Int J Med Inform - Comparison of electronic health record system functionalities to support the patient recruitment process in clinical trials.

Tópicos

{ ehr(2073) health(1662) electron(1139) }
{ howev(809) still(633) remain(590) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(2837) hospit(1953) medic(668) }
{ implement(1333) system(1263) develop(1122) }
{ data(1714) softwar(1251) tool(1186) }
{ analysi(2126) use(1163) compon(1037) }
{ search(2224) databas(1162) retriev(909) }
{ use(1733) differ(960) four(931) }
{ bind(1733) structur(1185) ligand(1036) }
{ medic(1828) order(1363) alert(1069) }
{ network(2748) neural(1063) input(814) }
{ clinic(1479) use(1117) guidelin(835) }
{ general(901) number(790) one(736) }
{ compound(1573) activ(1297) structur(1058) }
{ sampl(1606) size(1419) use(1276) }
{ result(1111) use(1088) new(759) }
{ studi(2440) review(1878) systemat(933) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ research(1085) discuss(1038) issu(1018) }
{ research(1218) medic(880) student(794) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ concept(1167) ontolog(924) domain(897) }
{ control(1307) perform(991) simul(935) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ record(1888) medic(1808) patient(1693) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ decis(3086) make(1611) patient(1517) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ 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) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ 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) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ 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) }
{ perform(999) metric(946) measur(919) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ 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) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ 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

JECTIVES: Reusing data from electronic health records for clinical and translational research and especially for patient recruitment has been tackled in a broader manner since about a decade. Most projects found in the literature however focus on standalone systems and proprietary implementations at one particular institution often for only one singular trial and no generic evaluation of EHR systems for their applicability to support the patient recruitment process does yet exist. Thus we sought to assess whether the current generation of EHR systems in Germany provides modules/tools, which can readily be applied for IT-supported patient recruitment scenarios.METHODS: We first analysed the EHR portfolio implemented at German University Hospitals and then selected 5 sites with five different EHR implementations covering all major commercial systems applied in German University Hospitals. Further, major functionalities required for patient recruitment support have been defined and the five sample EHRs and their standard tools have been compared to the major functionalities.RESULTS: In our analysis of the site's hospital information system environments (with four commercial EHR systems and one self-developed system) we found that - even though no dedicated module for patient recruitment has been provided - most EHR products comprise generic tools such as workflow engines, querying capabilities, report generators and direct SQL-based database access which can be applied as query modules, screening lists and notification components for patient recruitment support. A major limitation of all current EHR products however is that they provide no dedicated data structures and functionalities for implementing and maintaining a local trial registry.CONCLUSIONS: At the five sites with standard EHR tools the typical functionalities of the patient recruitment process could be mostly implemented. However, no EHR component is yet directly dedicated to support research requirements such as patient recruitment. We recommend for future developments that EHR customers and vendors focus much more on the provision of dedicated patient recruitment modules.

Resumo Limpo

jectiv reus data electron health record clinic translat research especi patient recruit tackl broader manner sinc decad project found literatur howev focus standalon system proprietari implement one particular institut often one singular trial generic evalu ehr system applic support patient recruit process yet exist thus sought assess whether current generat ehr system germani provid modulestool can readili appli itsupport patient recruit scenariosmethod first analys ehr portfolio implement german univers hospit select site five differ ehr implement cover major commerci system appli german univers hospit major function requir patient recruit support defin five sampl ehr standard tool compar major functionalitiesresult analysi site hospit inform system environ four commerci ehr system one selfdevelop system found even though dedic modul patient recruit provid ehr product compris generic tool workflow engin queri capabl report generat direct sqlbase databas access can appli queri modul screen list notif compon patient recruit support major limit current ehr product howev provid dedic data structur function implement maintain local trial registryconclus five site standard ehr tool typic function patient recruit process most implement howev ehr compon yet direct dedic support research requir patient recruit recommend futur develop ehr custom vendor focus much provis dedic patient recruit modul

