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https://www.readbyqxmd.com/read/29742625/integrating-population-health-data-on-violence-into-the-emergency-department-a-feasibility-and-implementation-study
#1
Michael N Levas, Jennifer L Hernandez-Meier, Sara Kohlbeck, Nancy Piotrowski, Stephen Hargarten
Geocoded emergency department (ED) data have allowed for the development and evaluation of novel interventions for the prevention of violence in cities outside of the United States. First implemented in Cardiff, United Kingdom, collection of these data provides public health agencies, community organizations, and law enforcement with place-based information on assaults. The purpose of this study was to assess the feasibility of translating this model within the electronic medical record (EMR) in the United States...
May 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29732166/secondary-use-of-electronic-medical-records-for-clinical-research-challenges-and-opportunities
#2
Wen-Wai Yim, Amanda J Wheeler, Catherine Curtin, Todd H Wagner, Tina Hernandez-Boussard
With increasingly ubiquitous electronic medical record (EMR) implementation accelerated by the adoption of the HITECH Act, there is much interest in the secondary use of collected data to improve outcomes and promote personalized medicine. A plethora of research has emerged using EMRs to investigate clinical research questions and assess variations in both treatments and outcomes. However, whether because of genuine complexities of modeling disease physiology or because of practical problems regarding data capture, data accuracy, and data completeness, the state of current EMR research is challenging and gives rise to concerns regarding study accuracy and reproducibility...
March 2018: Convergent Science Physical Oncology
https://www.readbyqxmd.com/read/29729973/digital-pi-pd-controller-design-for-arbitrary-order-systems-dominant-pole-placement-approach
#3
Emre Dincel, Mehmet Turan Söylemez
In this paper, a digital PI-PD controller design method is proposed for arbitrary order systems with or without time-delay to achieve desired transient response in the closed-loop via dominant pole placement approach. The digital PI-PD controller design problem is solved by converting the original problem to the digital PID controller design problem. Firstly, parametrization of the digital PID controllers which assign dominant poles to desired location is done. After that the subset of digital PID controller parameters in which the remaining poles are located away from the dominant pole pair is found via Chebyshev polynomials...
May 2, 2018: ISA Transactions
https://www.readbyqxmd.com/read/29696473/impact-of-pacs-emr-integration-on-radiologist-usage-of-the-emr
#4
John Mongan, David Avrin
The purpose of this study was to objectively quantify the impact of implementing picture archiving and communication system-electronic medical record (PACS-EMR) integration on the time required to access data in the EMR and the frequency with which data are accessed by radiologists. Time to access a clinic note in the EMR was measured before and after integration with a stopwatch and compared by t test. An IRB-approved, HIPAA-compliant retrospective review of EMR access data from security audit logs was conducted for a 14-month period spanning the integration...
April 25, 2018: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/29672136/which-patients-in-the-emergency-department-should-receive-preexposure-prophylaxis-implementation-of-a-predictive-analytics-approach
#5
Jessica P Ridgway, Ellen A Almirol, Alvie Bender, Andrew Richardson, Jessica Schmitt, Eleanor Friedman, Nicola Lancki, Ivan Leroux, Nina Pieroni, Jessica Dehlin, John A Schneider
Emergency Departments (EDs) have the potential to play a crucial role in HIV prevention by identifying and linking high-risk HIV-negative clients to preexposure prophylaxis (PrEP) care, but it is difficult to perform HIV risk assessment for all ED patients. We aimed to develop and implement an electronic risk score to identify ED patients who are potential candidates for PrEP. Using electronic medical record (EMR) data, we used logistic regression to model the outcome of PrEP eligibility. We converted the model into an electronic risk score and incorporated it into the EMR...
April 19, 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29670868/characteristics-of-patients-with-colonic-polyps-requiring-segmental-resection
#6
Robert A Mitchell, Chaoran Zhang, Cherry Galorport, Blair Walker, Jennifer Telford, Robert Enns
Background: It is unclear if the availability of new techniques for removal of large colonic polyps has affected the use of segmental colon resection. We sought to evaluate the characteristics of polyps undergoing surgical resection, including involvement of therapeutic gastroenterologists (TG). Methods: 484 patients had a colonic resection; 165 (34%) were identified from the pathology database with polyp, adenoma, or mass in the clinical history field; these charts were reviewed...
2018: Canadian Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29668691/the-impact-of-routine-data-quality-assessments-on-electronic-medical-record-data-quality-in-kenya
#7
Veronica Muthee, Aaron F Bochner, Allison Osterman, Nzisa Liku, Willis Akhwale, James Kwach, Mehta Prachi, Joyce Wamicwe, Jacob Odhiambo, Fredrick Onyango, Nancy Puttkammer
BACKGROUND: Routine Data Quality Assessments (RDQAs) were developed to measure and improve facility-level electronic medical record (EMR) data quality. We assessed if RDQAs were associated with improvements in data quality in KenyaEMR, an HIV care and treatment EMR used at 341 facilities in Kenya. METHODS: RDQAs assess data quality by comparing information recorded in paper records to KenyaEMR. RDQAs are conducted during a one-day site visit, where approximately 100 records are randomly selected and 24 data elements are reviewed to assess data completeness and concordance...
