computerized medical records systems
Summary: Computer-based systems for input, storage, display, retrieval, and printing of information contained in a patient's medical record.
Articles from Journal RESEARCH
Articles from Journal RESEARCH1
Publications261 found, 100 shown here
- Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic reviewRainu Kaushal
Division of General Internal Medicine, Brigham and Women s Hospital, Partners HealthCare System, Boston, Mass, USA
Arch Intern Med 163:1409-16. 2003..Iatrogenic injuries related to medications are common, costly, and clinically significant. Computerized physician order entry (CPOE) and clinical decision support systems (CDSSs) may reduce medication error rates...
- Improving safety with information technologyDavid W Bates
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
N Engl J Med 348:2526-34. 2003
- Electronic medical record systems, data quality and loss to follow-up: survey of antiretroviral therapy programmes in resource-limited settingsMathieu Forster
Institute of Social and Preventive Medicine, University of Bern, Switzerland
Bull World Health Organ 86:939-47. 2008....
- The impact of computerized physician order entry on medication error preventionD W Bates
Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
J Am Med Inform Assoc 6:313-21. 1999..A small proportion do have the potential to cause injury, and some cause preventable adverse drug events...
- A cost-benefit analysis of electronic medical records in primary careSamuel J Wang
Department of Information Systems, Partners HealthCare System, Boston, Massachusetts 02481, USA
Am J Med 114:397-403. 2003..Implementation of an electronic medical record system in primary care can result in a positive financial return on investment to the health care organization. The magnitude of the return is sensitive to several key factors...
- Implementing information systems in health care organizations: myths and challengesM Berg
Institute of Health Policy and Management, Erasmus University Rotterdam, L4 117, PO Box 1738, 3000 DR Rotterdam, The Netherlands
Int J Med Inform 64:143-56. 2001..Accepting, and even drawing upon, this inevitable uncertainty might be the hardest lesson to learn...
- The use of routinely collected computer data for research in primary care: opportunities and challengesSimon de Lusignan
Primary Care Informatics, Division of Community Health Sciences, St George s Hospital Medical School, London, UK
Fam Pract 23:253-63. 2006..This paper reviews how data are stored in primary care computer systems; current use of large primary care research databases; and, the opportunities and challenges for using routinely collected primary care data in research...
- Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysisKaveh G Shojania
Ottawa Health Research Institute and Department of Medicine, University of Ottawa, Ottawa, Ontario
JAMA 296:427-40. 2006..There have been numerous reports of interventions designed to improve the care of patients with diabetes, but the effectiveness of such interventions is unclear...
- Comparison of methodologies for calculating quality measures based on administrative data versus clinical data from an electronic health record system: implications for performance measuresPaul C Tang
Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301, USA
J Am Med Inform Assoc 14:10-5. 2007..Using data from EHRs will also leverage their clinical content without adding burden to the care process...
- e-Prescribing, efficiency, quality: lessons from the computerization of UK family practiceCharles P Schade
West Virginia Medical Institute, Charleston, WV 25304, USA
J Am Med Inform Assoc 13:470-5. 2006..These features include electronic prescribing, improved quality and consistency of care, practice efficiencies that have both timesaving and revenue generating effects, and potential shielding from malpractice claims...
- Data mining and clinical data repositories: Insights from a 667,000 patient data setIrene M Mullins
Department of Public Health Sciences, University of Virginia Health System, Charlottesville, VA, USA
Comput Biol Med 36:1351-77. 2006..The initial results from this study suggest that these approaches have the potential to expand research capabilities through identification of potentially novel clinical disease associations...
- Integrated electronic decision support increases cardiovascular disease risk assessment four fold in routine primary care practiceSue Wells
School of Population Health, University of Auckland, Auckland, New Zealand
Eur J Cardiovasc Prev Rehabil 15:173-8. 2008..A web-based decision support system (PREDICT-CVD), integrated with primary care electronic medical record software was developed as one strategy to address this problem...
- Physicians and electronic health records: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 167:507-12. 2007..Electronic health records (EHRs) allow for a variety of functions, ranging from visit documentation to laboratory test ordering, but little is known about physicians' actual use of these functions...
- Who uses the patient internet portal? The PatientSite experienceSaul N Weingart
Stoneman Center for Quality Improvement, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, MA 02115, USA
J Am Med Inform Assoc 13:91-5. 2006..Although the patient Internet portal is a potentially transformative technology, there is little scientific information about the demographic and clinical characteristics of portal enrollees and the features that they access...
- Mayo clinic NLP system for patient smoking status identificationGuergana K Savova
Biomedical Informatics Research, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA
J Am Med Inform Assoc 15:25-8. 2008..Our general medical natural language engine is easily adaptable to a real-world medical informatics application. Some of the limitations as applied to the use-case are negation detection and temporal resolution...
- "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary careEric G Poon
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Mass 02120, USA
Arch Intern Med 164:2223-8. 2004..Therefore, we sought to identify problems in current test result management systems and possible ways to improve these systems...
- Patient experiences and attitudes about access to a patient electronic health care record and linked web messagingAndrea Hassol
Abt Associates Inc, Cambridge, MA 02138, USA
J Am Med Inform Assoc 11:505-13. 2004..The objective of our study was to evaluate patients' values and perceptions regarding Web-based communication with their primary care providers in the context of access to their electronic health care record...
- Patient-perceived usefulness of online electronic medical records: employing grounded theory in the development of information and communication technologies for use by patients living with chronic illnessWarren J Winkelman
Centre for Global e Health Innovation, University Health Network, R Fraser Elliott Building, 4th Floor, 190 Elizabeth Street, Toronto, Ontario, Canada
J Am Med Inform Assoc 12:306-14. 2005..The purpose of this study is to discover how patients living with chronic inflammatory bowel disease (IBD) value Internet-based patient access to electronic patient records...
