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Management: Electronic Health Records (EHR)

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Describing Occupational Health Nursing Interventions and Outcomes in Hair Stylist Apprentices With Hand Eczema Using the Omaha System as a Framework
The Omaha System is one of the most applicable classification systems and can be used effectively to recognize occupational health nurse(s) in practice. Describing occupational health nurse interventions and outcomes can be an example for planning care in a specific case such as hair stylist apprentices with hand eczema symptoms by using the Omaha System. The study consists of 15 cases. The “Turkish-Nordic Occupational Skin Questionnaire” was used for data collection related to eczema symptoms. The assessment was made by using electronic health record system based on the Omaha System. For the 15 cases, 113 problems and...
Source: JDNA: Journal of the Dermatology Nurses Association - March 1, 2022 Category: Dermatology Tags: FEATURE ARTICLES Source Type: research

Study protocol for Video Images about Decisions to Improve Ethical Outcomes with Palliative Care Educators (VIDEO-PCE): a pragmatic stepped wedge cluster randomised trial of older patients admitted to the hospital
Introduction Despite the known benefit to patients and families, discussions about goals, values and preferences for medical care in advancing serious illness often do not occur. Many system and clinician factors, such as patient and clinician reticence and shortage of specialty palliative care teams, contribute to this lack of communication. To address this gap, we designed an intervention to promote goals-of-care conversations and palliative care referrals in the hospital setting by using trained palliative care educators and video decision aids. This paper presents the rationale, design and methods for a trial aimed at ...
Source: BMJ Open - July 25, 2022 Category: General Medicine Authors: Lakin, J. R., Zupanc, S. N., Lindvall, C., Moseley, E. T., Das, S., Sciacca, K., Cabral, H. J., Burns, E. A., Carney, M. T., Itty, J., Lopez, S., Emmert, K., Martin, N. J., Lambert, S., Polo, J., Sanghani, S., Dugas, J. N., Gomez, M., Winter, M. R., Wang, Tags: Open access, Palliative care Source Type: research

Update on Sepsis Epidemiology in the Era of COVID-19
Semin Respir Crit Care Med 2023; 44: 173-184 DOI: 10.1055/s-0042-1759880Timely and accurate data on the epidemiology of sepsis is essential to inform public policy, clinical practice, and research priorities. Recent studies have illuminated several ongoing questions about sepsis epidemiology, including the incidence and outcomes of sepsis in non-Western countries and in specialized populations such as surgical patients, patients with cancer, and the elderly. There have also been new insights into the limitations of current surveillance methods using administrative data and increasing experience tracking sepsis incidence an...
Source: Seminars in Respiratory and Critical Care Medicine - January 16, 2023 Category: Respiratory Medicine Authors: Shappell, Claire Rhee, Chanu Klompas, Michael Tags: Review Article Source Type: research

The Unspoken Reason Why Many Doctors and Nurses Are Quitting
On a recent shift, I arrived to find our emergency department full and our waiting room overflowing with suffering patients. Half of our ER beds were occupied by “boarders”—patients who were ill enough to require hospital admission, but with no inpatient bed available for them in our hospital, or at any other in the state. These boarding patients included a seriously ill infant with respiratory distress from RSV, a moribund elderly woman on a ventilator, and a teenaged boy who had been held under security watch in the ER for three straight days, waiting for transfer to a psychiatric bed. In the hour after...
Source: TIME: Health - March 31, 2023 Category: Consumer Health News Authors: Dr. Gita Pensa Tags: Uncategorized freelance health Source Type: news

AMA says EHRs create ‘appalling Catch-22′ for docs – And just how many experts does it take to screw in a light bulb, anyway?
“NOTE: this post, being about minor matters like death and financial mayhem, is particularly and unusually [even for me] biting and lacking in euphemisms and political correctness. If you are easily offended and want the latter, and/or believe we all need to be ‘nice’ about banal issues like patient injury and death, fraud, [...]
Source: ICMCC: The International Council on Medical and Care Compunetics - May 6, 2013 Category: Information Technology Authors: Lodewijk Tags: News Fraud Risks Source Type: news

Barriers and Strategies to an Iterative Model of Advance Care Planning Communication.
CONCLUSIONS: Greater attention to connecting providers across the continuum, maximizing the potential of the electronic health record, and linking patient experiences to their values may help to connect ACP communication across the continuum. PMID: 24988894 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - July 2, 2014 Category: Palliative Care Authors: Ahluwalia SC, Bekelman DB, Huynh AK, Prendergast TJ, Shreve S, Lorenz KA Tags: Am J Hosp Palliat Care Source Type: research

