【作 者】Kourosh Ravvaz Martha B. Adams Ross KoppelHeather J. Sobko Craig Kuziemsky Bonnie Kaplan
【作者单位】The Information Society Project at Yale Law School, Yale University, 238 Prospect Street, New Haven, CT, 06511, USALDI, Wharton School, University of Pennsylvania, Philadelphia, PA, USAFounder, IVR Care Transition Systems, 621-H Idlewild Circle, Birmingham, AL, 35205, USASociology Department, University of Pennsylvania, Philadelphia, PA, USAYale Interdisciplinary Center for Bioethics, Yale University, 238 Prospect Street, New Haven, CT, 06511, USACenter for Clinical Epidemiology and Biostatistics, Medical School, University of Pennsylvania, Philadelphia, PA, USA813 Pardee Lane, Wyncote, PA, 19095, USADuke Center for Health Informatics, Duke University Medical Center, Box 3703 DUMC, Durham, NC, 27710, USABiomedical and Health Informatics Program, University of Wisconsin, 234 Lapham Hall, 3209 N. Maryland Avenue, Milwaukee, WI, 53201, USADivision of General Internal Medicine, Department of Medicine, Duke University Medical Center, Box 3703 DUMC, Durham, NC, 27710, USADivision of Clinical Informatics, Department of Community and Family Medicine, Duke University Medical Center, Box 3703 DUMC, Durham, NC, 27710, USATelfer School of Management, University of Ottawa, 55 Laurier Avenue East, Ottawa, ON, K1N 6N5, CanadaYale Center for Medical Informatics, Yale University School of Medicine, 238 Prospect Street, New Haven, CT, 06511, USA
【摘 要】 Communication among medical informatics communities can suffer from fragmentation across multiple forums, disciplines, and subdisciplines; variation among journals, vocabularies and ontologies; cost and distance. Online communities help overcome thes... 更多 >> Communication among medical informatics communities can suffer from fragmentation across multiple forums, disciplines, and subdisciplines; variation among journals, vocabularies and ontologies; cost and distance. Online communities help overcome these obstacles, but may become onerous when listservs are flooded with cross-postings. Rich and relevant content may be ignored. The American Medical Informatics Association successfully addressed these problems when it created a virtual meeting place by merging the membership of four working groups into a single listserv known as the 'Implementation and Optimization Forum.' A communication explosion ensued, with thousands of interchanges, hundreds of topics, commentaries from 'notables,' neophytes, and students - many from different disciplines, countries, traditions. We discuss the listserv's creation, illustrate its benefits, and examine its lessons for others. We use examples from the lively, creative, deep, and occasionally conflicting discussions of user experiences - interchanges about medication reconciliation, open source strategies, nursing, ethics, system integration, and patient photos in the EMR - all enhancing knowledge, collegiality, and collaboration. << 收起
