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Management: Electronic Health Records (EHR)

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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

Extraction of Electronic Health Record Data in a Hospital Setting: Comparison of Automatic and Semi‐Automatic Methods Using Anti‐TNF Therapy as Model
Abstract There is limited experience and methods for extractions of drug therapy data from electronic health records (EHR) in the hospital setting. We have therefore developed and evaluated completeness and consistency of an automatic versus a semi‐automatic extraction procedure applied on prescribing and administration of the TNF inhibitor infliximab using a hospital EHR system in Karolinska University Hospital, Sweden. Using two different extraction methods (automatic and semi‐automatic), all administered infusions of infliximab between 2007 and 2010 were extracted from a database linked to the EHR system in a large ...
Source: Basic and Clinical Pharmacology and Toxicology - February 3, 2013 Category: Drugs & Pharmacology Authors: Thomas Cars, Björn Wettermark, Rickard E. Malmström, Gunnar Ekeving, Bo Vikström, Ulf Bergman, Martin Neovius, Bo Ringertz, Lars L. Gustafsson Tags: Original Article Source Type: research

Engaged Patients Will Need Comparative Physician-Level Quality Data And Information About Their Out-Of-Pocket Costs Costs, Insurance & Quality
For patients to be engaged, they will need meaningful and comparable information about the quality and cost of health care. We conducted a literature review and key-informant interviews, reviewed selected online reporting tools, and found that quality and cost reporting fell into two categories. One emphasizes public reporting of information, supported by philanthropic or government institutions that aim to improve provider quality and efficiency. The other is characterized by proprietary websites that aim to provide personalized, integrated information on cost and quality to support consumers’ decision making on pro...
Source: Health Affairs - February 4, 2013 Category: Global & Universal Authors: Yegian, J. M., Dardess, P., Shannon, M., Carman, K. L. Tags: Access To Care, Health Promotion/Disease Prevention, Health Reform, Physicians, Quality Of Care, Consumer Issues Costs, Insurance & amp; Quality Source Type: research

Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers
Conclusions: Dissatisfaction with and suboptimal use of key functions of the EHR may mitigate the potential for EHR use to improve preventive health and chronic disease management. Future work should optimize use of key functions and improve providers' time efficiency.
Source: BMC Medical Informatics and Decision Making - Latest articles - August 9, 2013 Category: Information Technology Authors: Anil MakamHolly LanhamKim BatchelorLipika SamalBrett MoranTemple Howell-StampleyLynne KirkManjula CherukuriNoel SantiniLuci LeykumEthan Halm Source Type: research

Medical students' observations, practices, and attitudes regarding electronic health record documentation.
Conclusions: Students frequently use a range of efficiency tools to document in the electronic health record, most commonly copying their own notes. Although the vast majority of students believe it is unacceptable to copy-paste from other providers, most have observed clinical supervisors doing so. PMID: 24405346 [PubMed - in process]
Source: Teaching and Learning in Medicine - January 17, 2014 Category: Universities & Medical Training Authors: Heiman HL, Rasminsky S, Bierman JA, Evans DB, Kinner KG, Stamos J, Martinovich Z, McGaghie WC Tags: Teach Learn Med Source Type: research

A Retrospective Review of Amyotrophic Lateral Sclerosis Patients and Adherence to American Academy of Neurology's Practice Parameter (P7.343)
CONCLUSIONS:Overall, we adhered to most measures of the AAN practice parameter. Our least documented measures included cognitive/behavioral screening, fall query, nutritional screening, and end of life care. In order to implement these measures a comprehensive template should be available on our electronic health records system so all measures are discussed throughout the disease process in order to improve the quality of life of patients and their caregivers.Disclosure: Dr. Rajendra has nothing to disclose. Dr. Gutierrez has received personal compensation for activities with Biogen Idec, Novartis, and Teva.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Rajendra, R., Gutierrez, A. Tags: Practice, Policy, and Ethics Source Type: research

