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Policy Statements
[Ann Emerg Med. 2013;61:725.] The American College of Emergency Physicians (ACEP) supports the development and use of systems that provide appropriate patient information to a patient's health care providers. Such systems include but are not limited to medical alert badges, bracelets, wallet cards, portable electronic devices, and electronic medical records. ACEP recognizes the patient's right to confidential treatment of such information, including adherence to Health Insurance Portability and Accountability Act (HIPAA) requirements. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - May 24, 2013 Category: Emergency Medicine Tags: Policy Statements Source Type: research

Incentives push doctors to electronic medical records
“More than half of doctors’ offices and 80% of hospitals that provide Medicare or Medicaid will have electronic health records by the end of the year, the Department of Health and Human Services announced Wednesday. “We have reached a tipping point in adoption of electronic health records,” said HHS Secretary Kathleen Sebelius, and they “are critical [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)
Source: ICMCC: The International Council on Medical and Care Compunetics - May 23, 2013 Category: Information Technology Authors: Lodewijk Tags: News Adoption Incentives Source Type: news

Effect of Intravenous Low-Osmolality Iodinated Contrast Media on Patients with Myasthenia Gravis [Contrast Media]
Conclusion: Intravenous administration of low-osmolality contrast material is significantly associated with exacerbation of myasthenia gravis–related symptoms. Exacerbations most commonly manifest as new or progressive acute respiratory compromise. © RSNA, 2013 (Source: Radiology)
Source: Radiology - May 23, 2013 Category: Radiology Authors: Somashekar, D. K., Davenport, M. S., Cohan, R. H., Dillman, J. R., Ellis, J. H. Tags: Musculoskeletal Radiology Contrast Media Source Type: research

Public health surveillance with electronic medical records: at risk of surveillance bias and overdiagnosis
(Source: The European Journal of Public Health)
Source: The European Journal of Public Health - May 22, 2013 Category: Journals (General) Authors: Chiolero, A., Santschi, V., Paccaud, F. Tags: Viewpoints Source Type: research

A study of general practitioners' perspectives on electronic medical records systems in NHSScotland
Background: Primary care doctors in NHSScotland have been using electronic medical records within their practices routinely for many years. The Scottish Health Executive eHealth strategy (2008-2011) has recentlybrought radical changes to the primary care computing landscape in Scotland: an informationsystem (GPASS) which was provided free-of-charge by NHSScotland to a majority of GP practiceshas now been replaced by systems provided by two approved commercial providers. The transitionto new electronic medical records had to be completed nationally across all health-boards by March2012. Methods: We carried out 25 in-depth s...
Source: BMC Medical Informatics and Decision Making - Latest articles - May 21, 2013 Category: Information Technology Authors: Matt-Mouley BouamraneFrances Mair Source Type: research

Associations between childhood obesity and upper and lower extremity injuries
Conclusions Greater body mass index is associated with increased odds of lower extremity injuries and pain issues. Because the benefits of physical activity may still outweigh the risk of injury, attention should be paid to injury prevention strategies for these children at greater risk for lower extremity injuries. (Source: Injury Prevention)
Source: Injury Prevention - May 17, 2013 Category: Occupational Health Authors: Adams, A. L., Kessler, J. I., Deramerian, K., Smith, N., Black, M. H., Porter, A. H., Jacobsen, S. J., Koebnick, C. Tags: Epidemiologic studies Original article Source Type: research

The integration of occupational therapy into primary care: a multiple case study design
Conclusion: With an increased emphasis on interprofessional primary care, new professions will be integrated into primary healthcare teams. The study found that explicit strategies and structures are required to facilitate the integration of a new professional group. An understanding of professional roles, trust and communication are foundations for interprofessional collaborative practice. (Source: BMC Family Practice)
Source: BMC Family Practice - May 16, 2013 Category: Primary Care Authors: Catherine DonnellyChristie BrenchleyCandace CrawfordLori Letts Source Type: research

