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US Veterans Affairs indefinitely suspends $10B Cerner system
A $10 billion Oracle Cerner project has ground to an indefinite halt following repeated problems with the rollout of electronic health records, some of which have caused physical harm to patients. In a major blow to Oracle’s healthcare ambitions, the Department of Veterans Affairs — the…#oraclecerner #oracle #clinicians #denismcdonough #veterans #neilevans #ussenatecommittee #veteransaffairs #cerner #davidcase (Source: Reuters: Health)
Source: Reuters: Health - April 24, 2023 Category: Consumer Health News Source Type: news

Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety - Seeburger EF, Gonzales R, South EC, Friedman AB, Agarwal AK.
IMPORTANCE: Emergency nurses experience high levels of workplace violence during patient interactions. Little is known about the efficacy of behavioral flags, which are notifications embedded within electronic health records (EHRs) as a tool to promote cli... (Source: SafetyLit)
Source: SafetyLit - April 22, 2023 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Disseminating child abuse clinical decision support among commercial electronic health records: effects on clinical practice - Feldstein DA, Barata I, McGinn T, Heineman E, Ross J, Kaplan D, Bullaro F, Khan S, Kuehnel N, Berger RP.
The objective of ... (Source: SafetyLit)
Source: SafetyLit - April 19, 2023 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Development and internal validation of a prediction model for falls using electronic health records in a hospital setting - Dormosh N, Damoiseaux-Volman BA, van der Velde N, Medlock SK, Romijn JA, Abu-Hanna A.
OBJECTIVE: Fall prevention is important in many hospitals. Current fall-risk-screening tools have limited predictive accuracy specifically for older inpatients. Their administration can be time-consuming. A reliable and easy-to-administer tool is desirable... (Source: SafetyLit)
Source: SafetyLit - April 17, 2023 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

VA Pauses Rollout of $16 Billion Health Record System
Secretary of Veterans Affairs Denis McDonough says he believes a contract should have marked accountability. The Department of Veterans Affairs is holding up further rollout of a problem-plagued, multibillion-dollar electronic health record system as the contract is renegotiated. Officials from…#oraclecorp (Source: Reuters: Health)
Source: Reuters: Health - April 14, 2023 Category: Consumer Health News Source Type: news

Use of Sepsis Clinical Prediction Models to Improve Patient Care
Sepsis, a dysregulated host response to infection resulting in organ failure, is the single largest contributor to mortality and cost in hospitals in the US. Because timely identification and treatment of patients at risk for sepsis is associated with improved outcomes, accelerating the initiation of sepsis care is important. In this issue of JAMA Internal Medicine, Lyons et al1 report on an evaluation of the performance of a proprietary sepsis prediction model (Epic Sepsis Model [ESM]) across 9 hospitals and 806 696 encounters within a single health system. The ESM is a machine learning-based prediction model designed to ...
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Predicting future falls in older people using natural language processing of general practitioners' clinical notes - Dormosh N, Schut MC, Heymans MW, Maarsingh O, Bouman J, van der Velde N, Abu-Hanna A.
BACKGROUND: Falls in older people are common and morbid. Prediction models can help identifying individuals at higher fall risk. Electronic health records (EHR) offer an opportunity to develop automated prediction tools that may help to identify fall-prone... (Source: SafetyLit)
Source: SafetyLit - April 9, 2023 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

NLM Technical Bulletin, Mar-Apr 2023, Getting the Right Information to Patients Using MedlinePlus Connect: On-Demand Class Updated
MedlinePlus Connect is a tool that enables the integration of MedlinePlus patient education resources into external systems like electronic health record systems, patient portals, and other applications. (Source: NLM Technical Bulletin)
Source: NLM Technical Bulletin - April 6, 2023 Category: Databases & Libraries Source Type: news

