Patricia Sengstack

Vanderbilt University | Vander Bilt · Department of Biomedical Informatics

Background Technology in health care is pervasive and growing exponentially. Simulation in academic settings also continues to expand with the use of advancing technologies. Problem Technology appropriate usage and implementation can become problematic without experts with the right skills in nursing simulation labs. Gaps in technology utilization...

A panel sponsored by the American College of Medical Informatics (ACMI) at the 2021 AMIA Symposium addressed the provocative question: “Are Electronic Health Records dumbing down clinicians?” After reviewing electronic health record (EHR) development and evolution, the panel discussed how EHR use can impair care delivery. Both suboptimal functional...

Background: Documentation burden is a common problem with modern electronic health record (EHR) systems. To reduce this burden, various recording methods (eg, voice recorders or motion sensors) have been proposed. However, these solutions are in an early prototype phase and are unlikely to transition into practice in the near future. A more pragma...

BACKGROUND Documentation burden is a common problem with modern electronic health record (EHR) systems. To reduce this burden, various recording methods (eg, voice recorders or motion sensors) have been proposed. However, these solutions are in an early prototype phase and are unlikely to transition into practice in the near future. A more pragmati...

Background Electronic health record (EHR) system implementation is complex. Strong support for clinicians and other end-users during the initial phase of implementation requires dedicated resources and commitment to ensure a smooth transition, reduce frustration, and assist in adoption. Objectives Evaluate end-user support processes and personnel e...

Introduction: The emerging operational role of the "Chief Clinical Informatics Officer" (CCIO) remains heterogeneous with individuals deriving from a variety of clinical settings and backgrounds. The CCIO is defined in title, responsibility, and scope of practice by local organizations. The term encompasses the more commonly used Chief Medical Inf...

Navigating a clinical information system (CIS) through the phases of the system development lifecycle (SDLC) requires commitment and expertise from an interdisciplinary cross functional team to ensure that the value of the investment is realized. Beginning with a thorough organizational needs assessment to lay the foundation for effective system se...

The primary aim of this performance improvement project was to determine whether the electronic health record implementation of stroke-specific nursing documentation flowsheet templates and clinical decision support alerts improved the nursing documentation of eligible stroke patients in seven stroke-certified emergency departments. Two system enha...

INFORMATION TECHNOLOGY is becoming so pervasive in health care it is almost impossible to find a care setting void of some type of electronic clinical system. Evaluating and managing these electronic tools require an understanding of patient care delivery and technology. They also require the knowledge to design systems with which nurses interact o...

Informatics, the science of processing data for storage and retrieval, is vital in today-s healthcare environment. At the core of informatics practice is the electronic health record (EHR). However, the scope of informatics encompasses many areas peripheral to the EHR, such as mobile devices, patient portals, data analytics, telehealth, and health...

To understand how nurses respond to alerts that detect attempts to enter into electronic health records patient weights that vary significantly from previously recorded weights. Examination of subsequent patient weights to determine if the alerts were true positive (TP) or false positive (FP), and whether nurses overrode alerts, changed their entry...

The medication error dilemma has come to the forefront of most hospitals' improvement agendas. The most often cited solution to the problem has been computerized provider order entry (CPOE) systems. These systems have significant potential to improve errors associated with illegibility as well as inappropriate drug use and dosing. On the other hand...