Appl Clin Inform - Use of more than one electronic medical record system within a single health care organization.

Tópicos

{ record(1888) medic(1808) patient(1693) }
{ can(981) present(881) function(850) }
{ inform(2794) health(2639) internet(1427) }
{ import(1318) role(1303) understand(862) }
{ health(3367) inform(1360) care(1135) }
{ method(1219) similar(1157) match(930) }
{ data(3008) multipl(1320) sourc(1022) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ use(1733) differ(960) four(931) }
{ chang(1828) time(1643) increas(1301) }
{ data(3963) clinic(1234) research(1004) }
{ compound(1573) activ(1297) structur(1058) }
{ medic(1828) order(1363) alert(1069) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ cost(1906) reduc(1198) effect(832) }
{ gene(2352) biolog(1181) express(1162) }
{ health(1844) social(1437) communiti(874) }
{ result(1111) use(1088) new(759) }
{ process(1125) use(805) approach(778) }
{ method(2212) result(1239) propos(1039) }
{ take(945) account(800) differ(722) }
{ learn(2355) train(1041) set(1003) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(984) reconstruct(947) comput(926) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ activ(1138) subject(705) human(624) }
{ implement(1333) system(1263) develop(1122) }
{ can(774) often(719) complex(702) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ 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) }
{ studi(2440) review(1878) systemat(933) }
{ 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) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ 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) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ blood(1257) pressur(1144) flow(957) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ 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) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Healthcare organizations vary in the number of electronic medical record (EMR) systems they use. Some use a single EMR for nearly all care they provide, while others use EMRs from more than one vendor. These strategies create a mixture of advantages, risks and costs. Based on our experience in two organizations over a decade, we analyzed use of more than one EMR within our two health care organizations to identify advantages, risks and costs that use of more than one EMR presents. We identified the data and functionality types that pose the greatest challenge to patient safety and efficiency. We present a model to classify patterns of use of more than one EMR within a single healthcare organization, and identified the most important 28 data types and 4 areas of functionality that in our experience present special challenges and safety risks with use of more than one EMR within a single healthcare organization. The use of more than one EMR in a single organization may be the chosen approach for many reasons, but in our organizations the limitations of this approach have also become clear. Those who use and support EMRs realize that to safely and efficiently use more than one EMR, a considerable amount of IT work is necessary. Thorough understanding of the challenges in using more than one EMR is an important prerequisite to minimizing the risks of using more than one EMR to care for patients in a single healthcare organization.

Resumo Limpo

healthcar organ vari number electron medic record emr system use use singl emr near care provid other use emr one vendor strategi creat mixtur advantag risk cost base experi two organ decad analyz use one emr within two health care organ identifi advantag risk cost use one emr present identifi data function type pose greatest challeng patient safeti effici present model classifi pattern use one emr within singl healthcar organ identifi import data type area function experi present special challeng safeti risk use one emr within singl healthcar organ use one emr singl organ may chosen approach mani reason organ limit approach also becom clear use support emr realiz safe effici use one emr consider amount work necessari thorough understand challeng use one emr import prerequisit minim risk use one emr care patient singl healthcar organ

