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https://www.readbyqxmd.com/read/29471362/changes-in-hospital-bond-ratings-after-the-transition-to-a-new-electronic-health-record
#1
Dustin McEvoy, Michael L Barnett, Dean F Sittig, Skye Aaron, Ateev Mehrotra, Adam Wright
Objective: To assess the impact of electronic health record (EHR) implementation on hospital finances. Materials and Methods: We analyzed the impact of EHR implementation on bond ratings and net income from service to patients (NISP) at 32 hospitals that recently implemented a new EHR and a set of controls. Results: After implementing an EHR, 7 hospitals had a bond downgrade, 7 had a bond upgrade, and 18 had no changes. There was no difference in the likelihood of bond rating changes or in changes to NISP following EHR go-live when compared to control hospitals...
February 20, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29471355/closing-the-loop-with-an-enhanced-referral-management-system
#2
Harley Ramelson, Amanda Nederlof, Sam Karmiy, Pamela Neri, David Kiernan, Rajlakshmi Krishnamurthy, Adrienne Allen, David W Bates
Objective: To evaluate the impact of a referral manager tool on primary care practices. Materials and Methods: We evaluated a referral manager module in a locally developed electronic health record (EHR) that was enhanced to improve the referral management process in primary care practices. Baseline (n = 61) and follow-up (n = 35) provider and staff surveys focused on the ease of performing various steps in the referral process, confidence in completing those steps, and user satisfaction...
February 17, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29471111/mortality-prediction-in-intensive-care-units-icus-using-a-deep-rule-based-fuzzy-classifier
#3
Raheleh Davoodi, Mohammad Hassan Moradi
Electronic health records (EHRs) contain critical information useful for clinical studies. Early assessment of patients' mortality in intensive care units is of great importance. In this paper, a Deep Rule-Based Fuzzy System (DRBFS) was proposed to develop an accurate in-hospital mortality prediction in the intensive care unit (ICU) patients employing a large number of input variables. Our main contribution is proposing a system, which is capable of dealing with big data with heterogeneous mixed categorical and numeric attributes...
February 19, 2018: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/29470775/influence-of-body-mass-index-in-anti-m%C3%A3-llerian-hormone-levels-in-951-non-polycystic-ovarian-syndrome-women-followed-at-a-reproductive-medicine-unit
#4
Joana Simões-Pereira, Joaquim Nunes, Ana Aguiar, Sandra Sousa, Cátia Rodrigues, Joaquim Sampaio Matias, Carlos Calhaz-Jorge
PURPOSE: Anti-Müllerian hormone (AMH) is a useful marker of ovarian reserve. Obesity/overweight are increasing and may affect the reproductive health. Previous studies regarding the effect of body mass index (BMI) on AMH levels are discordant. Our main goal was to evaluate the influence of BMI on AMH levels in women without polycystic ovarian syndrome. METHODS: Revision of medical records of 951 women who performed AMH determinations as part of their fertility workup, between 2011 and 2016...
February 22, 2018: Endocrine
https://www.readbyqxmd.com/read/29470586/implications-of-the-care-act-for-latino-caregivers
#5
Billy A Caceres, Adriana Perez
The Caregiver Advise, Record, Enable (CARE) Act has the potential to make a positive impact in the lives of Latino older adults and their caregivers. As Latino individuals are the fastest growing older adult population, the number of Latino families and caregivers is also expected to grow, particularly among those providing care for someone with Alzheimer's disease or other dementias. Caregiving has been considered a culturally embedded value among Latino individuals. Although few studies have focused on caregiving in this population, those that exist suggest that Latino caregivers struggle to find bilingual and bicultural support and information and show higher levels of distress and health disparities...
March 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29470544/validation-of-the-what-matters-index-a-brief-patient-reported-index-that-guides-care-for-chronic-conditions-and-can-substitute-for-computer-generated-risk-models
#6
John H Wasson, Lynn Ho, Laura Soloway, L Gordon Moore
INTRODUCTION: Current health care delivery relies on complex, computer-generated risk models constructed from insurance claims and medical record data. However, these models produce inaccurate predictions of risk levels for individual patients, do not explicitly guide care, and undermine health management investments in many patients at lesser risk. Therefore, this study prospectively validates a concise patient-reported risk assessment that addresses these inadequacies of computer-generated risk models...
2018: PloS One
https://www.readbyqxmd.com/read/29470468/an-audit-of-risk-assessments-for-suicide-and-attempted-suicide-in-ed-a-retrospective-review-of-quality
#7
Wayne de Beer, Bernard DeWitt, Jules Schofield, Helen Clark, Veronique Gibbons
AIM: The primary aim of this audit was to determine the quality of psychiatric risk assessments conducted by Mental Health & Addiction Services clinicians for patients presenting to the emergency department, Waikato Hospital, Hamilton, New Zealand following an attempted suicide. METHOD: A retrospective, randomised audit of 376 files of patients who had presented to the ED over a 12-month period from 1 July 2015 to 30 June 2016 was conducted, following the standards outlined in the present New Zealand Ministry of Health Clinical Practice Guideline for Deliberate Self Harm (DSH)...
