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https://www.readbyqxmd.com/read/27919397/a-national-standards-based-assessment-on-functionality-of-electronic-medical-records-systems-used-in-kenyan-public-sector-health-facilities
#1
REVIEW
Samuel Kang'a, Nancy Puttkammer, Steven Wanyee, Davies Kimanga, Jason Madrano, Veronica Muthee, Patrick Odawo, Anjali Sharma, Tom Oluoch, Katherine Robinson, James Kwach, William B Lober
BACKGROUND: Variations in the functionality, content and form of electronic medical record systems (EMRs) challenge national roll-out of these systems as part of a national strategy to monitor HIV response. To enforce the EMRs minimum requirements for delivery of quality HIV services, the Kenya Ministry of Health (MoH) developed EMRs standards and guidelines. The standards guided the recommendation of EMRs that met a preset threshold for national roll-out. METHODS: Using a standards-based checklist, six review teams formed by the MoH EMRs Technical Working Group rated a total of 17 unique EMRs in 28 heath facilities selected by individual owners for their optimal EMR implementation...
January 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27872507/calculated-chemistry-parameters-do-they-need-to-be-harmonised
#2
REVIEW
David Hughes, James Cg Doery, Kay Weng Choy, Robert Flatman
In clinical chemistry, harmonisation of the testing process is a global initiative with the purpose of improving patient safety, allowing better integration of research data and enabling the use of national electronic heath records. In Australia, as in other countries, the initial focus has been on the harmonisation of the more commonly measured analytes. There are also a number of calculated parameters, derived from these measured analytes, which could also be considered for harmonisation. Calculated parameters that are reported by laboratories and used for clinical decision-making should undergo the same robust process of harmonisation as is the case for the measured analytes...
August 2016: Clinical Biochemist. Reviews
https://www.readbyqxmd.com/read/27512876/a-new-automatic-blood-pressure-kit-auscultates-for-accurate-reading-with-a-smartphone-a-diagnostic-accuracy-study
#3
Hongjun Wu, Bingjian Wang, Xinpu Zhu, Guang Chu, Zhi Zhang
The widely used oscillometric automated blood pressure (BP) monitor was continuously questioned on its accuracy. A novel BP kit named Accutension which adopted Korotkoff auscultation method was then devised. Accutension worked with a miniature microphone, a pressure sensor, and a smartphone. The BP values were automatically displayed on the smartphone screen through the installed App. Data recorded in the phone could be played back and reconfirmed after measurement. They could also be uploaded and saved to the iCloud...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27244791/variations-in-mental-health-diagnosis-and-prescribing-across-pediatric-primary-care-practices
#4
Stephanie L Mayne, Michelle E Ross, Lihai Song, Banita McCarn, Jennifer Steffes, Weiwei Liu, Benyamin Margolis, Romuladus Azuine, Edward Gotlieb, Robert W Grundmeier, Laurel K Leslie, Russell Localio, Richard Wasserman, Alexander G Fiks
BACKGROUND: Primary care pediatricians increasingly care for children's mental health problems, but little is known about practice-level variation in diagnosis and psychotropic medication prescribing practices. METHODS: This retrospective review of electronic heath records from 43 US primary care practices included children aged 4 to 18 years with ≥1 office visit from January 1, 2009, to June 30, 2014. We examined variability in diagnosis and psychotropic prescribing across practices using logistic regression with practice fixed effects and evaluated associations of the availability of colocated or community-based mental health providers or the proportion of children in foster care with diagnosis and prescribing using generalized linear mixed models...