2018: PloS One
https://www.readbyqxmd.com/read/29658621/scaling-up-prevention-and-control-of-noncommunicable-diseases-in-the-who-eastern-mediterranean-region
#8
REVIEW
Heba Fouad, Nisreen Abdel Latif, Rachel A Ingram, Asmus Hammerich
Surveillance is an essential component in the campaign to prevent and control noncommunicable diseases (NCDs), both globally and in the Eastern Mediterranean Region (EMR). In order to address the increasing burden from these diseases, countries must first evaluate their own systems and see what steps need to be taken to improve preparedness. Therefore, the WHO Regional Office for the Eastern Mediterranean in Cairo, Egypt, conducts country capacity surveys on a regular basis to compare each Member State's NCD provision to the Framework for Action to implement the UN Political Declaration (2011)...
April 5, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29643524/-a-customized-method-for-information-extraction-from-unstructured-text-data-in-the-electronic-medical-records
#9
X Y Bao, W J Huang, K Zhang, M Jin, Y Li, C Z Niu
OBJECTIVE: There is a huge amount of diagnostic or treatment information in electronic medical record (EMR), which is a concrete manifestation of clinicians actual diagnosis and treatment details. Plenty of episodes in EMRs, such as complaints, present illness, past history, differential diagnosis, diagnostic imaging, surgical records, reflecting details of diagnosis and treatment in clinical process, adopt Chinese description of natural language. How to extract effective information from these Chinese narrative text data, and organize it into a form of tabular for analysis of medical research, for the practical utilization of clinical data in the real world, is a difficult problem in Chinese medical data processing...
April 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29626875/adaptive-enhanced-sampling-by-force-biasing-using-neural-networks
#10
Ashley Z Guo, Emre Sevgen, Hythem Sidky, Jonathan K Whitmer, Jeffrey A Hubbell, Juan J de Pablo
A machine learning assisted method is presented for molecular simulation of systems with rugged free energy landscapes. The method is general and can be combined with other advanced sampling techniques. In the particular implementation proposed here, it is illustrated in the context of an adaptive biasing force approach where, rather than relying on discrete force estimates, one can resort to a self-regularizing artificial neural network to generate continuous, estimated generalized forces. By doing so, the proposed approach addresses several shortcomings common to adaptive biasing force and other algorithms...
April 7, 2018: Journal of Chemical Physics
https://www.readbyqxmd.com/read/29623142/chronic-pain-in-the-emergency-department-a-pilot-interdisciplinary-program-demonstrates-improvements-in-disability-psychosocial-function-and-healthcare-utilization
#11
Joshua A Rash, Patricia A Poulin, Yaadwinder Shergill, Heather Romanow, Jeffrey Freeman, Monica Taljaard, Guy Hebert, Ian G Stiell, Catherine E Smyth
Objective: To evaluate the feasibility of an individualized interdisciplinary chronic pain care plan as an intervention to reduce emergency department (ED) visits and improve clinical outcomes among patients who frequented the ED with concerns related to chronic pain. Methods: A prospective cohort design was used in an urban tertiary care hospital. As a pilot program, fourteen patients with chronic pain who frequented the ED (i.e., >12 ED visits within the last year, of which ≥50% were for chronic pain) received a rapid interdisciplinary assessment and individualized care plan that was uploaded to an electronic medical record system (EMR) accessible to the ED and patient's primary care provider...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/29594411/recent-advances-in-the-ultrascan-solution-modeller-us-somo-hydrodynamic-and-small-angle-scattering-data-analysis-and-simulation-suite
#12
Emre Brookes, Mattia Rocco
The UltraScan SOlution MOdeller (US-SOMO) is a comprehensive, public domain, open-source suite of computer programs centred on hydrodynamic modelling and small-angle scattering (SAS) data analysis and simulation. We describe here the advances that have been implemented since its last official release (#3087, 2017), which are available from release #3141 for Windows, Linux and Mac operating systems. A major effort has been the transition from the legacy Qt3 cross platform software development and user interface library to the modern Qt5 release...
March 28, 2018: European Biophysics Journal: EBJ
https://www.readbyqxmd.com/read/29572314/pharmacy-informatics-in-multihospital-health-systems-opportunities-and-challenges
#13
Jeffrey Chalmers, Mark Siska, Trinh Le, Scott Knoer
PURPOSE: Challenges and opportunities in managing pharmacy-related technology in a multihospital health system are reviewed. SUMMARY: With electronic medical record (EMR) implementations, pharmacy technology deployments, and increased numbers of hospitals merging into single health systems, opportunities and challenges for pharmacy informatics (PI) teams have grown. Pharmacy leaders must consider the implications of using technology in a multihospital health-system environment, as well as the impact of the health system's organizational structures on technology implementations and dedicated support teams...
