University Medical Center, 402 Eskind Biomedical Library, Nashville, TN 37232
    • ,
  • Coda L. Davison, FACHE, BA, MPA

      Affiliations

    • From the Departments of Biomedical Informatics and Pediatrics (Dr Johnson), Vanderbilt University Medical Center, Nashville, Tenn; and Division of Research (Mr Davison), Johns Hopkins University School of Medicine, Baltimore, Md

Received 1 July 2003 ,Accepted 19 October 2003.

REFERENCES 

  1. Institute of Medicine. Committee on Quality of Health Care in America. . Crossing the Quality Chasm: A New Health System for the 21st Century . Washington, DC: National Academy Press; 2001;
  2. Kohn LT , Corrigan J , Donaldson MS . To Err Is Human: Building a Safer Health System . Washington, DC: National Academy Press; 2000;
  3. Kaushal R , Bates DW , Landrigan C , et al.   Medication errors and adverse drug events in pediatric inpatients . JAMA . 2001;285:2114–2120
  4. De Dombal FT , Clamp SE , Leaper DJ , et al.   Computer-aided diagnosis of lower gastrointestinal tract disorders . Gastroenterology . 1975;68:252–260
  5. Barness LA , Tunnessen WW , Worley WE , et al.   Computer-assisted diagnosis in pediatrics . Am J Dis Child . 1974;127:852–858
  6. Swender PT , Tunnessen WW , Oski FA . Computer-assisted diagnosis . Am J Dis Child . 1974;127:859–861
  7. Wexler JR , Swender PT , Tunnessen WW , Oski FA . Impact of a system of computer-assisted diagnosis. Initial evaluation of the hospitalized patient . Am J Dis Child . 1975;129:203–205
  8. Shortliffe EH , Davis R , Axline SG , et al.   Computer-based consultations in clinical therapeutics: explanation and rule acquisition capabilities of the MYCIN system . Comput Biomed Res . 1975;8:303–320
  9. Yu VL , Buchanan BG , Shortliffe EH , et al.   Evaluating the performance of a computer-based consultant . Comput Programs Biomed . 1979;9:95–102
  10. Kent DL , Shortliffe EH , Carlson RW , et al.   Improvements in data collection through physician use of a computer-based chemotherapy treatment consultant . J Clin Oncol . 1985;3:1409–1417
  11. Yamamoto LG , Wiebe RA . Pediatric and adult emergency management assistance using computerized guidelines . Am J Emerg Med . 1989;7:91–96
  12. Vassilakis KM , Vorgia L , Micheloyannis S . Decision support system for classification of epilepsies in childhood . J Child Neurol . 2002;17:357–363
  13. Bankowitz RA , McNeil MA , Challinor SM , et al.   A computer-assisted medical diagnostic consultation service. Implementation and prospective evaluation of a prototype . Ann Intern Med . 1989;110:824–832
  14. Barnett GO , Cimino JJ , Hupp JA , Hoffer EP , DXplain  . An evolving diagnostic decision-support system . JAMA . 1987;258:67–74
  15. Warner HR . Iliad: moving medical decision-making into new frontiers . Methods Inf Med . 1989;28:370–372
  16. Miller RA , Masarie FE . The demise of the “Greek Oracle” model for medical diagnostic systems . Methods Inf Med . 1990;29:1–2
  17. Bates DW , Leape LL , Cullen DJ , et al.   Effect of computerized physician order entry and a team intervention on prevention of serious medication errors . JAMA . 1998;280:1311–1316
  18. Bates DW , Teich JM , Lee J , et al.   The impact of computerized physician order entry on medication error prevention . J Am Med Inform Assoc . 1999;6:313–321
  19. Teich JM , Merchia PR , Schmiz JL , et al.   Effects of computerized physician order entry on prescribing practices . Arch Intern Med . 2000;160:2741–2747
  20. Evans RS , Pestotnik SL , Classen DC , et al.   A computer-assisted management program for antibiotics and other antiinfective agents . N Engl J Med . 1998;338:232–238