Abstract 44: Lipid Screening In Children And Adolescents In Community Practice 2007-2010 [Poster Session I]
Conclusion: Before the 2011 guideline, lipid testing was uncommon in 9-11 year old children, but was performed in one quarter of 17-19 year old adolescents. The high proportion of youth with abnormally low HDL-C likely reflects targeted testing of overweight and obese individuals. The proportion of youth with elevated non-HDL-C is closer to that observed in population-based surveillance studies during the same time period. These data serve as a benchmark for assessing change in practice patterns as the new guideline is implemented for pediatric lipid screening and management. They suggest that health care systems will need...
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Margolis, K., Trower, N. K., Kharbanda, E. O., Parker, E. D., Adams, K. F., Sinaiko, A. R., Sherwood, N. E., Lo, J. C., Greenspan, L. C., Chandra, M., Magid, D. J., Daley, M. F., Daniels, S., Tavel, H. M., O'Connor, P. J. Tags: Poster Session I Source Type: research

Abstract 121: Statin Use For Secondary Prevention Of Coronary Artery Disease In Patients Undergoing Repeat Percutaneous Coronary Intervention: Real World Data [Poster Session I]
Conclusions: Real world data shows that we fail at adequate usage of statins or getting lipids to target goals. Interestingly around 90% of patients are prescribed statins on discharge from the cardiac catheterization lab. In practice statins are discontinued or higher doses to achieve target LDLs are avoided as they are generally less well tolerated due to side effects (muscle and liver toxicity). In this subset of patients, referral to lipid specialists and specialty centers and advent of newer lipid lowering drugs may prove to be beneficial. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Rajamanickam, A., Zhang, Y., Rao, A., Aguiar, R., Bradley, E., Weintraub, W., Goldenberg, E. Tags: Poster Session I Source Type: research

Abstract 309: Prioritizing Blood Pressure Measurements Results In Improved Hypertension Control [Poster Session III]
Conclusion: High BP measurement rates are associated with high hypertension control rates. Prioritizing BP measurement may result in improved intermediate outcomes in hypertension management. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Odunukan, O. W., Cha, S., Rahman, A. S., Roellinger, D., Naessens, J. M., Nyman, M. A. Tags: Poster Session III Source Type: research

Nucleus N5 CI500 series implant recall
ConclusionsIt is possible that the cumulative failure percentage (CFP) of the Cochlear Nucleus N5 CI500 series implant is not fully defined. While the CFP of the Nucleus Freedom CI24RE series implant at this institution was 0%, it was 9.8% for the Nucleus N5. The CFP of Nucleus N5 devices manufactured before the voluntary recall was 2.4%, while the CFP afterward was 25.0%—nearly 6‐fold higher than the company‐published value of 4.2% for all Nucleus N5 implants registered globally. Level of Evidence3b. Laryngoscope, 2013 (Source: The Laryngoscope)
Source: The Laryngoscope - May 14, 2013 Category: ENT & OMF Authors: Douglas M. Hildrew, Timothy B. Molony Tags: Otology/Neurotology Source Type: research

Private clinic’s web portal unlocks patient information, resulting in better care and cost savings
“The clinic, Continuum Care Centre, provides family physicians, specialists, health care professionals and home care services to 15,000 patients. It was a pioneer in adopting electronic medical records a few years ago and its most recent innovation, in late January, is an Internet platform called Health eGateway. The new technology, an innovation of Telus Health, [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)
Source: ICMCC: The International Council on Medical and Care Compunetics - May 12, 2013 Category: Information Technology Authors: Lodewijk Tags: News Benefits Hospitals Patient Information Portal Source Type: news

Epidemiological aspects of respiratory symptoms treated in the emergency room of a tertiary care hospital
CONCLUSION: We found a high prevalence of respiratory symptoms as the motive for emergency room visits by adult and pediatric patients. Our results could inform decisions regarding the planning of prevention measures. Further epidemiological studies are needed in order to clarify the risk factors for severe respiratory symptoms. (Source: Jornal Brasileiro de Pneumologia)
Source: Jornal Brasileiro de Pneumologia - May 11, 2013 Category: Respiratory Medicine Source Type: research

EMR and HIE Use Increases Among U.S. Doctors, Survey Finds
“Ninety-three percent of U.S. doctors report actively using electronic medical records (EMR), and nearly half (45 percent) of doctors surveyed said they regularly access clinical data outside their own organization, representing a 32 percent annual increase, according to consulting firm Accenture. On behalf of Accenture, Harris Interactive conducted an online survey of 3,700 physicians across [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)
Source: ICMCC: The International Council on Medical and Care Compunetics - May 10, 2013 Category: Information Technology Authors: Lodewijk Tags: News emr Health Information Exchange Source Type: news

