The Impact of Electronic Medical Records on the Process of Care: Alignment with Complexity and Clinical Focus

2020 ◽  
Author(s):  
Xin (David) Ding ◽  
Xiaosong (David) Peng
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Process Of Care ◽  
The Impact

Electronic Medical Records and Public Perceptions

2013 ◽  
Vol 8 (3) ◽  
pp. 38-57
Author(s):  
Tarik Abdel-Monem ◽  
Mitchel N. Herian ◽  
Nancy Shank
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Online Survey ◽  
Public Attitudes ◽  
Public Perceptions ◽  
Deliberative Discussion ◽  
The Impact ◽  
Opinion Polls

Public attitudes about electronic medical records (EMRs) have been primarily gauged by one-time opinion polls. The authors investigated the impact of an interactive deliberative polling process on general attitudes towards EMRs and perceptions of governmental roles in the area. An initial online survey was conducted about EMRs among a sample of respondents (n = 138), and then surveyed a sub-sample after they had engaged in a deliberative discussion about EMR issues with peers and policymakers (n = 24). Significant changes in opinions about EMRs and governmental roles were found following the deliberative discussion. Overall support for EMRs increased significantly, although concerns about security and confidentiality remained. This indicates that one way to address concerns about EMRs is to provide opportunities for deliberation with policymakers. The policy and theoretical implications of these findings are briefly discussed within.

scholarly journals The Impact of Absolute CD4 Count and Percentage Discordance on Pneumocystis Jirovecii Pneumonia Prophylaxis in HIV-Infected Patients

2018 ◽  
Vol 17 ◽  
pp. 232595821875919 ◽  
Author(s):  
Henry Anyimadu ◽  
Chandra Pingili ◽  
Vel Sivapalan ◽  
Yael Hirsch-Moverman ◽  
Sharon Mannheimer
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Secondary Prophylaxis ◽  
Cd4 Count ◽  
Pneumocystis Jirovecii ◽  
Pneumocystis Jirovecii Pneumonia ◽  
Oropharyngeal Candidiasis ◽  
Cd4 Percentage ◽  
The Impact ◽  
Current Guidelines

Current guidelines suggest that HIV-infected patients should receive chemoprophylaxis against Pneumocystis jirovecii pneumonia (PJP) if they have a cluster determinant 4 (CD4) count <200 cells/mm3 or oropharyngeal candidiasis. Persons with CD4 percentage (CD4%) below 14% should also be considered for prophylaxis. Discordance between CD4 count and CD4% occurs in 16% to 25% of HIV-infected patients. Provider compliance with current PJP prophylaxis guidelines when such discordance is present was assessed. Electronic medical records of 429 HIV-infected individuals who had CD4 count and CD4% measured at our clinic were reviewed. CD4 count and percentage discordance was seen in 57 (13%) of 429. Patients with CD4 count >200 but CD4% <14 were significantly less likely to be prescribed PJP prophylaxis compared with those who had CD4 count <200 and CD4% >14 (29% versus 86%; odds ratio = 0.064, 95% confidence interval: 0.0168-0.2436; P < .0001). We emphasize monitoring both the absolute CD4 count and percentage to appropriately guide PJP primary and secondary prophylaxis.

The Impact of Electronic Medical Records on Timeliness of Diagnosis of Asthma

2007 ◽  
Vol 44 (9) ◽  
pp. 753-758 ◽  
Author(s):  
Kwang Ha Yoo ◽  
Whitney E. Molis ◽  
Amy L. Weaver ◽  
Robert M. Jacobson ◽  
Young J. Juhn
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
The Impact

The Impact of Web 2.0 on the Doctor-Patient Relationship

2010 ◽  
Vol 38 (1) ◽  
pp. 17-26 ◽  
Author(s):  
Bernard Lo ◽  
Lindsay Parham
Keyword(s):  
Health Information ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Digital Health ◽  
The Internet ◽  
Office Visits ◽  
Internet Users ◽  
The Impact ◽  
E Mail ◽  
Stimulus Package

The hypothetical case of Mr. Jenkins illustrates innovations in digital health information technology that may profoundly change medical care and the doctorpatient relationship. The Internet contains enormous amounts of health information, and about threequarters of Internet users look online for health information. 1 Sometimes patients bring information they found on the Internet to their physicians. Physicians and patients can also now communicate by e-mail rather than by telephone or office visits, although these e-mail communications may not be integrated into the patient’s medical record. Furthermore, electronic medical records are slowly being adopted, particularly in hospitals and large integrated health systems. Funding to promote the adoption of electronic medical records (EMRs) has been included in the 2009 federal stimulus package under the Obama Administration.

Methodologic Considerations for Collecting Patient-reported Outcomes from Unselected Surgical Patients

2016 ◽  
Vol 125 (3) ◽  
pp. 495-504 ◽  
Author(s):  
Daniel L. Helsten ◽  
Arbi Ben Abdallah ◽  
Michael S. Avidan ◽  
Troy S. Wildes ◽  
Anke Winter ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Patient Reported Outcomes ◽  
Query Language ◽  
Preoperative Assessment ◽  
Surgical Patients ◽  
Clinical Workflow ◽  
Patient Reported ◽  
The Impact ◽  
E Mail

Abstract Background The impact of surgery on health is only appreciated long after hospital discharge. Furthermore, patients’ perceptions of postoperative health are not routinely ascertained. The authors instituted the Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) registry to evaluate patients’ postoperative health based on patient-reported outcomes (PROs). Methods This article describes the methods of establishing the SATISFY-SOS registry from an unselected surgical population, combining perioperative PROs with information from electronic medical records. Patients enrolled during their preoperative visit were surveyed at enrollment, 30 days, and 1-yr postoperatively. Information on PROs, including quality of life, return to work, pain, functional status, medical complications, and cognition, was obtained from online, mail, or telephone surveys. Results Using structured query language, 44,081 patients were identified in the electronic medical records as having visited the Center for Preoperative Assessment and Planning for preoperative assessment between July 16, 2012, and June 15, 2014, and 20,719 patients (47%) consented to participate in SATISFY-SOS. Baseline characteristics and health status were similar between enrolled and not enrolled patients. The response rate for the 30-day survey was 62% (8% e-mail, 73% mail, and 19% telephone) and for the 1-yr survey was 71% (13% e-mail, 78% mail, and 8% telephone). Conclusions SATISFY-SOS demonstrates the feasibility of establishing a PRO registry reflective of a busy preoperative assessment center population, without disrupting clinical workflow. Our experience suggests that patient engagement, including informed consent and multiple survey modalities, enhances PROs collection from a large cohort of unselected surgical patients. Initiatives like SATISFY-SOS could promote quality improvement, enable efficient perioperative research, and facilitate outcomes that matter to surgical patients.

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