  21. Mekhjian HS , Kumar RR , Kuehn L , et al.   Immediate benefits realized following implementation of physician order entry at an academic medical center . J Am Med Inform Assoc . 2002;9:529–539
  22. Kaushal R , Barker KN , Bates DW . How can information technology improve patient safety and reduce medication errors in children's health care? . Arch Pediatr Adolesc Med . 2001;155:1002–1007
  23. American Academy of Pediatrics: Task Force on Medical Informatics. . Special requirements for electronic medical record systems in pediatrics . Pediatrics . 2001;108:513–515
  24. Peverini RL , Beach DS , Wan KW , Vyhmeister NR . Graphical user interface for a neonatal parenteral nutrition decision support system . Proc AMIA Symp. . 2000;650–654
  25. Sharp DS , German JC . Computer utilization for intravenous nutrition in surgical neonates preliminary report . J Pediatr Surg . 1977;12:189–193
  26. Urschitz M , Lorenz S , Unterasinger L , et al.   Three years experience with a patient data management system at a neonatal intensive care unit . J Clin Monit Comput . 1998;14:119–125
  27. Wilson FE , Yu VY , Hawgood S , et al.   Computerised nutritional data management in neonatal intensive care . Arch Dis Child . 1983;58:732–736
  28. Yip WC , Tay JS , Ho TF , et al.   Computers in paediatrics. 11. Microcomputer programmes for total parenteral nutrition in paediatric practice . J Singapore Paediatr Soc . 1984;26:51–58
  29. Lehmann CU , Conner KG , Cox JM . Provider error prevention: online total parenteral nutrition calculator . Proc AMIA Symp. . 2002;435–439
  30. Porcelli PJ , Block SM . Increased parenteral nutrition calcium and phosphorus for very-low-birth-weight infants using computer software assisted ordering . J Am Coll Nutr . 1997;16:283–287
  31. Cabana MD , Rand CS , Powe NR , et al.   Why don't physicians follow clinical practice guidelines? A framework for improvement . JAMA . 1999;282:1458–1465
  32. Cabana MD , Rand CS , Becher OJ , Rubin HR . Reasons for pediatrician nonadherence to asthma guidelines . Arch Pediatr Adolesc Med . 2001;155:1057–1062
  33. Kaplan B . Reducing barriers to physician data entry for computer-based patient records . Top Health Inf Manage . 1994;15:24–34
  34. Ebell MH . Computers in the examination room . J Fam Pract . 1995;41:293–294
  35. Bell DS , Greenes RA . Evaluation of UltraSTAR: performance of a collaborative structured data entry system . Proc Annu Symp Comput Appl Med Care . 1994;216–222
  36. Barahona P , Azevedo F , Veloso M , et al.   Computerising a guideline for the management of diabetes . Int J Med Inf . 2001;64:275–284
  37. Kahn CE , Wang K , Bell DS . Structured entry of radiology reports using World Wide Web technology . Radiographics . 1996;16:683–691
  38. Johnson KB , Cowan J . Clictate: a computer-based documentation tool for guideline-based care . J Med Syst . 2002;26:47–60
  39. Rose EA , Deshikachar AM , Schwartz KL , Severson RK . Use of a template to improve documentation and coding . Fam Med . 2001;33:516–521
  40. Rollman BL , Gilbert T , Lowe HJ , et al.   The electronic medical record: its role in disseminating depression guidelines in primary care practice . Int J Psychiatry Med . 1999;29:267–286
  41. Ornstein SM , Jenkins RG , MacFarlane L , et al.   Electronic medical records as tools for quality improvement in ambulatory practice: theory and a case study . Top Health Inf Manage . 1998;19:35–43
  42. Duggan AK , Starfield B , DeAngelis C . Structured encounter form: the impact on provider performance and recording of well-child care . Pediatrics . 1990;85:104–113
