Variable Impact of Medical Scribes on Physician Electronic Health Record Documentation Practices: A Quantitative Analysis Across a Large, Integrated Health-System
Conclusion: Although scribes may improve documentation efficiency among some physicians, not all will improve EHR-related documentation practices. Different strategies may help to optimize documentation behaviors of physician-scribe dyads and maximize outcomes of scribe implementation. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 13, 2024 Category: Primary Care Authors: Florig, S. T., Corby, S., Devara, T., Weiskopf, N. G., Gold, J. A., Mohan, V. Tags: Original Research Source Type: research

What Complexity Science Predicts About the Potential of Artificial Intelligence/Machine Learning to Improve Primary Care
Primary care physicians are likely both excited and apprehensive at the prospects for artificial intelligence (AI) and machine learning (ML). Complexity science may provide insight into which AI/ML applications will most likely affect primary care in the future. AI/ML has successfully diagnosed some diseases from digital images, helped with administrative tasks such as writing notes in the electronic record by converting voice to text, and organized information from multiple sources within a health care system. AI/ML has less successfully recommended treatments for patients with complicated single diseases such as cancer; ...
Source: Journal of the American Board of Family Medicine - May 13, 2024 Category: Primary Care Authors: Young, R. A., Martin, C. M., Sturmberg, J. P., Hall, S., Bazemore, A., Kakadiaris, I. A., Lin, S. Tags: Special Communication Source Type: research

Clinician Barriers to Ordering Pulmonary Function Tests for Adults with Suspected Asthma
Discussion: PFTs improve diagnostic accuracy and reduce inappropriate therapies. Of the barriers we identified, the most modifiable is to educate clinicians about how PFTs can change management. That in conjunction with an EHR prompt, which clinicians approved of, may lead to guideline congruent and improved quality in asthma care. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 13, 2024 Category: Primary Care Authors: Haussmann, A., Moudgal, A. N., Calzia, M., Hurley, L. P. Tags: Brief Report Source Type: research

Prospective Validation of a Simple Risk Score to Predict Hospitalization during the Omicron Phase of COVID-19
Discussion: We prospectively validated a simple risk score for primary and urgent care patients with COVID1919 that can support outpatient triage decisions around COVID-19. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 13, 2024 Category: Primary Care Authors: Ebell, M. H., Hamadani, R., Kieber-Emmons, A. Tags: Research Letter Source Type: research

The Ability of Primary Care Practices to Measure and Report on Care Quality
Conclusions: Our findings support previous reports of limited EHR reporting capabilities within smaller practices but extend these findings by demonstrating that practices with advanced capabilities in this domain are more likely to produce CQM reports. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 13, 2024 Category: Primary Care Authors: Parchman, M. L., Baldwin, L.-M., Howell, R., Hummel, J. Tags: Brief Report Source Type: research

The Impact of the COVID-19 Pandemic on Patient Disparities in Long-Term Opioid Therapy
Discussion: The use of LtOT for chronic pain in primary care has increased from before to after the COVID-19 pandemic with racial/ethnic and geographic disparities. Future research is needed to understand these disparities in LtOT and their effect on patient outcomes. (Source: Journal of the American Board of Family Medicine)
Source: Journal of the American Board of Family Medicine - May 13, 2024 Category: Primary Care Authors: Tong, S. T., Zheng, Z., Prado, M. G., West, I. I., LeMaster, J. W., Hatch, M. A., Szabo, L. S., Anastas, T. M., Ma, K. P. K., Stephens, K. A. Tags: Brief Report Source Type: research

Generalizability of a Musculoskeletal Therapist Electronic Health Record for Modelling Outcomes to Work-Related Musculoskeletal Disorders
ConclusionThe study shows the EHR has strong potential to be used for further research into WMSDs as it has a similar population to the Australian workforce, manufacturing industry and workers ’ compensation claims. It contains many variables that may be relevant in modelling outcomes to WMSDs that are not typically available in existing datasets. (Source: Journal of Occupational Rehabilitation)
Source: Journal of Occupational Rehabilitation - May 13, 2024 Category: Rehabilitation Source Type: research

