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Clinical information systems consist of information technology that is applied
at the point of clinical care. They include electronic medical records, clinical
data repositories, decision support programs (such as clinical guidelines and
drug interaction checking), handheld devices for collecting data and viewing
reference material, imaging modalities and communication tools such as electronic
messaging systems.
Increasingly, care is provided in multiple settings thus creating a need for
clinicians to share data with providers at other locations and to pool them
with other clinical data in order to provide a complete picture of an individual
patient. Advances in computer networking and wireless communication technology
have now made it possible for clinicians to access these data from any location
whether it is in the office, the hospital, at home, or even when traveling
out of town.
There are many challenges in effectively implementing clinical information
systems including their high cost, the need to change clinical “workflow”,
the need for providers to learn new skills, and challenges in capturing clinical
data with a minimum of time and effort on the part of clinicians and representing
it in computers for optimal use. Concerns about security and confidentiality
must also be addressed. Clinical informatics research is actively addressing
these concerns.
Researchers in UMDNJ’s Informatics Institute are studying the encoding
and deployment of clinical practice guidelines through the electronic medical
record. More details may be found at http://infolab.umdnj.edu.
Individuals with interests in Clinical Information Systems are encouraged
to contact Dr. Frank Sonnenberg
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