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Emr implementation

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https://www.readbyqxmd.com/read/28921446/can-a-novel-icu-data-display-positively-affect-patient-outcomes-and-save-lives
#1
Natalia Olchanski, Mikhail A Dziadzko, Ing C Tiong, Craig E Daniels, Steve G Peters, John C O'Horo, Michelle N Gong
The aim of this study was to quantify the impact of ProCCESs AWARE, Ambient Clinical Analytics, Rochester, MN, a novel acute care electronic medical record interface, on a range of care process and patient health outcome metrics in intensive care units (ICUs). ProCCESs AWARE is a novel acute care EMR interface that contains built-in tools for error prevention, practice surveillance, decision support and reporting. We compared outcomes before and after AWARE implementation using a prospective cohort and a historical control...
September 18, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28894243/high-capacitance-hybrid-supercapacitor-based-on-multi-colored-fluorescent-carbon-dots
#2
Rukan Genc, Melis Ozge Alas, Ersan Harputlu, Sergej Repp, Nora Kremer, Mike Castellano, Suleyman Gokhan Colak, Kasim Ocakoglu, Emre Erdem
Multi-colored, water soluble fluorescent carbon nanodots (C-Dots) with quantum yield changing from 4.6 to 18.3% were synthesized in multi-gram using dated cola beverage through a simple thermal synthesis method and implemented as conductive and ion donating supercapacitor component. Various properties of C-Dots, including size, crystal structure, morphology and surface properties along with their Raman and electron paramagnetic resonance spectra were analyzed and compared by means of their fluorescence and electronic properties...
September 11, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28889976/humans-but-not-deep-neural-networks-often-miss-giant-targets-in-scenes
#3
Miguel P Eckstein, Kathryn Koehler, Lauren E Welbourne, Emre Akbas
Even with great advances in machine vision, animals are still unmatched in their ability to visually search complex scenes. Animals from bees [1, 2] to birds [3] to humans [4-12] learn about the statistical relations in visual environments to guide and aid their search for targets. Here, we investigate a novel manner in which humans utilize rapidly acquired information about scenes by guiding search toward likely target sizes. We show that humans often miss targets when their size is inconsistent with the rest of the scene, even when the targets were made larger and more salient and observers fixated the target...
September 1, 2017: Current Biology: CB
https://www.readbyqxmd.com/read/28843523/use-of-an-exercise-technology-in-post-acute-care-of-a-skilled-nursing-facility-a-feasibility-study
#4
Verena R Cimarolli, Joann P Reinhardt, Jillian Minahan, Orah Burack, Channing Thomas, Regina Melly
OBJECTIVES: Use of exercise technologies has benefits for community-dwelling older adults in terms of improved gait and balance. But research on the feasibility of use of exercise technologies in various geriatric health care settings is lacking. Hence, the current study examined the feasibility of implementing an exercise technology intended to augment rehabilitation in patients receiving post-acute care (PAC) in a skilled nursing facility (SNF). We focused on 3 indicators of feasibility: extent of usage (including predictors of more intense use), patients' acceptability of the technology, and limited efficacy...
August 23, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28838199/introduction-of-inactivated-polio-vaccine-withdrawal-of-type-2-oral-polio-vaccine-and-routine-immunization-strengthening-in-the-eastern-mediterranean-region
#5
Kamal Fahmy, Lee M Hampton, Houda Langar, Manish Patel, Tahir Mir, Chandrasegarar Soloman, Andreas Hasman, Nasir Yusuf, Nadia Teleb
The Global Polio Eradication Initiative has reduced the global incidence of polio by 99% and the number of countries with endemic polio from 125 to 3 countries. The Polio Eradication and Endgame Strategic Plan 2013-2018 (Endgame Plan) was developed to end polio disease. Key elements of the endgame plan include strengthening immunization systems using polio assets, introducing inactivated polio vaccine (IPV), and replacing trivalent oral polio vaccine with bivalent oral polio vaccine ("the switch"). Although coverage in the Eastern Mediterranean Region (EMR) with the third dose of a vaccine containing diphtheria, tetanus, and pertussis antigens (DTP3) was ≥90% in 14 countries in 2015, DTP3 coverage in EMR dropped from 86% in 2010 to 80% in 2015 due to civil disorder in multiple countries...