- The HL7 Clinical Document ArchitectureR H Dolin
Kaiser Permanente, La Palma, California 90623, USA
J Am Med Inform Assoc 8:552-69. 2001..The HL7 mission is to develop standards that enable semantic interoperability across all platforms. The HL7 version 3 family of standards, including the CDA, are moving us closer to the realization of this vision...
- Correlates of electronic health record adoption in office practices: a statewide surveySteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, Sixth Floor, Boston, MA 02215, USA
J Am Med Inform Assoc 14:110-7. 2007..We sought to measure the correlates of EHR adoption...
- Kaiser Permanente's experience of implementing an electronic medical record: a qualitative studyJ Tim Scott
School of Management, University of St Andrews, St Andrews KY16 9SS
BMJ 331:1313-6. 2005..To examine users' attitudes to implementation of an electronic medical record system in Kaiser Permanente Hawaii...
- The AMPATH medical record system: creating, implementing, and sustaining an electronic medical record system to support HIV/AIDS care in western KenyaWilliam M Tierney
Indiana University School of Medicine and the Regenstrief Institute, Indianapolis, Indiana, USA
Stud Health Technol Inform 129:372-6. 2007..g., tracing patients who fail to return for appointments), strategic planning (e.g., hiring health care providers and staff), reports to national AIDS programs and funding agencies, and research...
- Identifying patients with a cancer diagnosis using general practice medical records and Cancer Registry dataShane W Pascoe
Centre for Primary Health Care and Equity, University of New South Wales, Sydney 2052, Australia
Fam Pract 25:215-20. 2008..ii) To describe the effectiveness of search strategies to identify all patients in primary care with a cancer diagnosis compared with a diagnosis identified by a Cancer Registry...
- Extracting information on pneumonia in infants using natural language processing of radiology reportsEneida A Mendonca
Department of Biomedical Informatics, Columbia University, New York, NY 10032, USA
J Biomed Inform 38:314-21. 2005..We estimated sensitivity, specificity, and positive predictive value by comparing results with clinicians' judgments. Sensitivity was 71% and specificity was 99%. Our results demonstrated that the automated method was feasible...
- Automated detection of adverse events using natural language processing of discharge summariesGenevieve B Melton
Department of Biomedical Informatics, Columbia University, 622 West 168th Street, Vanderbilt Clinic, 5th Floor, New York, NY 10032, USA
J Am Med Inform Assoc 12:448-57. 2005..To determine whether natural language processing (NLP) can effectively detect adverse events defined in the New York Patient Occurrence Reporting and Tracking System (NYPORTS) using discharge summaries...
- Encryption characteristics of two USB-based personal health record devicesAdam Wright
Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, 3181 Sam Jackson Park Rd, Portland, OR 97239, USA
J Am Med Inform Assoc 14:397-9. 2007..This article describes the weaknesses we discovered, outlines three critical flaws with the security model used by the devices, and recommends four guidelines for improving the security of similar devices...
- Comparison of information technology in general practice in 10 countriesDenis Protti
School of Health Information Science, University of Victoria, British Columbia
Healthc Q 10:107-16. 2007..The transmission of laboratory results is the most common electronic clinical communication application...
- Physicians, patients, and the electronic health record: an ethnographic analysisWilliam Ventres
Multnomah County Health Department, Mid County Health Center, Portland, Ore 97236, USA
Ann Fam Med 4:124-31. 2006..Little is known about the effects of the electronic health record (EHR) on physician-patient encounters. The objectives of this study were to identify the factors that influence the manner by which physicians use the EHR with patients...
- Computer physician order entry: benefits, costs, and issuesGilad J Kuperman
Partners HealthCare System, Inc, Harvard Medical School, Boston, Massachusetts, USA
Ann Intern Med 139:31-9. 2003..This technology can yield many significant benefits and is an important platform for future changes to the health care system. Organizational leaders must advocate for CPOE as a critical tool in improving health care quality...
- The barriers to clinical coding in general practice: a literature reviewS de Lusignan
St George s Hospital Medical School, London, UK
Med Inform Internet Med 30:89-97. 2005..A taxonomy is proposed to describe the barriers to clinical coding. This can be used to identify barriers to coding and facilitate the development of strategies to overcome them...
- Information technology comes to medicineDavid Blumenthal
Massachusetts General Hospital and Partners Health Care System, Boston, USA
N Engl J Med 356:2527-34. 2007
- Electronic medical record use and physician-patient communication: an observational study of Israeli primary care encountersRuth Stashefsky Margalit
Department of Preventive and Societal Medicine, Section on Humanities and Law, University of Nebraska Medical Center, 986075 Nebraska Medical Center, Omaha, 68198 6075, USA
Patient Educ Couns 61:134-41. 2006..This study examines the relationships between the extent of electronic medical record use and physician-patient communication within the context of Israeli primary care...
- Resistance is futile: but it is slowing the pace of EHR adoption nonethelessEric W Ford
Rawls College of Business, Health Organization Management, Texas Tech University, MS2101, Lubbock, TX 79409, USA
J Am Med Inform Assoc 16:274-81. 2009..The study recreates and extends the analyses conducted by Ford et al. (1) The two periods examined come before and after the U.S. Federal Government's concerted activity to promote EHR adoption...
- Coordinating care--a perilous journey through the health care systemThomas Bodenheimer
Department of Family and Community Medicine, University of California at San Francisco, San Francisco General Hospital, San Francisco, USA
N Engl J Med 358:1064-71. 2008
- Comparing hand-held computers and paper diaries for haemophilia home therapy: a randomized trialI Walker
Department of Medicine McMaster University, Hamilton, ON, Canada
Haemophilia 10:698-704. 2004..Although hand-held computers did not result in increased accuracy, errors could be detected and corrected more rapidly. Electronic data can more easily be verified, analysed and summarized than that from paper diaries...