Critical Organ Dysfunction and Preoperative Mortality in Newborns with Hypoplastic Left Heart Syndrome
Am J Perinatol DOI: 10.1055/s-0044-1787009Hypoplastic left heart syndrome (HLHS) is fatal without surgical intervention. An important subset of HLHS patients die prior to surgical intervention, but this population is underevaluated. The neonatal sequential organ failure assessment score (nSOFA) is an operational definition of organ dysfunction that can identify those with a high risk of mortality among neonatal intensive care unit (NICU) patients. The utility of the nSOFA to predict preoperative mortality in the unique HLHS population is unknown and could inform care, particularly care provided by neonatology staff. We per...
Source: American Journal of Perinatology - May 13, 2024 Category: Perinatology & Neonatology Authors: Durbin, Matthew D. Wynn, James L. Chaudhry, Paulomi Posorske, Alyx Voskoboynik, Ellen Park, Woo Y. Lavilla, Orlyn Aziz, Khyzer B. Tags: Short Communication Source Type: research

Area-Level Social Vulnerability and Severe COVID-19: A Case –Control Study Using Electronic Health Records from Multiple Health Systems in the Southeastern Pennsylvania Region
AbstractKnowledge about neighborhood characteristics that predict disease burden can be used to guide equity-based public health interventions or targeted social services. We used a case-control design to  examine the association between area-level social vulnerability and severe COVID-19 using electronic health records (EHR) from a regional health information hub in the greater Philadelphia region. Severe COVID-19 cases (n = 15,464 unique patients) were defined as those with an inpatient admission and a diagnosis of COVID-19 in 2020. Controls (n = 78,600; 5:1 control-case ratio) were a random sample of individual...
Source: Journal of Urban Health - May 13, 2024 Category: Health Management Source Type: research

Application of Natural Language Processing in Electronic Health Record Data Extraction for Navigating Prostate Cancer Care: A Narrative Review
Journal of Endourology, Ahead of Print. (Source: Journal of Endourology)
Source: Journal of Endourology - May 13, 2024 Category: Urology & Nephrology Authors: Ansh Bhatia Renil Titus Joao G. Porto Jonathan Katz Diana M. Lopategui Robert Marcovich Dipen J. Parekh Hemendra N. Shah Source Type: research

Musculoskeletal disorders of the upper and lower limb: Prevalence among patients in Eastern province, Saudi Arabia
CONCLUSION: This study demonstrates the prevalence of upper and lower limb MSK disorders among adult patients referred to physical therapy. Further research involving larger, representative samples is warranted to fully understand the prevalence and risk factors of MSK disorders in Saudi Arabia.PMID:38734426 | DOI:10.15537/smj.2024.45.5.20230941 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 11, 2024 Category: Middle East Health Authors: Ali M Alshami Source Type: research

Addressing Bias in Preterm Birth Research: The Role of Advanced Imputation Techniques for Missing Race and Ethnicity in Perinatal Health Data
CONCLUSIONS: BISG and BIFSG accurately estimate missing race and ethnicity in perinatal EHR data, decreasing bias in preterm birth research, and are recommended over traditional methods to reduce potential bias.PMID:38734192 | DOI:10.1016/j.annepidem.2024.05.003 (Source: Annals of Epidemiology)
Source: Annals of Epidemiology - May 11, 2024 Category: Epidemiology Authors: Jihye Kim Scroggins Ismael Ibrahim Hulchafo Maxim Topaz Kenrick Cato Veronica Barcelona Source Type: research

Musculoskeletal disorders of the upper and lower limb: Prevalence among patients in Eastern province, Saudi Arabia
CONCLUSION: This study demonstrates the prevalence of upper and lower limb MSK disorders among adult patients referred to physical therapy. Further research involving larger, representative samples is warranted to fully understand the prevalence and risk factors of MSK disorders in Saudi Arabia.PMID:38734426 | DOI:10.15537/smj.2024.45.5.20230941 (Source: Saudi Medical Journal)
Source: Saudi Medical Journal - May 11, 2024 Category: Middle East Health Authors: Ali M Alshami Source Type: research