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Biomedical subjects

Nancy M Lorenzi

Publications and source records attributed to Nancy M Lorenzi.

8 recordsLinked to original sources

Online communication and support for cancer patients: a relationship-centric design framework.

Dealing with a cancer diagnosis and cancer treatment involves communication among clinicians, patients, families, friends and others affected by the illness. The hypothesis of this research is that an informatics system can effectively support the communication needs of cancer patients and their informal caregivers. Two design frameworks for online cancer communication are defined and compared. One is centered primarily on the users' interpersonal relationships, and the other is centered on the clinical data and cancer information. Five types of clinical and supportive relationships were identified and supported by in-depth interviews with cancer patients and their informal caregivers. Focusing the design of an online cancer communication system around the interpersonal relationships of patients and families may be an important step towards designing more effective paradigms for online cancer care and support.

Caregivers↗

Beyond the gadgets.

Explore the source record for details and available documents.

Attitude to Computers↗

The Success Factor Profile for clinical computer innovation.

Fifty to seventy percent of information system projects fail. Most of the failures are not the victims of flawed technology, but rather organizational and people related issues. When Vanderbilt University Medical Center began an intensive electronic health record (EHR) effort, a process was carefully designed to select the clinical areas where new tools could be developed and pilot tested. The Success Factor Profile was created to guide the selection of sites most likely to have innovation success. This paper describes both the tools and the processes used to select clinical sites for new computer tools development and pilot implementation. Early results demonstrated that the tools provided structure for the decision making process, permitting side-by-side comparison of "apples and oranges." Selecting the site most likely to succeed with computer application innovation and early implementation has broad applicability in healthcare informatics. Failure to succeed with early system users is not only costly, but also discourages users and developers alike, and may damage the reputation of the tools and systems across the institution.

Academic Medical Centers↗

Organizational issues = change.

Information systems fail for a number of reasons. Several failure reasons include communication, complexity, organization, technology, and leadership. Failure can be outlined in four major categories: technical shortcomings, project management shortcomings, organizational issues, and the continuing information explosion. Change management is the process of assisting individuals and organizations in passing from an old way of doing things to a new way of doing things. Change management starts early in a technical process, as the need for making major changes starts at the conceptual level. This paper briefly covers the people side of implementing new information systems, and describes resistance to change and various strategies to manage technological change.

Humans↗

StarTracker: an integrated, web-based clinical search engine.

This poster details the design and use of the StarTracker clinical search engine. This program is fully integrated within our electronic medical record system and allows users to enter simple rules that direct formatted searches of multiple legacy databases.

Databases as Topic↗