- Personal health records: definitions, benefits, and strategies for overcoming barriers to adoptionPaul C Tang
Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301, USA
J Am Med Inform Assoc 13:121-6. 2006..This paper summarizes the College Symposium discussions on PHR systems and provides definitions, system characteristics, technical architectures, benefits, barriers to adoption, and strategies for increasing adoption...
- Computerized physician order entry and medication errors in a pediatric critical care unitAmy L Potts
Department of Pharmaceutical Services, Vanderbilt Children s Hospital, Nashville, Tennessee 37212 1565, USA
Pediatrics 113:59-63. 2004..The objective of this study was to evaluate the impact of CPOE on the frequency of errors in the medication ordering process in a pediatric critical care unit (PCCU)...
- How common are electronic health records in the United States? A summary of the evidenceAshish K Jha
Harvard School of Public Health, Boston, Massachusetts, USA
Health Aff (Millwood) 25:w496-507. 2006..Large gaps in knowledge, including information about EHR use among safety-net providers, pose critical challenges for the development of policies aimed at speeding adoption...
- Potential of electronic personal health recordsClaudia Pagliari
Division of Community Health Sciences, GP Section, University of Edinburgh, Edinburgh EH8 9DX
BMJ 335:330-3. 2007
- Accuracy of data in computer-based patient recordsW R Hogan
Center for Biomedical Informatics, University of Pittsburgh, PA, USA
J Am Med Inform Assoc 4:342-55. 1997..As CPR data are used increasingly for research, methods used in research databases to continuously monitor and improve accuracy should be applied to CPRs...
- Electronic health records should support clinical researchJohn Powell
J Med Internet Res 7:e4. 2005..Major benefits to patient care could ensue given sufficient development of the care-research interface via electronic records...
- Using a personal digital assistant enhances gathering of patient data on an acute pain management service: a pilot studyElizabeth G VanDenKerkhof
Department of Anesthesiology, Kingston General Hospital, Queen s University, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada
Can J Anaesth 50:368-75. 2003..The purpose of this study was to assess one physician's experience using acute pain assessment software on a personal digital assistant (PDA) to assess patients on an acute pain management service (APMS)...
- Evaluation of the content coverage of SNOMED CT: ability of SNOMED clinical terms to represent clinical problem listsPeter L Elkin
Division of General Internal Medicine, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905 USA
Mayo Clin Proc 81:741-8. 2006..To evaluate the ability of SNOMED CT (Systematized Nomenclature of Medicine Clinical Terms) version 1.0 to represent the most common problems seen at the Mayo Clinic in Rochester, Minn...
- Computerized physician order entry: helpful or harmful?Robert G Berger
University of North Carolina School of Medicine, UNC Health Care System, CB 7280, Chapel Hill, NC 27599, USA
J Am Med Inform Assoc 11:100-3. 2004..Installation of such systems could actually increase the number of adverse drug events and result in higher overall medical costs, particularly in the first few years of their adoption...
- Meeting patients' needs with patient information systems: potential benefits of qualitative research methodsM Berg
Institute of Health Policy and Management, Erasmus University Rotterdam, L4-117, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands
Int J Med Inform 64:1-14. 2001....
- Alternatives to project-specific consent for access to personal information for health research: what is the opinion of the Canadian public?Donald J Willison
Centre for Evaluation of Medicines, St Joseph s Healthcare, 105 Main Street East, P1, Hamilton, Ontario, Canada
J Am Med Inform Assoc 14:706-12. 2007..This study sought to determine public opinion on alternatives to project-specific consent for use of their personal information for health research...
- Prior health care utilization as a potential determinant of enrollment in a 21-year prospective study, the Millennium Cohort StudyTimothy S Wells
Biomechanics Branch, Air Force Research Laboratory, Wright Patterson Air Force Base, Building 824, Dayton, OH, USA
Eur J Epidemiol 23:79-87. 2008....
- The use of electronic medical records: communication patterns in outpatient encountersG Makoul
Program in Communication and Medicine, Northwestern University Medical School, Chicago, Illinois 60611, USA
J Am Med Inform Assoc 8:610-5. 2001..To assess physician-patient communication patterns associated with use of an electronic medical record (EMR) system in an outpatient setting and provide an empirical foundation for larger studies...
- The electronic patient record in primary care--regression or progression? A cross sectional studyJulia Hippisley-Cox
Division of General Practice, Nottingham University, Nottingham NG7 2RD
BMJ 326:1439-43. 2003..To determine whether paperless medical records contained less information than paper based medical records and whether that information was harder to retrieve...
- Electronic health records in outpatient clinics: perspectives of third year medical studentsEmran Rouf
Department of Family Medicine, University of Kansas School of Medicine, Kansas City, Kansas, USA
BMC Med Educ 8:13. 2008..We report third year medical students' attitudes towards clinical learning using the electronic health record in ambulatory primary care clinics...
- Exploring challenges and potentials of personal health records in diabetes self-management: implementation and initial assessmentRachel Hess
Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Telemed J E Health 13:509-17. 2007..Patients are responsive to technology. Future work should focus on diabetes-related outcomes assessment and intensifying interventions...
- A research agenda for personal health records (PHRs)David C Kaelber
Partners HealthCare Information Systems, Boston MA, USA
J Am Med Inform Assoc 15:729-36. 2008..We believe that additional PHR research can increase the likelihood that future PHR system deployments will beneficially impact healthcare costs, quality, and efficiency...
