{"id":"https://openalex.org/W3081677612","doi":"https://doi.org/10.1055/s-0040-1715652","title":"An Alternate Viewpoint on Information Sharing: There is no Paradox","display_name":"An Alternate Viewpoint on Information Sharing: There is no Paradox","publication_year":2020,"publication_date":"2020-08-01","ids":{"openalex":"https://openalex.org/W3081677612","doi":"https://doi.org/10.1055/s-0040-1715652","mag":"3081677612","pmid":"https://pubmed.ncbi.nlm.nih.gov/32877944"},"language":"en","primary_location":{"id":"doi:10.1055/s-0040-1715652","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1715652","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1715652.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1715652.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039261828","display_name":"Larry Ozeran","orcid":null},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Larry Ozeran","raw_affiliation_strings":["Clinical Informatics, Inc., Yuba City, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Informatics, Inc., Yuba City, California, United States","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024127399","display_name":"Richard Schreiber","orcid":"https://orcid.org/0000-0002-6138-7048"},"institutions":[{"id":"https://openalex.org/I75747061","display_name":"Geisinger Commonwealth School of Medicine","ror":"https://ror.org/04bqfk210","country_code":"US","type":"education","lineage":["https://openalex.org/I54713919","https://openalex.org/I75747061"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard Schreiber","raw_affiliation_strings":["Physician Informatics and Department of Medicine, Geisinger Holy Spirit, Geisinger Commonwealth School of Medicine, Camp Hill, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Physician Informatics and Department of Medicine, Geisinger Holy Spirit, Geisinger Commonwealth School of Medicine, Camp Hill, Pennsylvania, United States","institution_ids":["https://openalex.org/I75747061"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5039261828"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.13777645,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"11","issue":"04","first_page":"578","last_page":"579"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9929999709129333,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9929999709129333,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.9858999848365784,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.9779000282287598,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6240811944007874},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.4908791184425354},{"id":"https://openalex.org/keywords/information-sharing","display_name":"Information sharing","score":0.472793310880661},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.38793736696243286},{"id":"https://openalex.org/keywords/information-retrieval","display_name":"Information retrieval","score":0.3461000323295593}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6240811944007874},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.4908791184425354},{"id":"https://openalex.org/C2776854237","wikidata":"https://www.wikidata.org/wiki/Q6031064","display_name":"Information sharing","level":2,"score":0.472793310880661},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.38793736696243286},{"id":"https://openalex.org/C23123220","wikidata":"https://www.wikidata.org/wiki/Q816826","display_name":"Information retrieval","level":1,"score":0.3461000323295593}],"mesh":[{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D033181","descriptor_name":"Information Dissemination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1055/s-0040-1715652","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1715652","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1715652.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmid:32877944","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32877944","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied clinical informatics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7467840","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7467840","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1055/s-0040-1715652","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0040-1715652","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0040-1715652.