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Management: Electronic Health Records (EHR)

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Clinician engagement in the ADAPTABLE (Aspirin Dosing: A Patient-centric Trial Assessing Benefits and Long-Term Effectiveness) trial
CONCLUSION: Maximizing clinician engagement is important for the success of clinical trials; the strategies employed in the ADAPTABLE trial may serve as a template for future pragmatic studies.PMID:33541120 | DOI:10.1177/1740774520988838
Source: Clinical Trials - February 5, 2021 Category: Research Authors: Ajar Kochar Mary B Summers Catherine P Benziger Guillaume Marquis-Gravel Darren A DeWalt Carl J Pepine Kamal Gupta Steven M Bradley John A Dodson Brent C Lampert Holly Robertson Tamar S Polonsky W Schuyler Jones Mark B Effron Source Type: research

Obesity perceptions and documentation among primary care clinicians at a rural academic health center
Conclusions Despite high clinician-reported documentation of obesity as an active problem, actual obesity documentation rates remained low in a rural academic medical center.
Source: Obesity Research and Clinical Practice - September 8, 2015 Category: Eating Disorders and Weight Management Source Type: research

Ask About Adherence: Q&A with Christiana Care Health System’s Value Institute
Ask About Adherence is a blog series featuring Q&A’s with experts in medication adherence. In this post, we speak with Dominique Comer, Pharm.D., MS, senior clinical investigator and scholar with Christiana Care Health System’s Value Institute, about her newly published study, “Using Aggregated Pharmacy Claims to Identify Primary Nonadherence,” in the American Journal of Managed Care (AJMC). In the study, she examines pharmacy claim data to pinpoint patients who did not fill antihypertensive drug prescriptions given by their physicians. Based on an analysis of data available through electronic health records, o...
Source: The Catalyst - March 17, 2016 Category: Pharmaceuticals Tags: adherence #Adherence123s Ask About Adherence Source Type: news

Do provider attitudes about electronic health records predict future electronic health record use?
Discussion Comfort with computers and attitudes about EHRs did not predict future use of the EHR functions. Our findings suggest that meaningful use of the EHR may not be affected by providers׳ prior attitudes about EHRs.
Source: Healthcare - November 1, 2014 Category: Middle East Health Source Type: research

Clinical decision support: It's about more than technology
It's natural to frame thinking and discussion about clinical practice in terms of technology. Decision Support Clinical decision support: It's about more than technology Many people think of clinical decision support in terms of technology. But it's not just about computers, says Jerome Osheroff, MD. "'It's all about people, process and technology – in that order of importance." Healthcare IT News news/clinical-d...
Source: Healthcare IT News - March 12, 2015 Category: Information Technology Authors: Mike Miliard Tags: Online Only Clinical Decision Support Electronic Health Records Quality and Safety Source Type: news

EHR Prompt Helps Doctors Ask Teens About Gender Identity EHR Prompt Helps Doctors Ask Teens About Gender Identity
Prompting doctors to ask adolescents and young adults about their gender identity may improve documentation of that information in electronic health records, according to a new study.Reuters Health Information
Source: Medscape Medical News Headlines - December 29, 2016 Category: Consumer Health News Tags: Pediatrics News Source Type: news

What Patients Value About Reading Visit Notes: A Qualitative Inquiry of Patient Experiences With Their Health Information
Conclusions: Patients and care partners who read notes and submitted feedback reported greater engagement and the desire to help clinicians improve note accuracy. Aspects of what patients like about using both notes as well as a feedback tool highlight personal, relational, and safety benefits. Future efforts to engage patients through the EHR may be guided by what patients value, offering opportunities to strengthen care partnerships between patients and clinicians.
Source: Journal of Medical Internet Research - July 14, 2017 Category: General Medicine Authors: Macda Gerard Alan Fossa Patricia H Folcarelli Jan Walker Sigall K Bell Source Type: research

Posttraumatic stress disorder diagnosis and gender are associated with accelerated weight gain trajectories in veterans during the post-deployment period.
CONCLUSIONS: The post-deployment period is critical for weight gain, particularly for veterans diagnosed with PTSD and women veterans with PTSD. Efforts are needed to engage post-deployment veterans in weight management services, and to determine whether tailored recruitment/treatment interventions will reduce disparities for veterans with PTSD. PMID: 29413821 [PubMed - as supplied by publisher]
Source: Eating Behaviors - January 30, 2018 Category: Eating Disorders & Weight Management Authors: Buta E, Masheb R, Gueorguieva R, Bathulapalli H, Brandt CA, Goulet JL Tags: Eat Behav Source Type: research