- Patients' experience with a diabetes support programme based on an interactive electronic medical record: qualitative studyJames D Ralston
Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101 1448, USA
BMJ 328:1159. 2004..To describe the experiences of patients with type 2 diabetes in a web based disease management programme based on an interactive electronic medical record...
- Randomized controlled trial of an automated problem list with improved sensitivityStephane M Meystre
Department of Biomedical Informatics, University of Utah, School of Medicine, Salt Lake City, UT 84112 5750, USA
Int J Med Inform 77:602-12. 2008....
- Determinants of success of inpatient clinical information systems: a literature reviewM J van der Meijden
Department of Medical Informatics, Maastricht University, The Netherlands
J Am Med Inform Assoc 10:235-43. 2003..Our review points out the need for more thorough evaluations of patient care information systems that look at a wide range of factors that can affect the relative success or failure of these systems...
- Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record SystemJoseph K Rotich
Moi University Faculty of Health Sciences, Eldoret, Kenya
J Am Med Inform Assoc 10:295-303. 2003..This simple electronic medical record system has bridged the "digital divide." Financial and technical sustainability by Kenyans will be key to its future use and development...
- Can electronic medical record systems transform health care? Potential health benefits, savings, and costsRichard Hillestad
RAND, Santa Monica, California, USA
Health Aff (Millwood) 24:1103-17. 2005..However, this is unlikely to be realized without related changes to the health care system...
- Internet health information use and e-mail access by parents attending a paediatric emergency departmentR D Goldman
Division of Pediatric Emergency Medicine, The Hospital for Sick Children, Department of Pediatrics, University of Toronto, Canada
Emerg Med J 23:345-8. 2006..To document internet access and health related usage patterns by families of children in a large paediatric emergency department (ED), and to discover if parents want the internet to become a tool for transferring medical test results...
- Primary care computing in England and Scotland: a comparison with DenmarkDenis Protti
Health Informatics, University of Victoria, British Columbia, Canada
Inform Prim Care 14:93-9. 2006..The historical forces and factors which influenced the development of primary care computing are identified and discussed...
- Taking it to the streets: recording medical outreach data on personal digital assistantsDavid S Buck
Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX 77098, USA
Comput Inform Nurs 23:250-5. 2005..This outcome precipitated a new study to test the feasibility of tablet personal computers loaded with a custom-designed software application specific to the needs of homeless street patients...
- Probabilistic record linkage is a valid and transparent tool to combine databases without a patient identification numberNora Méray
Academic Medical Centrum AMC, Department of Medical Informatics, Amsterdam, The Netherlands
J Clin Epidemiol 60:883-91. 2007..These registries do not share a unique identification number...
- Temporal reasoning with medical data--a review with emphasis on medical natural language processingLi Zhou
Department of Biomedical Informatics, Columbia University, New York, NY 10032, USA
J Biomed Inform 40:183-202. 2007....
- A case for manual entry of structured, coded laboratory data from multiple sources into an ambulatory electronic health recordCatherine J Staes
Department of Medical Informatics, University of Utah, Salt Lake City, 84111, USA
J Am Med Inform Assoc 13:12-5. 2006..We encountered regulatory, logistic, economic, and data quality issues that should be of interest to others developing similar applications...
- The clinical document architecture and the continuity of care record: a critical analysisJeffrey M Ferranti
Division of Newborn Intensive Care, Department of Pediatrics, Duke University Medical Center, Box 3179, Durham, NC 27710 0001, USA
J Am Med Inform Assoc 13:245-52. 2006....
- Patients' attitudes to the summary care record and HealthSpace: qualitative studyTrisha Greenhalgh
Department of Primary Care and Population Sciences, University College London, London N19 5LW
BMJ 336:1290-5. 2008....
- Electronic health record components and the quality of careSalomeh Keyhani
Geriatrics Research, Education, and Clinical Center, James J Peters Veterans Administration Medical Center, Bronx, New York, USA
Med Care 46:1267-72. 2008..Electronic health records (EHRs) have been promoted as an important tool to improve quality of care. We examined the association between EHR components, a complete EHR, and the quality of care...
- Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and resident physiciansPeter J Embi
Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA
J Am Med Inform Assoc 11:300-9. 2004..The authors conducted a qualitative study to determine the perceived impacts of CPD among faculty and housestaff in a VAMC...
- The validity of viral hepatitis and chronic liver disease diagnoses in Veterans Affairs administrative databasesJ R Kramer
Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX, USA
Aliment Pharmacol Ther 27:274-82. 2008..The validity of International Classification of Diseases-9 codes for liver disease has not been determined...
- A survey of validity and utility of electronic patient records in a general practiceA Hassey
Fisher Medical Centre, Millfields, Skipton BD23 1EU
BMJ 322:1401-5. 2001..To develop methods of measuring the validity and utility of electronic patient records in general practice...
- Validation of an electronic surveillance system for acute lung injuryVitaly Herasevich
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
Intensive Care Med 35:1018-23. 2009..We aimed to determine the accuracy of computerized syndrome surveillance for detection of ALI in hospitalized patients and compare it with routine clinical assessment...
- Implementation of an electronic medical record system in previously computer-naïve primary care centres: a pilot study from CyprusGeorge Samoutis
Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece
Inform Prim Care 15:207-16. 2007..We describe the development of an EMR system and its pilot implementation and evaluation in two previously computer-naïve public primary care centres in Cyprus...
- Patients' attitudes towards sharing their health informationRichard Whiddett
Department of Information Systems, Massey University, Palmerston North, New Zealand
Int J Med Inform 75:530-41. 2006..This research investigated (1) the attitudes of patients toward sharing their medical information and (2) whether patients considered themselves to be well-informed about the uses that are made of their information...