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3081677612.pdf","grobid_xml":"https://content.openalex.org/works/W3081677612.grobid-xml"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2155767215","https://openalex.org/W2575397402","https://openalex.org/W2928914367","https://openalex.org/W2991215871","https://openalex.org/W2997923706","https://openalex.org/W3041382338","https://openalex.org/W4214644679"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2748952813","https://openalex.org/W2390279801","https://openalex.org/W2358668433","https://openalex.org/W4396701345","https://openalex.org/W2376932109","https://openalex.org/W2001405890","https://openalex.org/W4396696052","https://openalex.org/W2382290278","https://openalex.org/W4395014643"],"abstract_inverted_index":{"Letter":[0],"to:":[1],"A":[2,17,26],"Viewpoint":[3,18,27],"on":[4,19,28,107,387,686],"the":[5,20,29,40,49,59,73,79,101,121,132,142,151,159,169,175,194,210,331,348,376,382,428,438,450,453,459,495,550,560,572,594,609,628,631,636,648,701,704,736,744,793,800,813,820],"Information":[6,21,30,144],"Sharing":[7,22,31],"Paradox":[8,23,32],"Appl":[9],"Clin":[10],"Inform":[11],"2020;":[12],"11(03):":[13],"460-463":[14],"DOI:":[15],"10.1055/s-0040-1713413":[16],"In":[24,555],"\u201c":[25,86,108,114,242,380],"\u201d":[33,111,136],"by":[34,654],"Stenner":[35],"et":[36],"al,[":[37],"1":[38],"]":[39,268,361,364,367,600,663],"authors":[41,70,220,369,429,454],"outline":[42],"a":[43,187,201,237,275,325,339,397,405,516,569,619],"paradox":[44],"that":[45,57,85,119,241,375,394,431,489,497,563,571,592,621,674,700,713,733,757,815],"calls":[46],"into":[47],"question":[48],"value":[50],"of":[51,62,78,150,158,261,289,297,333,341,350,384,411,440,449,452,546,552,596,604,611,642,650,747,823],"more":[52,91,109,512,675,786],"health":[53,152,264,389,538,615,659,689,707,752],"data.":[54,153,513,801],"We":[55,442],"contend":[56],"considering":[58],"root":[60,602],"cause":[61,603],"information":[63,80,87,92,110,133,246,249,377,385,605,690,737,777],"overload\u2014data":[64],"presentation\u2014there":[65],"is":[66,93,146,236,250,395,479,503,515,523,608,665,682,710],"no":[67,482,504,830],"paradox.":[68,238,398],"The":[69,219,318,368,540,580,601,728],"accurately":[71],"describe":[72],"events":[74],"leading":[75],"to":[76,105,163,178,190,208,212,233,270,280,307,353,423,446,480,508,568,578,587,613,627,646,657,672,684,693,724,735,742,749,765,771,788,811,818],"adoption":[77,551,649],"blocking":[81,134,145,378,738],"rules.":[82],"While":[83],"recognizing":[84],"overload":[88,606],"occurs":[89],"when":[90,404],"presented":[94,115],"than":[95,113,215,464],"can":[96,486],"be":[97,156,172,293,305,402,679,763],"readily":[98],"processed":[99],",\u201d":[100,392],"authors'":[102],"viewpoint":[103],"seems":[104,755],"focus":[106,685],"rather":[112,214,347,463],".\u201d":[116,257],"Their":[117],"suggestion":[118],"\u201c\u2026":[120],"information-receiver":[122],"may":[123,228,303,762],"start":[124],"filtering,":[125],"summarizing,":[126],"and":[127,166,197,299,312,327,355,471,533,543,583,589,660,695,760,776,797,808,825,832],"routing":[128],"information,":[129],"potentially":[130],"breaking":[131],"provision":[135],"does":[137,283],"not":[138,162,229,251,284,338,396,436,493,666,781],"appear":[139],"consistent":[140],"with":[141,414,805],"regulation.":[143],"about":[147,321,499],"ensuring":[148],"transmission":[149],"It":[154,664,681,709,754],"would":[155,185,457,564],"irresponsible":[157],"receiving":[160],"entity":[161],"enable":[164],"filtering":[165],"summarization.":[167],"All":[168,850],"data":[170,191,196,211,279,291,302,342,344,358,413,416,434,496,616,623,677,702,787],"should":[171,417],"available,":[173],"if":[174,420,490],"clinician":[176,406,629],"wishes":[177],"review":[179],"it,":[180,298],"but":[181,225,330,346,393],"good":[182],"user-centered":[183,697,769],"design":[184,770],"support":[186,447,694],"hierarchical":[188],"approach":[189],"visualization.":[192],"Receiving":[193],"patient":[195],"keeping":[198],"it":[199,444],"in":[200,253,373,537,618,768,836],"coherent":[202],"format":[203],"are":[204,337,370,435,624],"distinct":[205],"from":[206,247,462,511],"how":[207,784],"display":[209],"enable,":[213],"obstruct,":[216],"clinical":[217,278,290,301,310,597,676],"decision-making.":[218],"make":[221,792],"several":[222],"factual":[223],"statements,":[224],"those":[226,622],"facts":[227],"necessarily":[230],"lead":[231,817],"one":[232],"conclude":[234],"there":[235],"They":[239],"note":[240],"easily":[243],"distinguishing":[244],"relevant":[245],"nonrelevant":[248],"possible":[252],"our":[254,500,669,688,720],"current":[255,262],"systems":[256,336,723],"Is":[258],"this":[259,837],"failure":[260,349,610],"electronic":[263],"records":[265],"(EHRs)[":[266],"2":[267