EMR and HIE see big adoption numbers
The number of U.S. physicians using electronic medical records has topped 90 percent, and nearly half of the doctors polled for a new Accenture survey say they now use health information exchange technology – an uptick of 32 percent. read more (Source: Healthcare IT News)
Source: Healthcare IT News - May 9, 2013 Category: Information Technology Authors: Mike Miliard Tags: Online Only Accenture Australia Canada e-prescribing France Germany Industry News International Meaningful Use Singapore Spain United Kingdom United States Hospitals & IDNs Physician Practices Ambulatory Care Electron Source Type: news

Assessment of a pharmacogenomic marker panel in a polypharmacy population identified from electronic medical records
Pharmacogenomics , May 2013, Vol. 14, No. 7, Pages 735-744. (Source: Future Medicine: Pharmacogenomics)
Source: Future Medicine: Pharmacogenomics - May 8, 2013 Category: Genetics & Stem Cells Tags: article Source Type: research

Pressure points in primary care: blood pressure and management of hypertension in 532 050 patients from 2005 to 2010
Background: Hypertension results in high morbidity and mortality. Its management is predominantly undertaken in the primary care setting. The aim of this study was to assess trends in blood pressure (BP) and hypertensive management in primary care in Australia. Methods: A retrospective analysis of patient-based electronic medical records was conducted. Antihypertensive therapy was determined by prescription data. We identified 532 050 patients (55% women, average age 54 ± 18 years) being managed by 733 general practitioners from 286 clinics Australia-wide who had at least one visit with BP recorded between 2005 and ...
Source: Journal of Hypertension - May 3, 2013 Category: Cardiology Tags: ORIGINAL PAPERS: Therapeutic aspects Source Type: research

A comparison of general practitioners prescribing of gluten‐free foods for the treatment of coeliac disease with national prescribing guidelines
ConclusionsThere was significant under prescribing of GF foods in those identified. Further research is required to establish whether these results are representative of wider practice in the UK. (Source: Journal of Human Nutrition and Dietetics)
Source: Journal of Human Nutrition and Dietetics - May 2, 2013 Category: Nutrition Authors: U. Martin, S. W. Mercer Tags: Research Paper Source Type: research

Mount Sinai links EMR with DNA
Mount Sinai Medical Center announced this week that 25,000 people have signed on to participate in its biobank program, BioMe, with each patient consenting to DNA sequencing and longitudinal studies related to data embedded in their electronic medical records. The Mount Sinai Medical Center, comprises the Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai. Officials there say the participants in the BioMe program represent one of the most diverse patient populations in the world. read more (Source: Healthcare IT News)
Source: Healthcare IT News - May 1, 2013 Category: Information Technology Authors: Mike Miliard Tags: Online Only Biobank Charles Bronfman Institute DNA sequencing genotype Mount Sinai Hospital Mount Sinai Medical Center New York City The Mount Sinai Medical Center Hospitals & IDNs Data Warehousing Electronic Health Records Qua Source Type: news

Electronic Medical Record Adoption in Hospitals That Care for Children
Conclusions: In 2010, freestanding children's hospitals had the highest percentage use of advanced stage EMR (39%), but the lowest improvements in percentage of hospitals entering into any stage of adoption over the study period. This trend created a digital divide among freestanding children's hospitals that may improve with pediatric-specific electronic medication management products. (Source: Academic Pediatrics)
Source: Academic Pediatrics - May 1, 2013 Category: Pediatrics Authors: Ronald J. Teufel, Abby Swanson Kazley, Annie L. Andrews, Myla D. Ebeling, William T. Basco Tags: Health Care in the Digital Age Source Type: research

Accuracy of ICD-9-CM codes in identifying infections of pneumonia and herpes simplex virus in administrative data.
CONCLUSIONS: Our study demonstrates that ICD-9-CM codes for pneumonia and HSV were valid markers of a true history of these conditions, suggesting that ICD-9-CM codes can be used to successfully identify infection-related conditions in epidemiologic studies. However, validation studies for individual conditions may help identify condition-specific strategies to improve the performance of diagnostic codes. PMID: 23522903 [PubMed - in process] (Source: Annals of Epidemiology)
Source: Annals of Epidemiology - May 1, 2013 Category: Epidemiology Authors: Drahos J, Vanwormer JJ, Greenlee RT, Landgren O, Koshiol J Tags: Ann Epidemiol Source Type: research

