Warner V. Slack

Learn More
PURPOSE Our purpose is to counter the common wisdom that doctors are refractory to change and therefore responsible for the limited use of electronic medical records. METHODS We draw on experience with electronic medical records in two Harvard Medical School teaching hospitals dating back to the early 1980s. RESULTS Doctors quickly become ardent users(More)
Even the most extensive hospital information system cannot support all the complex and ever-changing demands associated with a clinical database, such as providing department or personal data forms, and rating scales. Well-designed clinical dialogue programs may facilitate direct interaction of patients with their medical records. Incorporation of extensive(More)
Computers are steadily being incorporated in clinical practice. We conducted a nonrandomised, controlled, prospective trial of electronic messages designed to enhance adherence to clinical practice guidelines. We studied 126 physicians and nurse practitioners who used electronic medical records when caring for 349 patients with HIV infection in a primary(More)
— This paper presents an ontology driven framework for the development of a clinical expert system targeted for chest pain risk assessment. The proposed ontology driven framework will deploy key components (adaptive questionnaire, patient medical history, risk assessment and decision support capabilities) which can be reused for other areas thus(More)
A careful look at studies of "intelligence" and "aptitude" tests belies the contention that these tests measure heritable attributes. Rather, they are achievement tests that measure learned abilities. When stripped of the aura of "intelligence" and "aptitude" and compared with other indexes of accomplishment, they are poor predictors of future performance.(More)
Clinical risk assessment of chronic illnesses in the cardiovascular domain is quite a challenging and complex task which entails the utilization of standardized clinical practice guidelines and documentation procedures to ensure clinical governance, efficient and consistent care for patients. In this paper, we present a cardiovascular decision support(More)
The authors developed a computer-based general medical history to be taken by patients in their homes over the internet before their first visit with their primary care doctor, and asked six doctors and their participating patients to assess this history and its effect on their subsequent visit. Forty patients began the history; 32 completed the history and(More)
OBJECTIVE Health care proxy (HCP) documentation is suboptimal. To improve rates of proxy selection and documentation, we sought to develop and evaluate a web-based interview to guide patients in their selection, and to capture their choices in their electronic health record (EHR). METHODS We developed and implemented a HCP interview within the patient(More)