May 2016: Pediatrics
https://www.readbyqxmd.com/read/27242127/overweight-adolescents-with-type-2-diabetes-have-significantly-higher-lipoprotein-abnormalities-than-those-with-type-1-diabetes
#5
Lynae J Hanks, James Heath Pelham, Shalini Vaid, Krista Casazza, Ambika P Ashraf
AIM: Diabetes-associated glucoregulatory derangements may precipitate atherogenesis in childhood and CVD risk, particularly with obesity. We aimed to delineate lipoprotein profile differences between children with type 1 and 2 diabetes who are overweight/obese. METHODS: Data were obtained from electronic medical records of patients ≥85th BMI percentile with type 1 (n=159) and type 2 (n=77) diabetes, ages 12-19y. Group differences were evaluated by correlations and general linear modeling analysis, adjusting for BMI, HbA1c, and diabetes duration...
December 0: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/27168966/syndromic-surveillance-in-companion-animals-utilizing-electronic-medical-records-data-development-and-proof-of-concept
#6
Philip H Kass, Hsin-Yi Weng, Mark A L Gaona, Amy Hille, Max H Sydow, Elizabeth M Lund, Peter J Markwell
In an effort to recognize and address communicable and point-source epidemics in dog and cat populations, this project created a near real-time syndromic surveillance system devoted to companion animal health in the United States. With over 150 million owned pets in the US, the development of such a system is timely in light of previous epidemics due to various causes that were only recognized in retrospect. The goal of this study was to develop epidemiologic and statistical methods for veterinary hospital-based surveillance, and to demonstrate its efficacy by detection of simulated foodborne outbreaks using a database of over 700 hospitals...
2016: PeerJ
https://www.readbyqxmd.com/read/27168600/predicting-comorbid-conditions-and-trajectories-using-social-health-records
#7
Xiang Ji, Soon Ae Chun, James Geller
Many patients suffer from comorbidity conditions, for example, obese patients often develop type-2 diabetes and hypertension. In the US, 80% of Medicare spending is for managing patients with these multiple coexisting conditions. Predicting potential comorbidity conditions for an individual patient can promote preventive care and reduce costs. Predicting possible comorbidity progression paths can provide important insights into population heath and aid with decisions in public health policies. Discovering the comorbidity relationships is complex and difficult, due to limited access to Electronic Health Records by privacy laws...
May 5, 2016: IEEE Transactions on Nanobioscience
https://www.readbyqxmd.com/read/27103047/patient-outcomes-when-housestaff-exceed-80-hours-per-week
#8
David Ouyang, Jonathan H Chen, Gomathi Krishnan, Jason Hom, Ronald Witteles, Jeffrey Chi
BACKGROUND: It has been posited that high workload and long work hours for trainees could affect the quality and efficiency of patient care. Duty hour restrictions seek to balance patient care and resident education by limiting resident work hours. Through a retrospective cohort study, we investigated whether patient care on an inpatient general medicine service at a large academic medical center is impacted when housestaff work more than 80 hours per week. METHODS: We identified all admissions to a housestaff-run general medicine service between June 25, 2013 and June 29, 2014...
September 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27101589/outcome-of-appendicectomies-at-surgery-for-mucinous-ovarian-neoplasms-report-from-a-uk-center-and-review-of-literature
#9
Debjani Mukhopadhyay, Ramzi Rajab, Marielle Nobbenhuis, James Dilley, Owen Heath, Jayson Wang, Thomas E J Ind, Desmond P J Barton
OBJECTIVE: This study aimed to determine the frequency of malignant pathology in a macroscopically normal appendix during surgery for a borderline or malignant mucinous ovarian tumor (MOT). METHODS: Women with borderline and malignant MOT were identified from the pathology database from 2000 to 2014. Women who had a benign MOT and had an appendicectomy were excluded from the study. Data were collected from the electronic patient record and case notes. RESULTS: Of 310 women identified with MOT, 203 patients with benign MOT were excluded...