- Access to electronic health records in primary care-a survey of patients' viewsCecilia Pyper
National Primary Care Career Scientist, Department of Public Health, University of Oxford and General Practitioner, Bury Knowle Health Centre, Oxford, United Kingdom
Med Sci Monit 10:SR17-22. 2004..The aim of the study was to explore the views of a large sample of patients about online access to EPRs and health information in primary care. Areas covered included: accuracy rights of access; security; confidentiality and smart cards...
- Enterprise-wide PACS: beyond radiology, an architecture to manage all medical imagesDavid Bandon
Service of Medical Informatics, University Hospitals of Geneva, Switzerland
Acad Radiol 12:1000-9. 2005..To address the various situations encountered in the imaging specialties, the traditional architecture used for the radiology department has to evolve...
- 21st-century health care: the effect of computer use by physicians on patient satisfaction at a family medicine clinicGregory M Garrison
Department of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA
Fam Med 34:362-8. 2002..This study assessed patients' views of computer use and its effect on patient satisfaction in a family medicine clinic before and after implementation of an electronic environment developed by our institution...
- Medicine. Reestablishing the researcher-patient compactIsaac S Kohane
Center for Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA
Science 316:836-7. 2007
- Barriers to proliferation of electronic medical recordsIgnacio Valdes
Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas, USA
Inform Prim Care 12:3-9. 2004..Proliferation of standard electronic health records/ electronic medical records (EHR/EMR) software is an essential precursor of this integration. Proliferation of EHR/EMR software has not occurred in the United States...
- Impact of an electronic medical record on quality of care in a primary care officeJ M Gill
Christiana Care Health System, Newark, Delaware, USA
Del Med J 73:187-94. 2001..7 percent to 55.1 percent). CONCLUSION: Implementation of a primary care EMR was associated with a substantial increase in completion of recommended preventive care across a broad spectrum of interventions and populations...
- How to limit clinical errors in interpretation of dataP Wright
School of Psychology, Cardiff University, UK
Lancet 352:1539-43. 1998..This article examines how evidence-based principles of information design can be applied to medical records to enhance clinical understanding and accuracy in interpretation of the detailed data that they contain...
- A model of DICOM-based electronic patient record in radiation therapyMaria Y Y Law
Department of Optometry and Radiography, The Hong Kong Polytechnic University, Hung Hom, Hong Kong Shanghai Institute of Technical Physics, Chinese Academy of Sciences, China
Comput Med Imaging Graph 29:125-36. 2005..The system used a DICOM-based RT archive server as a common platform for archival of all RT related information including images and the web technology for distribution and viewing of the patient electronic record...
- Overcoming structural constraints to patient utilization of electronic medical records: a critical review and proposal for an evaluation frameworkWarren J Winkelman
Centre for Global eHealth Innovation, University Health Network, Department of Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada M5G 2C4
J Am Med Inform Assoc 11:151-61. 2004..Critically rooted methods such as action research can directly inform development strategies so that these systems may positively influence health outcomes...
- Patients, diagnoses and processes in general practice in the Nordic countries. An attempt to make data from computerised medical records available for comparable statisticsA Grimsmo
Community Health Research Centre, Surnadal, Norway
Scand J Prim Health Care 19:76-82. 2001..To try out a collection of a standard set of data from computerised medical records...
- Personally controlled online health data--the next big thing in medical care?Robert Steinbrook
N Engl J Med 358:1653-6. 2008
- Electronic health records in ambulatory care--a national survey of physiciansCatherine M DesRoches
Institute for Health Policy, Massachusetts General Hospital, Boston 02114, USA
N Engl J Med 359:50-60. 2008..This study assessed physicians' adoption of outpatient electronic health records, their satisfaction with such systems, the perceived effect of the systems on the quality of care, and the perceived barriers to adoption...
- Textual content, health problems and diagnostic codes in electronic patient records in general practiceGunnar Nilsson
Department of Clinical Science, Family Medicine Stockholm, Karolinska Institutet, Stockholm, Sweden
Scand J Prim Health Care 21:33-6. 2003..To investigate textual content, health problems and diagnostic codes in everyday electronic patient records...
- Digital imaging and electronic patient records in pathology using an integrated department information system with PACSThomas Kalinski
Institute of Pathology, Otto von Guericke University, Magdeburg, Germany
Pathol Res Pract 198:679-84. 2002..Moreover, we evaluate the current situation and future prospects for PACS in pathology...
- A vocabulary development and visualization tool based on natural language processing and the mining of textual patient reportsCarol Friedman
Department of Medical Informatics, Columbia University, 622 West 168 Street, VC 5 Bldg, New York, NY 10032, USA
J Biomed Inform 36:189-201. 2003....
- A comparison of the completeness and timeliness of automated electronic laboratory reporting and spontaneous reporting of notifiable conditionsJ Marc Overhage
Regenstrief Institute, 410 W 10th St, Suite 2000, Indianapolis, IN 46202 3012, USA
Am J Public Health 98:344-50. 2008..We examined whether automated electronic laboratory reporting of notifiable-diseases results in information being delivered to public health departments more completely and quickly than is the case with spontaneous, paper-based reporting...
- Computerized physician order entry and online decision supportJonathan A Handler
Department of Emergency Medicine, Northwestern University School of Medicine, Chicago, IL 60611, USA
Acad Emerg Med 11:1135-41. 2004..DSS and CPOE hold great promise to improve patient care, but not all systems are equal. Evidence must guide these efforts, and the measured outcomes must consider the many factors of quality care...
- The integration of medical images with the electronic patient record and their web-based distributionH Munch
German Cancer Research Center, Medical and Biological Informatics Division, Im Neuenheimer Feld 280, D 69120 Heidelberg, Germany
Acad Radiol 11:661-8. 2004..This integration has been successfully tested using three different commercial RIS and HIS products...
