scholarly journals A Way to Understand Inpatients Based on the Electronic Medical Records in the Big Data Environment

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Hongyi Mao ◽  
Yang Sun
Keyword(s):  
Electronic Medical Records ◽  
Cost Efficiency ◽  
Medical Records ◽  
Public Hospital ◽  
Total Hospital Cost ◽  
Total Hospital ◽  
Data Environment ◽  
Improve Service Quality ◽  
Continuous Use ◽  
Managerial Perspective

In recent decades, information technology in healthcare, such as Electronic Medical Record (EMR) system, is potential to improve service quality and cost efficiency of the hospital. The continuous use of EMR systems has generated a great amount of data. However, hospitals tend to use these data to report their operational efficiency rather than to understand their patients. Base on a dataset of inpatients’ medical records from a Chinese general public hospital, this study applies a configuration analysis from a managerial perspective and explains inpatients management in a different way. Four inpatient configurations (valued patients, managed patients, normal patients, and potential patients) are identified by the measure of the length of stay and the total hospital cost. The implications of the finding are discussed.

scholarly journals Perioperative Cumulative Fluid Balance and Its Association with an Increase in Costs after Major Surgery

2018 ◽  
Vol 7 (9) ◽  
pp. 227
Author(s):  
Tak Oh ◽  
Jung-Won Hwang ◽  
Young-Tae Jeon ◽  
Sang-Hwan Do
Keyword(s):  
Fluid Balance ◽  
Medical Records ◽  
Hospital Costs ◽  
Perioperative Period ◽  
Major Surgery ◽  
Total Hospital Cost ◽  
Total Hospital ◽  
Total Input ◽  
Estimated Blood Loss ◽  
Cumulative Fluid Balance

Positive fluid balance (FB) during the perioperative period may increase the incidence of postoperative complications, which may lead to longer hospitalization and higher hospital costs. However, a definitive association between positive FB and hospital costs has not yet been established. This retrospective observational study examined the association between perioperative FB and hospital costs of patients who underwent major surgical procedures. Medical records of patients who underwent major surgery (surgery time >2 h, estimated blood loss >500 mL) from January 2010 to December 2017 were analyzed to determine the associations between calculated FB (%, total input fluid—output fluid in liter/weight (kg) at admission) and total hospital cost ($). The analysis included medical data of 7010 patients. Multivariable linear regression analyses showed that a 1% increase in FB in postoperative day (POD) 0 (24 h), 0–1 (48 h), 0–2 (72 h), and 0–3 (96 h) significantly increased the total cost by $967.8 (95% confidence interval [CI]: 803.4–1132.1), $688.8 (95% CI: 566.3–811.2), $591 (95% CI: 485.7–696.4), and $434.2 (95% CI: 349.4–519.1), respectively (all p < 0.001). Perioperative cumulative FB was positively associated with hospital costs of patients who underwent major surgery.

scholarly journals Prescribing of Xylometazoline in the Outpatient Department of a Public Hospital

2021 ◽  
pp. 1-4
Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy
Keyword(s):  
Emergency Department ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Prescription Data ◽  
Sectional Study ◽  
Prescribing Pattern ◽  
Cross Sectional

Objective: The aim of this study is to analyze the prescribing pattern of Xylometazoline in the outpatient department in a public hospital. Methods: This is a retrospective cross-sectional study that was conducted in a public hospital in alkharj. Prescription data was collected from electronic medical records in the outpatient department. Results: A total of 600 patients received xylometazoline during the study time. 55% of them were males and more than 57% of them aged less than 10 years. More than 86% of the prescriptions were prescribe by the emergency department followed by E.N.T department (13%). Most of the patients received xylometazoline for 3 days and 15.17% of them received it for 5 days. Conclusion: Xylometazoline was prescribed commonly in the outpatients department and could cause several adverse events so its prescribing should be assessed continuously to prevent its adverse effects and to decrease its interactions with drugs.

scholarly journals Evaluation of Lactulose Prescribing Pattern in Outpatient Setting

2021 ◽  
pp. 33-37
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Electronic Medical Records ◽  
Health Care Professionals ◽  
Medical Records ◽  
Public Hospital ◽  
Cross Sectional Study ◽  
Outpatient Setting ◽  
Prescription Data ◽  
Efficacy And Safety ◽  
Prescribing Pattern ◽  
Cross Sectional

Aim: This study aims to describe the prescribing pattern of lactulose in the outpatient setting of a public hospital. Methodology: This is a cross-sectional study that was conducted in Alkharj city. Prescription data were collected retrospectively from electronic medical records in the outpatient setting of the hospital. Results: A total of 113 patients received lactulose in the outpatient setting of the hospital. Most of them were males (66.37%). Approximately 24% of the patients aged between 30-39 years and about 20.35% of them aged between 20-29. Most of the patients received lactulose for 7 days (70.8%). Most of the prescriptions were written by the Emergency department (84.07%). Conclusion: Lactulose prescribing was uncommon in the present study. Nevertheless, it is important to use it appropriately to increase its efficacy and safety. The patient should take it as recommended, and the health care professionals should counsel patients about their medications.

