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EHR innovations

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15 papers 0 to 25 followers
Melissa J Palmer, Sharmani Barnard, Pablo Perel, Caroline Free
BACKGROUND: Cardiovascular disease (CVD) is a major cause of disability and mortality globally. Premature fatal and non-fatal CVD is considered to be largely preventable through the control of risk factors via lifestyle modifications and preventive medication. Lipid-lowering and antihypertensive drug therapies for primary prevention are cost-effective in reducing CVD morbidity and mortality among high-risk people and are recommended by international guidelines. However, adherence to medication prescribed for the prevention of CVD can be poor...
June 22, 2018: Cochrane Database of Systematic Reviews
Frank Pandolfe, Adam Wright, Warner V Slack, Charles Safran
Objective: Identify barriers impacting the time consuming and error fraught process of medication reconciliation. Design and implement an electronic medication management system where patient and trusted healthcare proxies can participate in establishing and maintaining an inclusive and up-to-date list of medications. Methods: A patient-facing electronic medication manager was deployed within an existing research project focused on elder care management funded by the AHRQ, InfoSAGE, allowing patients and patients' proxies the ability to build and maintain an accurate and up-to-date medication list...
August 1, 2018: Journal of the American Medical Informatics Association: JAMIA
Srinivas R Mummadi, Raghavendra Mishra
Objective: To study the association between Electronic Health Record (EHR)/Computerized Physician Order Entry (CPOE) provider price display, and domains of healthcare quality (efficiency, effective care, patient centered care, patient safety, equitable care, and timeliness of care). Methods: Randomized and non-randomized studies assessing the relationship between healthcare quality domains and EHR/CPOE provider price display published between 1/1/1980 to 2/1/2018 were included...
September 1, 2018: Journal of the American Medical Informatics Association: JAMIA
Michael Shoffeitt, Holly Lanham
No abstract text is available yet for this article.
June 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Nathan G Cortez, I Glenn Cohen, Aaron S Kesselheim
Medicine may stand at the cusp of a mobile transformation. Mobile health, or "mHealth," is the use of portable devices such as smartphones and tablets for medical purposes, including diagnosis, treatment, or support of general health and well-being. Users can interface with mobile devices through..
July 24, 2014: New England Journal of Medicine
Caroline Lubick Goldzweig, Greg Orshansky, Neil M Paige, Ali Alexander Towfigh, David A Haggstrom, Isomi Miake-Lye, Jessica M Beroes, Paul G Shekelle
BACKGROUND: Patient portals tied to provider electronic health record (EHR) systems are increasingly popular. PURPOSE: To systematically review the literature reporting the effect of patient portals on clinical care. DATA SOURCES: PubMed and Web of Science searches from 1 January 1990 to 24 January 2013. STUDY SELECTION: Hypothesis-testing or quantitative studies of patient portals tethered to a provider EHR that addressed patient outcomes, satisfaction, adherence, efficiency, utilization, attitudes, and patient characteristics, as well as qualitative studies of barriers or facilitators, were included...
November 19, 2013: Annals of Internal Medicine
Enid Montague
No abstract text is available yet for this article.
July 2014: Primary Health Care Research & Development
Issa J Dahabreh, David M Kent
No abstract text is available yet for this article.
July 2014: JAMA: the Journal of the American Medical Association
Thomas J Hwang, Florence T Bourgeois, John D Seeger
The Internet is increasingly redefining the ways in which people interact with information related to their health. The Pew Internet Project estimates that more than half of all Americans sought health information online in 2013, mostly through search engines such as Google and websites such as..
June 26, 2014: New England Journal of Medicine
Smisha Agarwal, Alain Labrique
No abstract text is available yet for this article.
July 16, 2014: JAMA: the Journal of the American Medical Association
Andrew J Gawron, William K Thompson, Rajesh N Keswani, Luke V Rasmussen, Abel N Kho
OBJECTIVES: The objectives of this study were to use an open-source natural language-processing tool (NLP) to accurately assess total, anatomic (left and right colon), and advanced adenoma detection rates (ADRs) and to determine how these metrics differ between high- and low-performing endoscopists. METHODS: An NLP tool was developed using the Apache Unstructured Information Management Architecture and queried all procedure records for screening colonoscopies performed in patients aged 50-75 years at a single institution from April 1998 to December 2013...
December 2014: American Journal of Gastroenterology
Christine A Sinsky, John W Beasley, Greg E Simmons, Richard J Baron
No abstract text is available yet for this article.
May 20, 2014: Annals of Internal Medicine
Sara Muller
No abstract text is available yet for this article.
April 2014: Family Practice
Christine A Sinsky, Rachel Willard-Grace, Andrew M Schutzbank, Thomas A Sinsky, David Margolius, Thomas Bodenheimer
We highlight primary care innovations gathered from high-functioning primary care practices, innovations we believe can facilitate joy in practice and mitigate physician burnout. To do so, we made site visits to 23 high-performing primary care practices and focused on how these practices distribute functions among the team, use technology to their advantage, improve outcomes with data, and make the job of primary care feasible and enjoyable as a life's vocation. Innovations identified include (1) proactive planned care, with previsit planning and previsit laboratory tests; (2) sharing clinical care among a team, with expanded rooming protocols, standing orders, and panel management; (3) sharing clerical tasks with collaborative documentation (scribing), nonphysician order entry, and streamlined prescription management; (4) improving communication by verbal messaging and in-box management; and (5) improving team functioning through co-location, team meetings, and work flow mapping...
May 2013: Annals of Family Medicine
Beverly B Green, Ching-Yun Wang, Melissa L Anderson, Jessica Chubak, Richard T Meenan, Sally W Vernon, Sharon Fuller
BACKGROUND: Screening decreases colorectal cancer (CRC) incidence and mortality, yet almost half of age-eligible patients are not screened at recommended intervals. OBJECTIVE: To determine whether interventions using electronic health records (EHRs), automated mailings, and stepped increases in support improve CRC screening adherence over 2 years. DESIGN: 4-group, parallel-design, randomized, controlled comparative effectiveness trial with concealed allocation and blinded outcome assessments...
March 5, 2013: Annals of Internal Medicine
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