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Management: Electronic Health Records (EHR)

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Total 31288 results found since Jan 2013.

The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety.
Authors: Woodcock DV, Pranaat R, McGrath K, Ash JS Abstract Increasing use of medical scribes is an unintended consequence of electronic health record adoption in the U.S. The role of scribe is not universally defined, leading to variations in scribe training and operations, as well as questions about scribe efficiency, effectiveness, and safety. Studies published since 2009 have primarily focused on the financial aspects of scribe use, but no published studies have taken an organizational view of this phenomenon. This paper describes stakeholder perspectives on scribes working in outpatient settings within an urba...
Source: Studies in Health Technology and Informatics - February 13, 2017 Category: Information Technology Tags: Stud Health Technol Inform Source Type: research

Gay and Transgender Patients to Doctors: We ’ ll Tell. Just Ask.
Doctors often don ’ t ask about sexual orientation and gender identity because they don ’ t want to make patients uncomfortable. But a new study suggests that concern may be unfounded.
Source: NYT Health - May 29, 2017 Category: Consumer Health News Authors: JAN HOFFMAN Tags: Homosexuality and Bisexuality Transgender and Transsexuals Medicine and Health Electronic Health Records Doctors JAMA Internal Medicine (Journal) Haider, Adil H. Source Type: news

Guest Editorial: Special Section on Biological Data Mining and Its Applications in Healthcare
Biologists are stepping up their efforts in understanding the biological processes that underlie disease pathways in the clinical contexts. This has resulted in a flood of biological and clinical data—genomic sequences, DNA microarrays, protein interactions, biomedical images, disease pathways, etc. The rapid adoption of Electronic Health Records (EHRs) across healthcare systems, coupled with the capability of linking EHRs to research biorepositories, provides a unique opportunity for conducting large-scale Precision Medicine research. As a result, data mining techniques, for knowledge discovery and deriving data dr...
Source: IEEE/ACM Transactions on Computational Biology and Bioinformatics - June 2, 2017 Category: Bioinformatics Source Type: research

A Patient-Centered Approach to a Rural General Practice in Distress and the Search for a Solution.
CONCLUSION: Intervening with frequent attenders of primary care who have mental health conditions improved their symptoms and reduced their health care utilization, with beneficial impact on practitioners and improvement in the morale of the staff. PMID: 29702050 [PubMed - in process]
Source: The Permanente journal - April 29, 2018 Category: General Medicine Tags: Perm J Source Type: research

Information standards for recording alcohol use in electronic health records: findings from a national consultation
Alcohol misuse is an important cause of premature disability and death. While clinicians are recommended to ask patients about alcohol use and provide brief interventions and specialist referral, this is poorl...
Source: BMC Medical Informatics and Decision Making - June 7, 2018 Category: Information Technology Authors: Shamil Haroon, Darren Wooldridge, Jan Hoogewerf, Krishnarajah Nirantharakumar, John Williams, Lina Martino and Neeraj Bhala Tags: Research article Source Type: research

Evaluation of medical prescriptions and off-label use on board ships to improve healthcare quality.
CONCLUSIONS: The results suggest that a standardization of onboard pharmacies is crucial, in order to have a complete on-board pharmacy that will allow preventing and counteracting any situation of health danger, which may occur onboard, ensuring high quality healthcare to seafarers all over the world. PMID: 30024631 [PubMed - in process]
Source: European Review for Medical and Pharmacological Sciences - July 20, 2018 Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research

Mental and Physical Health Profiles of Maltreated Youth.
Abstract To examine both mental and physical health profiles of children diagnosed as maltreated in the community, we studied diagnoses in the electronic health records (EHRs) of youth assigned maltreatment-related diagnoses (N = 406) and well-matched youth without a maltreatment-related diagnosis (N = 406) during a four-year period in a large healthcare system that covers eight hospitals and over 40 clinics. Data extracted automatically from the EHRs was supplemented by manual chart review. The odds of the maltreated group being assigned a code for mental illness was 2.69 times higher than the odds for th...
Source: Child Abuse and Neglect - July 20, 2018 Category: Child Development Authors: Karatekin C, Almy B, Mason SM, Borowsky I, Barnes A Tags: Child Abuse Negl Source Type: research

Asthma/COPD Disparities in Diagnosis and Basic Care Utilization Among Low-Income Primary Care Patients
This study identified racial/ethnic disparities in the diagnosis of obstructive pulmonary disease between Latinos and non-Hispanic Whites, confirming trends observed in survey research but controlling for important confounders. Health insurance was associated with basic care utilization, suggesting that lack of health insurance could lessen the quality of care for obstructive pulmonary disease in Latino and non-Hispanic white patients.
Source: Journal of Immigrant and Minority Health - August 2, 2018 Category: International Medicine & Public Health Source Type: research