- Confidentiality issues for medical data minersJules J Berman
Pathology Informatics Cancer Diagnosis Program, DCTD, NCI, NIH, EPN Room 6028, 6130 Executive Building, Rockville, MD 20892, USA
Artif Intell Med 26:25-36. 2002..This article also describes some of the innovative computational remedies that will permit researchers to conduct research AND share their data without risk to patient or institution...
- Using electronic health records to help coordinate careLynda C Burton
Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Baltimore, MD 21205, USA
Milbank Q 82:457-81, table of contents. 2004....
- Comparison of handheld computer-assisted and conventional paper chart documentation of medical records. A randomized, controlled trialDirk Stengel
Clinical Epidemiology Division, Department of Orthopedic and Trauma Surgery, Ernst Moritz Arndt University, Friedrich Loeffler Strasse 23b, 17489 Greifswald, Germany
J Bone Joint Surg Am 86:553-60. 2004..The purpose of the present study was to determine whether the introduction of a handheld computer could improve both the quantitative and qualitative aspects of medical records...
- Assessing the level of healthcare information technology adoption in the United States: a snapshotEric G Poon
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
BMC Med Inform Decis Mak 6:1. 2006..Comprehensive knowledge about the level of healthcare information technology (HIT) adoption in the United States remains limited. We therefore performed a baseline assessment to address this knowledge gap...
- The impact of electronic health records on time efficiency of physicians and nurses: a systematic reviewLise Poissant
Clinical and Health Informatics Research Group, McGill University, Morrice House, 1140 Pine Ave West, Montreal Quebec, Canada H3A 1A3
J Am Med Inform Assoc 12:505-16. 2005..It also identified how the selection of bedside or central station desktop EHRs may influence documentation time for the two main user groups, physicians and nurses...
- Development of an assessment tool to measure the influence of clinical software on the delivery of high quality consultations. A study comparing two computerized medical record systems in a nurse run heart clinic in a general practice settingS de Lusignan
Primary Care Informatics, Department of General Practice and Primary Care, St George s Hospital Medical School, London, UK
Med Inform Internet Med 27:267-80. 2002..With further refinement, this rating scale may become a useful tool that will inform software developers of the effectiveness of their programmes in the consultation, and suggest where they need development...
- Patients should have to opt out of national electronic care records: AGAINSTJohn D Halamka
Harvard Medical School, 1135 Tremont, Boston, MA 02120, USA
BMJ 333:41-2. 2006
- Safety of medications prescribed before and during early pregnancy in a cohort of 81,975 mothers from the UK General Practice Research DatabaseJanet R Hardy
Division of Preventive and Behavioral Medicine, University of Massachusetts School of Medicine, Worcester, MA 01655, USA
Pharmacoepidemiol Drug Saf 15:555-64. 2006..To demonstrate a linkage methodology for mother and baby automated medical records, and describe frequency, type, and pregnancy risk level of medications prescribed during pregnancy in a GPRD cohort, 1991-1999...
- The openEHR Java reference implementation projectRong Chen
Department of Biomedical Engineering, Linkoping University, Sweden
Stud Health Technol Inform 129:58-62. 2007..The Java Implementation has been important for the validation and improvement of the openEHR design specifications and provides building blocks for future EHR systems...
- Effect of the implementation of an enterprise-wide Electronic Health Record on productivity in the Veterans Health AdministrationDwight C Evans
Loma Linda University School of Medicine, Loma Linda, USA
Health Econ Policy Law 1:163-9. 2006..Successful national EHR implementation was achieved by 1999, since when the VHA has been able to increase its productivity by nearly 6 per cent per year...
- Accuracy and completeness of electronic patient records in primary careAzeem Majeed
Fam Pract 25:213-4. 2008
- Outcomes of Community Naturopathic Medical Care for Type 2 DiabetesDaniel C Cherkin; Fiscal Year: 2010..If the results of this observational study are promising, a randomized controlled trial evaluating naturopathic care for diabetes will be proposed. ..
- Adherence and the Economics of Colon Cancer ScreeningJohn Inadomi; Fiscal Year: 2009..Barriers to screening identified through this study will form the basis of future novel programs to increase CRC screening adherence. ..
- Comprehensive Approach to Family Weight ManagementJudith Wylie-Rosett; Fiscal Year: 2012..abstract_text> ..
- Cohort Study of Medication Adherence Among Older AdultsMarie Krousel Wood; Fiscal Year: 2009....
- Race and Long-Term Diabetes Self-Management in an HMODennis Ross Degnan; Fiscal Year: 2004..0) and the incidence of diabetes-related complications over the nine-year study period. ..
- Medical History, Medications, and Pancreatic Cancer RiskMARGARET MANDELSON; Fiscal Year: 2004..abstract_text> ..
- OUTCOMES OF LEGISLATED INCREASES IN MATERNITY STAYSStephen Soumerai; Fiscal Year: 2000..Subgroup analyses on vulnerable populations (e.g., poorer, less educated, teenage mothers) will be conducted to determine whether these policies might have had differential effects on these at-risk populations. ..
- ASSESSING THE PERFORMANCE OF ALTERNATIVE RISK ADJUSTERSLisa Iezzoni; Fiscal Year: 2001..abstract_text> ..
- ADHERENCE TO ANTIHYPERTENSIVE THERAPY:DATA ANALYSESPeter Choo; Fiscal Year: 2000..abstract_text> ..
- PREVENTIVE SERVICE REMINDERS: PATIENTS' PERSPECTIVESSteven Ornstein; Fiscal Year: 1992..After completion of this project, the investigators plan to seek additional support to evaluate the redesigned patient reminder system in a randomized clinical trial...
