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Management: Electronic Health Records (EHR)

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Merging Electronic Health Record Data and Genomics for Cardiovascular Research: A Science Advisory From the American Heart Association AHA Science Advisory
The process of scientific discovery is rapidly evolving. The funding climate has influenced a favorable shift in scientific discovery toward the use of existing resources such as the electronic health record. The electronic health record enables long-term outlooks on human health and disease, in conjunction with multidimensional phenotypes that include laboratory data, images, vital signs, and other clinical information. Initial work has confirmed the utility of the electronic health record for understanding mechanisms and patterns of variability in disease susceptibility, disease evolution, and drug responses. The additio...
Source: Circulation: Cardiovascular Genetics - April 18, 2016 Category: Cardiology Authors: Hall, J. L., Ryan, J. J., Bray, B. E., Brown, C., Lanfear, D., Newby, L. K., Relling, M. V., Risch, N. J., Roden, D. M., Shaw, S. Y., Tcheng, J. E., Tenenbaum, J., Wang, T. N., Weintraub, W. S., on behalf of the American Heart Association Professional and Tags: Statements and Guidelines AHA Science Advisory Source Type: research

Integrating data from an online diabetes prevention program into an electronic health record and clinical workflow, a design phase usability study
Health information is increasingly being digitally stored and exchanged. The public is regularly collecting and storing health-related data on their own electronic devices and in the cloud. Diabetes prevention...
Source: BMC Medical Informatics and Decision Making - July 11, 2016 Category: Information Technology Authors: Rebecca Grochow Mishuris, Jordan Yoder, Dan Wilson and Devin Mann Source Type: research

Standardized Documentation in Pediatric Diabetology: Experience From Austria and Germany
This article gives a short summary of standardized documentation for pediatric diabetology from a European perspective. The approach chosen by the Austrian/German DPV (Diabetes Patienten Verlaufsdokumentation) group is detailed. The electronic health record used is briefly described, as are external benchmarking reports and national and international comparisons. Similar initiatives like the Hvidore study group, the SWEET initiative (Pediatric Diabetes: Working to Create Centers of Reference in Europe), and the T1DExchange (Type 1 Diabetes Exchange Registry) are compared to the DPV effort.
Source: Journal of Diabetes Science and Technology - August 21, 2016 Category: Endocrinology Authors: Hofer, S. E., Schwandt, A., Holl, R. W., Austrian/German DPV Initiative Tags: Guest Editors: Johan Jendle, David Maahs, Viswanathan Mohan, John Petrie, and Guha Pradeepa Source Type: research

Era 3 for Medicine and Health Care
(Abstracted from JAMA 2016;315(13):1329–1330) A plethora of issues including those related to the Affordable Care Act, electronic health records, payment changes, and consolidation of hospitals and health plans plague the field of health care. Many of these problems tend to lower the morale of physicians and other clinicians leading to higher rates of burnout.
Source: Obstetrical and Gynecological Survey - September 1, 2016 Category: OBGYN Tags: Obstetrics: Ethics, Medicolegal Issues, and Public Policy Source Type: research

Development and validation of a model for the adoption of structured and standardised data recording among healthcare professionals
Healthcare professionals provide care to patients and during that process, record large quantities of data in patient records. Data in an Electronic Health Record should ideally be recorded once and be reusabl...
Source: BMC Medical Informatics and Decision Making - June 28, 2018 Category: Information Technology Authors: Erik Joukes, Ronald Cornet, Martine C. de Bruijne, Nicolette F. de Keizer and Ameen Abu-Hanna Tags: Research article Source Type: research

Protecting and Enforcing the Intellectual Property Behind Medical Diagnostics
CONCLUSION A successful IP assessment policy creates a framework for identifying new inventions, documenting the invention disclosure process, determining the appropriate IP protection, and educating employees. REFERENCES [1] 35 U.S.C. § 101. [2] USPTO Performance and Accountability Report, FY 2017 at p. 15 (The average first USPTO action pendency is between 1.2 and 1.5 years.). [3] 35 U.S. Code § 154. [4] U.S. Const. art. I, § 8, cl. 8; see also 35 U.S.C. § 112. [5] 35 U.S. Code § 154(a)(1). [6] 28 U.S. Code § 1338 (“The district cou...
Source: MDDI - August 28, 2018 Category: Medical Devices Authors: Michele Van Patten Frank and Alper T. Ertas Tags: Regulatory and Compliance Source Type: news

Taking a Deeper Look at Device Certification and Recertification
This article will outline a three-step approach to identifying your products with the highest commercial value, helping you prioritize your medical and IVD devices for compliance with the new MDR and IVDR. Internal assessment First, manufacturers need to inventory their entire pipeline and portfolio to determine the category for each product. At the same time, they need to note which devices have been newly classified as medical devices, such as disinfection and sterilization products, or up classified as Class III medical devices, such as surgical meshes and joint replacements. New additions to the IVDR are genetic tests ...
Source: MDDI - August 28, 2018 Category: Medical Devices Authors: Vicki Anastasi and Karen Hill Tags: Regulatory and Compliance Source Type: news