July 1, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28833779/patient-and-system-factors-related-to-missed-opportunities-for-screening-in-an-emr-driven-opt-out-hiv-screening-program-in-the-emergency-department
#6
Janet Lin, Sara Baghikar, Cammeo Mauntel-Medici, Sara Heinert, Daven Patel
OBJECTIVE: Emergency Departments (EDs) have implemented HIV screening using a variety of strategies. This study investigates how specific patient and health system factors in the ED impact who is and is not screened in a combined targeted and non-targeted, EMR-driven, opt-out, HIV screening program. METHODS: This was a retrospective, cross sectional study of ED visits where patients were determined eligible for HIV screening by an EMR algorithm between 11/18/2014 and 7/15/2015...
August 18, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28808792/using-natural-language-processing-of-free-text-radiology-reports-to-identify-type-1-modic-endplate-changes
#7
Hannu T Huhdanpaa, W Katherine Tan, Sean D Rundell, Pradeep Suri, Falgun H Chokshi, Bryan A Comstock, Patrick J Heagerty, Kathryn T James, Andrew L Avins, Srdjan S Nedeljkovic, David R Nerenz, David F Kallmes, Patrick H Luetmer, Karen J Sherman, Nancy L Organ, Brent Griffith, Curtis P Langlotz, David Carrell, Saeed Hassanpour, Jeffrey G Jarvik
Electronic medical record (EMR) systems provide easy access to radiology reports and offer great potential to support quality improvement efforts and clinical research. Harnessing the full potential of the EMR requires scalable approaches such as natural language processing (NLP) to convert text into variables used for evaluation or analysis. Our goal was to determine the feasibility of using NLP to identify patients with Type 1 Modic endplate changes using clinical reports of magnetic resonance (MR) imaging examinations of the spine...
August 14, 2017: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/28797295/exploring-differences-in-the-use-of-the-statin-choice-decision-aid-and-diabetes-medication-choice-decision-aid-in-primary-care
#8
Aimee Yu Ballard, Maya Kessler, Marianne Scheitel, Victor M Montori, Rajeev Chaudhry
BACKGROUND: Shared decision making is essential to patient centered care, but can be difficult for busy clinicians to implement into practice. Tools have been developed to aid in shared decision making and embedded in electronic medical records (EMRs) to facilitate use. This study was undertaken to explore the patterns of use and barriers and facilitators to use of two decision aids, the Statin Choice Decision Aid (SCDA) and the Diabetes Medication Choice Decision Aid (DMCDA), in primary care practices where the decision aids are embedded in the EMR...
August 10, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28777286/electronic-medical-record-use-and-satisfaction-among-pediatric-orthopaedic-surgeons
#9
Lawson A Copley, Chester H Sharps, Joseph A Gerardi, Sumit K Gupta, Kelly L Vanderhaave, John F Lovejoy, John P Lubicky, Stephen A Albanese, Chanhee Jo
INTRODUCTION: Electronic medical record (EMR) use among pediatric orthopaedic surgeons has evolved substantially within the past decade. In response to the Patient Protection and Affordable Care Act, large hospitals and tertiary pediatric medical centers rapidly acquired and implemented EMRs with uncertainty as to the potential impact on patient care and operational efficiency of subspecialists. This study reviews the background and regulatory framework for Meaningful Use of EMR and assesses the current landscape of EMR utilization by pediatric orthopaedic surgeons...
August 2, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28776247/the-burden-of-mental-disorders-in-the-eastern-mediterranean-region-1990-2015-findings-from-the-global-burden-of-disease-2015-study
#10
Ali H Mokdad
OBJECTIVES: Mental disorders are among the leading causes of nonfatal burden of disease globally. METHODS: We used the global burden of diseases, injuries, and risk factors study 2015 to examine the burden of mental disorders in the Eastern Mediterranean region (EMR). We defined mental disorders according to criteria proposed in the diagnostic and statistical manual of mental disorders IV and the 10th International Classification of Diseases. RESULTS: Mental disorders contributed to 4...
