scholarly journals Clinically Excellent Use of the Electronic Health Record: Review

10.2196/10426 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e10426 ◽  
Author(s):  
Leah Wolfe ◽  
Margaret Smith Chisolm ◽  
Fuad Bohsali
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Electronic Health ◽  
Record Review

scholarly journals Patients with unexplained mismatch repair deficiency are interested in updated genetic testing

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Jessica Omark ◽  
Eduardo Vilar ◽  
Y Nancy You ◽  
Leslie Dunnington ◽  
Sarah Noblin ◽  
...  
Keyword(s):  
Genetic Testing ◽  
Electronic Health Record ◽  
Mismatch Repair ◽  
Family Members ◽  
Health Record ◽  
Mismatch Repair Deficiency ◽  
Repair Deficiency ◽  
Perceived Impact ◽  
Electronic Health ◽  
Record Review

Abstract Background Individuals who have colorectal or endometrial cancers displaying loss of immunohistochemical staining of one or more mismatch repair proteins without an identifiable causative germline pathogenic variant have unexplained mismatch repair deficiency (UMMRD). Comprehensive germline genetic testing for Lynch syndrome (LS) includes sequencing and deletion/duplication analysis of MLH1, MSH2, MSH6, and PMS2, deletion analysis of EPCAM, and MSH2 inversion analysis. Updated genetic testing to include elements of comprehensive LS testing not previously completed could further clarify LS status in individuals with UMMRD, allowing for tailored screening guidelines for affected individuals and their family members. However, patient understanding of the potential impact of updated genetic testing for LS is unclear. This study aimed to evaluate the interest in and perceived impact of updated genetic testing among individuals with UMMRD at a tertiary academic center. Methods A survey evaluating interest in and perceived impact of updated genetic testing was mailed to 98 potential participants. Electronic health record review was completed for all individuals meeting eligibility criteria. Thirty-one individuals responded to the survey. Results Results indicate this population is highly interested in updated genetic testing with the perceived impact being primarily for family members to have appropriate genetic testing and screening. Electronic health record review indicates that clinicians have an evolving understanding of causes of UMMRD, representing a potential change in assessment of cancer risk. Conclusions Updated risk assessment and genetic counseling with a discussion of the benefits and limitations of germline and somatic genetic testing, is essential as the understanding of UMMRD and genetic testing recommendations for this population evolve.

Benefits of Both Physical Assessment and Electronic Health Record Review to Assess Frailty Prior to Heart Transplant

2021 ◽  
Author(s):  
Yoon Kyung Lee ◽  
Marina Shukman ◽  
Reshma Biniwale ◽  
Abbas Ardehali ◽  
Megan Kamath ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Heart Transplant ◽  
Health Record ◽  
Physical Assessment ◽  
Electronic Health ◽  
Record Review

Intensive Multidisciplinary Intervention for Young Children with Feeding Tube Dependence and Chronic Food Refusal: An Electronic Health Record Review

2020 ◽  
Vol 223 ◽  
pp. 73-80.e2 ◽  
Author(s):  
William G. Sharp ◽  
Valerie M. Volkert ◽  
Kathryn H. Stubbs ◽  
Rashelle C. Berry ◽  
Michele Cole Clark ◽  
...  
Keyword(s):  
Young Children ◽  
Electronic Health Record ◽  
Feeding Tube ◽  
Health Record ◽  
Food Refusal ◽  
Multidisciplinary Intervention ◽  
Electronic Health ◽  
Record Review

Business: The Electronic Health Record: Front Line Experience

2011 ◽  
Vol 21 (1) ◽  
pp. 18-22
Author(s):  
Rosemary Griffin
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Health Record ◽  
Financial Incentives ◽  
Best Practice ◽  
Health Care Systems ◽  
The United States ◽  
Health Record ◽  
Health Trends ◽  
Electronic Health

National legislation is in place to facilitate reform of the United States health care industry. The Health Care Information Technology and Clinical Health Act (HITECH) offers financial incentives to hospitals, physicians, and individual providers to establish an electronic health record that ultimately will link with the health information technology of other health care systems and providers. The information collected will facilitate patient safety, promote best practice, and track health trends such as smoking and childhood obesity.

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