scholarly journals Medical History Taking Using Electronic Medical Records: A Systematic Review

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Luis Lino ◽  
Henrique Martins
Keyword(s):  
Systematic Review ◽  
Medical History ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Medical History Taking ◽  
History Taking

The value of medical history taking as risk indicator for tuboperitoneal pathology: a systematic review

2009 ◽  
Vol 116 (5) ◽  
pp. 612-625 ◽  
Author(s):  
FY Luttjeboer ◽  
HR Verhoeve ◽  
HJ van Dessel ◽  
F van der Veen ◽  
BWJ Mol ◽  
...  
Keyword(s):  
Systematic Review ◽  
Medical History ◽  
Medical History Taking ◽  
Risk Indicator ◽  
History Taking

scholarly journals EXPERT ASSESSMENT OF MEDICAL RECORDS MAINTENANCE FOR OUT-PATIENT ORAL SURGERY PROCEDURES

2018 ◽  
Vol 22 (1) ◽  
pp. 57-60
Author(s):  
Zulfiya Mustakimovna Izmaylova ◽  
L. E Smirnova ◽  
V. D Vagner
Keyword(s):  
Medical History ◽  
Medical Record ◽  
Dental Care ◽  
Medical Records ◽  
Oral Surgery ◽  
Medical History Taking ◽  
Expert Assessment ◽  
History Taking ◽  
Record Review

The paper presents a protocol of medical record review used for control of adequate medical history taking, diagnostics, care and rehabilitation thus improving the quality of dental care in patients undergoing oral surgery procedures.

Do Electronic Medical Records Improve Advance Directive Documentation? A Systematic Review

2018 ◽  
Vol 36 (3) ◽  
pp. 255-263 ◽  
Author(s):  
Christopher Lemon ◽  
Michael De Ridder ◽  
Mohamed Khadra
Keyword(s):  
Systematic Review ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Planning Process ◽  
Assessment Tool ◽  
Controlled Trial ◽  
Decision Aids ◽  
Automatic Identification ◽  
Cross Sectional ◽  
Identification Software

Background: Documentation rates of advance directives (ADs) remain low. Using electronic medical records (EMRs) could help, but a synthesis of evidence is currently lacking. Objectives: To evaluate the evidence for using EMRs in documenting ADs and its implications for overcoming challenges associated with their use. Design: Systematic review of articles in English, published from inception of databases to December 2017. Data Sources: PubMed, PsycINFO, EMBASE, and CINAHL. Methods/Measurements: Four databases were searched from inception to December 2017. Randomized and nonrandomized quantitative studies examining the effects of EMRs on creation, storage, or use of ADs were included. All featured an advance care planning process. Evidence was evaluated using the Cochrane Collaboration’s risk assessment tool. Results: Fifteen studies were included: 1 randomized controlled trial, 1 randomized pilot, 4 pre–post studies, 4 cross-sectional studies, 1 retrospective cohort study, 1 historical control study, 1 retrospective observational study, 1 retrospective review, and 1 evaluation of an EMR feature. Seven studies showed that EMR-based reminders, AD templates, and decision aids can improve AD documentation rates. Three demonstrated that EMR search functions, decision aids, and automatic identification software can help identify patients who have or need ADs according to certain criteria. Five showed EMRs can create documentation challenges, including locating ADs, and making some patients more likely than others to have an AD. Most studies had an unclear or high risk of bias. Conclusions: Limited evidence suggests EMRs could be used to help address AD documentation challenges but may also create additional problems. Stronger evidence is needed to more conclusively determine how EMR may assist in population approaches to improving AD documentation.

Exploring early interprofessional socialization: a pilot study of student’s experiences in medical history taking

2020 ◽  
pp. 1-8 ◽  
Author(s):  
Christine Arnold ◽  
Sarah Berger ◽  
Nadine Gronewold ◽  
Denise Schwabe ◽  
Burkhard Götsch ◽  
...  
Keyword(s):  
Pilot Study ◽  
Medical History ◽  
Medical History Taking ◽  
History Taking

scholarly journals Validity of medical history taken by pharmacists using a medical history taking tool

2017 ◽  
Vol 18 (6) ◽  
pp. 403-408 ◽  
Author(s):  
Aya Matsushita ◽  
Junji Haruta ◽  
Madoka Tsutumi ◽  
Takuya Sato ◽  
Tetsuhiro Maeno
Keyword(s):  
Medical History ◽  
Medical History Taking ◽  
History Taking
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