Resumos Similares

Healthc (Amst) - Health information exchange among U.S. hospitals: who's in, who's out, and why? ( 0,704973196897214 )
BMC Med Inform Decis Mak - Has information technology finally been adopted in Flemish intensive care units? ( 0,696955383957633 )
J Am Med Inform Assoc - Health-information exchange: why are we doing it, and what are we doing? ( 0,690581220419923 )
J Am Med Inform Assoc - Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department. ( 0,684898567723866 )
J Am Med Inform Assoc - The long-term financial impact of electronic health record implementation. ( 0,66917142746377 )
Healthc (Amst) - Electronic health records and technical assistance to improve quality of primary care: Lessons for regional extension centers. ( 0,668672039304633 )
J Med Syst - Analysis of network type exchange in the health care system: a stakeholder approach. ( 0,668277119142398 )
J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments. ( 0,668253309757763 )
AMIA Annu Symp Proc - Progress and challenge in meeting meaningful use at an integrated delivery network. ( 0,66558457832585 )
Int J Med Inform - The implementation of electronic health records: a case study of bush computing the Ngaanyatjarra lands. ( 0,661551520330797 )
Appl Clin Inform - Comprehensive electronic medical record implementation levels not associated with 30-day all-cause read-missions within Medicare beneficiaries with heart failure. ( 0,661473838416325 )
Telemed J E Health - Physician impressions of using text message technology to increase vaccination compliance. ( 0,659988324359198 )
Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities. ( 0,659897033054517 )
J. Med. Internet Res. - Clinicians' perspectives on a Web-based system for routine outcome monitoring in old-age psychiatry in the Netherlands. ( 0,652755911733191 )
J Am Med Inform Assoc - Electronic health record use and preventive counseling for US children and adolescents. ( 0,651782613898489 )
Appl Clin Inform - Predictors of success for electronic health record implementation in small physician practices. ( 0,649503836193744 )
AMIA Annu Symp Proc - Initial Steps toward Validating and Measuring the Quality of Computerized Provider Documentation. ( 0,647777248291202 )
Perspect Health Inf Manag - Electronic health records and information portability: a pilot study in a rural primary healthcare center in India. ( 0,647189331135371 )
Int J Med Inform - Collaboration in electronic medical evidence development: a case study of the Social Security Administration's MEGAHIT System. ( 0,646170299123253 )
BMC Med Inform Decis Mak - A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review. ( 0,644658631755469 )
J Med Syst - Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. ( 0,641801525740773 )
J Am Med Inform Assoc - The use of open source electronic health records within the federal safety net. ( 0,641298843828778 )
J Biomed Inform - Building a robust, scalable and standards-driven infrastructure for secondary use of EHR data: the SHARPn project. ( 0,636207083865526 )
Perspect Health Inf Manag - Annual survey on the level and extent of usage of electronic health records in government-related hospitals in Eastern Province, Saudi Arabia. ( 0,636061091547536 )
J Am Med Inform Assoc - The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs. ( 0,634726832450763 )
J Biomed Inform - Implementations of the HL7 Context-Aware Knowledge Retrieval (Infobutton) Standard: challenges, strengths, limitations, and uptake. ( 0,634011089068924 )
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. ( 0,624664489381327 )
Perspect Health Inf Manag - Improving and measuring inpatient documentation of medical care within the MS-DRG system: education, monitoring, and normalized case mix index. ( 0,623547366416757 )
J Am Med Inform Assoc - Overcoming challenges to achieving meaningful use: insights from hospitals that successfully received Centers for Medicare and Medicaid Services payments in 2011. ( 0,623522212038684 )
Health Informatics J - Using electronic health record systems to optimize admission decisions: the Creatinine case study. ( 0,621561111659815 )
Comput Methods Programs Biomed - A method to manage and share anti-retroviral (ARV) therapy information of human immunodeficiency virus (HIV) patients in Vietnam. ( 0,617193054138733 )
J Am Med Inform Assoc - Harmonized patient-reported data elements in the electronic health record: supporting meaningful use by primary care action on health behaviors and key psychosocial factors. ( 0,617060993982278 )
AMIA Annu Symp Proc - Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption. ( 0,616416045501855 )
J Am Med Inform Assoc - The Hub Population Health System: distributed ad hoc queries and alerts. ( 0,612146365791295 )