July 2016: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/26916672/considerations-for-the-analysis-of-longitudinal-electronic-health-records-linked-to-claims-data-to-study-the-effectiveness-and-safety-of-drugs
#10
REVIEW
K J Lin, S Schneeweiss
Health insurance claims and electronic health records (EHR) databases have been considered the preferred data sources with which to study drug safety and effectiveness in routine care. Linking claims data to EHR allows researchers to leverage the complementary advantages of each data source to enhance study validity. We propose a framework to evaluate the need for supplementing claims data with EHR and vice versa to optimize outcome ascertainment, exposure assessment, and confounding adjustment.
August 2016: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/26685091/influenza-vaccine-effectiveness-for-hospital-and-community-patients-using-control-groups-with-and-without-non-influenza-respiratory-viruses-detected-auckland-new-zealand-2014
#11
COMPARATIVE STUDY
Nevil Pierse, Heath Kelly, Mark G Thompson, Ange Bissielo, Sarah Radke, Q Sue Huang, Michael G Baker, Nikki Turner
BACKGROUND: We aimed to estimate the protection afforded by inactivated influenza vaccine, in both community and hospital settings, in a well characterised urban population in Auckland during 2014. METHODS: We used two different comparison groups, all patients who tested negative for influenza and only those patients who tested negative for influenza and had a non-influenza respiratory virus detected, to calculate the vaccine effectiveness in a test negative study design...
January 20, 2016: Vaccine
https://www.readbyqxmd.com/read/26614882/image-sharing-technologies-and-reduction-of-imaging-utilization-a-systematic-review-and-meta-analysis
#12
REVIEW
Joshua R Vest, Hye-Young Jung, Aaron Ostrovsky, Lala Tanmoy Das, Geraldine B McGinty
INTRODUCTION: Image sharing technologies may reduce unneeded imaging by improving provider access to imaging information. A systematic review and meta-analysis were conducted to summarize the impact of image sharing technologies on patient imaging utilization. METHODS: Quantitative evaluations of the effects of PACS, regional image exchange networks, interoperable electronic heath records, tools for importing physical media, and health information exchange systems on utilization were identified through a systematic review of the published and gray English-language literature (2004-2014)...
December 2015: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/26553595/a-patient-portal-with-electronic-messaging-controlled-before-and-after-study
#13
Iiris Riippa, Miika Linna, Ilona Rönkkö
BACKGROUND: Patients' access to their medical records, along with electronic messaging, offers an efficient means of information transition between patients and their caregivers. Easier access to information and interaction with health care professionals may reduce use of other services while increasing patients' activation in the management of their own health. Patient portals may therefore have a favorable impact on the cost-effectiveness of care. OBJECTIVE: The aim was to assess the benefits and risks of providing electronic messaging services to patients with chronic conditions...
2015: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/26402148/design-of-the-dove-determining-effects-of-platelet-inhibition-on-vaso-occlusive-events-trial-a-global-phase-3-double-blind-randomized-placebo-controlled-multicenter-study-of-the-efficacy-and-safety-of-prasugrel-in-pediatric-patients-with-sickle-cell-anemia
#14
RANDOMIZED CONTROLLED TRIAL
Carolyn C Hoppe, Lori Styles, Lori E Heath, Chunmei Zhou, Joseph A Jakubowski, Kenneth J Winters, Patricia B Brown, David C Rees, Matthew M Heeney
BACKGROUND: Sickle cell disease (SCD) is an inherited blood disorder characterized by painful vaso-occlusive crises (VOC) with limited treatment options, particularly for children. Emerging knowledge of the pathophysiology of SCD suggests antiplatelet therapies may hold promise for treatment of VOC. Multiple small studies have evaluated antiplatelet agents on the frequency of VOC with varying results, but there has not been an adequately powered study to definitively determine the effect of antiplatelet agents on VOC...