Characterizing and Coding Psychiatric Diagnoses Using EHR Data
To the Editor We are concerned with the recent article by Barr and colleagues, in which they characterize their study with the All of Us research program as research on “psychiatric disorders.” It is not; it is a study on who receives psychiatric diagnoses. These diagnoses were ascertained through electronic health records, not structured diagnostic assessment. This distinction is important because there are well-established sociological pressures and biases th at discourage assigning some diagnoses, particularly personality, substance use, and eating disorders. There is a real danger in the public, clinicians, trainee...
Source: JAMA Psychiatry - September 14, 2022 Category: Psychiatry Source Type: research

Patient Perspectives on Sharing Anonymized Personal Health Data Using a Digital System for Dynamic Consent and Research Feedback: A Qualitative Study
Conclusions: Patients from a range of socioeconomic backgrounds viewed a digital system for Dynamic Consent positively, in particular, feedback about data recipients and research results. Implementation of a digital Dynamic Consent system would require careful interface design and would need to be located within a robust data infrastructure; it has the potential to improve trust and engagement in electronic medical record research.
Source: Journal of Medical Internet Research - April 14, 2016 Category: Journals (General) Authors: Karen SpencerCaroline SandersEdgar A WhitleyDavid LundJane KayeWilliam Gregory Dixon Source Type: research

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient-doctor relationship
Conclusions Despite concerns about errors, offending language or defensive practice, transparent notes overall did not harm the patient–doctor relationship. Rather, doctors and patients perceived relational benefits. Traditionally more vulnerable populations—non-white, those with poorer self-reported health and those with fewer years of formal education—may be particularly likely to feel better about their doctor after reading their notes. Further informing debate about OpenNotes, the findings suggest transparent records may improve patient satisfaction, trust and safety.
Source: BMJ Quality and Safety - March 19, 2017 Category: Journals (General) Authors: Bell, S. K., Mejilla, R., Anselmo, M., Darer, J. D., Elmore, J. G., Leveille, S., Ngo, L., Ralston, J. D., Delbanco, T., Walker, J. Tags: Original research Source Type: research

Identifying End Users' Preferences about Structuring Pharmacogenetic Test Orders in an Electronic Health Record System
In this study, VA PGx test end users were surveyed about their preferences for how electronic test orders for PGx should be structured, including the nomenclature that should be used to search for and identify PGx-test orders, whether to offer single- versus multigene tests, and whether information about test methodology should be included in the order name.
Source: Journal of Molecular Diagnostics - September 24, 2020 Category: Pathology Authors: Leland E. Hull, Jason L. Vassy, Annjanette Stone, Catherine C. Chanfreau-Coffinier, Craig W. Heise, Victoria M. Pratt, Ronald Przygodzki, Corrine I. Voils, Deepak Voora, Jessica Wang-Rodriguez, Steven A. Schichman, Maren T. Scheuner Tags: Regular article Source Type: research

New Clinical and Real-World Data Support Use of DARZALEX ® (daratumumab) in Patients with Newly Diagnosed Multiple Myeloma
ATLANTA, Ga., December 11, 2021 – The Janssen Pharmaceutical Companies of Johnson & Johnson announced today new analyses illustrating responses that first-line treatment with DARZALEX® (daratumumab)-based regimens may be able to achieve, including a potential survival benefit for DARZALEX® in combination with lenalidomide and dexamethasone (Rd). Updated data from the randomized Phase 2 GRIFFIN study in transplant-eligible patients and real-world evidence in transplant-ineligible patients were presented at the American Society of Hematology (ASH) 2021 Annual Meeting. Data from the GRIFFIN study will also be featured...
Source: Johnson and Johnson - December 11, 2021 Category: Pharmaceuticals Tags: Innovation Source Type: news

Prompting helps doctors ask teens about gender identity
(Reuters Health) - Prompting doctors to ask adolescents and young adults about their gender identity may improve documentation of that information in electronic health records, according to a new study.
Source: Reuters: Health - December 28, 2016 Category: Consumer Health News Tags: healthNews Source Type: news

ESO Names Tad Druart as VP of Marketing
Austin, TX  -- ESO Solutions, Inc., a leading provider of healthcare software and data interoperability solutions to emergency medical services (EMS) and hospitals, announced that Tad Druart has joined the company as Vice President of Marketing. “We’re pleased to have Tad join the team to take our marketing efforts to the next level,” said Chris Dillie, President and CEO of ESO. “I’m confident that his extensive expertise in SaaS marketing, together with the kind of passion that characterizes our entire team, will enable him to help accelerate our growth.” Druart joins ESO at a time when the company is exp...
Source: JEMS Administration and Leadership - July 27, 2017 Category: Emergency Medicine Authors: ESO Solutions Tags: Administration and Leadership Industry News Source Type: news