Neural networks for mining the associations between diseases and symptoms in clinical notes
AbstractThere are challenges for analyzing the narrative clinical notes in Electronic Health Records (EHRs) because of their unstructured nature. Mining the associations between the clinical concepts within the clinical notes can support physicians in making decisions, and provide researchers evidence about disease development and treatment. In this paper, in order to model and analyze disease and symptom relationships in the clinical notes, we present a concept association mining framework that is based on word embedding learned through neural networks. The approach is tested using 154,738 clinical notes from 500 patients...
Source: Health Information Science and Systems - November 28, 2018 Category: Information Technology Source Type: research

Weight-Related Communications Between Oncology Clinicians and Women With Obesity at Early Breast Cancer Diagnosis: Findings From a Review of Electronic Health Records.
Conclusions: This study provides preliminary but encouraging evidence of weight-related communications during a busy clinic visit with patients who were obese at breast cancer diagnosis. PMID: 31347408 [PubMed - as supplied by publisher]
Source: Nutrition and Cancer - July 25, 2019 Category: Cancer & Oncology Authors: Nyrop KA, Lee JT, Deal AM, Ki Choi S, Muss HB Tags: Nutr Cancer Source Type: research

Collective Mindfulness and Processes of Sensemaking in Health IT Implementation.
Authors: Lichtner V, Westbrook JI Abstract High reliability organisations operate safely in situations of high risk by organising for collective mindfulness. They do so through five ongoing processes geared towards anticipating, containing, and making sense of the unexpected. The five processes are: preoccupation with failure, reluctance to simplify interpretations, sensitivity to operations, commitment to resilience, and deference to expertise. The theory of collective mindfulness builds on Hutchins's theory of distributed cognition (the 'collective mind' of ship navigation teams) and on Langer's theory of mindful...
Source: Studies in Health Technology and Informatics - August 16, 2019 Category: Information Technology Tags: Stud Health Technol Inform Source Type: research

Quantitative Evaluation of Content and Age Concordance Across Developmental Milestone Checklists
Conclusion: Four commonly used developmental milestone checklists were found to have limited overlap in content, and those that overlapped were inconsistent in their associated age ranges. The resulting observation-milestone relational database could be used to further validate age estimates of milestones and facilitate milestone surveillance through the electronic health record.
Source: Journal of Developmental and Behavioral Pediatrics - September 1, 2019 Category: Child Development Tags: Original Article Source Type: research

Randomized Clinical Trial Representativeness and Outcomes in Real-World Patients: Comparison of 6 Hallmark RCTs in Relapsed/Refractory Multiple Myeloma
CONCLUSIONThe majority of real-world RRMM patients were ineligible for hallmark RCTs. Eligibility rates varied across RCTs, underlining the flawed nature of cross-study comparisons without RCT validation. OS was significantly affected by inability to meet criteria highlighting limited generalizability of RCT results. Greater efforts should be made to broaden eligibility criteria to reflect real-world clinical characteristics to narrow the gap between RCT efficacy and observed effectiveness in real-world MM patients.
Source: Clinical Lymphoma Myeloma and Leukemia - October 10, 2019 Category: Cancer & Oncology Source Type: research

Improved Patient Flow and Provider Efficiency After the Implementation of an Electronic Health Record
Electronic health records are used widely across the nation in many different types of healthcare facilities. Electronic health record systems can provide more accurate and complete information about a patient's health, improve patient safety, and improve patient care. The purpose of this project is to evaluate a provider efficiency and workflow program at a hospital-owned, freestanding urgent care system after implementation of an electronic health record. A retrospective, longitudinal approach was used to evaluate the implementation of an electronic health record system among six freestanding urgent care clinics. The log...
Source: CIN: Computers, Informatics, Nursing - October 1, 2019 Category: Information Technology Tags: FEATURES Source Type: research

403: Impact of quality of race and ethnicity data in the assessment of maternal health disparities
This study sought to assess the quality of race and ethnicity information from EHRs and self-recorded data sources for Obstetric patients.
Source: American Journal of Obstetrics and Gynecology - December 31, 2019 Category: OBGYN Authors: Fernanda C. da Graca Polubriaginof, Julie Ewing, Silis Jiang, Kelly Fitzgerald, Dena Goffman Tags: Poster Session II Source Type: research