  43. Hauan MJ . JADE: computerization of a structured interview for childhood psychiatric diagnosis . J Am Med Inform Assoc. . 1999;276–280
  44. Adams WG , Conners WP , Mann AM , Palfrey S . Immunization entry at the point of service improves quality, saves time, and is well-accepted . Pediatrics . 2000;106:489–492
  45. Adams WG , Mann AM , Bauchner H . Use of an electronic medical record improves the quality of urban pediatric primary care . Pediatrics . 2003;111:626–632
  46. Jelovsek FR . Computers in the examining room, the delivery room, and the nursery . MD Comput . 1984;1:52–58 65
  47. Holl RW . Computer programs and datasheets. Initiative on quality control of the German Working-Group on Pediatric Diabetology . Horm Res . 1998;50(suppl 1):68–73
  48. Bird SB , Zarum RS , Renzi FP . Emergency medicine resident patient care documentation using a hand-held computerized device . Acad Emerg Med . 2001;8:1200–1203
  49. Lane DR , Bird SB , Zarum RS . Documentation of emergency medicine resident procedures using a personal digital assistant . Acad Emerg Med . 2003;10:537–538
  50. Shiffman RN , Freudigman KA , Brandt CA , et al.   A guideline implementation system using handheld computers for office management of asthma: effects on adherence and patient outcomes . Pediatrics . 2000;105:767–773
  51. Knaup P , Harkener S , Ellsasser KH , et al.   On the necessity of systematically planning clinical tumor documentation . Methods Inf Med . 2001;40:90–98
  52. Knaup P , Wiedemann T , Bachert A , et al.   Efficiency and safety of chemotherapy plans for children: CATIPO—a nationwide approach . Artif Intell Med . 2002;24:229–242
  53. Morgan MM , Goodson J , Barnett GO . Long-term changes in compliance with clinical guidelines through computer-based reminders . Proc AMIA Symp. . 1998;493–497
  54. Shiffman RN , Brandt CA , Freeman BG . Transition to a computer-based record using scannable, structured encounter forms . Arch Pediatr Adolesc Med . 1997;151:1247–1253
  55. Schriger DL , Baraff LJ , Hassanvand M , Cretin S . Presentation of clinical guidelines via a rule-based expert charting system . Medinfo . 1995;8(Pt 2):1018–1021
  56. Phillips RS . Accessing electronic information for clinical decisions . Arch Dis Child . 2000;83:373–374
  57. Phillips JA . Genomic medicine: managing the complexity . JAMA . 2001;286:1639
  58. Johnson KBL , CU  . Extend your clinical reach with the Internet . Contemp Pediatr . 1999;16:67–85
  59. Lugo-Vicente H . Internet resources and Web pages for pediatric surgeons . Semin Pediatr Surg . 2000;9:11–18
  60. Sargent JD . Web-based assistance for physicians caring for children with ADHD . Eff Clin Pract . 2001;4:127–135
  61. Rothschild JM , Lee TH , Bae T , Bates DW . Clinician use of a palmtop drug reference guide . J Am Med Inform Assoc . 2002;9:223–229
  62. Patt MR , Houston TK , Jenckes MW , et al.   Doctors who are using e-mail with their patients: a qualitative exploration . J Med Internet Res . 2003;5:e9
  63. Peterson MR , Beck RL . E-mail as an adjunctive tool in psychotherapy: response and responsibility . Am J Psychother . 2003;57:167–181
  64. Gray C . Harnessing the power of e-mail . J AHIMA . 2001;72:20–22
  65. Mursch K , Behnke-Mursch J . Internet-based interaction among brain tumour patients. Analysis of a medical mailing list . Zentralbl Neurochir . 2003;64:71–75
  66. Paperny DM , Aono JY , Lehman RM , et al.   Computer-assisted detection and intervention in adolescent high-risk health behaviors . J Pediatr . 1990;116:456–462
