Ivan K. Ip
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View article: Assessment of 3 standards-based clinical decision support (CDS) tools in an academic electronic health record using Clinical Quality Language, CDS Hooks, and Fast Healthcare Interoperability Resources: a retrospective evaluation
Assessment of 3 standards-based clinical decision support (CDS) tools in an academic electronic health record using Clinical Quality Language, CDS Hooks, and Fast Healthcare Interoperability Resources: a retrospective evaluation Open
Objectives To evaluate clinical decision support (CDS) of varying complexities and care settings represented using Health Information Technology (HIT) standards—Clinical Quality Language (CQL) for representing clinical logic and Fast Healt…
View article: Can emergency department provider notes help to achieve more dynamic clinical decision support?
Can emergency department provider notes help to achieve more dynamic clinical decision support? Open
Clinical notes are an underutilized source of clinical attributes needed for CDS, available in a substantial percentage of encounters at the time of imaging order. Automated pre-population of imaging order requisitions with relevant clinic…
View article: Appropriateness of inpatient stress testing: Implications for development of clinical decision support mechanisms and future criteria
Appropriateness of inpatient stress testing: Implications for development of clinical decision support mechanisms and future criteria Open
View article: Information technology tools can automate imaging measures for Emergency Department patients with suspected pulmonary embolism
Information technology tools can automate imaging measures for Emergency Department patients with suspected pulmonary embolism Open
CT pulmonary angiography (CTPA) utilization rates for patients with suspected pulmonary embolism (PE) in the Emergency Department (ED) have increased steadily with associated radiation exposure, costs and overdiagnosis. A new measure is ne…
View article: Variation in Follow-up Imaging Recommendations in Radiology Reports: Patient, Modality, and Radiologist Predictors
Variation in Follow-up Imaging Recommendations in Radiology Reports: Patient, Modality, and Radiologist Predictors Open
BACKGROUND: Variation between radiologists when making recommendations for additional imaging and associated factors are unknown. Clear identification of factors that account for variation in follow-up recommendations might prevent unneces…
View article: Fast Healthcare Interoperability Resources, Clinical Quality Language, and Systematized Nomenclature of Medicine—Clinical Terms in Representing Clinical Evidence Logic Statements for the Use of Imaging Procedures: Descriptive Study
Fast Healthcare Interoperability Resources, Clinical Quality Language, and Systematized Nomenclature of Medicine—Clinical Terms in Representing Clinical Evidence Logic Statements for the Use of Imaging Procedures: Descriptive Study Open
CELS were represented as shareable clinical decision support (CDS) knowledge artifacts using existing standards-SNOMED CT, FHIR, and CQL-to promote and accelerate adoption of evidence-based practice. Limitations to standardization persist,…
View article: Can Automated Retrieval of Data from Emergency Department Physician Notes Enhance the Imaging Order Entry Process?
Can Automated Retrieval of Data from Emergency Department Physician Notes Enhance the Imaging Order Entry Process? Open
Background When a paucity of clinical information is communicated from ordering physicians to radiologists at the time of radiology order entry, suboptimal imaging interpretations and patient care may result. Objectives Compare documentati…
View article: Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Framework
Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Framework Open
View article: Integrity of clinical information in computerized order requisitions for diagnostic imaging
Integrity of clinical information in computerized order requisitions for diagnostic imaging Open
Objective Assess information integrity (concordance and completeness of documented exam indications from the electronic health record [EHR] imaging order requisition, compared to EHR provider notes), and assess potential impact of indicati…
View article: Author Index
Author Index Open
View article: Assessing information sources to elucidate diagnostic process errors in radiologic imaging — a human factors framework
Assessing information sources to elucidate diagnostic process errors in radiologic imaging — a human factors framework Open
Objective To assess information sources that may elucidate errors related to radiologic diagnostic imaging, quantify the incidence of potential safety events from each source, and quantify the number of steps involved from diagnostic imagi…
View article: Risk Stratification Model: Lower-Extremity Ultrasonography for Hospitalized Patients with Suspected Deep Vein Thrombosis
Risk Stratification Model: Lower-Extremity Ultrasonography for Hospitalized Patients with Suspected Deep Vein Thrombosis Open
View article: Characteristics of knowledge content in a curated online evidence library
Characteristics of knowledge content in a curated online evidence library Open
Objective To describe types of recommendations represented in a curated online evidence library, report on the quality of evidence-based recommendations pertaining to diagnostic imaging exams, and assess underlying knowledge representation…
View article: Impact of Clinical Decision Support on Radiography for Acute Ankle Injuries: A Randomized Trial
Impact of Clinical Decision Support on Radiography for Acute Ankle Injuries: A Randomized Trial Open
Clinical decision support, previously demonstrated to improve guideline adherence for high-cost imaging, can also improve guideline adherence for radiography - as demonstrated by increased OAR adherence and increased imaging yield.
View article: Yield of CT Pulmonary Angiography in the Emergency Department When Providers Override Evidence-based Clinical Decision Support
Yield of CT Pulmonary Angiography in the Emergency Department When Providers Override Evidence-based Clinical Decision Support Open
Purpose To determine the frequency of, and yield after, provider overrides of evidence-based clinical decision support (CDS) for ordering computed tomographic (CT) pulmonary angiography in the emergency department (ED). Materials and Metho…
View article: Assessing Strength of Evidence of Appropriate Use Criteria for Diagnostic Imaging Examinations
Assessing Strength of Evidence of Appropriate Use Criteria for Diagnostic Imaging Examinations Open
Objective For health information technology tools to fully inform evidence-based decisions, recommendations must be reliably assessed for quality and strength of evidence. We aimed to create an annotation framework for grading recommendati…
View article: Evaluating Terminologies to Enable Imaging-Related Decision Rule Sharing.
Evaluating Terminologies to Enable Imaging-Related Decision Rule Sharing. Open
Purpose: Clinical decision support tools provide recommendations based on decision rules. A fundamental challenge regarding decision rule-sharing involves inadequate expression using standard terminology. We aimed to evaluate the co…
View article: Effects of Performance Feedback Reports on Adherence to Evidence-Based Guidelines in Use of CT for Evaluation of Pulmonary Embolism in the Emergency Department: A Randomized Trial
Effects of Performance Feedback Reports on Adherence to Evidence-Based Guidelines in Use of CT for Evaluation of Pulmonary Embolism in the Emergency Department: A Randomized Trial Open
Implementation of quarterly feedback reporting resulted in a modest but significant increase in adherence to evidence-based guidelines for use of CT for evaluation of PE in ED patients, enhancing the impact of CDS alone. These results sugg…
View article: Effect of Evidence-based Clinical Decision Support on the Use and Yield of CT Pulmonary Angiographic Imaging in Hospitalized Patients
Effect of Evidence-based Clinical Decision Support on the Use and Yield of CT Pulmonary Angiographic Imaging in Hospitalized Patients Open
Implementation of evidence-based CDS for inpatients was associated with a 12.3% immediate and sustained decrease in use of CT pulmonary angiographic examinations in the evaluation of inpatients for acute PE. for this article.