Appl Clin Inform - Using computerized provider order entry to enforce documentation of tests with pending results at hospital discharge.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ perform(999) metric(946) measur(919) }
{ medic(1828) order(1363) alert(1069) }
{ extract(1171) text(1153) clinic(932) }
{ analysi(2126) use(1163) compon(1037) }
{ can(774) often(719) complex(702) }
{ activ(1138) subject(705) human(624) }
{ chang(1828) time(1643) increas(1301) }
{ data(1714) softwar(1251) tool(1186) }
{ monitor(1329) mobil(1314) devic(1160) }
{ use(2086) technolog(871) perceiv(783) }
{ survey(1388) particip(1329) question(1065) }
{ studi(2440) review(1878) systemat(933) }
{ framework(1458) process(801) describ(734) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ howev(809) still(633) remain(590) }
{ studi(1119) effect(1106) posit(819) }
{ sampl(1606) size(1419) use(1276) }
{ high(1669) rate(1365) level(1280) }
{ process(1125) use(805) approach(778) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Small numbers of tests with pending results are documented in hospital discharge summaries leading to breakdown in communication and medical errors due to inadequate followup.OBJECTIVE: Evaluate effect of using a computerized provider order entry (CPOE) system to enforce documentation of tests with pending results into hospital discharge summaries.METHODS: We assessed the percent of all tests with pending results and those with actionable results that were documented before (n = 182 discharges) and after (n = 203 discharges) implementing the CPOE-enforcement tool. We also surveyed providers (n = 52) about the enforcement functionality.RESULTS: Documentation of all tests with pending results improved from 12% (87/701 tests) before to 22% (178/812 tests) (p = 0.02) after implementation. Documentation of tests with eventual actionable results increased from 0% (0/24) to 50% (14/28)(p<0.001). Survey respondents felt the intervention improved quality of summaries, provider communication, and was not time-consuming.CONCLUSIONS: A CPOE tool enforcing documentation of tests with pending results into discharge summaries significantly increased documentation rates, especially of actionable tests. However, gaps in documentation still exist.

Resumo Limpo

ckground small number test pend result document hospit discharg summari lead breakdown communic medic error due inadequ followupobject evalu effect use computer provid order entri cpoe system enforc document test pend result hospit discharg summariesmethod assess percent test pend result action result document n discharg n discharg implement cpoeenforc tool also survey provid n enforc functionalityresult document test pend result improv test test p implement document test eventu action result increas p survey respond felt intervent improv qualiti summari provid communic timeconsumingconclus cpoe tool enforc document test pend result discharg summari signific increas document rate especi action test howev gap document still exist