August 3, 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/28734992/endoscopic-muscle-biopsy-sampling-of-the-duodenum-and-rectum-a-pilot-survival-study-in-a-porcine-model-to-detect-myenteric-neurons
#11
Elizabeth Rajan, Badr Al-Bawardy, Christopher J Gostout, Louis Michele Wong Kee Song, Jodie L Deters, Mary A Knipschield, Cheryl E Bernard, Gianrico Farrugia
BACKGROUND AND AIMS: Small bowel and colorectal muscle biopsy sampling requires a surgical approach. Advancing our understanding of the pathophysiology of motility disorders, such as functional bowel disorders, intestinal pseudo-obstruction, and slow-transit constipation, is hindered by our inability to noninvasively obtain muscularis propria (MP) for evaluation of multiple cell types, including myenteric neurons. The aims of this study were to determine (1) technical feasibility, reproducibility, and safety of performing duodenal endoscopic muscle biopsy sampling (dEMB) and rectal endoscopic muscle biopsy sampling (rEMB) using a clip-assist technique and (2) the presence of myenteric neurons in tissue samples...
July 20, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28705240/a-rule-based-electronic-phenotyping-algorithm-for-detecting-clinically-relevant-cardiovascular-disease-cases
#12
Santiago Esteban, Manuel Rodríguez Tablado, Ricardo Ignacio Ricci, Sergio Terrasa, Karin Kopitowski
BACKGROUND: The implementation of electronic medical records (EMR) is becoming increasingly common. Error and data loss reduction, patient-care efficiency increase, decision-making assistance and facilitation of event surveillance, are some of the many processes that EMRs help improve. In addition, they show a lot of promise in terms of data collection to facilitate observational epidemiological studies and their use for this purpose has increased significantly over the recent years...
July 14, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28680770/reducing-over-utilization-of-cardiac-telemetry-with-pop-ups-in-an-electronic-medical-record-system
#13
Wajeeha Rizvi, Cyrus M Munguti, Jeet Mehta, K James Kallail, Darrell Youngman, Samer Antonios
Non-invasive cardiac monitoring has well-established indications and protocols. Telemetry is often overused leading to a shortage of tele-beds and an increment of hospital expenses. In some cases, patients are kept on telemetry longer than the indicated length because providers are unaware of its ongoing use. We investigated the effect of reminder pop-ups, incorporated into an electronic medical record (EMR), on minimizing the use of telemetry. Three regional hospitals implemented an electronic pop-up reminder for discontinuing the use of telemetry when no longer indicated...
May 29, 2017: Curēus
https://www.readbyqxmd.com/read/28680387/event-driven-random-back-propagation-enabling-neuromorphic-deep-learning-machines
#14
Emre O Neftci, Charles Augustine, Somnath Paul, Georgios Detorakis
An ongoing challenge in neuromorphic computing is to devise general and computationally efficient models of inference and learning which are compatible with the spatial and temporal constraints of the brain. One increasingly popular and successful approach is to take inspiration from inference and learning algorithms used in deep neural networks. However, the workhorse of deep learning, the gradient descent Gradient Back Propagation (BP) rule, often relies on the immediate availability of network-wide information stored with high-precision memory during learning, and precise operations that are difficult to realize in neuromorphic hardware...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28679914/perceived-benefits-of-implementing-and-using-hospital-information-systems-and-electronic-medical-records
#15
Mohamed Khalifa
Hospital information systems (HIS) and electronic medical records (EMR) are currently considered a major part of the healthcare system, on which all the processes of care delivery depend. They have the potential to provide substantial benefits to healthcare professionals, patients and healthcare organizations. The study used quantitative survey methods through a questionnaire to collect data and information directly from different categories of healthcare professionals of four Saudi hospitals. Valid responses were 153 and ten perceived benefits were validated and ranked, these are; 1) Improved information access, 2) Increased healthcare professionals productivity, 3) Improved efficiency and accuracy of coding and billing, 4) Improved quality of healthcare, 5) Improved clinical management (diagnosis and treatment), 6) Reduced expenses associated with paper medical records, 7) Reduced medical errors, 8) Improved patient safety, 9) Improved patient outcomes and 10) Improved patient satisfaction...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28619704/applying-stopp-guidelines-in-primary-care-through-electronic-medical-record-decision-support-randomized-control-trial-highlighting-the-importance-of-data-quality
#16
Morgan Price, Iryna Davies, Raymond Rusk, Mary Lesperance, Jens Weber
BACKGROUND: Potentially Inappropriate Prescriptions (PIPs) are a common cause of morbidity, particularly in the elderly. OBJECTIVE: We sought to understand how the Screening Tool of Older People's Prescriptions (STOPP) prescribing criteria, implemented in a routinely used primary care Electronic Medical Record (EMR), could impact PIP rates in community (non-academic) primary care practices. METHODS: We conducted a mixed-method, pragmatic, cluster, randomized control trial in research naïve primary care practices...