A comparison of heart rate changes associated with levalbuterol and racemic albuterol in pediatric cardiology patients.
CONCLUSIONS: Racemic albuterol and levalbuterol were associated with increased heart rate in pediatric cardiology patients. This increase was found to be equivalent. PMID: 23613097 [PubMed - in process] (Source: The Annals of Pharmacotherapy)
Source: The Annals of Pharmacotherapy - May 1, 2013 Category: Drugs & Pharmacology Authors: Kelly A, Kennedy A, John BM, Duane B, Lemanowicz J, Little J Tags: Ann Pharmacother Source Type: research

Are hospitals preventing the spread of infectious diseases effectively?
Hospital-based infection prevention specialists try to stop the spread of infectious diseases through careful observation of patients' medical records. Brian Dixon, Ph.D., recently conducted a study of the awareness, adoption and use of electronic medical records and health information exchanges among prevention specialists. Dr. Dixon's study that found many prevention specialists have no say in w.... (Source: Sound Medicine)
Source: Sound Medicine - April 28, 2013 Category: Global & Universal Authors: Sound Medicine Source Type: news

Wellness Needs of Residents From Different Cultures (Kimberly P Foley PhD)
Residents from different cultures form a distinct population and their specific wellness needs should be identified and addressed. The literature suggests two different areas of concern for cross cultural resident's wellness: 1) acculturation to a different medical system, and 2) acculturation to a new community/society. Issues related to the healthcare system include limited access to electronic medical records, rigid hierarchal system of medical training, cultural differences between physicians and patients, and difficulties negotiating a different healthcare and reimbursement system. Furthermore, cross cultural resident...
Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded - April 27, 2013 Category: Primary Care Source Type: news

Providence lays off 132 people in Washington state
Providence Health & Services is laying off 132 administrative employees in the Puget Sound region as part of its plan to move to a new electronic medical records system. Altogether, 150 employees, including 18 in Montana and Oregon, were notified Friday that they have 60 days left to work for Providence. In Washington the majority were from the Renton campus, but layoffs included employees in Centralia, Olympia and Everett. The Renton-based Catholic hospital system first notified 687 employees… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - April 26, 2013 Category: Pharmaceuticals Authors: Valerie Bauman Source Type: research

Providence lays off 132 people in Washington state
Providence Health & Services is laying off 132 administrative employees in the Puget Sound region as part of its plan to move to a new electronic medical records system. Altogether, 150 employees, including 18 in Montana and Oregon, were notified Friday that they have 60 days left to work for Providence. In Washington the majority were from the Renton campus, but layoffs included employees in Centralia, Olympia and Everett. The Renton-based Catholic hospital system first notified 687 employees… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - April 26, 2013 Category: Biotechnology Authors: Valerie Bauman Source Type: research

Why Is Your Doctor Typing? Electronic Medical Records Run Amok
Why is your doctor typing? Large-scale implementation of electronic medical records hampering doctors from doing their work. A radical transformation of management in health care is needed, with Agile implementation of software development. (Source: Forbes.com Healthcare News)
Source: Forbes.com Healthcare News - April 26, 2013 Category: Pharmaceuticals Authors: Steve Denning Source Type: news

Testing the Feasibility of Therapeutic Identification of Depression in Young People in British General Practice
Conclusions: The Therapeutic Identification of Depression in Young People program is a feasible approach to improving primary care screening for adolescent depression, with promising evidence of effectiveness. Further evaluation in a randomized trial is required to test practitioner accuracy, clinical impact, and cost benefit. (Source: Journal of Adolescent Health)
Source: Journal of Adolescent Health - April 25, 2013 Category: Child Development Authors: Tami Kramer, Steve Iliffe, Amanda Bye, Lisa Miller, Julia Gledhill, M. Elena Garralda, TIDY Study Team Tags: Original Articles Source Type: research

The role and utilization of electronic medical records in ambulatory otolaryngology
ConclusionsThe increasing utilization of EMRs in ambulatory otolaryngology is an important marker of progress in compliance with health care reform. Despite this upward trend, however, <50% of ambulatory offices had adopted EMRs in 2009 to 2010, and it remains to be seen how the field will adapt to the evolving challenge of EMR adoption and implementation. Laryngoscope, 2013 (Source: The Laryngoscope)
Source: The Laryngoscope - April 25, 2013 Category: ENT & OMF Authors: Hossein Mahboubi, Ara A. Salibian, Edward C. Wu, Madhukar S. Patel, William B. Armstrong Tags: General Otolaryngology Source Type: research