],"intended":[269],"bolster":[271],"their":[272],"argument":[273],"for":[274,506,519,706],"paradox?":[276],"Equating":[277],"spam":[281],"email":[282],"seem":[285],"appropriate.":[286],"Some":[287],"percentage":[288],"will":[292,400,715,791,816],"relevant,":[294],"perhaps":[295],"most":[296,625],"some":[300],"even":[304,316],"critical":[306],"providing":[308],"best":[309,535],"care":[311,390],"avoiding":[313],"complications":[314],"or":[315,343,718],"death.":[317],"concerns":[319],"expressed":[320],"alert":[322,774],"fatigue":[323,775],"reflect":[324],"sad":[326],"true":[328,403],"reality,":[329],"failures":[332],"modern":[334],"alerting":[335],"result":[340],"volume,":[345],"commercial":[351],"EHRs":[352,553],"manage":[354,614],"present":[356],"these":[357,432],"appropriately.[":[359],"3":[360],"[":[362,365],"4":[363],"5":[366],"also":[371],"correct":[372],"stating":[374],"rule":[379],"amplifies":[381],"burden":[383],"reconciliation":[386],"information-receiving":[388],"entities":[391],"That":[399],"always":[401,418],"receives":[407],"new":[408],"information.":[409],"Reconciliation":[410],"existing":[412],"incoming":[415],"occur":[419],"we":[421,487,491,527,714],"want":[422],"maintain":[424],"accurate":[425],"records.":[426],"Are":[427],"implying":[430],"additional":[433],"worth":[437],"cost":[439],"reconciliation?":[441],"find":[443],"difficult":[445],"any":[448],"recommendations":[451],"because":[455],"they":[456],"move":[458],"country":[460],"away":[461],"toward":[465,668],"better":[466,468,520,751],"care,":[467],"population":[469],"health,":[470],"lower":[472],"cost.":[473],"Our":[474],"first":[475],"goal":[476],"as":[477,528],"clinicians":[478,510],"do":[481,488,492],"harm":[483],".":[484],"How":[485],"leverage":[494],"exist":[498],"patient?":[501],"There":[502,514,828],"need":[505,518],"policies":[507],"protect":[509],"huge":[517],"software.":[521,632,821],"This":[522],"an":[524],"area":[525],"where":[526],"informatics":[529,634,651],"professionals":[530],"must":[531],"promote":[532,750],"implement":[534],"practices":[536],"informatics.":[539],"American":[541,637],"Reinvestment":[542],"Recovery":[544],"Act":[545,732],"2009":[547],"(ARRA)":[548],"incentivized":[549],"nationally.":[554],"so":[556,699],"doing,":[557],"ARRA":[558,581,717,748],"removed":[559],"market":[561,726],"forces":[562],"otherwise":[565],"have":[566],"led":[567,586,734],"demand":[570],"products":[573],"meet":[574],"user":[575,794],"requirements":[576],"prior":[577],"purchase.":[579],"incentives":[582],"penalties":[584],"often":[585],"administrative":[588],"financial":[590],"decisions":[591],"muted":[593],"voices":[595],"concern.[":[598],"6":[599],"today":[607],"software":[612,790,809],"effectively":[617],"way":[620],"useful":[626],"using":[630],"As":[633],"professionals,":[635],"Medical":[638],"Informatics":[639],"Association":[640],"Code":[641],"Ethics":[643],"drives":[644],"us":[645,780,803],"\u201cencourage":[647],"approaches":[652],"supported":[653],"adequate":[655],"evidence":[656],"improve":[658],"healthcare.\u201d[":[661],"7":[662],"productive":[667,683],"national":[670],"goals":[671],"suggest":[673],"could":[678],"harmful.":[680],"improving":[687,819],"technology":[691],"infrastructure":[692],"prioritize":[696],"design,":[698],"become":[703],"foundation":[705],"improvement.":[708],"highly":[711],"unlikely":[712],"undo":[716],"remove":[719],"digital":[721],"record":[722],"regain":[725],"forces.":[727],"21st":[729],"Century":[730],"Cures":[731],"regulations":[739],"was":[740],"necessary":[741,764],"modify":[743],"unintended":[745],"consequences":[746],"care.":[753],"likely":[756],"further":[758],"legislation":[759],"regulation":[761],"push":[766],"improvements":[767],"reduce":[772],"both":[773],"overload.":[778],"Let":[779,802],"look":[782],"at":[783],"adding":[785],"bad":[789],"experience":[795],"worse,":[796],"then":[798],"blame":[799],"work":[804],"legislators,":[806],"regulators,":[807],"vendors":[810],"create":[812],"conditions":[814],"Protection":[822],"Human":[824],"Animal":[826],"Subjects":[827],"were":[829],"human":[831],"animal":[833],"subjects":[834],"involved":[835],"project.":[838],"Publication":[839],"History":[840],"Article":[841],"published":[842],"online:":[843],"02":[844],"September":[845],"2020":[846],"\u00a9":[847],"2020.":[848],"Thieme.":[849],"rights":[851],"reserved.":[852],"Georg":[853],"Thieme":[854],"Verlag":[855],"KG":[856],"Stuttgart":[857],"\u00b7":[858],"New":[859],"York":[860]},"counts_by_year":[],"updated_date":"2026-08-04T08:18:43.703281","created_date":"2025-10-10T00:00:00"}