Identifying unmet informational needs in the inpatient setting to increase patient and caregiver engagement in the context of pediatric hematopoietic stem cell transplantation
Conclusion Pediatric HSCT caregivers and patients have multiple informational needs that could be met with a health information technology system that integrates data from several sources, including electronic health records. Meeting these needs could reduce patients’ and caregivers’ anxiety surrounding the care process; reduce information asymmetry between caregivers/patients and providers; empower patients/caregivers to participate in the care process; and, ultimately, increase patient/caregiver engagement in the care process.
Source: Journal of the American Medical Informatics Association - October 28, 2015 Category: Information Technology Authors: Kaziunas, E., Hanauer, D. A., Ackerman, M. S., Choi, S. W. Tags: Research and Applications Source Type: research

Using Electronic Case Summaries to Elicit Multi-Disciplinary Expert Knowledge about Referrals to...
Conclusion: The method for eliciting expert knowledge enabled national dispersed expert clinicians to anonymously review case summaries and make decisions about post-acute care referrals. Having time and a comprehensive case summary may have assisted experts to identify more patients in need of post-acute care than the hospital clinicians. The methodology produced the data needed to develop an expert decision support system for discharge planning....
Source: Applied Clinical Informatics - May 18, 2016 Category: Information Technology Source Type: research

July Breezing and Discover Webinars
Breezing Along with the RML Librarians Involved in EHRs July 20, 2016 10am Mountain/ 11am Central https://webmeeting.nih.gov/mcr2 This session will feature a panel of librarians discussing opportunities and challenges for librarians to be involved in supporting clinical care through Electronic Health Record Systems. Panelists will discuss their current projects, how their library got involved with their EHR, and suggestions for how viewers can start a similar process at their own institutions. Panelists are: Erica Lake, Associate Director, Hope Fox Eccles Health Library, University of Utah Kelsey Leonard, Health Informat...
Source: MCR News - July 6, 2016 Category: Databases & Libraries Authors: liaison Tags: Health Sciences Public Libraries Webinars and Training Opportunities Source Type: news

iCONCUR: informed consent for clinical data and bio-sample use for research
Conclusion This study suggests that a tiered electronic informed consent system is a workable solution that respects patient preferences, increases satisfaction, and does not significantly affect participation in research.
Source: Journal of the American Medical Informatics Association - September 1, 2016 Category: Information Technology Authors: Kim, H., Bell, E., Kim, J., Sitapati, A., Ramsdell, J., Farcas, C., Friedman, D., Feupe, S. F., Ohno-Machado, L. Tags: Research and Applications Source Type: research

End-of-Life Conversations and Hospice Placement: Association with Less Aggressive Care Desired in the Nursing Home.
This study used retrospective data (6 months before death) of long-stay nursing home decedents (N = 300) taken from electronic health records to capture the end-of-life experience. Findings showed for almost all decedents, Do Not Resuscitate and Do Not Intubate orders were in place, and just over one-half had Do Not Hospitalize and No Artificial Feeding orders in place. A small proportion had No Artificial Hydration or No Antibiotic orders in place. Overall, there was congruence between documented medical orders and treatment received. Findings showed that use of hospice and discussions about particular life-sustaining...
Source: Journal of Social Work in End-of-Life and Palliative Care - March 10, 2017 Category: Palliative Care Tags: J Soc Work End Life Palliat Care Source Type: research

Assessing Brief Intervention for Unhealthy Alcohol Use: A Comparison of Electronic Health Record Documentation and Patient Self-Report.
CONCLUSIONS: Discrepancies between EHR documentation and patient-reported BI raise concerns about performance measure validity. Patient-reported receipt of BI could be an alternative or complementary measure of BI. PMID: 30422782 [PubMed - in process]
Source: Journal of Studies on Alcohol and Drugs - November 15, 2018 Category: Addiction Tags: J Stud Alcohol Drugs Source Type: research

Attending Physicians' Perspectives of Resident Academic Half Day.
Abstract Phenomenon: Academic health centers face significant challenges trying to improve medical education while meeting patient care needs. In response to problems with traditional forms of didactic education, many residency programs have transitioned to Academic Half Day (AHD), a curricular model in which learning is condensed into half-day blocks. In this model, trainees have protected educational time free from clinical responsibilities. However, an understanding of the impact on attending physicians and patient care when residents depart clinical sites for learning activities has not been well described. We...
Source: Teaching and Learning in Medicine - February 1, 2019 Category: Universities & Medical Training Authors: Wagoner H, Seltz B Tags: Teach Learn Med Source Type: research