Primary Care Utilization among Veterans with Chronic Musculoskeletal Pain: A Retrospective Chart Review
Conclusions.Mental health conditions that commonly co‐occur with chronic musculoskeletal pain contribute to greater health care utilization. Improved screening and early intervention for these disorders in primary care may improve patient outcomes and stem high rates of care utilization of veterans. (Source: Pain Medicine)
Source: Pain Medicine - April 24, 2013 Category: Anesthesiology Authors: Gregory P. Beehler, Amy E. Rodrigues, Denise Mercurio‐Riley, Andrew S. Dunn Tags: Research Article Source Type: research

Use of an electronic medical record "dotphrase" data template for a prospective head injury study - Offerman SR, Rauchwerger AS, Nishijima DK, Ballard DW, Chettipally UK, Vinson DR, Reed ME, Holmes JF.
INTRODUCTION: The adoption of electronic medical records (EMRs) in emergency departments (EDs) has changed the way that healthcare information is collected, charted, and stored. A challenge for researchers is to determine how EMRs may be leveraged to facil... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - April 23, 2013 Category: Global & Universal Tags: Research Methods, Surveillance and Codes, Models Source Type: news

Ten-year results of quality assurance in radiotherapy chart round
Conclusions: Real-time audit with feedback is an effective tool in assessing the standards of radiotherapy documentation in our department, and also probably contributed to the high level of attentiveness. A large proportion of omissions were investigation results, which highlights the need for an improved system of retrieval of investigation results in the radiation oncology department. (Source: BMC Health Services Research)
Source: BMC Health Services Research - April 23, 2013 Category: Journals (General) Authors: Bardia Taghavi BayatSuki GillShankar SivaKeen Hun TaiMichael Lim JoonFarshad Foroudi Source Type: research

Reusing Electronic Patient Data for Dental Clinical Research: A Review of Current Status
Conclusions Dental research reusing electronic patient data is nascent but accelerating. Future EDR design should focus on enhancing data quality, begin to integrate research data collection and implement interoperability with electronic medical records to facilitate oralsystemic investigations. Clinical significance Measuring and improving the quality of dental care requires that we begin to reuse electronic patient data collected in practice for clinical research. Practice data can potentially serve as a useful complement to data collected in traditional research studies (Source: Journal of Dentistry)
Source: Journal of Dentistry - April 22, 2013 Category: Dentistry Source Type: research

Unprecedented licensing agreement to spark economic growth and discovery in health IT
(Indiana University) The Regenstrief Institute Inc., an international leader in electronic medical records and health information exchange research, development and operations, is licensing its Indiana Network for Patient Care and DOCS4DOCS clinical results delivery software to a subsidiary of the Indiana Health Information Exchange. This licensing agreement represents the single most significant transfer of discovery out of an academic medical informatics research setting to a commercial enterprise in the history of Indiana's health information technology sector and the national evolution of health information exchange. (...
Source: EurekAlert! - Medicine and Health - April 19, 2013 Category: Global & Universal Source Type: news

Frequent ER Use By Veterans Due To "Severely Compromised Life Circumstances" Not Lack Of Access To Health Care
Even with health insurance, ready access to preventive, specialty and behavioral health care and comprehensive electronic medical records, nearly 8 percent of patients in the Veterans Health Administration (VHA) visit the emergency department two or more times per year, according to a study published online in Annals of Emergency Medicine ("What Drives Frequent Emergency Department Use in an Integrated Health System: National Data from the Veterans Health Administration")*. The study, along with an accompanying editorial ("How Frequent Emergency Department Use by U.S... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - April 16, 2013 Category: Consumer Health News Tags: Veterans / Ex-Servicemen Source Type: news

GOP Senators Raise Concerns With Push For Electronic Medical Records
A 2009 law designed to promote electronic health records and make the healthcare system more efficient isn't living up to its goals, Republican senators said Tuesday. (Source: RWJF News Digest - Quality/Equality)
Source: RWJF News Digest - Quality/Equality - April 16, 2013 Category: Health Management Source Type: news

