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Computers in Psychiatry, electronic health records,

Patrick Triplett
Use of electronic health records (EHRs) for psychiatric care is on the rise, although the software and the workflow patterns on which the software has been built are often based on non-psychiatric practices. For providers, the transition from paper psychiatric records to electronic ones requires the development of a new set of skills that includes accommodating the physical presence of the computer and performing various forms of data entry, while still managing to carry out the tasks required for psychiatric practice...
2013: Perspectives in Biology and Medicine
Ketan K Mane, Chris Bizon, Charles Schmitt, Phillips Owen, Bruce Burchett, Ricardo Pietrobon, Kenneth Gersing
Comparative Effectiveness Research (CER) is designed to provide research evidence on the effectiveness and risks of different therapeutic options on the basis of data compiled from subpopulations of patients with similar medical conditions. Electronic Health Record (EHR) system contain large volumes of patient data that could be used for CER, but the data contained in EHR system are typically accessible only in formats that are not conducive to rapid synthesis and interpretation of therapeutic outcomes. In the time-pressured clinical setting, clinicians faced with large amounts of patient data in formats that are not readily interpretable often feel 'information overload'...
February 2012: Journal of Biomedical Informatics
Bernhard Holzner, Gabriele Schauer-Maurer, Guenter Stockhammer, Armin Muigg, Markus Hutterer, Johannes Giesinger
A computer-based tool for the monitoring of patient-related outcomes, the "Computer-based Health Evaluation System" (CHES) was developed at the medical university of Innsbruck. The software-generated graphic QOL profiles were found to be an important tool for screening patients for clinically relevant problems and were successfully used in oncology, geriatrics, psychiatry, and psychosomatics. The authors report their experience with CHES in 34 patients with recurrent gliomas. The computer-based QoL monitoring was repeated in median 5...
January 2011: Wiener Medizinische Wochenschrift
Yaron D Derman, Tamara Arenovich, John Strauss
BACKGROUND: The context of the current study was mandatory adoption of electronic clinical documentation within a large mental health care organization. Psychiatric electronic documentation has unique needs by the nature of dense narrative content. Our goal was to determine if speech recognition (SR) would ease the creation of electronic progress note (ePN) documents by physicians at our institution. METHODS: HASH(0x4807490) SUBJECTS: Twelve physicians had access to SR software on their computers for a period of four weeks to create ePN...
2010: BMC Medical Informatics and Decision Making
L Boyer, K Baumstarck-Barrau, R Belzeaux, J M Azorin, J M Chabannes, D Dassa, C Lancon, J Naudin, F Poinso, M Rufo, J C Samuelian, A Loundou, M Fieschi, P Auquier
BACKGROUND: Electronic medical records (EMR) are currently being implemented in psychiatric hospitals throughout Europe. The perceptions of health care professionals can contribute important information that may predict their acceptance of and desired mode of use for EMR, thus guiding EMR implementation. AIMS: To develop a self-administered instrument designed to assess health care professionals' satisfaction regarding EMR in a psychiatric hospital, based only on the professional point of view, according to the psychometric standards...
March 2011: European Psychiatry: the Journal of the Association of European Psychiatrists
Susan Rai, Trisha Kivisalu, Kiran Rabheru, Nirmal Kang
Across health care disciplines research reflects the usefulness of integrating computer technology into administrative and clinical practices. Electroconvulsive therapy (ECT) researchers are often interested in examining 3 primary areas: patient characteristics, treatment characteristics, and treatment outcomes. Generating reports and conducting research analysis via the traditional patient chart review are a time-consuming and costly method. At Riverview Hospital, a tertiary care psychiatric hospital, the active use of a clinical database for patients receiving ECT allows for detailed treatment tracking and evaluation of pretreatment and posttreatment patient outcome measures...
December 2010: Journal of ECT
Ronald M Salomon, Jennifer Urbano Blackford, S Trent Rosenbloom, Sandra Seidel, Ellen Wright Clayton, David M Dilts, Stuart G Finder
OBJECTIVES: Improvements in electronic health record (EHR) system development will require an understanding of psychiatric clinicians' views on EHR system acceptability, including effects on psychotherapy communications, data-recording behaviors, data accessibility versus security and privacy, data quality and clarity, communications with medical colleagues, and stigma. DESIGN: Multidisciplinary development of a survey instrument targeting psychiatric clinicians who recently switched to EHR system use, focus group testing, data analysis, and data reliability testing...
January 2010: Journal of the American Medical Informatics Association: JAMIA
Elizabeth I Johnson, Olivier Grondin, Marion Barrault, Malika Faytout, Sylvia Helbig, Mathilde Husky, Eric L Granholm, Catherine Loh, Louise Nadeau, Hans-Ulrich Wittchen, Joel Swendsen
Computerized ambulatory monitoring overcomes a number of methodological and conceptual challenges to studying mental disorders, however concerns persist regarding the feasibility of this approach with severe psychiatric samples and the potential of intensive monitoring to influence data quality. This multi-site investigation evaluates these issues in four independent samples. Patients with schizophrenia (n = 56), substance dependence (n = 85), anxiety disorders (n = 45), and a non-clinical sample (n = 280) were contacted to participate in investigations using computerized ambulatory monitoring...
2009: International Journal of Methods in Psychiatric Research
Randall F Stewart, Holly Shipp Buchanan, Bob Bailey, Mark Schuyler, Philip J Kroth
The impending implementation of an electronic medical record (EMR) within Behavioral Health facilities at the University of New Mexico (UNM) offers a unique opportunity to study the effects of EMR usage on a psychiatric patient population. A pre-test and post-test design using a satisfaction survey will test for changes to the patient-psychiatrist relationship before and after implementation. To date, 48 subjects have participated in the pre-implementation portion of the study.
2005: AMIA ... Annual Symposium Proceedings
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