scholarly journals Comparison of ambulance usage characteristics in children between the pre-pandemic and pandemic periods in Turkey

2021 ◽  
Author(s):  
Eyüp Sarı ◽  
İshak Şan ◽  
Burak Bekgöz ◽  
HALİSE AKÇA
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Public Hospital ◽  
Traffic Accidents ◽  
Pediatric Patients ◽  
Male Gender ◽  
Medical Attention ◽  
Total Rate ◽  
The World ◽  
The Impact

Aim: A pandemic is an epidemic of an infectious disease that has spread across a large region of the world and affects many people. In this study, it was aimed to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on ambulance use by pediatric patients in ……………., Turkey. Materials and Methods: This retrospective study was conducted in the spring-summer of 2019 and 2020. The electronic medical records of pediatric patients who were transported to the hospital by ambulance were analyzed. Results: It was determined that 49.6% of the 23,201 patients included in the study were transported during the pandemic period. Male gender was higher in both the pandemic and pre-pandemic periods, there was no difference in terms of average age. The rate of forensic cases and refugee patients increased, while that of emergency patients decreased. Both the arrival at the scene time and intervention time were prolonged. Medical cause was the most common cause of emergency calls in both years, however, it increased significantly in 2020. The decrease in cases of traffic accidents, suicides, and other accidents was statistically significant. In the pandemic period, total rate of COVID-19 infection and suspicion was 29.7%. Most of the patients had been referred to a public hospital. Conclusion: It was found that most of the ambulances were used for transporting patients with minor illnesses that did not require immediate medical attention.

Adolescent Substance Use Screening Integrated With Electronic Medical Records

2014 ◽  
Author(s):  
C. McKenna ◽  
B. Gaines ◽  
C. Hatfield ◽  
S. Helman ◽  
L. Meyer ◽  
...  
Keyword(s):  
Substance Use ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Adolescent Substance Use ◽  
Adolescent Substance

Total Hospital Costs and Readmission Rate of Patient-Specific Instrument in Total Knee Arthroplasty Patients

2020 ◽  
Author(s):  
Stephen Thomas ◽  
Ankur Patel ◽  
Corey Patrick ◽  
Gary Delhougne
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Hospital Cost ◽  
Readmission Rate ◽  
Hospital Costs ◽  
Patient Specific ◽  
P Value ◽  
Total Hospital Cost ◽  
Total Hospital ◽  
Total Knee

AbstractDespite advancements in surgical technique and component design, implant loosening, stiffness, and instability remain leading causes of total knee arthroplasty (TKA) failure. Patient-specific instruments (PSI) aid in surgical precision and in implant positioning and ultimately reduce readmissions and revisions in TKA. The objective of the study was to evaluate total hospital cost and readmission rate at 30, 60, 90, and 365 days in PSI-guided TKA patients. We retrospectively reviewed patients who underwent a primary TKA for osteoarthritis from the Premier Perspective Database between 2014 and 2017 Q2. TKA with PSI patients were identified using appropriate keywords from billing records and compared against patients without PSI. Patients were excluded if they were < 21 years of age; outpatient hospital discharges; evidence of revision TKA; bilateral TKA in same discharge or different discharges. 1:1 propensity score matching was used to control patients, hospital, and clinical characteristics. Generalized Estimating Equation model with appropriate distribution and link function were used to estimate hospital related cost while logistic regression models were used to estimate 30, 60, and 90 days and 1-year readmission rate. The study matched 3,358 TKAs with PSI with TKA without PSI patients. Mean total hospital costs were statistically significantly (p < 0.0001) lower for TKA with PSI ($14,910; 95% confidence interval [CI]: $14,735–$15,087) than TKA without PSI patients ($16,018; 95% CI: $15,826–$16,212). TKA with PSI patients were 31% (odds ratio [OR]: 0.69; 95% CI: 0.51–0.95; p-value = 0.0218) less likely to be readmitted at 30 days; 35% (OR: 0.65; 95% CI: 0.50–0.86; p-value = 0.0022) less likely to be readmitted at 60 days; 32% (OR: 0.68; 95% CI: 0.53–0.88; p-value = 0.0031) less likely to be readmitted at 90 days; 28% (OR: 0.72; 95% CI: 0.60–0.86; p-value = 0.0004) less likely to be readmitted at 365 days than TKA without PSI patients. Hospitals and health care professionals can use retrospective real-world data to make informed decisions on using PSI to reduce hospital cost and readmission rate, and improve outcomes in TKA patients.

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