Resumos Similares

Int J Med Inform - Kenya's health workforce information system: a model of impact on strategic human resources policy, planning and management. ( 0,645776923836541 )
J Med Syst - RBAC-Matrix-based EMR right management system to improve HIPAA compliance. ( 0,633078747516141 )
BMC Med Inform Decis Mak - A study of general practitioners' perspectives on electronic medical records systems in NHSScotland. ( 0,629651936844974 )
AMIA Annu Symp Proc - Use of simulated physician handoffs to study cross-cover chart biopsy in the electronic medical record. ( 0,608103972351934 )
Telemed J E Health - Transfer of information from personal health records: a survey of veterans using My HealtheVet. ( 0,606078406568971 )
J. Med. Internet Res. - Patient experiences with full electronic access to health records and clinical notes through the My HealtheVet Personal Health Record Pilot: qualitative study. ( 0,603410512831654 )
Appl Clin Inform - Determining primary care physician information needs to inform ambulatory visit note display. ( 0,592361647910679 )
J Am Med Inform Assoc - Data from clinical notes: a perspective on the tension between structure and flexible documentation. ( 0,590224165427445 )
J Biomed Inform - A classification of errors in lay comprehension of medical documents. ( 0,582785166210157 )
J Am Med Inform Assoc - VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes. ( 0,581059135382048 )
AMIA Annu Symp Proc - The physical attractiveness of electronic physician notes. ( 0,581044174405948 )
J. Med. Internet Res. - Characteristics of patient portals developed in the context of health information exchanges: early policy effects of incentives in the meaningful use program in the United States. ( 0,580977817190427 )
Int J Med Inform - The effects of an electronic medical record on the completeness of documentation in the anesthesia record. ( 0,577848007789749 )
J Med Syst - An assessment of patient safety in acupuncture process under EMR support. ( 0,574392937080406 )
Int J Med Inform - Views on health information sharing and privacy from primary care practices using electronic medical records. ( 0,56476921492094 )
AMIA Annu Symp Proc - Validation and enhancement of a computable medication indication resource (MEDI) using a large practice-based dataset. ( 0,562253887826045 )
Int J Med Inform - The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care. ( 0,561659360448908 )
Sci Data - Longitudinal recordings of the vocalizations of immature Gombe chimpanzees for developmental studies. ( 0,561194030356188 )
AMIA Annu Symp Proc - Emergency medical services: the frontier in health information exchange. ( 0,556123309813343 )
Telemed J E Health - Realist review to inform development of the electronic advance care plan for the personally controlled electronic health record in Australia. ( 0,55495498121347 )
AMIA Annu Symp Proc - Lexical concept distribution reflects clinical practice. ( 0,554600504549666 )
J Am Med Inform Assoc - Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. ( 0,552760487428223 )
J Med Syst - Cloud based emergency health care information service in India. ( 0,55178109083417 )
J Med Syst - Web information retrieval for health professionals. ( 0,549060091411125 )
AMIA Annu Symp Proc - Capture of osteoporosis and fracture information in an electronic medical record database from primary care. ( 0,540659275097561 )
Appl Clin Inform - An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. ( 0,539551338147115 )
J Med Syst - The differing privacy concerns regarding exchanging electronic medical records of internet users in Taiwan. ( 0,539037904793162 )
Int J Med Inform - eHealth usage patterns of European general practitioners: a five-year (2002-2007) comparative study. ( 0,538931323423842 )
BMC Med Inform Decis Mak - Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare. ( 0,535604196937931 )
J Am Med Inform Assoc - Use of electronic medical records differs by specialty and office settings. ( 0,53546605683839 )
BMC Med Inform Decis Mak - Architecture of a consent management suite and integration into IHE-based Regional Health Information Networks. ( 0,534742495410738 )
J. Med. Internet Res. - Use of an electronic patient portal among the chronically ill: an observational study. ( 0,532996676106075 )
Health Informatics J - Clinical Document Architecture integration system to support patient referral and reply letters. ( 0,532771747938739 )
J Med Syst - Electronic hand-drafting and picture management system. ( 0,530725798926819 )
AMIA Annu Symp Proc - Analysis of medication and indication occurrences in clinical notes. ( 0,52917754865369 )
J Am Med Inform Assoc - Clinical documentation: composition or synthesis? ( 0,524210191079065 )
J Am Med Inform Assoc - Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. ( 0,522963329125472 )
