Examine the continuing evolution of the field of health informatics

Examine the continuing evolution of the field of health informatics

Second-Generation HIT Informaticists

Great discoveries can transform the world. In 400 BC, Hippocrates theorized that the body was composed of four “humors”—blood, phlegm, black bile, and yellow bile. Now think of the impact of the seminal work of William Harvey, who, in the 1600s, accurately described the circulation system and the role of the heart for the first time. It was not until the early 1900s that the Austrian biologist Karl Landsteiner identified four distinct blood groups. Today, knowledge about the nature and properties of blood is so complicated that the entire field of blood chemistry is devoted to its study.

This same type of expansion of knowledge within a scientific field is mirrored within the field of informatics. As new technologies develop, subsequent changes occur in the fiel that are, built upon the earlier work of others. In this Discussion, you examine the continuing evolution of the field of health informatics and assess how researchers built on the work of preceding scientists.

You will focus on the following individuals:

  • Joan Ash
  • Nancy Lorenzi
  • Ben Shneiderman
  • Diane Forsythe
  • Chuck Friedman
  • Sue Bakken
  • Patty Brennan
  • Diane Skiba
  • Danny Sands
  • Lucian Leape

To prepare:

  • Select and read at least one article from this week’s Learning Resources for at least five individuals listed above.
  • Consider how the work of each individual has built upon the work of earlier pioneers in the informatics field.
  • Assess the areas of growth in informatics research from the informatics pioneers you researched last week to the individuals you read about this week, and the ways in which health informatics has continued to evolve.
  • Select one individual from this week you found to be of particular interest, and read at least one additional article written by him or her from the list provided in the Learning Resources.
  • Conduct further research to determine recent contributions or additions to the individual’s research.

By Tomorrow 12/06/16, post a minimum of 550 words in APA format with a minimum of three references from the list provided below. Include the level one headings as numbered below:

1)      A brief summary of key contributions of the individual you selected.

2)      Explain which ideas/accomplishments you found to be most compelling, and why.

3)      Assess the evolution of the field of nursing informatics from the first group of pioneers (Week 1 Discussion) to the second generation of HIT nurse informaticists.

4)      Provide specific examples of how this evolution is evident in the field.

 

 

 

Required Readings

 

Joan Ash

Ash, J. S., Berg, M., & Coiera, E. (2004). Some unintended consequences of information technology in health care: The nature of patient care information system-related errors. Journal of the American Medical Informatics Association, 11(2), 104–112.

Retrieved from the Walden Library databases.

In this article, the authors highlight key areas where unintended consequences and errors are occurring as the result of health information technology use. These errors fall into two distinct categories: input and retrieval errors, and errors caused by poor communication of information.

Ash, J. S., Sittig, D. F., Poon, E. G., Guappone, K., Campbell, E., & Dykstra, R. H. (2007). The extent and importance of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association, 14(4), 415–423. 

Retrieved from the Walden Library databases.

In this article, the authors discuss the unintended consequences of using computerized provider order entry systems. The article focuses in particular on the effects of human error.

 

Ash, J. (1997). Organizational factors that influence information technology diffusion in academic health sciences centers. Journal of the American Medical Informatics Association, 4(2), 102–111.

Retrieved from the Walden Library databases.

This article explores the discrepancies in the level of technology implementation and use that may exist between different clinics and hospitals. The author examines the organizational factors that may influence information technology diffusion in academic health sciences centers.

 

 

Nancy Lorenzi

Lorenzi, N. M., & Riley, R. T. (2000). Managing change: An overview. Journal of the American Medical Informatics Association7(2), 116–124. 

Retrieved from the Walden Library databases.

The authors of this article explain various responses to change, especially with respect to medical technologies. In particular, the authors discuss how the medical field has dealt with the extreme changes in medical informatics.

 

Lorenzi, N. M., Riley, R. T., Blyth, A. J., Southon, G., & Dixon, B. J. (1997). Antecedents of the people and organizational aspects of medical informatics: Review of the literature. Journal of the American Medical Informatics Association4(2), 79–93.

Retrieved from the Walden Library databases.

In this article, the authors discuss the importance of the organizational and personal factors behind the implementation of medical informatics. They give an overview of research on complex health systems and how implementation occurs.