February 23, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29470381/the-business-ethics-and-quality-cases-for-consumer-engagement-in-nursing
#8
Susan Hassmiller, Ani Bilazarian
OBJECTIVE: The aims of this study were to illustrate the quality, safety, cost-effectiveness, and ethics of consumer engagement initiatives and identify promising practices and leadership strategies used by nursing leaders. METHODS: A literature review was performed with supplementary interviews conducted with 25 key nursing informants including nursing executives and chief nursing officers at acute care hospitals, community health centers, policy institutions, and quality and safety organizations...
February 21, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29470167/role-of-race-ethnicity-language-and-insurance-in-use-of-cervical-cancer-prevention-services-among-low-income-hispanic-women-2009-2013
#9
John Heintzman, Brigit Hatch, Gloria Coronado, David Ezekiel, Stuart Cowburn, Octavio Escamilla-Sanchez, Miguel Marino
INTRODUCTION: Hispanic women in the United States have an elevated risk of cervical cancer, but the existing literature does not reveal why this disparity persists. METHODS: We performed a retrospective cohort analysis of 17,828 low-income women aged 21 to 64 years seeking care at Oregon community health centers served by a hosted, linked electronic health record during 2009 through 2013. We assessed the odds of having had Papanicolaou (Pap) tests and receiving human papillomavirus (HPV) vaccine, by race/ethnicity, insurance status, and language...
February 22, 2018: Preventing Chronic Disease
https://www.readbyqxmd.com/read/29470122/a-qualitative-comparative-analysis-of-combined-state-health-policies-related-to-human-papillomavirus-vaccine-uptake-in-the-united-states
#10
Megan C Roberts, Taylor Murphy, Jennifer L Moss, Christopher W Wheldon, Wayne Psek
OBJECTIVES: To examine how combinations of state policies, rather than single policies, are related to uptake of human papillomavirus (HPV) vaccine. METHODS: Using publicly available records and the literature, we characterized policies for each US state and Washington, DC, in 2015 (n = 51), including (1) Medicaid expansion, (2) policies permitting HPV vaccination in pharmacies, (3) school-entry requirements, (4) classroom sex education mandates, and (5) parental education mandates...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29470107/leptospira-genomospecies-and-sequence-type-prevalence-in-small-mammal-populations-in-germany
#11
Stefan Fischer, Anne Mayer-Scholl, Christian Imholt, Nastasja G Spierling, Elisa Heuser, Sabrina Schmidt, Daniela Reil, Ulrike M Rosenfeld, Jens Jacob, Karsten Nöckler, Rainer G Ulrich
Leptospirosis is a worldwide emerging infectious disease caused by zoonotic bacteria of the genus Leptospira. Numerous mammals, including domestic and companion animals, can be infected by Leptospira spp., but rodents and other small mammals are considered the main reservoir. The annual number of recorded human leptospirosis cases in Germany (2001-2016) was 25-166. Field fever outbreaks in strawberry pickers, due to infection with Leptospira kirschneri serovar Grippotyphosa, were reported in 2007 and 2014. To identify the most commonly occurring Leptospira genomospecies, sequence types (STs), and their small mammal host specificity, a monitoring study was performed during 2010-2014 in four federal states of Germany...
February 22, 2018: Vector Borne and Zoonotic Diseases
https://www.readbyqxmd.com/read/29469588/robust-replicable-and-theoretically-grounded-a-response-to-brown-and-coyne-s-2017-commentary-on-the-relationship-between-emodiversity-and-health
#12
Jordi Quoidbach, Moïra Mikolajczak, June Gruber, Ilios Kotsou, Aleksandr Kogan, Michael I Norton
In 2014 in the Journal of Experimental Psychology: General , we reported 2 studies demonstrating that the diversity of emotions that people experience-as measured by the Shannon-Wiener entropy index-was an independent predictor of mental and physical health, over and above the effect of mean levels of emotion. Brown and Coyne (2017) questioned both our use of Shannon's entropy and our analytic approach. We thank Brown and Coyne for their interest in our research; however, both their theoretical and empirical critiques do not undermine the central theoretical tenets and empirical findings of our research...
March 2018: Journal of Experimental Psychology. General
https://www.readbyqxmd.com/read/29469584/paid-sick-leave-status-in-relation-to-government-sponsored-welfare-utilization
#13
Patricia Stoddard-Dare, LeaAnne DeRigne, Linda Quinn, Christopher Mallett
Nearly a third of all U.S. workers, primarily lower-paid employees, do not have paid sick leave benefits, prompting some lawmakers to consider mandating paid sick leave for all U.S. employees so workers can access timely health care without lost wages. A representative sample of 19,537 workers in current paid employment was examined, searching for the association between access to paid sick leave benefits and receipt of six different welfare and welfare-related services. After controlling for relevant demographic, work, income, and medical/health care variables, results of the logistic models indicate that, among working adults age 18-64, those without paid sick leave are 1...