  67. Millstein SG , Irwin CE . Acceptability of computer-acquired sexual histories in adolescent girls . J Pediatr . 1983;103:815–819
  68. Nicholas D , Huntington P , Williams P , Vickery P . Health information: an evaluation of the use of touch screen kiosks in two hospitals . Health Info Libr J . 2001;18:213–219
  69. Paperny D . Pediatric medical advice enhanced with use of video . Am J Dis Child . 1992;146:785–786
  70. Paperny DM , Starn JR . Adolescent pregnancy prevention by health education computer games: computer-assisted instruction of knowledge and attitudes . Pediatrics . 1989;83:742–752
  71. Starn J , Paperny DM . Computer games to enhance adolescent sex education . MCN Am J Matern Child Nurs . 1990;15:250–253
  72. Krishna S , Balas EA , Spencer DC , et al.   Clinical trials of interactive computerized patient education: implications for family practice . J Fam Pract . 1997;45:25–33
  73. Johnson KB , Ravert RD , Hopkins Everton A . Teen central: assessment of an Internet-based support system for children with cystic fibrosis . Pediatrics . 2001;107:e24
  74. Holden G , Bearison DJ , Rode DC , et al.   The impact of a computer network on pediatric pain and anxiety: a randomized controlled clinical trial . Soc Work Health Care . 2002;36:21–33
  75. Williams C , Wright B , Callaghan G , Coughlan B . Do children with autism learn to read more readily by computer assisted instruction or traditional book methods? A pilot study . Autism . 2002;6:71–91
  76. Lehmann CU , Wang DJ , Kim GR , Johnson K . Utilization of a paediatric link collection by health professionals and laypersons . Med Inform (Lond) . 1998;23:53–62
  77. Borowitz SM , Ritterband L . Using the Internet to teach parents and children about constipation and encopresis . Med Inform Internet Med . 2001;26:283–295
  78. Gupte CM , Hassan AN , McDermott ID , Thomas RD . The Internet—friend or foe? A questionnaire study of orthopaedic out-patients . Ann R Coll Surg Engl . 2002;84:187–192
  79. Lai CH , Mallory SB . Internet use among parents of patients of a pediatric dermatology clinic . Pediatr Dermatol . 2000;17:493–494
  80. Wagner TH , Greenlick MR . When parents are given greater access to health information, does it affect pediatric utilization? . Med Care . 2001;39:848–855
  81. Hobbs J , Wald J , Jagannath YS , et al.   Opportunities to enhance patient and physician e-mail contact . Int J Med Inf . 2003;70:1–9
  82. Kleiner KD , Akers R , Burke BL , Werner EJ . Parent and physician attitudes regarding electronic communication in pediatric practices . Pediatrics . 2002;109:740–744
  83. DeVille K , Fitzpatrick J . Ready or not, here it comes: the legal, ethical, and clinical implications of e-mail communications . Semin Pediatr Surg . 2000;9:24–34
  84. Rosti L , Mastretti A , Pelissero G . [E-mail pediatric consultation] . Pediatr Med Chir . 2002;24:228–230
  85. D'Alessandro DM , Dosa NP . Empowering children and families with information technology . Arch Pediatr Adolesc Med . 2001;155:1131–1136
  86. Robb N . Children's TeleHealth Network links 3 provinces . CMAJ . 1997;156:1012–1013
  87. Wagner A , Millesi W , Watzinger F , et al.   Clinical experience with interactive teleconsultation and teleassistance in craniomaxillofacial surgical procedures . J Oral Maxillofac Surg . 1999;57:1413–1418
  88. Pammer W , Haney M , Lmhc N , et al.   Use of telehealth technology to extend child protection team services . Pediatrics . 2001;108:584–590
  89. Ermer DJ . Experience with a rural telepsychiatry clinic for children and adolescents . Psychiatr Serv . 1999;50:260–261