 

Stead, W. W., & Lorenzi, N. M. (1999). Health informatics: Linking investment to value. Journal of the American Medical Informatics Association6(5), 341–348.

Retrieved from the Walden Library databases.

 

The authors of this article discuss the need for increased emphasis on the value of health informatics. They highlight strategies for demonstrating this value and provide examples that help justify the need for health informatics to have an increased role in health field.

 

Ben Shneiderman

 

Shneiderman, B. (1982). The future of interactive systems and the emergence of direct manipulation. Behaviour & Information Technology1(3), 237–256.

Copyright 1982 by Taylor and Francis Informa UK Ltd.  Reprinted by permission of Taylor and Francis Informa UK Ltd. via the Copyright Clearance Center.

Interactive systems are a crucial part of medical informatics. In this piece, Schneiderman explores the future possibilities for increasing the capabilities of interactive systems and the emergence of direct manipulation.

 

Shneiderman, B. (1996). The eyes have it: A task by data type taxonomy for information visualizations. Visual Languages, Proceedings on Digital Object Identifier, 336–343. 

Retrieved from the Walden Library databases.

The author of this article provides his perspective on the role visual languages play in medical informatics. The article explores how a task may be visualized according to its data type taxonomy.

 

Plaisant, C., Mushlin, R., Snyder, A., Li, J., Heller, D., & Shneiderman, B. (1998). LifeLines: Using visualization to enhance navigation and analysis of patient records. In Proceedings of the AMIA Symposium (p. 76). American Medical Informatics Association.

In this article, the authors explain how visualization may enhance the navigation and analysis of patient records. The authors elaborate on how visualization offers capabilities beyond those of simple text and tables.

 

Diane Forsythe

 

Forsythe, D. E., & Buchanan, B. G. (1991). Broadening our approach to evaluating medical information systems. In Proceedings of the Annual Symposium on Computer Application in Medical Care (pp. 8–12). American Medical Informatics Association.

Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2247485/

The authors of this article provide a perspective on the conventional wisdom of using controlled clinical trials to conduct evaluations in medical informatics. The authors critique many of the underlying assumptions of this evaluation method and suggest a more expansive approach to evaluation.

 

 

Forsythe, D. E. (1992). Using ethnography to build a working system: Rethinking basic design assumptions. In Proceedings of the Annual Symposium on Computer Application in Medical Care (pp. 505–509). American Medical Informatics Association.

Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2247982/

This article examines a 3-year interdisciplinary project that focused on building a patient education system on migraine headaches. The author discusses the use of ethnography in the design of the system.

 

Rosenal, T. W., Forsythe, D. E., Musen, M. A., & Seiver, A. (1995). Support for information management in critical care: A new approach to identify needs. In Proceedings of the Annual Symposium on Computer Application in Medical Care (p. 2). American Medical Informatics Association.

Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2578881/

This article focuses on managing information in critical care. The authors explore a unique approach to identifying useful findings about clinical information management.

 

Chuck Friedman

 

Cork, R. D., Detmer, W. M., & Friedman, C. P. (1998). Development and initial validation of an instrument to measure physicians’ use of, knowledge about, and attitudes toward computers. Journal of the American Medical Informatics Association5(2), 164–176.

Retrieved from the Walden Library databases.

In this article, the authors discuss the results of a questionnaire given to physicians to measure their knowledge about and attitudes toward computer use in health care. The article describes how this information can be used to improve the relationship between health care providers and those in the field of medical informatics.

Friedman, C. P. (1995). Where’s the science in medical informatics? Journal of the American Medical Informatics Association2(1), 65–67.

Retrieved from the Walden Library databases.

The author of this article discusses the developing field of medical informatics and the need for science to be an integral part of the discipline. The author provides an example of a PhD student who faced issues in pursuing further education in medical informatics.

 

Friedman, C. P., Elstein, A. S., Wolf, F. M., Murphy, G. C., Franz, T. M., Heckerling, P. S., et al. (1999). Enhancement of clinicians’ diagnostic reasoning by computer-based consultation: A multisite study of two systems. JAMA: Journal of the American Medical Association282(19), 1851–1856.

Retrieved from the Walden Library databases.

The authors of this article examine how the diagnostic reasoning of clinicians may be enhanced by computer-based consultations. The article focuses on decision support systems