June 15, 2017: JMIR Medical Informatics
https://www.readbyqxmd.com/read/28618862/probiotic-guidelines-and-physician-practice-a-cross-sectional-survey-and-overview-of-the-literature
#17
K Draper, C Ley, J Parsonnet
Probiotic use by patients and physicians has dramatically increased over the last decade, although definitive evidence is often lacking for their use. We examined probiotic-prescribing practices among health care providers (HCP) at a tertiary medical centre and compared these practices to clinical guidelines. HCP at the Stanford Medical Center received a survey on probiotic prescribing practices including choice of probiotic and primary indications. A broad overview of the literature was performed. Among 2,331 HCP surveyed, 632 responded...
August 24, 2017: Beneficial Microbes
https://www.readbyqxmd.com/read/28584837/hospital-managers-attitude-and-commitment-toward-electronic-medical-records-system-in-isfahan-hospitals-2014
#18
Maryam Jahanbakhsh, Saeed Karimi, Akbar Hassanzadeh, Maliheh Beigi
INTRODUCTION: Electronic medical record system (EMRS) is a valuable system for safe access to the patient's data and increases health care quality. Manpower is one of the requirements for EMRS, among which manager is the most important person in any hospital. Taking into account manager's positive attitude and good commitments, EMRS will be implemented successfully. As such, we decided to assess manager's attitude and commitment toward EMRS in Isfahan hospitals in the year of 2014. AIM: This article aimed to determine the hospital managers' attitude and commitment toward the implementation of EMRS...
2017: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/28577543/implementation-of-emental-health-care-viewpoints-from-key-informants-from-organizations-and-agencies-with-ehealth-mandates
#19
Lori Wozney, Amanda S Newton, Nicole D Gehring, Kathryn Bennett, Anna Huguet, Lisa Hartling, Michele P Dyson, Patrick McGrath
BACKGROUND: The use of technology such as computers, tablets, and smartphones to improve access to and the delivery of mental health care (eMental Health care) is growing worldwide. However, despite the rapidly expanding evidence base demonstrating the efficacy of eMental Health care, its implementation in clinical practice and health care systems remains fragmented. To date, no peer-reviewed, key-informant studies have reported on the perspectives of decision-makers concerned with whether and how to implement eMental Health care...
June 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28575489/successful-implementation-of-a-bundle-strategy-to-prevent-ventilator-associated-pneumonia-in-a-neonatal-intensive-care-unit
#20
Ismail Kursad Gokce, Hayriye Gozde Kanmaz Kutman, Nurdan Uras, Fuat Emre Canpolat, Yasemin Dursun, Serife Suna Oguz
Background: We aimed to investigate the effectiveness of evidence-based bundle that we developed to reduce ventilator-associated pneumonia (VAP) rates and to assess the degree of compliance rates to this strategy in a tertiary neonatal intensive care unit. Methods: This before-after prospective cohort trial divided into two periods was conducted. All neonates requiring ventilation were enrolled in the study. VAP incidence, compliance rates to bundle components and the contribution of each bundle component to VAP rates were compared between the periods...
May 30, 2017: Journal of Tropical Pediatrics
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