J Am Med Inform Assoc - Evaluating and classifying the readiness of technology specifications for national standardization. ( 0,610676766061325 )
Methods Inf Med - Electronic health record interoperability as realized in the Turkish health information system. ( 0,609992467813146 )
Int J Med Inform - Evidence-based management of ambulatory electronic health record system implementation: an assessment of conceptual support and qualitative evidence. ( 0,609565663722756 )
AMIA Annu Symp Proc - Ethics of implementing Electronic Health Records in developing countries: points to consider. ( 0,606976700197606 )
Methods Inf Med - SS-MIX: a ministry project to promote standardized healthcare information exchange. ( 0,606879983867132 )
Int J Med Inform - The effect of electronic medical record-based clinical decision support on HIV care in resource-constrained settings: a systematic review. ( 0,60650127864 )
J Am Med Inform Assoc - Assessing the process of designing and implementing electronic health records in a statewide public health system: the case of Colima, Mexico. ( 0,603552405183263 )
J Med Syst - Organization's quality maturity as a vehicle for EHR success. ( 0,603178280378036 )
Int J Med Inform - Adoption of electronic health records in Korean tertiary teaching and general hospitals. ( 0,602919446373563 )
Int J Med Inform - Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia. ( 0,602608809616116 )
J Am Med Inform Assoc - The marginal value of pre-visit paper reminders when added to a multifaceted electronic health record based quality improvement system. ( 0,602198243368558 )
Methods Inf Med - Utilizing IHE-based Electronic Health Record systems for secondary use. ( 0,601955408926669 )
J Med Syst - How are health professionals using health information exchange systems? Measuring usage for evaluation and system improvement. ( 0,597518581379562 )
Perspect Health Inf Manag - Electronic health record adoption and use by Nebraska pharmacists. ( 0,59685331019334 )
J Am Med Inform Assoc - Consumer experience with and attitudes toward health information technology: a nationwide survey. ( 0,596838906635941 )
Health Informatics J - Smartphone applications for seizure management. ( 0,596693842629497 )
AMIA Annu Symp Proc - Data Quality and Interoperability Challenges for eHealth Exchange Participants: Observations from the Department of Veterans Affairs' Virtual Lifetime Electronic Record Health Pilot Phase. ( 0,59665850509274 )
AMIA Annu Symp Proc - Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices. ( 0,59652331704486 )
Appl Clin Inform - Use of Headings and Classifications by Physicians in Medical Narratives of EHRs: An evaluation study in a Finnish hospital. ( 0,5960489971997 )
J Med Syst - Factors associated with health information exchange system usage in a safety-net ambulatory care clinic setting. ( 0,594784440503938 )
J Med Syst - Characterization of image transfer patterns in a regional trauma network. ( 0,593992204455295 )
Comput Inform Nurs - Usability of the Clinical Care Classification System for Representing Nursing Practice According to Specialty. ( 0,593912194191393 )
Perspect Health Inf Manag - Hospital characteristics related to the intention to apply for meaningful use incentive payments. ( 0,593642446590103 )
Appl Clin Inform - Capturing information needs of care providers to support knowledge sharing and distributed decision making. ( 0,593599342141538 )
Healthc (Amst) - A novel community-based delivery model to combat cancer disparities. ( 0,593585821594378 )
Healthc (Amst) - Instant replay. ( 0,593219172472085 )
J Biomed Inform - Implementing standards for the interoperability among healthcare providers in the public regionalized Healthcare Information System of the Lombardy Region. ( 0,592038410836064 )
J Am Med Inform Assoc - The effectiveness of interventions using electronic reminders to improve adherence to chronic medication: a systematic review of the literature. ( 0,591067019177135 )
Int J Med Inform - Is email an effective method for hospital discharge communication? A randomized controlled trial to examine delivery of computer-generated discharge summaries by email, fax, post and patient hand delivery. ( 0,589241120087622 )
J Am Med Inform Assoc - Patient engagement in the inpatient setting: a systematic review. ( 0,587824261412811 )
J Med Syst - EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care. ( 0,587815167239103 )
J Am Med Inform Assoc - Implications of an emerging EHR monoculture for hospitals and healthcare systems. ( 0,587356021614671 )
Methods Inf Med - A Regional health care network: eHealth.Braunschweig. Domain fields and architectural challenges. ( 0,586799835879675 )
Perspect Health Inf Manag - Health information technology: integration of clinical workflow into meaningful use of electronic health records. ( 0,585884461318118 )
