scholarly journals The Computerized Medical Record as a Tool for Clinical Governance in Australian Primary Care

2013 ◽  
Vol 2 (2) ◽  
pp. e26 ◽  
Author(s):  
Christopher Martin Pearce ◽  
Simon de Lusignan ◽  
Christine Phillips ◽  
Sally Hall ◽  
Joanne Travaglia
Keyword(s):  
Primary Care ◽  
Medical Record ◽  
Clinical Governance ◽  
Computerized Medical Record

Lessons Learned From a Pilot Project on Telemedicine Advance Care Planning in an Urban Geriatric Primary Care Office

2021 ◽  
pp. 104990912110369
Author(s):  
Olivia M. Seecof ◽  
Molly Allanoff ◽  
John Liantonio ◽  
Susan Parks
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Medical Record ◽  
Advance Care Planning ◽  
Pilot Project ◽  
Lessons Learned ◽  
Care Planning ◽  
Geriatric Population ◽  
Advance Care ◽  
Primary Care Office

Purpose: There is a dearth of literature regarding the documentation of advance care planning (ACP) in the geriatric population, despite the controversial, yet well-studied need for ACP. The purpose of this pilot study was to provide an update to a prior study from our institution that outlined the need for increased documentation of advance care planning (ACP) in an urban geriatric population. Methods: Our study involved using telemedicine to conduct dedicated ACP visits and an electronic medical record (EMR) note-template specifically designed for these visits in an attempt to increase the amount of documented ACP in the EMR in this population. Results: The study did not yield significant results due to the inability to schedule enough patients for these dedicated visits. Discussion: While our study was ultimately unsuccessful, 3 crucial lessons were identified that will inform and fuel future interventions by the authors to further the study of documentation of ACP.

scholarly journals Electronic medical record use in pediatric primary care

2011 ◽  
Vol 18 (1) ◽  
pp. 38-44 ◽  
Author(s):  
Alexander G Fiks ◽  
Evaline A Alessandrini ◽  
Christopher B Forrest ◽  
Saira Khan ◽  
A Russell Localio ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Pediatric Primary Care

scholarly journals Ethnicity Recording in Primary Care Computerised Medical Record Systems: An Ontological Approach

2017 ◽  
Vol 23 (4) ◽  
pp. 799 ◽  
Author(s):  
Zayd Tippu ◽  
Ana Correa ◽  
Harshana Liyanage ◽  
David Burleigh ◽  
Andrew McGovern ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Record ◽  
Routine Data ◽  
Mapping Method ◽  
Relative Increase ◽  
White Ethnicity ◽  
Ontological Approach ◽  
Mapping Process ◽  
Performance System ◽  
The Uk

Background Ethnicity recording within primary care computerised medical record (CMR) systems is suboptimal, exacerbated by tangled taxonomies within current coding systems.Objective To develop a method for extending ethnicity identification using routinely collected data.Methods We used an ontological method to maximise the reliability and prevalence of ethnicity information in the Royal College of General Practitioner’s Research and Surveillance database. Clinical codes were either directly mapped to ethnicity group or utilised as proxy markers (such as language spoken) from which ethnicity could be inferred. We compared the performance of our method with the recording rates that would be identified by code lists utilised by the UK pay for the performance system, with the help of the Quality and Outcomes Framework (QOF).Results Data from 2,059,453 patients across 110 practices were included. The overall categorisable ethnicity using QOF codes was 36.26% (95% confidence interval (CI): 36.20%–36.33%). This rose to 48.57% (CI:48.50%–48.64%) using the described ethnicity mapping process. Mapping increased across all ethnic groups. The largest increase was seen in the white ethnicity category (30.61%; CI: 30.55%–30.67% to 40.24%; CI: 40.17%–40.30%). The highest relative increase was in the ethnic group categorised as the other (0.04%; CI: 0.03%–0.04% to 0.92%; CI: 0.91%–0.93%).Conclusions This mapping method substantially increases the prevalence of known ethnicity in CMR data and may aid future epidemiological research based on routine data.

The Computerized Medical Record: The Next Frontier

2006 ◽  
Vol 166 (11) ◽  
pp. 1234
Author(s):  
Steven Safyer ◽  
Eran Bellin
Keyword(s):  
Medical Record ◽  
Computerized Medical Record
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