Healthcare cost of type 1 diabetes mellitus in new-onset children in a hospital compared to an outpatient setting
Conclusion: Provision of initial type 1 diabetes education and care to new-onset non-critically ill children in a hospital setting increases healthcare costs without improving patient's glycemic control in the first year post-diagnosis. (Source: BMC Pediatrics - Latest articles)
Source: BMC Pediatrics - Latest articles - April 15, 2013 Category: Pediatrics Authors: Christopher JasinskiRosa Rodriguez-MonguioKsenia TonyushkinaHolley Allen Source Type: research

Risk Factor Analysis May Provide Clues to Diarrhea Prevention in Outdoor‐Housed Rhesus Macaques (Macaca mulatta)
Abstract Seventy‐five percent of rhesus macaques at national primate research centers are housed outside. Annually, 15–39% of these animals experience diarrhea and require veterinary treatment for dehydration, electrolyte imbalance, or weight loss. An estimated 21–33% of these patients will die or be euthanized. Many studies have explored the various infectious etiologies of non‐human primate diarrhea. However, there is little published information on diarrhea incidence rates and risk factors in outdoor‐housed rhesus macaques. Without this information, it is challenging to determine endemic and epidemic diarrhea ...
Source: American Journal of Primatology - April 14, 2013 Category: Psychiatry & Psychology Authors: KAMM PRONGAY, BYUNG PARK, STEPHANIE J. MURPHY Tags: Research Article Source Type: research

Severely compromised life circumstances cause frequent ER use by vets
(American College of Emergency Physicians) Even with health insurance, ready access to preventive, specialty and behavioral health care and comprehensive electronic medical records, nearly eight percent of patients in the Veterans Health Administration visit the ER two or more times per year. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - April 11, 2013 Category: Global & Universal Source Type: news

Retrospective Review of Cerebral Mycotic Aneurysms in 26 Patients: Focus on Treatment in Strongly Immunocompromised Patients with a Brief Literature Review [INTERVENTIONAL]
CONCLUSIONS: We recommend initial invasive treatment for CMAs in strongly immunocompromised patients. Testing for underlying immunocompromised states is warranted in patients with CMAs. Endovascular treatment is favored over neurosurgical treatment in patients requiring acute cardiac valve repair due to delays with anticoagulation reversal. (Source: American Journal of Neuroradiology)
Source: American Journal of Neuroradiology - April 10, 2013 Category: Radiology Authors: Allen, L. M., Fowler, A. M., Walker, C., Derdeyn, C. P., Nguyen, B. V., Hasso, A. N., Ghodke, B. V., Zipfel, G. J., Cross, D. T., Moran, C. J. Tags: INTERVENTIONAL Source Type: research

Report shows serious errors resulting from electronic medical records
“Electronic health records are touted for the edge they can bring to quality of care. But they’re also bringing serious problems, HealthLeaders Media reports. Among the errors found in a study report were a records system misinterpreting the time midnight resulting in a baby getting antibiotics a day late and a computer cutting off the dosage [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)
Source: ICMCC: The International Council on Medical and Care Compunetics - April 9, 2013 Category: Information Technology Authors: Lodewijk Tags: News emr Medication Errors Source Type: news

Administration pushes toward electronic medical records
“The Obama administration is moving to ease the national transition from paper to electronic health records through a pair of proposed rules to be published this week. The rules, to hit Tuesday’s Federal Register, would update and extend existing regulations surrounding the sharing of patient electronic records.” Article Ben Goad, The Hill, 8 April 2013 (Source: ICMCC: The International Council on Medical and Care Compunetics)
Source: ICMCC: The International Council on Medical and Care Compunetics - April 9, 2013 Category: Information Technology Authors: Lodewijk Tags: News emr Record Sharing Regulation Source Type: news

Crossing the omic chasm: A time for omic ancillary systems
Despite the information gains from genome-wide association studies and next-generation sequencing (NGS), there remains a chasm between this scientific knowledge and daily clinical practice. Leveraging recent advances in genomics to improve patient care will require electronic health record (EHR) systems that incorporate genomic clinical decision support (CDS). The eMerge (Electronic Medical Records and Genomics) consortium [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)
Source: ICMCC: The International Council on Medical and Care Compunetics - April 4, 2013 Category: Information Technology Authors: Lodewijk Tags: Bibliography Journal Article Science Big Data Genomics Source Type: news

Rural Doctors Slow to Adopt Electronic Medical Records
Marketplace article tells why many rural physicians are struggling to make the transition to health records. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - April 4, 2013 Category: Rural Health Source Type: news

