scholarly journals The "Epic" Challenge of Optimizing Antimicrobial Stewardship: The Role of Electronic Medical Records and Technology

2013 ◽  
Vol 57 (7) ◽  
pp. 1005-1013 ◽  
Author(s):  
R. Kullar ◽  
D. A. Goff ◽  
L. T. Schulz ◽  
B. C. Fox ◽  
W. E. Rose
Keyword(s):  
Electronic Medical Records ◽  
Antimicrobial Stewardship ◽  
Medical Records

Mammography Use among Black Women: The Role of Electronic Medical Records

2009 ◽  
Vol 18 (8) ◽  
pp. 1153-1162 ◽  
Author(s):  
Cheryl R. Clark ◽  
Nashira Baril ◽  
Marycarmen Kunicki ◽  
Natacha Johnson ◽  
Jane Soukup ◽  
...  
Keyword(s):  
Black Women ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Mammography Use

The role of electronic medical records in improving the quality of health care services: Comparative study

2019 ◽  
Vol 127 ◽  
pp. 63-67 ◽  
Author(s):  
Omar Ayaad ◽  
Aladeen Alloubani ◽  
Eyad Abu ALhajaa ◽  
Mohammad Farhan ◽  
Sami Abuseif ◽  
...  
Keyword(s):  
Health Care ◽  
Comparative Study ◽  
Electronic Medical Records ◽  
Quality Of Health Care ◽  
Medical Records ◽  
Health Care Services ◽  
Care Services

Informed Consent and Biobanks

2005 ◽  
Vol 33 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Ellen Wright Clayton
Keyword(s):  
Information Technology ◽  
Informed Consent ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Clinical Information ◽  
Information Resources ◽  
Biomedical Science ◽  
Research Setting ◽  
The Past

Biomedical research has always relied on access to human biological materials and clinical information, resources that when combined form biobanks. In the past, it appears that investigators sometimes used these resources with relatively little oversight, and without the consent of the individuals from whom these materials and information were obtained. Several developments in the last ten to fifteen years have converged to place greater emphasis on the role of individual consent in the creation and use of biobanks. The most important by far is the power of information technology, which has transformed our lives in almost every domain. In the research setting, it is now easy to abstract information from electronic medical records. Computers make it possible to analyze enormous datasets and have contributed in essential ways to the dramatic increases in our understanding of genomics and other areas of biomedical science.

scholarly journals The Role of DICOM in Artificial Intelligence for Skin Disease

2021 ◽  
Vol 7 ◽  
Author(s):  
Liam J. Caffery ◽  
Veronica Rotemberg ◽  
Jochen Weber ◽  
H. Peter Soyer ◽  
Josep Malvehy ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Electronic Medical Records ◽  
Skin Disease ◽  
Medical Records ◽  
Digital Health ◽  
Dicom Standard ◽  
Considerable Effort ◽  
Technological Transformation ◽  
Clinical Dermatology

There is optimism that artificial intelligence (AI) will result in positive clinical outcomes, which is driving research and investment in the use of AI for skin disease. At present, AI for skin disease is embedded in research and development and not practiced widely in clinical dermatology. Clinical dermatology is also undergoing a technological transformation in terms of the development and adoption of standards that optimizes the quality use of imaging. Digital Imaging and Communications in Medicine (DICOM) is the international standard for medical imaging. DICOM is a continually evolving standard. There is considerable effort being invested in developing dermatology-specific extensions to the DICOM standard. The ability to encode relevant metadata and afford interoperability with the digital health ecosystem (e.g., image repositories, electronic medical records) has driven the initial impetus in the adoption of DICOM for dermatology. DICOM has a dedicated working group whose role is to develop a mechanism to support AI workflows and encode AI artifacts. DICOM can improve AI workflows by encoding derived objects (e.g., secondary images, visual explainability maps, AI algorithm output) and the efficient curation of multi-institutional datasets for machine learning training, testing, and validation. This can be achieved using DICOM mechanisms such as standardized image formats and metadata, metadata-based image retrieval, and de-identification protocols. DICOM can address several important technological and workflow challenges for the implementation of AI. However, many other technological, ethical, regulatory, medicolegal, and workforce barriers will need to be addressed before DICOM and AI can be used effectively in dermatology.

scholarly journals India Antimicrobial Stewardship and Resistance (INTEREST): A Needs Assessment Survey

2020 ◽  
Vol 41 (S1) ◽  
pp. s297-s298
Author(s):  
Aditya Shah ◽  
John OHoro ◽  
Varun Shah ◽  
Taru Dutt ◽  
Sanjiv Shah ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Antimicrobial Stewardship ◽  
Medical Records ◽  
Online Survey ◽  
Data Access ◽  
Diagnostic Techniques ◽  
Easy Access ◽  
Hospital Inpatient ◽  
Stewardship Program ◽  
Microbiological Data

Background: The emergence and spread of antimicrobial resistance is a major problem in India with significant knowledge on whether this is a systems–based, prescriber and patient characteristic based or diagnostic technologies–based issue. Methods: An electronic survey was sent to select distribution list of intensive care units (ICU) and hospital inpatient (medicine ward) providers from India. Survey questions included antimicrobial clinical practice data, access to electronic medical records, microbiological diagnostic techniques, and access to microbiology data. The survey focused on antimicrobial prescription trends and their association with diagnostic techniques. Results: There were 90 responses from 18 states in 65 ZIP codes. They had median of 187.5 beds (IQR, 40–470). Representative responders had a median age of 40 years (IQR, 31–53). Among the responders, 73 (81%) were men. Of the 90 responses, 48 providers (52%) practiced solely in ICUs (medical and surgical) and 40 providers (45%) practiced solely on the medical ward or floor, with the rest practicing in other units. In total, 31 centers (34%) reported full access to electronic medical records, and 53 centers (59%) had access to wi-fi or Internet. Interestingly, 27 centers (30%) needed to use personal provider phone data for Internet access. Only 26 centers (29%) had electronic microbiological data. Also, 63 respondents (70%) agreed to de-escalation behavior after receiving microbiological data. In addition, 55 respondents (61%) agreed that patients have easy access to outpatient antibiotics without an appropriate prescription, over the counter. Furthermore, 58 responders (64%) said that antibiotic resistance was a major problem at their center, and 61 responders (68%) were familiar with antimicrobial stewardship programs. Among the centers, 69 (77%) had no access to formal infectious disease programs at their center. Only 27 centers (30%) had a formal Clostridium difficile–associated infection reporting and control program. Only 28 centers (31%) had a formal occupational health program. Conclusions: In a large-scale, semistructured, online survey, most issues related to easy availability of antibiotics and lack of “electronization” of medical and microbiological records. It was reassuring that most providers expressed knowledge of the existing antimicrobial stewardship program.Funding: NoneDisclosures: None

scholarly journals The Emerging Role of Electronic Medical Records in Pharmacogenomics

2011 ◽  
Vol 89 (3) ◽  
pp. 379-386 ◽  
Author(s):  
R A Wilke ◽  
H Xu ◽  
J C Denny ◽  
D M Roden ◽  
R M Krauss ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records
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