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libraries and EHR

Sima Ajami
Medical records are a critical component of a patient's treatment. However, documentation of patient-related information is considered a secondary activity in the provision of healthcare services, often leading to incomplete medical records and patient data of low quality. Advances in information technology (IT) in the health system and registration of information in electronic health records (EHR) using speechto- text conversion software have facilitated service delivery. This narrative review is a literature search with the help of libraries, books, conference proceedings, databases of Science Direct, PubMed, Proquest, Springer, SID (Scientific Information Database), and search engines such as Yahoo, and Google...
May 2016: National Medical Journal of India
Fatemeh Rangraz Jeddi, Hossein Akbari, Somayeh Rasoli
BACKGROUND: The issue of home care for older people is concerned with availability of information. AIM: To compare delivery of electronic health record (EHR) in home care for older people. METHODS: An applied-comparative library study was conducted in 2015. The study population included Canada, Australia, England, Denmark and Taiwan. Data were extracted from literature related to EHR on home care and older people. RESULTS: The main functions included collection, documentation of lab and imaging results...
April 2016: Contemporary Nurse
Jamie R Robinson, Hannah Huth, Gretchen P Jackson
BACKGROUND: Electronic health records (EHRs), computerized provider order entry (CPOE), and patient portals have experienced increased adoption by health care systems. The objective of this study was to review evidence regarding the impact of such health information technologies (HIT) on surgical practice. MATERIALS AND METHODS: A search of Medline, EMBASE, CINAHL, and the Cochrane Library was performed to identify data-driven, nonsurvey studies about the effects of HIT on surgical care...
June 1, 2016: Journal of Surgical Research
R S Evans
OBJECTIVES: Describe the state of Electronic Health Records (EHRs) in 1992 and their evolution by 2015 and where EHRs are expected to be in 25 years. Further to discuss the expectations for EHRs in 1992 and explore which of them were realized and what events accelerated or disrupted/derailed how EHRs evolved. METHODS: Literature search based on "Electronic Health Record", "Medical Record", and "Medical Chart" using Medline, Google, Wikipedia Medical, and Cochrane Libraries resulted in an initial review of 2,356 abstracts and other information in papers and books...
May 20, 2016: Yearbook of Medical Informatics
Sean Cahill, Harvey J Makadon
Collecting data on sexual orientation and gender identity (SO/GI) in healthcare settings and in electronic health records (EHRs) is essential to understanding, addressing, and reducing LGBT health disparities. The federal government took two key steps in early 2014 in support of asking SO/GI questions in clinical settings as part of the meaningful use of EHRs. First, the Office of the National Coordinator for Health Information Technology issued proposed 2015 Edition Certified EHR Technology (CEHRT) Criteria, which suggest Systematized Nomenclature of Medicine (SNOMED) code sets for SO/GI data collection in 2017...
September 2014: LGBT Health
M S Neofytou, K Neokleous, A Aristodemou, I Constantinou, Z Antoniou, E C Schiza, C S Pattichis, C N Schizas
There is a huge need for open source software solutions in the healthcare domain, given the flexibility, interoperability and resource savings characteristics they offer. In this context, this paper presents the development of three open source libraries - Specific Enablers (SEs) for eHealth applications that were developed under the European project titled "Future Internet Social and Technological Alignment Research" (FI-STAR) funded under the "Future Internet Public Private Partnership" (FI-PPP) program. The three SEs developed under the Electronic Health Record Application Support Service Enablers (EHR-EN) correspond to: a) an Electronic Health Record enabler (EHR SE), b) a patient summary enabler based on the EU project "European patient Summary Open Source services" (epSOS SE) supporting patient mobility and the offering of interoperable services, and c) a Picture Archiving and Communications System (PACS) enabler (PACS SE) based on the dcm4che open source system for the support of medical imaging functionality...
August 2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Arnaud Reper, Pascal Reper
BACKGROUND AND OBJECTIVES: In Intensive Care Units, the amount of data to be processed for patients care, the turn over of the patients, the necessity for reliability and for review processes indicate the use of Patient Data Management Systems (PDMS) and electronic health records (EHR). To respond to the needs of an Intensive Care Unit and not to be locked with proprietary software, we developed an EHR based on usual software and components. METHODS: The software was designed as a client-server architecture running on the Windows operating system and powered by the access data base system...