J Am Med Inform Assoc - Exploring the sociotechnical intersection of patient safety and electronic health record implementation. ( 0,585652954074272 )
AMIA Annu Symp Proc - The promise of the CCD: challenges and opportunity for quality improvement and population health. ( 0,584670726327721 )
Healthc (Amst) - The impact of electronic health record implementation on emergency physician efficiency and patient throughput. ( 0,584540957861228 )
BMC Med Inform Decis Mak - The impact of EHR and HIE on reducing avoidable admissions: controlling main differential diagnoses. ( 0,584164920285653 )
J Am Med Inform Assoc - A typology of electronic health record workarounds in small-to-medium size primary care practices. ( 0,582942609006339 )
J Am Med Inform Assoc - Changes to the electronic health records market in light of health information technology certification and meaningful use. ( 0,582767416048366 )
Appl Clin Inform - Physician specialty and variations in adoption of electronic health records. ( 0,581030068633294 )
J Am Med Inform Assoc - Sequencing of EHR adoption among US hospitals and the impact of meaningful use. ( 0,579901996630057 )
J Am Med Inform Assoc - When does adoption of health information technology by physician practices lead to use by physicians within the practice? ( 0,57711876142171 )
J Clin Monit Comput - Anesthesia information management systems: a review of functionality and installation considerations. ( 0,575474317097499 )
Health Info Libr J - Do quality improvement systems improve health library services? A systematic review. ( 0,575306358599579 )
J Am Med Inform Assoc - Informatics and operations--let's get integrated. ( 0,575205348092402 )
BMC Med Inform Decis Mak - Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records. ( 0,57462838525644 )
AMIA Annu Symp Proc - Adoption of clinical data exchange in community settings: a comparison of two approaches. ( 0,573286456024517 )
J Am Med Inform Assoc - A partnership model for implementing electronic health records in resource-limited primary care settings: experiences from two nurse-managed health centers. ( 0,573168663941139 )
Healthc (Amst) - The effect of health information technology implementation in Veterans Health Administration hospitals on patient outcomes. ( 0,572800136640544 )
J Am Med Inform Assoc - Security practices and regulatory compliance in the healthcare industry. ( 0,572164870767611 )
J Biomed Inform - Translating standards into practice: experience and lessons learned at the Department of Veterans Affairs. ( 0,572149348875545 )
J Am Med Inform Assoc - Validity of electronic health record-derived quality measurement for performance monitoring. ( 0,571971141994176 )
J Am Med Inform Assoc - How is the electronic health record being used? Use of EHR data to assess physician-level variability in technology use. ( 0,571671915637315 )
Appl Clin Inform - Electronic Health Record Adoption - Maybe It's not about the Money: Physician Super-Users, Electronic Health Records and Patient Care. ( 0,571229003504087 )
Perspect Health Inf Manag - Impact of electronic health record systems on information integrity: quality and safety implications. ( 0,570755601415138 )
J Am Med Inform Assoc - Blue Button use by patients to access and share health record information using the Department of Veterans Affairs' online patient portal. ( 0,569773829177014 )
J Med Syst - Threat modeling for electronic health record systems. ( 0,569614588446173 )
Int J Med Inform - Do integrated record systems lead to integrated services? An observational study of a multi-professional system in a diabetes service. ( 0,568671771269069 )
Healthc (Amst) - Improving the value of healthcare delivery using publicly available performance data in Wisconsin and California. ( 0,568671159460638 )
AMIA Annu Symp Proc - Impact of electronic medication reconciliation at hospital admission on clinician workflow. ( 0,568080936198497 )
Telemed J E Health - Centralized monitoring and virtual consultant models of tele-ICU care: a side-by-side review. ( 0,567904221845321 )
AMIA Annu Symp Proc - Leveraging standards to support patient-centric interdisciplinary plans of care. ( 0,567630402653014 )
AMIA Annu Symp Proc - Bridging informatics and implementation science: evaluating a framework to assess electronic health record implementations in community settings. ( 0,564836650747927 )
Perspect Health Inf Manag - Use of health information technology by office-based physicians: comparison of two contemporaneous public-use physician surveys. ( 0,564327224740341 )
BMC Med Inform Decis Mak - IT adoption of clinical information systems in Austrian and German hospitals: results of a comparative survey with a focus on nursing. ( 0,562398744227344 )