  90. Green A , Esperat C , Seale D , et al.   The evolution of a distance education initiative into a major telehealth project . Nurs Health Care Perspect . 2000;21:66–70
  91. Schwartz SD , Harrison SA , Ferrone PJ , Trese MT . Telemedical evaluation and management of retinopathy of prematurity using a fiberoptic digital fundus camera . Ophthalmology . Jan 2000;107:25–28
  92. Yamamoto LG , Ash KM , Boychuk RB , et al.   Personal computer teleradiology interhospital image transmission of neonatal radiographs to facilitate tertiary neonatology telephone consultation and patient transfer . J Perinatol . 1996;16:292–298
  93. Patterson S , Botchway C . Dental screenings using telehealth technology: a pilot study . J Can Dent Assoc . 1998;64:806–810
  94. Torok M , Turi Z , Kovacs F . Ten years' clinical experience with telemedicine in prenatal care in Hungary . J Telemed Telecare . 1999;5(suppl 1):S14–S17
  95. Marrero DG , Vandagriff JL , Kronz K , et al.   Using telecommunication technology to manage children with diabetes: the Computer-Linked Outpatient Clinic (CLOC) Study . Diabetes Educ . 1995;21:313–319
  96. Hersh WR , Wallace JA , Patterson PK . Telemedicine for the Medicare Population: Pediatric, Obstetric, and Clinician-Indirect Home Interventions. Evidence Report Assessment No. 24, Supplement (prepared by Oregon Health Sciences University, Portland, OR, under Contract No. 290-97-0018). AHRQ Publication No. 01-E060 . Rockville, MD: Agency for Healthcare Research and Quality; 2001;
  97. Rizkalla E . Paperless office: fact and fiction, Part II . J Healthc Resour Manage . 1996;14:34–35
  98. Lares D . The paperless office: here for the asking . Pa Med . 1999;102:12–14
  99. DeJesus EX . The automation adventure. Charlotte Regional beta site goes paperless . Mater Manag Health Care . 2001;10:30
  100. DiCerbo M , Boghosian V , Sbuttoni M , Decker AT . The benefits of a paperless orthodontic practice . N Y State Dent J . 2001;67:30–33
  101. Dixon JF . Going paperless with custom-built web-based patient occurrence reporting . Jt Comm J Qual Improv . 2002;28:387–395
  102. Dobbing C . Paperless practice—electronic medical records at Island Health . Comput Methods Programs Biomed . 2001;64:197–199
  103. Doyle S . The paperless hospital: taking the next, safe step . Healthc Inform . 1990;7:31–32
  104. Flejter J , Juran G . Seizing the opportunity for a paperless record . J AHIMA . 1995;66:30–32 36-34
  105. Frimpong S . Seeking for knowledge. Computer-based patient record (CPR) (paperless patient record) . IHRIM . 1996;37:10–14
  106. Gardner N . UAMS unit charts course to paperless office . J Ark Med Soc . 1999;96:92–94
  107. Greene ZB . Creating and managing a paperless health information management department . Top Health Inf Manage . 2002;23:26–36
  108. Hamula W , Hamula DW . Orthodontic office design. The paperless practice . J Clin Orthod . 1998;32:35–43
  109. Werneburg D . ‘Paperless' information system cuts costs, improves data services . Hospitals . 1982;56:49
  110. Zurhellen W . The coming of age of the electronic office . Pediatr Ann . 2001;30:289–297
  111. Zurhellen WM . The computerization of ambulatory pediatric practice . Pediatrics . 1995;96:835–842 discussion 842–844
  112. Padeken D , Sotiriou D , Boddy K , Gerzer R . Health care in remote areas . J Med Syst . 1995;19:69–76
  113. Travers DA , Downs SM . Comparing user acceptance of a computer system in two pediatric offices: a qualitative study . Proc AMIA Symp. . 2000;853–857
  114. Farr C . The myth of the paperless office: finding the real payoffs in information technology . Dent Today . 1994;13:54–57