August 2015: Acta Informatica Medica: AIM
Huan Mo, Jennifer A Pacheco, Luke V Rasmussen, Peter Speltz, Jyotishman Pathak, Joshua C Denny, William K Thompson
Electronic clinical quality measures (eCQMs) based on the Quality Data Model (QDM) cannot currently be executed against non-standardized electronic health record (EHR) data. To address this gap, we prototyped an implementation of a QDM-based eCQM using KNIME, an open-source platform comprising a wide array of computational workflow tools that are collectively capable of executing QDM-based logic, while also giving users the flexibility to customize mappings from site-specific EHR data. To prototype this capability, we implemented eCQM CMS30 (titled: Statin Prescribed at Discharge) using KNIME...
2015: AMIA Summits on Translational Science Proceedings
Brian L Hazlehurst, Stephen E Kurtz, Andrew Masica, Victor J Stevens, Mary Ann McBurnie, Jon E Puro, Vinutha Vijayadeva, David H Au, Elissa D Brannon, Dean F Sittig
OBJECTIVES: Comparative effectiveness research (CER) requires the capture and analysis of data from disparate sources, often from a variety of institutions with diverse electronic health record (EHR) implementations. In this paper we describe the CER Hub, a web-based informatics platform for developing and conducting research studies that combine comprehensive electronic clinical data from multiple health care organizations. METHODS: The CER Hub platform implements a data processing pipeline that employs informatics standards for data representation and web-based tools for developing study-specific data processing applications, providing standardized access to the patient-centric electronic health record (EHR) across organizations...
October 2015: International Journal of Medical Informatics
Paolo Campanella, Emanuela Lovato, Claudio Marone, Lucia Fallacara, Agostino Mancuso, Walter Ricciardi, Maria Lucia Specchia
OBJECTIVE: To assess the impact of electronic health record (EHR) on healthcare quality, we hence carried out a systematic review and meta-analysis of published studies on this topic. METHODS: PubMed, Web of Knowledge, Scopus and Cochrane Library databases were searched to identify studies that investigated the association between the EHR implementation and process or outcome indicators. Two reviewers screened identified citations and extracted data according to the PRISMA guidelines...
February 2016: European Journal of Public Health
Varsha G Vimalananda, Gouri Gupte, Siamak M Seraj, Jay Orlander, Dan Berlowitz, Benjamin G Fincke, Steven R Simon
BACKGROUND: We define electronic consultations ("e-consults") as asynchronous, consultative, provider-to-provider communications within a shared electronic health record (EHR) or web-based platform. E-consults are intended to improve access to specialty expertise for patients and providers without the need for a face-to-face visit. Our goal was to systematically review and summarize the literature describing the use and effects of e-consults. METHODS: We searched PubMed, EMBASE, the Cochrane Library, and CINAHL for studies related to e-consults published between 1990 through December 2014...
September 2015: Journal of Telemedicine and Telecare
Cameron G Shultz, Heather L Holmstrom
BACKGROUND: Electronic health records (EHRs) hold promise to improve productivity, quality, and outcomes; however, using EHRs can be cumbersome, disruptive to workflow, and off-putting to patients and clinicians. One proposed solution to this problem is the use of medical scribes. The purpose of this systematic review is to summarize the literature investigating the effect of medical scribes on health care productivity, quality, and outcomes. Implications for future research are discussed...
May 2015: Journal of the American Board of Family Medicine: JABFM
Freda Mold, Simon de Lusignan, Aziz Sheikh, Azeem Majeed, Jeremy C Wyatt, Tom Quinn, Mary Cavill, Christina Franco, Umesh Chauhan, Hannah Blakey, Neha Kataria, Theodoros N Arvanitis, Beverley Ellis
BACKGROUND: Online access to medical records by patients can potentially enhance provision of patient-centred care and improve satisfaction. However, online access and services may also prove to be an additional burden for the healthcare provider. AIM: To assess the impact of providing patients with access to their general practice electronic health records (EHR) and other EHR-linked online services on the provision, quality, and safety of health care. DESIGN AND SETTING: A systematic review was conducted that focused on all studies about online record access and transactional services in primary care...