- FEMALE EMPLOYMENT PATTERNS, LIFE STAGE AND HEALTH STATUSJudith Hibbard; Fiscal Year: 1990..The analyses will begin with simple cross-sectional bivariate approaches and move to multivariate longitudinal methods such as analysis of variance with repeated measures, path analysis and logistic regression...
- COMPUTERIZED MEDICAL RECORDS SYSTEMDOV KAUFMAN; Fiscal Year: 1990..the medical records includes order entry, nurse worksheets, medical logs, results entry, and nurse observation...
- Relationship between Depression and Diabetes Self-CareKARA BAMBAUER; Fiscal Year: 2004..We will also stratify analyses by type of drug therapy (i.e., insulin only, combination insulin/oral drug therapy, or oral hypoglycemic only) to control for severity of illness. ..
- Hospital and Community Acquired Acute Renal FailureGlenn Chertow; Fiscal Year: 2006..This study will efficiently inform the Nephrology community by providing a foundation of fundamental information (ARF definitions, incidence, consequences and costs) upon which a clinical trials network can be built. ..
- MENTAL HEALTH SERVICES FOR ARRESTEES WITH MENTAL ILLNESSRani Desai; Fiscal Year: 2000..Multivariate methods will be utilized to adjust for the confounding effects of diagnosis, comorbidity, criminal charges, and socio-demographic characteristics. ..
- NATIONAL ASTHMA INNER CITY STUDY--TUCSON FIELD CENTERWayne Morgan; Fiscal Year: 2001..Asthma outcome measures will then be measured and compared between the two groups at 12 and 24 months. ..
- Using Information Systems to Improve Cardiac PreventionJeffrey Schnipper; Fiscal Year: 2007..Schnipper's development as an independent researcher in improving the quality of care of patients with CAD. ..
- Forging Implementation of Cancer Screening Reminder Systems (FICSRS)Adrianne Feldstein; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Reducing Clinical Inertia in Diabetes CarePATRICK O CONNOR; Fiscal Year: 2007..Results of this project will have significant clinical and policy implications. ..
- Shared Medical Records and Chronic Illness CareJames D Ralston; Fiscal Year: 2010..Results of this study will help inform the development, evaluation and dissemination of patient Web portals designed to support the care of patients with diabetes and multiple co-morbidities. ..
- Reciprocal Relationships between Diabetes and DepressionPATRICK O CONNOR; Fiscal Year: 2007..This project will provide important missing information needed to improve the care of millions of people worldwide who suffer the devastating consequences of comorbid diabetes and depression. [unreadable] [unreadable]..
- Weight in Secondary Prevention (WISP)Adrianne Feldstein; Fiscal Year: 2006..Understanding which patients will need the most support to manage weight will allow us to design the most cost-effective future programs. ..
- ORGANIZATIONAL CHARACTERISTICS AND CHRONIC DISEASE CAREPATRICK O CONNOR; Fiscal Year: 2001..Results will be relevant to policy makers, purchasers, health plans, medical groups, and clinics that are seeking to improve chronic disease care, and may suggest new intervention strategies worth further investigation. ..
- A Framework Based Clinical Documentation Evaluation MethodSAMUEL T ROSENBLOOM; Fiscal Year: 2010..The proposed project will transition the PI from his current National Library of Medicine supported period of career development to an independent informatics investigator. ..
- Alcohol Associated Outcomes Among HIV+/-Aging VeteransAmy Justice; Fiscal Year: 2002..After completing baseline enrollment, follow up will occur at 6-month intervals and new patients will be enrolled as they present for care. ..
- PHYSICIAN INTERVENTION TO IMPROVE DIABETES CAREPATRICK O CONNOR; Fiscal Year: 2002..The study will have substantial impact on clinical practice and policy whether the results are positive or negative. If successful, the interventions will be easily disseminated to other primary care practice settings. ..
- MEDIATORS OF AGE ASSOCIATED OUTCOMES IN HIV INFECTIONAmy Justice; Fiscal Year: 2002..By virtue of the requested support, the applicant believes she will gain the experience and insight needed to conduct multidisciplinary interventional studies to improve outcomes for middle-aged and older people with HIV. ..
- Pilot Trial of Peer Support for Bipolar DisorderGregory Simon; Fiscal Year: 2006..abstract_text> ..
- GENETIC TIES AND THE FUTURE OF THE FAMILYMark Rothstein; Fiscal Year: 2002..All lines of research would culminate in a major conference in the fall of 2002. The conference would be open to the public and structured to attract a diverse audience. ..
- Reducing Harm to Patients from Diagnostic ErrorsETA BERNER; Fiscal Year: 2007..To leverage AHRQ funding, additional support will be provided by registration fees, vendors, non-profit organizations and in-kind logistic support from the Society for Medical Decision Making. [unreadable] [unreadable] [unreadable]..
- META ANALYSIS OF CLINICAL INFORMATION SERVICE TRIALSE Balas; Fiscal Year: 2001..Sensitivity analysis will assess the potential modifying effect of unpublished studies on the validity of our conclusions. ..
- Sepsis and Critical Illness in Babies > 34 Weeks GestationGABRIEL ESCOBAR; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Modeling Adherence to Psychotherapy for DepressionGregory Simon; Fiscal Year: 2009..The proposed research is one component of an ongoing comprehensive program to understand and increase consumer demand for effective depression treatment. ..
- Can Longitudinal Population-Based Data Help to Personalize Depression Treatment?Gregory E Simon; Fiscal Year: 2010..We propose a set of targeted methodologic studies to prepare for a multi-site research consortium focused on predicting response to specific depression treatments. ..
