Alexander Turchin

..We evaluated current documentation of BMI, and documentation and control of associated risk factors by BMI category, based on electronic health records from a 12-clinic primary care network...

..0001). Alerts led to a nearly 2-fold increase in utilization of the promoted functionalities. Interruptive alerts are an effective method of delivering information about application functionalities to users...

..Greatest benefits were observed at encounter intervals (<or=2 weeks) shorter than what is currently recommended...

..In this study, we aimed to determine whether hypoglycemic episodes are associated with higher mortality in diabetic patients hospitalized in the general ward...

..Clinical validity of information in both sources was demonstrated by correlation with changes in blood pressure...

..Most users agreed that medication reconciliation improves patient care but requested tighter integration of the different stages of the medication reconciliation process. Further training may be helpful in improving user efficiency...

..We therefore carried out a study to determine whether the frequency of antihypertensive treatment intensification for diabetic patients changes with time since their physicians' last board certification...

..Several characteristics of electronic medication records are strongly associated with their validity. These findings could be incorporated in the design of CIS software to alert providers to medication records less likely to be accurate...

..This approach has been validated at several levels and demonstrated to correlate with clinical outcomes...

..It is not known whether a similar association exists for treatment of diabetes. In this study we aimed to determine whether physician volume is associated with improved process measures and outcomes in diabetes care...

..It is important for clinicians to familiarize themselves with the diagnostic and therapeutic challenges this condition presents...

..8%, specificity of 95.0%, and precision of 85.9%. Regular expressions can be an effective method for focused information extraction tasks related to high-priority disease areas such as hypertension...

..These results provide the first description of cardiac genetic response to aldosterone and identify several potential mediators of known biochemical sequelae of aldosterone administration in the heart...

..We sought to measure the impact of an information technology-based medication reconciliation intervention on medication discrepancies with potential for harm (potential adverse drug events [PADEs])...

..However, the prevalence of its documentation has not been examined. The objective of this study was to analyze the prevalence and factors affecting documentation of home BP in routine clinical care...

..Review of feedback identified several usability issues that will inform subsequent versions of the tool and provide generalizable lessons for how best to design medication reconciliation tools for this setting...

..We evaluated the relationship between treatment intensification and changes in blood glucose in hospitalized diabetic patients...

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..Results from early pilot testing suggest that this new medication reconciliation process is well accepted by clinicians and has significant potential to prevent medication errors during transitions of care...

..Failure to reconcile medications across transitions in care is an important source of potential harm to patients. Little is known about the predictors of unintentional medication discrepancies and how, when, and where they occur...

..However, little is known about the long-term effects of lifestyle counseling on patients with diabetes in routine clinical settings...

..Improvements in electronic medical record design are necessary to minimize the risk of discrepancies and resulting adverse events...

..Striatin, a membrane associated protein, interacts with estrogen receptors in endothelial cells...

..Data suggest that rates of vaccination in this population are not optimal. To support continuous quality improvement efforts, we electronically measured vaccination status among rheumatology outpatients over time...

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..These findings provide evidence that narrative medical documents directly reflect clinical practice and constitute a valid source of medical data...

..Omitted data are of particular concern because they are more common than erroneously inserted data and therefore could potentially affect research findings. However, few affordable strategies for their prevention are available...

..6, p < 0.0001). Integration of information flow between EMR modules can help improve documentation and potentially prevent adverse drug events...

..045) compared to controls.Consequences of EMR errors may not be obvious. Studies that directly examine clinical outcomes are necessary to identify categories of EMR errors likely to cause patient harm...

..The program's system-based focus encourages providers to develop solutions within the existing framework of clinic resources, primarily targeting work flows and processes, while minimizing large expenditures on additional staffing...

..Additional teaching is provided in the form of frequently asked questions answered by domain experts...

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