Electronic Medical Records Link to Upcoding Under Fire: Feds Eye Increasing Evaluation & Management Billing Codes
When the idea of making all patients' medical records electronic was first suggested in the '60s, the long-term benefits of having access to everyone's complete medical history seemed obvious: better care and lower costs. Five decades later—and 3 years after the federal government set aside $30 billion in “stimulus” money to accelerate the process—it might be providing better care, but it's not decreasing costs, at least for Medicare evaluation and management fees, a significant amount of which is billed by emergency physicians. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - April 1, 2013 Category: Emergency Medicine Authors: Lee Cearnal Tags: News and Perspective Source Type: research

A Retrospective Review of Sliding Scale vs. Basal/Bolus Insulin Protocols
Conclusions: This study provided insight into glycemic control and interdisciplinary education needs at this hospital. Evidence revealed that basal/bolus insulin protocols can achieve glycemic targets. (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - April 1, 2013 Category: Nursing Authors: Heidi L. Rymaszewski, Susan Breakwell Tags: Features Source Type: research

Patient-level medication regimen complexity across populations with chronic disease.
CONCLUSIONS: MRCI components of dosing frequency and prescribed medications outside of the cohort-defining disease medications contributed the most to the patient-level scores. Thus, chronic disease management programs may want to consider all medications that patients are taking and examine ways to reduce complexity, such as reducing multiple dosing frequencies when possible. MRCI scores differentiated high and low patient-level complexity measures, representing possible utility as a prospective tool to identify target patients for intervention. Future work includes simplifying the MRCI and enhancing the scores with medic...
Source: Clinical Therapeutics - April 1, 2013 Category: Drugs & Pharmacology Authors: Libby AM, Fish DN, Hosokawa PW, Linnebur SA, Metz KR, Nair KV, Saseen JJ, Vande Griend JP, Vu SP, Hirsch JD Tags: Clin Ther Source Type: research

Coronary Computed Tomography Angiography for Selecting Coronary Artery Bypass Graft Surgery Candidates [ORIGINAL ARTICLES: ADULT CARDIAC]
Conclusions We found CCTA had a high diagnostic performance for selecting CABG candidates and predicted major adverse cardiac events in CABG candidates referred for CCTA owing to suspected coronary artery disease. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 31, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kim, S.-Y., Lee, H.-J., Kim, Y. J., Hur, J., Hong, Y. J., Yoo, K.-J., Chang, H.-J., Kim, T. H., Han, K.-H., Choi, B. Tags: Coronary disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Need for Online Information and Support of Patients With Systemic Sclerosis
ConclusionIt would be valuable to offer SSc patients a hospital‐based IHCA, including the online information and support they desire. When taking the needs of patients into account, an IHCA could become a valuable addition to their regular treatment. (Source: Arthritis Care and Research)
Source: Arthritis Care and Research - March 28, 2013 Category: Rheumatology Authors: Rosalie van der Vaart, Han Repping‐Wuts, Constance H. C. Drossaert, Erik Taal, Hanneke K. A. Knaapen‐Hans, Mart A. F. J. van de Laar Tags: Systemic Sclerosis Source Type: research

Generalization of Variants Identified by Genome‐Wide Association Studies for Electrocardiographic Traits in African Americans
Summary Electrocardiographic (ECG) measurements vary by ancestry. Genome‐wide association studies (GWAS) have identified loci that contribute to ECG measurements; however, most are performed in Europeans collected from population‐based cohorts or surveys. The strongest associations reported are in NOS1AP with QT interval and SCN10A with PR and QRS durations. The extent to which these associations can be generalized to African Americans has yet to be determined. Using electronic medical records, PR and QT intervals, QRS duration, and heart rate were determined in 455 African Americans as part of the Vanderbilt Genome‐...
Source: Annals of Human Genetics - March 28, 2013 Category: Genetics & Stem Cells Authors: Janina M. Jeff, Marylyn D. Ritchie, Joshua C. Denny, Abel N. Kho, Andrea H. Ramirez, David Crosslin, Loren Armstrong, Melissa A. Basford, Wendy A. Wolf, Jennifer A. Pacheco, Rex L. Chisholm, Dan M. Roden, M. Geoffrey Hayes, Dana C. Crawford Tags: Regular manuscript Source Type: research