February 22, 2018: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/29469447/-epidemiological-characteristics-of-imported-malaria-and-influencing-factors-of-severe-cases-in-anhui-province
#14
Zhang Tao, Xu Xian, Jiang Jing-Jing, Yu Chen, Tian Cui-Cui, Li Wei-Dong
OBJECTIVE: To analyze the epidemiological characteristics of imported malaria cases and investigate the influencing factors of severe cases in Anhui Province, so as to provide the evidence for improving the control strategy. METHODS: The epidemiological data of imported malaria cases in Anhui Province from January 1st, 2012 to April 18th, 2017 were collected and analyzed. RESULTS: The imported malaria cases in Anhui Province were mainly young men of migrant workers...
September 27, 2017: Zhongguo Xue Xi Chong Bing Fang Zhi za Zhi, Chinese Journal of Schistosomiasis Control
https://www.readbyqxmd.com/read/29469176/current-physiotherapy-practice-in-the-management-of-tennis-elbow-a-service-evaluation
#15
M Bateman, E Whitby, S Kacha, E Salt
BACKGROUND: Tennis elbow is a common painful condition that may affect daily function and ability to work. Physiotherapy is the most commonly used primary intervention but there is a wide range of treatment options within the umbrella of physiotherapy. Our aim was to report on the treatments that are currently used by physiotherapists in a UK National Health Service (NHS) setting. METHODS: A retrospective service evaluation was conducted at two NHS hospital trusts by reviewing patient attendance records over a 1-year period...
February 22, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29469014/effect-of-mineral-status-and-glucocorticoid-use-on-bone-mineral-density-in-patients-with-crohn-s-disease
#16
Nayane R Pierote, Amanda F Braz, Susy L Barros, José M Moita Neto, José Miguel L Parente, Maria da Cruz M Silva, Mayara S Beserra, Nina Rosa M Soares, Dilina N Marreiro, Nadir do Noscimento Nogueira
OBJECTIVES: Crohn's disease (CD) is a condition that is characterized by chronic inflammation. The presence of multifactorial pathogenesis that results from inflammation is associated with low micronutrient consumption and glucocorticoid use, which may be related to bone health. This study aimed to evaluate the relationship between dietary mineral intake and glucocorticoid use in bone mineral density (BMD) in patients with CD. METHODS: A cross-sectional study of 62 patients with CD ages 20 y to 40 y measured their macro- and micronutrient intake with a 3-d food record...
November 27, 2017: Nutrition
https://www.readbyqxmd.com/read/29468771/home-blood-pressure-monitoring-in-a-hypertensive-pregnant-population
#17
H Perry, E Sheehan, B Thilaganathan, A Khalil
OBJECTIVE: The majority of patients with chronic or gestational hypertension do not develop pre-eclampsia. Home blood-pressure monitoring (HBPM) has the potential to offer a more accurate and acceptable means of monitoring hypertensive patients during pregnancy compared with traditional pathways of frequent outpatient monitoring. The aim of this study was to determine whether HBPM reduces visits to antenatal services and is safe in pregnancy. METHODS: This was a case-control study of 166 hypertensive pregnant women, which took place at St George's Hospital, University of London...
February 22, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29468614/association-of-the-can-score-with-the-frail-scale-in-community-dwelling-older-adults
#18
Jorge G Ruiz, Zubair Rahaman, Stuti Dang, Ramanakumar Anam, Willy M Valencia, Michael J Mintzer
BACKGROUND: Frailty is a state of vulnerability to stressors which results in higher morbidity, mortality and healthcare utilization. The FRAIL scale is used as a validated screening for frailty. The Care Assessment Need (CAN) score is automatically generated from electronic health record data using a statistical model that includes data elements similar to the deficit accumulation model for frailty and predicts risk for hospitalization and/or mortality. AIM: To determine the correlation of the CAN score with the FRAIL scale...
February 21, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29468602/time-series-disturbance-detection-for-hypothesis-free-signal-detection-in-longitudinal-observational-databases
#19
Ed Whalen, Manfred Hauben, Andrew Bate
INTRODUCTION: Signal detection remains a cornerstone activity of pharmacovigilance. Routine quantitative signal detection primarily focuses on screening of spontaneous reports. In striving to enhance quantitative signal detection capability further, other data streams are being considered for their potential contribution as sources of emerging signals, one of which is longitudinal observational databases, including electronic medical record (EMR) and transactional insurance claims databases...
February 21, 2018: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/29468270/unplanned-readmission-after-hospital-discharge-in-burn-patients-in-iran
#20
Zakiyeh Jafaryparvar, Masoomeh Adib, Atefeh Ghanbari, Ehsan Kazemnezhad Leyli
INTRODUCTION: Burns are considered as one of the most serious health problems throughout the world. They may lead to adverse consequences and outcomes. One of these outcomes is unplanned readmission. Unplanned readmission has been commonly used as a quality indicator by hospitals and governments. This study aimed to determine the predictors of unplanned readmission in patients with burns hospitalized in a burn center in the North of Iran (Guilan province, Rasht). METHODS: This retrospective analytic study has been done on the medical records of hospitalized patients with burns in Velayat Sub-Specialty Burn and Plastic Surgery Center, Rasht, Iran during 2008-2013...
February 21, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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