- POPULATION-BASED MANAGEMENT OF DEPRESSIONGregory Simon; Fiscal Year: 2003..e. 12-18 mos) Incremental cost and cost-effectiveness of each intervention program compared to care as usual. ..
- POINT OF CARE DELIVERY OF RESEARCH EVIDENCEE Balas; Fiscal Year: 2002..This decision support system will be evaluated in a randomized controlled trial that assesses the impact of the system on adherence with care standards. ..
- Sematic Relatedness for Active Medication Safety and Outcomes SurveillanceSerguei V S Pakhomov; Fiscal Year: 2010....
- Indiana PROSPECTJOSEPH MARCUS OVERHAGE; Fiscal Year: 2010....
- Creation and demonstration of a palliative care research cooperative groupJean S Kutner; Fiscal Year: 2010....
- GENETIC INFORMATION AND LIFE INSURANCE UNDERWRITINGMark Rothstein; Fiscal Year: 2002..The conference will focus on building consensus and advancing understanding in areas of disagreement. The chapters, as well as the positions developed at the conference, will form the basis of a book to be published ..
- Interdisciplinary Understanding of Online ServicesPamela Whitten; Fiscal Year: 2004..The two-day conference will be held during the last week of January 2004 in Tampa, Florida. ..
- Epidemiology and Care of Comorbid Obesity and DepressionGregory Simon; Fiscal Year: 2006..weight loss, nutrient intake, physical activity, depressive symptoms, functional impairment and disability in the two groups of women with comorbid obesity and depression randomly assigned to the two different intervention programs ..
- Electronic Clinical Records for Medical ResearchRICHARD TANNEN; Fiscal Year: 2006..Whether particular characteristics predict concordance (or lack thereof) between results of RCTs and GPRD Studies 3. Whether GPRD Studies can verify as well as expand the generalizability of findings from RCTs. ..
- Education in Genetic Ethics ('EDGE')Mark Rothstein; Fiscal Year: 2005..The project includes a curriculum steering committee comprised of experts in the field of genetics research and genetics education, as well as select project team members, to provide on-going advance to the project. ..
- HORMONE REPLACEMENT THERAPY AND BREAST CANCERPatricia Carney; Fiscal Year: 2004..abstract_text> ..
- RISK FACTORS FOR PHENYTOIN TOXICITYSean Hennessy; Fiscal Year: 2005..abstract_text> ..
- PHARMACOGENOMICS AND MINORITY POPULATIONSMark Rothstein; Fiscal Year: 2002..abstract_text> ..
- Value of Health Information Exchange in Ambulatory CareJOSEPH OVERHAGE; Fiscal Year: 2006..unreadable] [unreadable]..
- HOW MUCH DOES SHE REALLY DRINK? AN HMO INTERVENTIONGABRIEL ESCOBAR; Fiscal Year: 2003..abstract_text> ..
- Palliative Oxygen for the Relief of BreathlessnessAmy Abernethy; Fiscal Year: 2007..The results will also advance a long-standing international debate about the role of palliative oxygen for intractable dyspnea and it's funding. [unreadable] [unreadable] [unreadable]..
- Value of Technology to Transfer Discharge InformationJAMES GRAUMLICH; Fiscal Year: 2006..The cost outcome is the physician time required to use the discharge software. ..
- Computerized Assessment of Cancer SymptomsJANET CARPENTER; Fiscal Year: 2005....
- TREATMENT PREFERENCE AND VEGETARIAN DIET IN WEIGHT LOSSLora Burke; Fiscal Year: 2005..Additionally, the study will provide information on the role of treatment preference, its effect on behavioral and clinical outcomes, and participants' characteristics by treatment preference. ..
- Disease Surveillance in Real Time: Geotemporal MethodsKenneth Mandl; Fiscal Year: 2009..Once these methods are established, they can be applied to any other meaningful set of syndromes. ..
- Consequences of Chronic Renal InsufficiencyChi yuan Hsu; Fiscal Year: 2006..These will contribute greatly to my development into an independent investigator. ..
- Clinical & Web-based Diet & Activity Counseling for MenKevin Patrick; Fiscal Year: 2006..abstract_text> ..
- Trial of Decision Support to Improve Diabetes OutcomesRANDALL CEBUL; Fiscal Year: 2006..CCF will lead the components of the study related to patient empowerment utilizing the MyChart clinical application currently being deployed at CCF. ..
- IMPROVING QUALITY OF PRIMARY CARE FOR ANXIETY DISORDERSBRUCE ROLLMAN; Fiscal Year: 2008..Furthermore, it addresses alcohol use disorders - an important public health problem never addressed before in any effectiveness study for an anxiety or a mood disorder in a primary care setting. [unreadable] [unreadable]..
- The impact of the pneumococcal conjugate vaccine on pneumonia hospitalizationsCARLOS GRIJALVA; Fiscal Year: 2008..We propose the use of NIS and SID for the evaluation of the pneumococcal conjugate vaccination program, using an innovative approach. [unreadable] [unreadable] [unreadable] [unreadable]..
- Chronic Kidney Disease with Benign Prostatic HyperplasiaANDREW RULE; Fiscal Year: 2004..Based on preliminary data, a significant association between BPH surrogate measures and CKD is expected. This study will clarify whether earlier assessment and intervention in BPH is warranted to prevent CKD. ..
- The ethics of consent for the public release of potentially identifiable DNA dataAmy McGuire; Fiscal Year: 2009..Moreover, it will increase our understanding of participants'judgments and attitudes toward data sharing, which will improve the overall conduct of biomedical research, build public trust, and foster research participation. ..
- Translating ATP III Cholesterol Management Guidelines *Charles Eaton; Fiscal Year: 2006..abstract_text> ..