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Management: Electronic Health Records (EHR)
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Total 266 results found since Jan 2013.
A Clinical Case of Electronic Health Record Drug Alert Fatigue: Consequences for Patient Outcome
Despite advances in electronic medication order entry systems, it has been well established that clinicians override many drug allergy alerts generated by the electronic health record. The direct clinical consequences of overalerting clinicians in a pediatric setting have not been well demonstrated in the literature. We observed a patient in the PICU who experienced complications as a result of an extended series of non–evidence-based alerts in the electronic health record. Subsequently, evidence-based allergy alerting changes were made to the hospital’s system. Incorporating clinical evidence in electronic dru...
Source: PEDIATRICS - May 31, 2013 Category: Pediatrics Authors: Carspecken, C. W., Sharek, P. J., Longhurst, C., Pageler, N. M. Tags: Case Report Source Type: research
Associations between Unconventional Natural Gas Development and Nasal and Sinus, Migraine Headache, and Fatigue Symptoms in Pennsylvania
Conclusions: This study provides evidence that UNGD is associated with nasal and sinus, migraine headache, and fatigue symptoms in a general population representative sample.
Citation: Tustin AW, Hirsch AG, Rasmussen SG, Casey JA, Bandeen-Roche K, Schwartz BS. 2017. Associations between unconventional natural gas development and nasal and sinus, migraine headache, and fatigue symptoms in Pennsylvania. Environ Health Perspect 125:189–197; http://dx.doi.org/10.1289/EHP281
Address correspondence to B.S. Schwartz, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Room W7041, Baltimore, MD 21205 USA. Teleph...
Source: EHP Research - February 1, 2017 Category: Environmental Health Authors: Web Admin Tags: Research Articles February 2017 Source Type: research
Racial and Ethnic Disparities in Research Studies: The Challenge of Creating More Diverse Cohorts
This reporting project was funded through a grant provided by the Reporting Award at New York University’s Arthur L. Carter Journalism Institute.
Background image: Bahri Altay/Shutterstock
About This Article open
Citation: Konkel L. 2015. Racial and ethnic disparities in research studies: the challenge of creating more diverse cohorts. Environ Health Perspect 123:A297–A302; http://dx.doi.org/10.1289/ehp.123-A297
Published: 1 December 2015
PDF Version (873 KB)
Minority populations are much less likely than their white counterparts to be included in studies on environmentally related diseases, even t...
Source: EHP Research - December 1, 2015 Category: Environmental Health Authors: Web Admin Tags: Featured News Spheres of Influence December 2015 Source Type: research
Abstract 004: Electronic Health Record-Based Overestimation of Failure to Prescribe Statins in Patients With Coronary Artery Disease in a Large, Academic, Multispecialty Clinic Practice Session Title: Abstract Oral Session: QCOR 2017 Young Investigator Award Finalists
Conclusions: Among outpatients with presumed CAD who were identified by EHR data query as "failures" to receive statin prescriptions, an estimated fewer than one-third constituted a true gap in care. These findings raise concern about the accuracy of EHR data query in measuring performance in the Meaningful Use era.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Shin, E. Y., Ochuko, P., Bhatt, K., Howard, B., McGorisk, G., Delaney, L., Langdon, K., Khosravanipour, M., Nambi, A., Grahovec, A., Morris, D., Castellano, P., Shaw, L., Sperling, L., Goyal, A. Tags: Session Title: Abstract Oral Session: QCOR 2017 Young Investigator Award Finalists Source Type: research
A value set for documenting adverse reactions in electronic health records
ConclusionThis work contributes a value set, harmonized with existing data, to improve the consistency and accuracy of reaction documentation in electronic health records, providing the necessary building blocks for more intelligent clinical decision support for allergies and adverse reactions.
Source: Journal of the American Medical Informatics Association - December 14, 2017 Category: Information Technology Source Type: research
Current Epidemiology and Management of Radiocontrast-Associated Acute- and Delayed-Onset Hypersensitivity: A Review of the Literature.
Authors: Macy EM
Abstract
Radiocontrast-associated acute-onset hypersensitivity reactions now occur less frequently than before 1990, when high-osmolar, ionic, radiocontrast agents were widely used. Premedication with corticosteroids and antihistamines does not reliably prevent recurrent low-osmolar radiocontrast-associated acute hypersensitivity reactions. Corticosteroid prophylaxis for acute hypersensitivity currently causes more morbidity than benefit. The specific radiocontrast agent that is associated with a patient's adverse reaction must be displayed in the drug intolerance or drug "allergy" field of their e...