Air Pollution May Be Increasing the Risk of Dementia, Study Says
It’s no secret that air pollution can contribute to a number of health conditions, including heart disease and respiratory conditions. Less widely known is that it could play a role in declining cognition as well. In a study published in BMJ, researchers at the Harvard T. H. Chan School of Public Health provide what they call the “best estimate” of how much air pollution may be contributing to dementia risk. Analyzing more than 50 studies that tracked air pollutants and dementia cases, the scientists found that the risk of dementia increased by 4% for every 2 microgram/cubic meter increase of particulates...
Source: TIME: Health - April 5, 2023 Category: Consumer Health News Authors: Alice Park Tags: Uncategorized Disease healthscienceclimate Source Type: news

The Unspoken Reason Why Many Doctors and Nurses Are Quitting
On a recent shift, I arrived to find our emergency department full and our waiting room overflowing with suffering patients. Half of our ER beds were occupied by “boarders”—patients who were ill enough to require hospital admission, but with no inpatient bed available for them in our hospital, or at any other in the state. These boarding patients included a seriously ill infant with respiratory distress from RSV, a moribund elderly woman on a ventilator, and a teenaged boy who had been held under security watch in the ER for three straight days, waiting for transfer to a psychiatric bed. In the hour after...
Source: TIME: Health - March 31, 2023 Category: Consumer Health News Authors: Dr. Gita Pensa Tags: Uncategorized freelance health Source Type: news

A New Way to Gauge Suicide Risk? A New Way to Gauge Suicide Risk?
A type of artificial intelligence may offer a new way to flag suicide risk based on information in clinical notes from electronic health records, new research suggests.Medscape Medical News (Source: Medscape Psychiatry Headlines)
Source: Medscape Psychiatry Headlines - March 23, 2023 Category: Psychiatry Tags: Psychiatry News Source Type: news

Predicting workplace violence in the emergency department based on electronic health record data - Lee H, Yun H, Choi M, Kim H.
INTRODUCTION: Emergency departments are extremely vulnerable to workplace violence, and emergency nurses are frequently exposed to workplace violence. We developed workplace violence prediction models using machine learning methods based on data from elect... (Source: SafetyLit)
Source: SafetyLit - March 18, 2023 Category: International Medicine & Public Health Tags: Jurisprudence, Laws, Legislation, Policies, Rules Source Type: news

Associations between natural language processing-enriched social determinants of health and suicide death among US veterans - Mitra A, Pradhan R, Melamed RD, Chen K, Hoaglin DC, Tucker KL, Reisman JI, Yang Z, Liu W, Tsai J, Yu H.
IMPORTANCE: Social determinants of health (SDOHs) are known to be associated with increased risk of suicidal behaviors, but few studies use SDOHs from unstructured electronic health record notes. OBJECTIVE: To investigate associations between veter... (Source: SafetyLit)
Source: SafetyLit - March 17, 2023 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Prevalence of self-inflicted injuries among transgender and gender diverse adolescents and young adults compared to their peers: an examination of interaction with mental health morbidity - Pampati S, Dana Flanders W, Zhang Q, Ahmedani BK, Bhasin S, Getahun D, Lash TL, McCracken C, Sandberg DE, Silverberg MJ, Tangpricha V, Vupputuri S, Goodman M.
PURPOSE: Compare occurrence of self-inflicted injuries among transgender and gender diverse (TGD) youth to that of their cisgender peers while accounting for mental health diagnoses. METHODS: Review of electronic health records from three integrate... (Source: SafetyLit)
Source: SafetyLit - March 15, 2023 Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

Update on Sepsis Epidemiology in the Era of COVID-19
Timely and accurate data on the epidemiology of sepsis is essential to inform public policy, clinical practice, and research priorities. Recent studies have illuminated several ongoing questions about sepsis epidemiology, including the incidence and outcomes of sepsis in non-Western countries and in specialized populations such as surgical patients, patients with cancer, and the elderly. There have also been new insights into the limitations of current surveillance methods using administrative data and increasing experience tracking sepsis incidence and outcomes using “big data” approaches that take advantage of detail...
Source: Current Awareness Service for Health (CASH) - March 14, 2023 Category: Consumer Health News Source Type: news