  115. Lyle P . Paperless medical records—approval still awaited . Br J Gen Pract . 1995;45:54
  116. Madjaric M , Nesek-Madjaric V , Leitner H , et al.   Paperless hospital: reality, dream or a nightmare? . Stud Health Technol Inform . 2000;77:1028–1032
  117. Rizkalla E , Crawley A . Paperless office: fact and fiction . J Healthc Resour Manage . 1996;14:38–39
  118. Rottschaefer BL . Don't crumple the paperless office . Pa Med . 2000;103:6
  119. Clinical software eases switch to paperless office . Physician Relat Update . 1998;7:46–48
  120. Paperless records will improve quality . Hosp Peer Rev . 2002;27:99–100
  121. Appleby C . Going paperless. A well-informed investment . Hosp Health Netw . 1997;71:82
  122. Appleby C . Going paperless. A well-informed investment . Hosp Health Netw . 1997;71:82
  123. Bailey GM . Practice strategies. The paperless office: are we there yet? . J Am Optom Assoc . 1999;70:667–671
  124. Batson E . The paperless medical office. What office automation holds in store . Postgrad Med . 1983;74:231–234
  125. Chyna JT . Electronic medical records. Will the future of healthcare be paperless? . Healthc Exec . 2000;15:14–20
  126. Cox TP . The ‘paperless' physician office: a risk management perspective . J Healthc Risk Manage . 1993;13:29–35
  127. Davis WE . Following the paperless trail . Minn Med . 1994;77:2
  128. Davis R . The elusive paperless medical record . Kans Med . 1994;95:215–216
  129. De Lusignan S , Thiru K , Wells S , et al.   Overcoming the constraints to becoming paperless . Br J Gen Pract . 2000;50:504–505
  130. De Wever A . Implementing paperless medical records . AMRO . 1991;32:20–22
  131. McCurdy HD . The paperless practice . J Am Vet Med Assoc . 2001;218:1776–1777
  132. Rose E . Life after go-live. Part 1: paper in the paperless practice . J Healthc Inf Manag . 2003;17:24–26
  133. Wasden W . Quality assessment: from paper shuffle to paperless review . Comput Healthc . 1991;12:29–30, 32
  134. Bordley WC , Margolis PA , Stuart J , et al.   Improving preventive service delivery through office systems . Pediatrics . 2001;108:E41
  135. Dini EF , Linkins RW , Sigafoos J . The impact of computer-generated messages on childhood immunization coverage . Am J Prev Med . 2000;18:132–139
  136. Gaglani M , Riggs M , Kamenicky C , Glezen WP . A computerized reminder strategy is effective for annual influenza immunization of children with asthma or reactive airway disease . Pediatr Infect Dis J . 2001;20:1155–1160
  137. Prevention of medication errors in the pediatric inpatient setting. . American Academy of Pediatrics Committee on Drugs and Committee on Hospital Care . Pediatrics . 1998;102:428–430
  138. Cargill A , Watson AR . Sources of information on renal conditions used by families . Pediatr Nephrol . 2002;17:648–651
  139. Green SH . The patient, the Internet, and the clinician . Dev Med Child Neurol . 1998;40:795
  140. McClung HJ , Murray RD , Heitlinger LA . The Internet as a source for current patient information . Pediatrics . 1998;101:E2
  141. A nation online: how Americans are expanding their use of the Internet. . National Telecommunications and Information Administration . Available at: www.digitaldivide.gov February 2002; Accessed June 6, 12, 2003
  142. Johnson KB . Barriers that impede the adoption of pediatric information technology . Arch Pediatr Adolesc Med . 2001;155:1374–1379

PII: S1530-1567(05)60271-7

doi: 10.1367/1539-4409(2004)004<0064:ITIITC>2.0.CO;2

Ambulatory Pediatrics
Volume 4, Issue 1 , Pages 64-72 , January 2004

Article Tools

* Image Usage & Resolution