February 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/26296949/process-for-managing-and-optimizing-radiology-work-flow-in-the-electronic-heath-record-environment
#15
Peter B Sachs, Graham Long
Electronic health record (EHR) implementation has dramatically impacted all facets of radiology workflow. Many departments find themselves unprepared for the multiple issues that surface following EHR deployment and the ongoing need for workflow optimization. This paper reviews the structure and processes utilized by the team, developed at the University of Colorado Hospital to evaluate, prioritize, and implement requests for workflow repairs and improvements within the EHR. The evolution of this team as the academic hospital formed a health system with two community hospital sites is also described...
February 2016: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
https://www.readbyqxmd.com/read/26290889/initial-usability-and-feasibility-evaluation-of-a-personal-health-record-based-self-management-system-for-older-adults
#16
Barbara Sheehan, Robert J Lucero
INTRODUCTION: Electronic personal health record-based (ePHR-based) self-management systems can improve patient engagement and have an impact on health outcomes. In order to realize the benefits of these systems, there is a need to develop and evaluate heath information technology from the same theoretical underpinnings. METHODS: Using an innovative usability approach based in human-centered distributed information design (HCDID), we tested an ePHR-based falls-prevention self-management system-Self-Assessment via a Personal Health Record (i...
2015: EGEMS
https://www.readbyqxmd.com/read/26226531/post-traumatic-stress-disorder-among-navy-health-care-personnel-following-combat-deployment
#17
Andrew J MacGregor, Amber L Dougherty, Jonathan A Mayo, Peggy P Han, Michael R Galarneau
U.S. Navy health care personnel are exposed to an array of psychological stressors during combat deployment. This study compared rates of post-traumatic stress disorder (PTSD) among Navy health care personnel with nonhealth care personnel following single and repeated combat deployments. The study sample was identified from electronic records indicating deployment to Iraq, Kuwait, or Afghanistan, and included 3,416 heath care and 4,648 nonhealth care personnel. Health care personnel had higher PTSD rates and an increasing trend in PTSD rates across repeated deployments...
August 2015: Military Medicine
https://www.readbyqxmd.com/read/26071207/research-and-development-of-semantics-based-sharable-clinical-pathway-systems
#18
Hua-Qiong Wang, Tian-Shu Zhou, Yi-Fan Zhang, Li Chen, Jing-Song Li
The clinical pathway (CP) as a novel medical management schema is beneficial for reducing the length of stay, decreasing heath care costs, standardizing clinical activities, and improving medical quality. However, the practicability of CPs is limited by the complexity and expense of adding the standard functions of electronic CPs to existing electronic medical record (EMR) systems. The purpose of this study was to design and develop an independent clinical pathway (ICP) system that is sharable with different EMR systems...
July 2015: Journal of Medical Systems
https://www.readbyqxmd.com/read/25954335/impacts-of-ehr-certification-and-meaningful-use-implementation-on-an-integrated-delivery-network
#19
Watson A Bowes
Three years ago Intermountain Healthcare made the decision to participate in the Medicare and Medicaid Electronic Heath Record (EHR) Incentive Program which required that hospitals and providers use a certified EHR in a meaningful way. At that time, the barriers to enhance our home grown system, and change clinician workflows were numerous and large. This paper describes the time and effort required to enhance our legacy systems in order to pass certification, including filling 47 gaps in (EHR) functionality...
2014: AMIA ... Annual Symposium Proceedings
https://www.readbyqxmd.com/read/25803761/accuracy-of-pharmacy-benefit-manager-medication-formularies-in-an-electronic-health-record-system-and-the-epocrates-mobile-application
#20
Miranda R Andrus, Jeanne B Forrester, Kenda E Germain, Lea S Eiland
BACKGROUND: Physicians commonly use formulary medication coverage information generated by electronic heath records (EHRs) and the Epocrates mobile drug database application when making medication selection decisions. Nonformulary selections may lead to higher out-of-pocket patient costs and nonadherence with prescribed regimens. Nonformulary selections also contribute to higher overall health plan spending. However, the accuracy of these systems compared with actual insurance coverage is not known...
April 2015: Journal of Managed Care & Specialty Pharmacy
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