March 2015: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Clemens Scott Kruse, Michael Mileski, Vyachelslav Alaytsev, Elizabeth Carol, Ariana Williams
OBJECTIVES: The Health Information Technology for Economic and Clinical Health (HITECH) Act created incentives for adopting electronic health records (EHRs) for some healthcare organisations, but long-term care (LTC) facilities are excluded from those incentives. There are realisable benefits of EHR adoption in LTC facilities; however, there is limited research about this topic. The purpose of this systematic literature review is to identify EHR adoption factors for LTC facilities that are ineligible for the HITECH Act incentives...
2015: BMJ Open
Albert Boonstra, Arie Versluis, Janita F J Vos
BACKGROUND: The literature on implementing Electronic Health Records (EHR) in hospitals is very diverse. The objective of this study is to create an overview of the existing literature on EHR implementation in hospitals and to identify generally applicable findings and lessons for implementers. METHODS: A systematic literature review of empirical research on EHR implementation was conducted. Databases used included Web of Knowledge, EBSCO, and Cochrane Library. Relevant references in the selected articles were also analyzed...
2014: BMC Health Services Research
Tjeerd-Pieter van Staa, Lisa Dyson, Gerard McCann, Shivani Padmanabhan, Rabah Belatri, Ben Goldacre, Jackie Cassell, Munir Pirmohamed, David Torgerson, Sarah Ronaldson, Joy Adamson, Adel Taweel, Brendan Delaney, Samhar Mahmood, Simona Baracaia, Thomas Round, Robin Fox, Tommy Hunter, Martin Gulliford, Liam Smeeth
BACKGROUND: Pragmatic trials compare the effects of different decisions in usual clinical practice. OBJECTIVES: To develop and evaluate methods to implement simple pragmatic trials using routinely collected electronic health records (EHRs) and recruiting patients at the point of care; to identify the barriers and facilitators for general practitioners (GPs) and patients and the experiences of trial participants. DESIGN: Two exemplar randomised trials (Retropro and eLung) with qualitative evaluations...
July 2014: Health Technology Assessment: HTA
Mahnaz Samadbeik, Maryam Ahmadi, Seyed Masoud Hosseini Asanjan
CONTEXT: The tendency to use advanced technology in healthcare and the governmental policies have put forward electronic prescription. Electronic prescription is considered as the main solution to overcome the major drawbacks of the paper-based medication prescription, such as transcription errors. This study aims to provide practical information concerning electronic prescription system to a variety of stakeholders. EVIDENCE ACQUISITION: In this review study, PubMed, ISI Web of Science, Scopus, EMBASE databases, Iranian National Library Of Medicine (INLM) portal, Google Scholar, Google and Yahoo were searched for relevant English publications concerning the problems of paper-based prescription, and concept, features, levels, benefits, stakeholders and standards of electronic prescription system...
October 2013: Iranian Red Crescent Medical Journal
Archana Tapuria, Dipak Kalra, Shinji Kobayashi
OBJECTIVES: The objective is to introduce 'clinical archetype' which is a formal and agreed way of representing clinical information to ensure interoperability across and within Electronic Health Records (EHRs). The paper also aims at presenting the challenges building quality labeled clinical archetypes and the challenges towards achieving semantic interoperability between EHRs. METHODS: Twenty years of international research, various European healthcare informatics projects and the pioneering work of the openEHR Foundation have led to the following results...
December 2013: Healthcare Informatics Research
Sima Ajami, Ahmad Rajabzadeh
BACKGROUND: Radio frequency identification (RFID) systems have been successfully applied in areas of manufacturing, supply chain, agriculture, transportation, healthcare, and services to name a few. However, the different advantages and disadvantages expressed in various studies of the challenges facing the technology of the use of the RFID technology have been met with skepticism by managers of healthcare organizations. The aim of this study was to express and display the role of RFID technology in improving patient safety and increasing the impact of it in healthcare...
September 2013: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
Qian Zhu, Robert R Freimuth, Jyotishman Pathak, Christopher G Chute
Standardized representations for pharmacogenomics data are seldom used, which leads to data heterogeneity and hinders data reuse and integration. In this study, we attempted to represent data elements from the Pharmacogenomics Research Network (PGRN) that are related to four categories, patient, drug, disease and laboratory, in a standard way using Clinical Element Models (CEMs), which have been adopted in the Strategic Health IT Advanced Research Project, secondary use of EHR (SHARPn) as a library of common logical models that facilitate consistent data representation, interpretation, and exchange within and across heterogeneous sources and applications...
2013: AMIA Summits on Translational Science Proceedings
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