Source: The Permanente journal - January 10, 2018 Category: General Medicine Tags: Perm J Source Type: research
Development and Validation of an Asthma Exacerbation Prediction Model using Electronic Health Record (EHR) Data.
Conclusion: Despite use of rigorous methodology , we were unable to produce a predictive model with an acceptable degree of accuracy and AUC to be clinically useful.
PMID: 31340688 [PubMed - as supplied by publisher]
Source: Journal of Asthma - July 26, 2019 Category: Respiratory Medicine Tags: J Asthma Source Type: research
Cough Presentation and Cough-Related Healthcare Utilization in Tertiary Care: Analysis of Routinely Collected Academic Institutional Database
ConclusionsCough is a common chief complaint at allergy and asthma clinics, but the clinical presentation may be heterogeneous. Further studies are needed to understand long-term outcomes and reduce the disease burden.
Source: Lung - July 9, 2022 Category: Respiratory Medicine Source Type: research
Electronic health records boost efficiency, safety
“Question: Why are electronic health record systems important? Answer: EHR systems allow health care providers and their staff to more easily extract the information they need about patients. EHR systems improve patient safety by checking drug-drug interactions, drug-allergy interactions, and also allow for remote review of select patient information. Q: How will EHR [...]
Source: ICMCC: The International Council on Medical and Care Compunetics - January 14, 2013 Category: Information Technology Authors: Lodewijk Tags: News Efficiency Health Information Exchange Safety Source Type: news
The Editors' Choice
Chronic rhinosinusitis (CRS) is a common inflammatory condition of the paranasal sinuses with an unclear cause. The factors and illnesses associated with the development of CRS have not been examined longitudinally. In this issue Tan et al (p 1350) study the epidemiology of CRS using a case-control study on incident CRS cases. By using 10 years of electronic health records from the Geisinger Clinic, which serves a primary care population of a geographically large and demographically stable population in central Pennsylvania, the authors were able to examine patterns of diagnoses and health resource use preceding a new di...
Source: Journal of Allergy and Clinical Immunology - May 1, 2013 Category: Allergy & Immunology Authors: Donald Y.M. Leung, Stanley J. Szefler, Associate Editors of the JACI Tags: The Editors' choice Source Type: research
Incidence and associated premorbid diagnoses of patients with chronic rhinosinusitis
Background: Chronic rhinosinusitis (CRS) is a prevalent condition with underexplored risk factors.Objectives: We sought to determine CRS incidence and evaluate associations with a range of premorbid medical conditions for chronic rhinosinusitis without nasal polyps (CRSsNP) and chronic rhinosinusitis with nasal polyps (CRSwNP) using real-world clinical practice data.Methods: Electronic health records data from 446,480 Geisinger Clinic primary care patients were used for a retrospective longitudinal cohort study for data from 2001-2010. By using logistic regression, newly diagnosed CRS cases between 2007 and 2009 were compa...
Source: Journal of Allergy and Clinical Immunology - March 29, 2013 Category: Allergy & Immunology Authors: Bruce K. Tan, Rakesh K. Chandra, Jonathan Pollak, Atsushi Kato, David B. Conley, Anju T. Peters, Leslie C. Grammer, Pedro C. Avila, Robert C. Kern, Walter F. Stewart, Robert P. Schleimer, Brian S. Schwartz Tags: Rhinitis, sinusitis, and upper airway disease Source Type: research
Creating personalised clinical pathways by semantic interoperability with electronic health records
Conclusion: This study contributes towards improving the clinical personalised practicality of standardised CPs. In addition, this study establishes the foundation for future work on the research and development of an independent CP system.
Source: Artificial Intelligence in Medicine - March 6, 2013 Category: Bioinformatics Authors: Hua-Qiong Wang, Jing-Song Li, Yi-Fan Zhang, Muneou Suzuki, Kenji Araki Tags: Research Articles Source Type: research
Doctors Are Talking: EHRs Destroy the Patient EncounterDoctors Are Talking: EHRs Destroy the Patient Encounter
Recent Medscape articles on EHRs have sparked heated debates, especially on how EHRs obstruct the doctor-patient relationship. See what your colleagues are saying, and weigh in with your own opinion. Medscape Business of Medicine
Source: Medscape Allergy Headlines - May 22, 2014 Category: Allergy & Immunology Tags: Family Medicine/Primary Care Article Source Type: news
Do provider attitudes about electronic health records predict future electronic health record use?
Discussion Comfort with computers and attitudes about EHRs did not predict future use of the EHR functions. Our findings suggest that meaningful use of the EHR may not be affected by providers׳ prior attitudes about EHRs.
Source: Healthcare - November 1, 2014 Category: Middle East Health Source Type: research
