scholarly journals Resistance to Electronic Medical Records (EMRs): A Barrier to Improved Quality of Care

10.28945/846 ◽  
2005 ◽  
Vol 2 ◽  
pp. 494-504 ◽  
Author(s):  
David B. Meinert
Keyword(s):  
Quality Of Care ◽  
Electronic Medical Records ◽  
Medical Records

Electronic medical records: Assessment of recorded cancer stage in support of quality of care.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 129-129
Author(s):  
Gregory P. Hess
Keyword(s):  
Quality Of Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Positive Impact ◽  
Significant Proportion ◽  
Malignant Neoplasm ◽  
Cancer Stage ◽  
Underlying Assumption ◽  
Data Field

129 Background: Electronic medical records (EMRs) are being increasingly adopted in part driven by reports of their positive impact on patient’s quality of care. An underlying assumption is that data recorded will be relatively complete. As a field of primary importance, this study assessed the frequency with which cancer stage was recorded within an EMR data field during a historical and recent 12-month period. A random sample of records with missing stage was assessed to identify at a qualitative level reasons that stage may be omitted. Methods: Two datasets were constructed. The first comprised of oncology EMRs from 77 practices covering 476 sites of care across 34 states from 1/1/2000-12/31/2010. The second dataset from 58 practices covering 391 sites of care across 37 states. Inclusion criteria required patients to have a valid visit (i.e., not simply ‘scheduled’) and ≥ 1 diagnosis of a primary, malignant, neoplasm (except brain or spine). All data fields utilized to record stage (stage I, II, etc.) or from which stage could be reliably derived (T, M, N fields) were defined as "recorded." Practices were not required to exist in each dataset. Recorded stage by age, gender, state, and payer type was also assessed. Results: Reasons reported for absent stage within the data field included: consult visit only, written in the progress notes, text present in a scanned report, stage X (insufficient information), continuing treatment initiated elsewhere, and missing entry error. Conclusions: A significant proportion of cancer patients may not have stage recorded in the designated, searchable, data field within an EMR. The frequency of recorded stage is increasing over time. Reasons for unpopulated stage field(s) include use of nonsearchable text entries, scanned reports, and short episodes of care. Further research is needed to validate the observations in this study, determine root causes, and employ appropriate solutions. [Table: see text]

scholarly journals Electronic Medical Records and Diabetes Quality of Care: Results From a Sample of Family Medicine Practices

2007 ◽  
Vol 5 (3) ◽  
pp. 209-215 ◽  
Author(s):  
J. C. Crosson ◽  
P. A. Ohman-Strickland ◽  
K. A. Hahn ◽  
B. DiCicco-Bloom ◽  
E. Shaw ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Family Medicine ◽  
Electronic Medical Records ◽  
Medical Records

scholarly journals Resistance to Electronic Medical Records (EMRs): A Barrier to Improved Quality of Care

10.28945/2896 ◽  
2005 ◽  
Author(s):  
David Meinert
Keyword(s):  
Quality Of Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Healthcare Sector ◽  
Great Promise ◽  
Successful Implementation ◽  
Attitudes And Beliefs ◽  
Physician Perceptions ◽  
Widespread Adoption

While most industries have aggressively leveraged information technology (IT) to improve quality and reduce costs the healthcare sector has lagged behind. Electronic Medical Records (EMRs) hold great promise for improving quality of care yet widespread adoption is lacking. Physician acceptance is critical to widespread adoption of ambulatory EMRs, yet there is little independent research on physician perceptions. This paper attempts to address this void by reporting the results of a study of physician perceptions related to EMRs in a large, multi-specialty clinic. Physician perceptions of select EMR functions and general attitudes and beliefs are reported. While the importance and anticipated utilization of EMR functions varied, nearly 80 percent of the respondents felt an EMR should be implemented. The findings have implications for both vendors attempting to design and market EMR systems and physician executives and practice managers seeking to solicit support for EMR adoption and/or develop a successful implementation strategy.

Utility of Electronic Medical Records in Community Rheumatology Practice for Assessing Quality of Care Indicators for Gout

2018 ◽  
Vol 24 (2) ◽  
pp. 75-79 ◽  
Author(s):  
Augusto Estrada ◽  
Nicole W. Tsao ◽  
Alyssa Howren ◽  
John M. Esdaile ◽  
Kamran Shojania ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Rheumatology Practice

scholarly journals Widespread gaps in the quality of care for primary biliary cholangitis in UK

2021 ◽  
pp. flgastro-2020-101713
Author(s):  
Mathuri Sivakumar ◽  
Akash Gandhi ◽  
Eathar Shakweh ◽  
Yu Meng Li ◽  
Niloufar Safinia ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Medical Records ◽  
Clinical Symptoms ◽  
Primary Biliary Cholangitis ◽  
Cholestatic Liver Disease ◽  
Patient Demographics ◽  
Risk Patients ◽  
Wide Scale ◽  
The Uk

ObjectivePrimary biliary cholangitis (PBC) is a progressive, autoimmune, cholestatic liver disease affecting approximately 15 000 individuals in the UK. Updated guidelines for the management of PBC were published by The European Association for the Study of the Liver (EASL) in 2017. We report on the first national, pilot audit that assesses the quality of care and adherence to guidelines.DesignData were collected from 11 National Health Service hospitals in England, Wales and Scotland between 2017 and 2020. Data on patient demographics, ursodeoxycholic acid (UDCA) dosing and key guideline recommendations were captured from medical records. Results from each hospital were evaluated for target achievement and underwent χ2 analysis for variation in performance between trusts.Results790 patients’ medical records were reviewed. The data demonstrated that the majority of hospitals did not meet all of the recommended EASL standards. Standards with the lowest likelihood of being met were identified as optimal UDCA dosing, assessment of bone density and assessment of clinical symptoms (pruritus and fatigue). Significant variations in meeting these three standards were observed across UK, in addition to assessment of biochemical response to UDCA (all p<0.0001) and assessment of transplant eligibility in high-risk patients (p=0.0297).ConclusionOur findings identify a broad-based deficiency in ‘real-world’ PBC care, suggesting the need for an intervention to improve guideline adherence, ultimately improving patient outcomes. We developed the PBC Review tool and recommend its incorporation into clinical practice. As the first audit of its kind, it will be used to inform a future wide-scale reaudit.

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