Experienced time pressure and stress: electronic health records usability and information technology competence play a role
Electronic health records (EHRs) are an elementary part of the work of registered nurses (RNs) in healthcare. RNs are the largest group of healthcare workers, and their experiences with EHRs and their informat...
Source: BMC Medical Informatics and Decision Making - August 14, 2019 Category: Information Technology Authors: Tuulikki Vehko, Hannele Hypp önen, Sampsa Puttonen, Sari Kujala, Eeva Ketola, Johanna Tuukkanen, Anna-Mari Aalto and Tarja Heponiemi Tags: Research article Source Type: research

Polypharmacy in HIV: recent insights and future directions
Purpose of review Update findings regarding polypharmacy among people with HIV (PWH) and consider what research is most needed. Recent findings Among PWH, polypharmacy is common, occurs in middle age, and is predominantly driven by nonantiretroviral (ARV) medications. Many studies have demonstrated strong associations between polypharmacy and receipt of potentially inappropriate medications (PIMS), but few have considered actual adverse events. Falls, delirium, pneumonia, hospitalization, and mortality are associated with polypharmacy among PWH and risks remain after adjustment for severity of illness. Summary Poly...
Source: Current Opinion in HIV and AIDS - February 3, 2020 Category: Infectious Diseases Tags: HIV AND AGING: Edited by Kristine M. Erlandson Source Type: research

Anaphylaxis and digital medicine
Purpose of review Digital medicine (mHealth) aims to help patients and healthcare providers (HCPs) improve and facilitate the provision of patient care. It encompasses equipment/connected medical devices, mHealth services and mHealth apps (apps). An updated review on digital health in anaphylaxis is proposed. Recent findings In anaphylaxis, mHealth is used in electronic health records and registries. It will greatly benefit from the new International Classification of Diseases-11 rules and artificial intelligence. Telehealth has been revolutionised by the coronavirus disease 2019 pandemic, and lessons learnt ...
Source: Current Opinion in Allergy and Clinical Immunology - September 2, 2021 Category: Allergy & Immunology Tags: ANAPHYLAXIS AND INSECT ALLERGY: Edited by Gianenrico Senna and Mariana Castells Source Type: research

Description and Functional Outcomes of a Novel Interdisciplinary Rehabilitation Program for Hospitalized Patients With COVID-19
Objectives The aims of the study were to describe an interdisciplinary inpatient rehabilitation program for patients recovering from COVID-19 and to evaluate functional outcomes. Design This is an analysis of retrospective data captured from the electronic health record of COVID-19 patients admitted to the rehabilitation unit (N = 106). Rehabilitation approaches are described narratively. Functional gain was evaluated using the Activity Measure for Postacute Care 6 Clicks, basic mobility and daily activities. Results Interdisciplinary approaches were implemented to address the medical, physical, communica...
Source: American Journal of Physical Medicine and Rehabilitation - November 26, 2021 Category: Rehabilitation Tags: SPECIAL SECTION on COVID-19 and PM&R Source Type: research

Diabetes and hypertension among South Asians in New York and Atlanta leveraging hospital electronic health records
Diabetes and hypertension disparities are pronounced among South Asians. There is regional variation in the prevalence of diabetes and hypertension in the US, but it is unknown whether there is variation among...
Source: Diabetology and Metabolic Syndrome - December 18, 2021 Category: Endocrinology Authors: Jeannette M. Beasley, Joyce C. Ho, Sarah Conderino, Lorna E. Thorpe, Megha Shah, Unjali P. Gujral, Jennifer Zanowiak and Nadia Islam Tags: Research Source Type: research

The use of electronic health records to inform cancer surveillance efforts: a scoping review and test of indicators for public health surveillance of cancer prevention and control
State cancer prevention and control programs rely on public health surveillance data to set objectives to improve cancer prevention and control, plan interventions, and evaluate state-level progress towards ac...
Source: BMC Medical Informatics and Decision Making - April 6, 2022 Category: Information Technology Authors: Sarah Conderino, Stefanie Bendik, Thomas B. Richards, Claudia Pulgarin, Pui Ying Chan, Julie Townsend, Sungwoo Lim, Timothy R. Roberts and Lorna E. Thorpe Tags: Research Source Type: research

Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study
Despite the rapid expansion of electronic health records, the use of computer mouse and keyboard, challenges the data entry into these systems. Speech recognition software is one of the substitutes for the mou...
Source: BMC Medical Informatics and Decision Making - April 8, 2022 Category: Information Technology Authors: Sahar Peivandi, Leila Ahmadian, Jamileh Farokhzadian and Yunes Jahani Tags: Research Source Type: research

IJERPH, Vol. 19, Pages 6365: Clinical Network for Big Data and Personalized Health: Study Protocol and Preliminary Results
We present the Clinical Network Big Data and Personalised Health project, which collects EHRs for patients accessing hospitals in Central-Southern Italy, through an integrated digital platform to create a digital hub for the collection, management and analysis of personal, clinical and environmental information for patients, associated with a biobank to perform multi-omic analyses. A total of 12,864 participants (61.7% women, mean age 52.6 ± 17.6 years) signed a written informed consent to allow access to their EHRs. The majority of hospital access was in obstetrics and gynaecology (36.3%), while the main re...
Source: International Journal of Environmental Research and Public Health - May 24, 2022 Category: Environmental Health Authors: Simona Esposito Sabatino Orlandi Sara Magnacca Amalia De Curtis Alessandro Gialluisi Licia Iacoviello on behalf of The Neuromed Clinical Network Big Data and Personalised Health Investigators on behalf of The Neuromed Clinical Network Big Data and Persona Tags: Article Source Type: research