Resumos Similares

J Am Med Inform Assoc - Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. ( 0,686994613351681 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,684031190714096 )
AMIA Annu Symp Proc - Knowledge-based method for determining the meaning of ambiguous biomedical terms using information content measures of similarity. ( 0,669188585799211 )
J Am Med Inform Assoc - Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems. ( 0,666898375996522 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,650960604825028 )
J Am Med Inform Assoc - Validity of electronic health record-derived quality measurement for performance monitoring. ( 0,636221170676865 )
Appl Clin Inform - Associations between the concurrent use of clinical decision support and computerized provider order entry and the rates of appropriate prescribing at discharge. ( 0,618003434265845 )
J Am Med Inform Assoc - Patient safety goals for the proposed Federal Health Information Technology Safety Center. ( 0,604553725195639 )
J Am Med Inform Assoc - Evaluation of medication alerts in electronic health records for compliance with human factors principles. ( 0,602210406435388 )
J Med Syst - A basic study on application of voice recognition input to an electronic nursing record system -evaluation of the function as an input interface-. ( 0,593974219471922 )
J Am Med Inform Assoc - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. ( 0,587298375316677 )
J Am Med Inform Assoc - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. ( 0,585514384201113 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,576980670362176 )
Int J Med Inform - Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing. ( 0,575772611405368 )
J Am Med Inform Assoc - The impact of an electronic health record on nurse sensitive patient outcomes: an interrupted time series analysis. ( 0,573373818387077 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,571139885925191 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,571128562663141 )
J Am Med Inform Assoc - Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative. ( 0,565188506490827 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,56292632897076 )
Appl Clin Inform - Utilizing an electronic health record system to improve vaccination coverage in children. ( 0,561550937463602 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,560585872834933 )
J Am Med Inform Assoc - Phased implementation of electronic health records through an office of clinical transformation. ( 0,558642122502687 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,554906126772524 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,554543419695751 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,553447533817494 )
J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. ( 0,551387886744938 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,55082687964268 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,550729017771012 )
J Biomed Inform - Creating hospital-specific customized clinical pathways by applying semantic reasoning to clinical data. ( 0,550473110468979 )
BMC Med Inform Decis Mak - Speech recognition software and electronic psychiatric progress notes: physicians' ratings and preferences. ( 0,550300728735618 )
Methods Inf Med - From adverse drug event detection to prevention. A novel clinical decision support framework for medication safety. ( 0,550177621402187 )
AMIA Annu Symp Proc - Reducing wrong patient selection errors: exploring the design space of user interface techniques. ( 0,548463001971897 )
Perspect Health Inf Manag - Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. ( 0,546106544398601 )
J Med Syst - Analysis of network type exchange in the health care system: a stakeholder approach. ( 0,545081192552739 )
BMC Med Inform Decis Mak - Has information technology finally been adopted in Flemish intensive care units? ( 0,544780700436598 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,544505784898104 )
BMC Med Inform Decis Mak - Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. ( 0,543808805729405 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,542750643403904 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,54226011555827 )
BMC Med Inform Decis Mak - Identification of features of electronic prescribing systems to support quality and safety in primary care using a modified Delphi process. ( 0,541537498747174 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,540306509241544 )
J Am Med Inform Assoc - Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. ( 0,54005825125622 )
J Med Syst - A generative tool for building health applications driven by ISO 13606 archetypes. ( 0,539932847348522 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,538223984302666 )
J Am Med Inform Assoc - An analysis of electronic health record-related patient safety concerns. ( 0,536404053484582 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,535938212976811 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,535091683063071 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,534130592598909 )
Appl Clin Inform - Effect of EHR user interface changes on internal prescription discrepancies. ( 0,533393835120221 )
J Am Med Inform Assoc - Completeness, accuracy, and computability of National Quality Forum-specified eMeasures. ( 0,533298612949579 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,533054122097947 )
AMIA Annu Symp Proc - The EHR's roles in collaboration between providers: A qualitative study. ( 0,531059500118586 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,530281060691203 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,530254010365443 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,528412484558547 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,528379327268162 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,527909045331016 )
AMIA Annu Symp Proc - A semantic and syntactic text simplification tool for health content. ( 0,527490221895814 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,52660761970929 )
Perspect Health Inf Manag - Leveraging the cloud for electronic health record access. ( 0,526489157393198 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,525510033688935 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,524005545180064 )
J Am Med Inform Assoc - Are physicians' perceptions of healthcare quality and practice satisfaction affected by errors associated with electronic health record use? ( 0,523276459972987 )
AMIA Annu Symp Proc - Cross-mapping clinical notes between hospitals: an application of the LOINC Document Ontology. ( 0,522348681461583 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,521174688226653 )
J Am Med Inform Assoc - Automated identification of drug and food allergies entered using non-standard terminology. ( 0,52068563440714 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,520542253074796 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,52026771838958 )
Perspect Health Inf Manag - Adoption and utilization of electronic health record systems by long-term care facilities in Texas. ( 0,518123469124724 )
J Am Med Inform Assoc - The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs. ( 0,51700201094911 )
Inform Health Soc Care - Attitudes of health professionals towards electronic health records in primary health care settings: a questionnaire survey. ( 0,516484887695024 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,51598301899293 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,514852171034418 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,513317247209507 )
BMC Med Inform Decis Mak - Understanding the management of electronic test result notifications in the outpatient setting. ( 0,51326057896772 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,513218332136994 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,512343795059101 )
BMC Med Inform Decis Mak - General practitioners' attitudes and preparedness towards Clinical Decision Support in e-Prescribing (CDS-eP) adoption in the West of Ireland: a cross sectional study. ( 0,512202335373392 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,511757724030597 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,51040884229358 )
J Med Syst - Deployment of secure mobile agents for medical information systems. ( 0,510050705857881 )
J Am Med Inform Assoc - ICU nurses' acceptance of electronic health records. ( 0,50967434806415 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,508777250344654 )
J Am Med Inform Assoc - Impact of a clinical decision support system on antibiotic prescribing for acute respiratory infections in primary care: quasi-experimental trial. ( 0,508273260869451 )
Methods Inf Med - Semantic validation of standard-based electronic health record documents with W3C XML schema. ( 0,507862002017338 )
AMIA Annu Symp Proc - Reducing free-text communication orders placed by providers using association rule mining. ( 0,506012061720666 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,505415879265797 )
Comput Methods Programs Biomed - The relationship between usage intention and adoption of electronic health records at primary care clinics. ( 0,505173075741131 )
J Med Syst - Opioid prescribing by physicians with and without electronic health records. ( 0,505150727266125 )
Appl Clin Inform - User centered clinical decision support tools: adoption across clinician training level. ( 0,504582221864308 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,503150150171256 )
Inform Health Soc Care - Nurses' use of an integrated electronic health record: results of a case site analysis. ( 0,50253151460981 )
J Med Syst - Development of fundamental infrastructure for nationwide EHR in Japan. ( 0,502205258015592 )
BMC Med Inform Decis Mak - Survey of patient and public perceptions of electronic health records for healthcare, policy and research: study protocol. ( 0,502102225962546 )
Telemed J E Health - M-HELP: a miniaturized total health examination system launched on a mobile phone platform. ( 0,50122454783716 )
J Med Syst - Perceived usefulness of data entry tools in medical encounters: a survey. ( 0,501120145708437 )
J Am Med Inform Assoc - Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. ( 0,501112424691143 )
Telemed J E Health - Seamless integration of ISO/IEEE11073 personal health devices and ISO/EN13606 electronic health records into an end-to-end interoperable solution. ( 0,500017019897627 )
J Am Med Inform Assoc - Facility characteristics associated with the use of electronic health records in residential care facilities. ( 0,49992626624037 )
J Am Med Inform Assoc - Development and use of active clinical decision support for preemptive pharmacogenomics. ( 0,499336264141259 )