April 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29560048/emergency-department-experience-with-novel-electronic-medical-record-order-for-referral-to-food-resources
#14
Marc L Martel, Lauren R Klein, Kurt A Hager, Diana B Cutts
Introduction: Food insecurity is a significant issue in the United States and is prevalent in emergency department (ED) patients. The purpose of this study was to report the novel use of an integrated electronic medical record (EMR) order for food resources, and to describe our initial institutional referral patterns after focused education and implementation of the order. Methods: This was a retrospective, observational study, describing food-bank referral patterns before and after the implementation of dedicated ED education on the novel EMR order for food resources...
March 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29559866/intelligent-clinical-decision-support-to-improve-safe-opioid-management-of-chronic-noncancer-pain-in-primary-care
#15
Eboni G Price-Haywood, Wanda Robinson, Jewel Harden-Barrios, Jeffrey Burton, Todd Burstain
Background: Opioid prescription drug abuse is a major public health concern. Healthcare provider prescribing patterns, especially among non-pain management specialists, are a major factor. Practice guidelines recommend what to do for safe opioid prescribing but do not provide guidance on how to implement best practices. Methods: We describe the implementation of electronic medical record clinical decision support (EMR CDS) for opioid management of chronic noncancer pain in an integrated delivery system...
2018: Ochsner Journal
https://www.readbyqxmd.com/read/29558112/cameo-a-python-library-for-computer-aided-metabolic-engineering-and-optimization-of-cell-factories
#16
Joao Cardoso, Kristian Jensen, Christian Lieven, Anne Sofie Lærke Hansen, Svetlana Galkina, Moritz Emanuel Beber, Emre Özdemir, Markus Herrgard, Henning Redestig, Nikolaus Sonnenschein
Computational systems biology methods enable rational design of cell factories on a genome-scale and thus accelerate the engineering of cells for the production of valuable chemicals and proteins. Unfortunately, for the majority of these methods' implementations are either not published, rely on proprietary software, or do not provide documented interfaces, which has precluded their mainstream adoption in the field. In this work we present cameo, a platform-independent software that enables in silico design of cell factories and targets both experienced modelers as well as users new to the field...
March 20, 2018: ACS Synthetic Biology
https://www.readbyqxmd.com/read/29547909/measuring-use-of-evidence-based-psychotherapy-for-ptsd-in-va-residential-treatment-settings-with-clinician-survey-and-electronic-medical-record-templates
#17
Brian Shiner, Christine Leonard Westgate, Vanessa Simiola, Richard Thompson, Paula P Schnurr, Joan M Cook
Objective: Available studies on implementation of evidence-based psychotherapy (EBP) for patients attending Department of Veterans Affairs (VA) residential post-traumatic stress disorder (PTSD) programs rely on therapist self-report of EBP delivery. Patient-level data on receipt of EBP are needed both to corroborate therapist self-report and to understand patient factors that predict receipt of EBPs for PTSD. Materials and Methods: We identified 159 therapists from 38 VA residential PTSD programs who responded to a survey about EBP implementation during the 2015 fiscal year (FY15)...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29543307/a-study-to-assess-the-awareness-of-risk-factors-of-cystic-echinococcosis-in-turkey
#18
Mehmet F Aydın, Emre Adıgüzel, Hakan Güzel
To determine the knowledge, attitudes, practices, and awareness for risk factors associated with cystic echinococcosis (CE) among animal breeders, nurses, nursing students, dietitians, food professionals and other public groups in Turkey. Methods: Questionnaire forms were prepared in compliance with the individuals' diversity, and a survey was created about agents, transmission modes, epidemiology, treatment, and risk factors for CE. The descriptive survey was performed between May 2015 and May 2016 by face-to-face communication...
March 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29542247/functional-classification-of-heart-failure-before-and-after-implementing-a-healthcare-transition-program-for-youth-and-young-adults-transferring-from-a-pediatric-to-an-adult-congenital-heart-disease-clinics
#19
Albert C Hergenroeder, Douglas S Moodie, Daniel J Penny, Constance M Wiemann, Blanca Sanchez-Fournier, Lauren K Moore, Jane Head
OBJECTIVE: To describe changes in functional status between the last pediatric and first adult congenital heart disease (CHD) clinic visits in patients with moderate to severe CHD after implementing a healthcare transition (HCT) planning program. DESIGN: Quasi-experimental design. Patients were followed prospectively following the implementation of the intervention; Control patients transitioned from the Pediatric CHD Clinic into Adult CHD Clinic before the intervention...
March 15, 2018: Congenital Heart Disease
https://www.readbyqxmd.com/read/29534482/assessment-of-the-baby-friendly-hospital-initiative-implementation-in-the-eastern-mediterranean-region
#20
Ayoub Al-Jawaldeh, Azza Abul-Fadl
The Baby-Friendly Hospital Initiative (BFHI) is a global program for promoting support and protection for breastfeeding. However, its impact on malnutrition, especially in countries of the Eastern Mediterranean region (EMR) that are facing the turmoil of conflict and emergencies, deserves further investigation. Having said that, this paper aims to discuss the status and challenges to BFHI implementation in the EMR countries. Data on BFHI implementation, breastfeeding practices, and nutritional status were collected from countries through structured questionnaires, personal interviews, and databases...
March 11, 2018: Children
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