Barriers and Strategies to an Iterative Model of Advance Care Planning Communication
Conclusions: Greater attention to connecting providers across the continuum, maximizing the potential of the electronic health record, and linking patient experiences to their values may help to connect ACP communication across the continuum.
Source: American Journal of Hospice and Palliative Medicine - October 29, 2015 Category: Palliative Care Authors: Ahluwalia, S. C., Bekelman, D. B., Huynh, A. K., Prendergast, T. J., Shreve, S., Lorenz, K. A. Tags: Original Articles Source Type: research

Association between chronic urticaria and self-reported penicillin allergy.
CONCLUSION: This link between chronic urticaria and self-reported penicillin allergy highlights the need for clinicians to inquire about self-reported penicillin allergy in patients with chronic urticaria and to consider penicillin skin testing. Furthermore, patients who report penicillin allergy might actually have chronic urticaria, indicating the importance of inquiring about chronic urticaria symptoms in patients with self-reported penicillin allergy. PMID: 26782670 [PubMed - as supplied by publisher]
Source: Annals of Allergy, Asthma and Immunology - January 9, 2016 Category: Allergy & Immunology Authors: Silverman S, Localio R, Apter AJ Tags: Ann Allergy Asthma Immunol Source Type: research

From passive passenger to participating co-pilot - Pregnant women ’s expectations of being able to access their online journal from antenatal care
Conclusion The pregnant women expected that having access to electronic health records would give them more control, make them more knowledgeable and increase their participation. Access to electronic health records may empower pregnant women and contribute to a more person-centred approach. This could provide greater knowledge for the woman and her partner about her health, thus, allowing them to make evidence-based choices in relation to the newborn baby and the woman’s health
Source: Sexual and Reproductive Healthcare - November 29, 2017 Category: Reproduction Medicine Source Type: research

From passive passenger to participating co-pilot – Pregnant women’s expectations of being able to access their online journal from antenatal care
Conclusion The pregnant women expected that having access to electronic health records would give them more control, make them more knowledgeable and increase their participation. Access to electronic health records may empower pregnant women and contribute to a more person-centred approach. This could provide greater knowledge for the woman and her partner about her health, thus, allowing them to make evidence-based choices in relation to the newborn baby and the woman’s health.
Source: Sexual and Reproductive Healthcare - December 2, 2017 Category: Reproduction Medicine Source Type: research

FDA Medical Device Safety Action Plan: Good or Bad for Medtech?
In April, FDA released a five-pronged Medical Devices Safety Action Plan, full of rhetoric aimed at convincing the public that this new plan will enhance the agency's commitment to patient safety and recognition that safety and innovation should go hand in hand. Some aspects of the plan call for new ways to use FDA's existing tools, while others identify areas where the agency "may need additional authority," according to FDA Commissioner Scott Gottlieb, MD. As with most draft guidance FDA puts forth, the release of the Medical Devices Safety Action Plan came with a public comment period, which ended Aug. 17. A...
Source: MDDI - August 21, 2018 Category: Medical Devices Authors: Amanda Pedersen Tags: Regulatory and Compliance Source Type: news

45.7 Hidden in Plain Sight: Users of Mental Health Services Want to Participate in Research
Advancing technology in acquiring clinical information in electronic health records (EHRs) has led to many questions about “big data” in mental health. Service users’ opinions are not clear; the present study examines their: 1) awareness that health authorities store and share information from EHRs; 2) attitudes toward storing and sharing EHRs; and 3) opinions about reasons for sharing health records.
Source: Journal of the American Academy of Child and Adolescent Psychiatry - October 1, 2021 Category: Psychiatry Authors: Victoria Bakken, Roman Koposov, Thomas R øst, Carolyn Clausen, Øystein Nytrø, Bennett Leventhal, Odd Sverre Westbye, Kaban Koochakpour, Norbert Skokauskas Source Type: research

Malnutrition and its contributing factors for older people living in residential aged care facilities: Insights from natural language processing of aged care records
CONCLUSION: This study identified 33% of older people suffered from malnutrition, lower than those reported in the similar setting in previous studies. Our study demonstrates that NLP technology is important for uncovering the key information about health risks for older people in residential aged care. Future research can apply NLP to predict other health risks for older people in this setting.PMID:37302059 | DOI:10.3233/THC-230229
Source: Technology and Health Care - June 11, 2023 Category: Medical Devices Authors: Mohammad Alkhalaf Zhenyu Zhang Hui-Chen Rita Chang Wenxi Wei Mengyang Yin Chao Deng Ping Yu Source Type: research