J Am Med Inform Assoc - Transforming consumer health informatics through a patient work framework: connecting patients to context. ( 0,522498596343285 )
J Am Med Inform Assoc - Implementing an interface terminology for structured clinical documentation. ( 0,522126364489962 )
J Am Med Inform Assoc - Presence of key findings in the medical record prior to a documented high-risk diagnosis. ( 0,522035116032972 )
Health Info Libr J - Information behaviour of Canadian pharmaceutical policy makers. ( 0,520183159168183 )
Int J Med Inform - Tablet computers in support of rural and frontier clinical practice. ( 0,519507933915307 )
AMIA Annu Symp Proc - Data model for personalized patient health guidelines: an exploratory study. ( 0,518535924558221 )
Methods Inf Med - Survey on medical records and EHR in Asia-Pacific region: languages, purposes, IDs and regulations. ( 0,518411339473648 )
J. Med. Internet Res. - Patients who share transparent visit notes with others: characteristics, risks, and benefits. ( 0,517897219501182 )
AMIA Annu Symp Proc - Location bias of identifiers in clinical narratives. ( 0,51693631106156 )
Int J Med Inform - Supporting medical communication for older patients with a shared touch-screen computer. ( 0,516564102206708 )
Wiley Interdiscip Rev Syst Biol Med - Large scale molecular simulations of nanotoxicity. ( 0,516355385898258 )
Int J Med Inform - The electronic locum record for general practitioners: outcome of an evaluation study in the Netherlands. ( 0,516170927248508 )
BMC Med Inform Decis Mak - Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications. ( 0,51514575735276 )
AMIA Annu Symp Proc - Will family health history tools work for complex families? Scenario-based testing of a web-based consumer application. ( 0,514051119822924 )
AMIA Annu Symp Proc - Role prediction using Electronic Medical Record system audits. ( 0,513785352187 )
Int J Med Inform - Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation. ( 0,512699795905703 )
Comput. Biol. Med. - Clinicians' evaluation of computer-assisted medication summarization of electronic medical records. ( 0,512548513999574 )
BMC Med Inform Decis Mak - SciReader enables reading of medical content with instantaneous definitions. ( 0,512351107443173 )
BMC Med Inform Decis Mak - Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. ( 0,511913743873773 )
AMIA Annu Symp Proc - You can lead a horse to water: physicians' responses to clinical reminders. ( 0,510435304762959 )
Appl Clin Inform - Rapid implementation of inpatient electronic physician documentation at an academic hospital. ( 0,509926704351782 )
Artif Intell Med - Understanding the nature of information seeking behavior in critical care: implications for the design of health information technology. ( 0,509298434262787 )
Int J Health Geogr - Identifying risk factors for healthcare-associated infections from electronic medical record home address data. ( 0,507241228592086 )
J Am Med Inform Assoc - Automating the medication regimen complexity index. ( 0,5058672103195 )
J Am Med Inform Assoc - The Mid-South clinical Data Research Network. ( 0,505096202043896 )
Int J Med Inform - Structured electronic operative reporting: comparison with dictation in kidney cancer surgery. ( 0,50490805640615 )
Comput. Biol. Med. - Informatics can identify systemic sclerosis (SSc) patients at risk for scleroderma renal crisis. ( 0,504373116885355 )
Appl Clin Inform - Perceived frequency and impact of missing information at pediatric emergency and general ambulatory encounters. ( 0,503738370718122 )
J Am Med Inform Assoc - Correlating electronic health record concepts with healthcare process events. ( 0,503274875617384 )
J Med Syst - Designing patient-centered personal health records (PHRs): health care professionals' perspective on patient-generated data. ( 0,501336839355265 )
AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician. ( 0,501206449274213 )
IEEE Trans Image Process - A generalized random walk with restart and its application in depth up-sampling and interactive segmentation. ( 0,501111730110696 )
IEEE Trans Image Process - Balanced multiwavelets with interpolatory property. ( 0,500831563443907 )
AMIA Annu Symp Proc - Physician Attitudes about Patient-Facing Information Displays at an Urban Emergency Department. ( 0,499378245152683 )
AMIA Annu Symp Proc - Social and behavioral history information in public health datasets. ( 0,498013162654296 )
AMIA Annu Symp Proc - Prevalence and Clinical Significance of Discrepancies within Three Computerized Pre-Admission Medication Lists. ( 0,497822575657391 )
Comput Methods Programs Biomed - Comparison of documentation time between an electronic and a paper-based record system by optometrists at an eye hospital in south India: a time-motion study. ( 0,497015617370662 )
Int J Med Inform - Introducing a nationally shared electronic patient record: case study comparison of Scotland, England, Wales and Northern Ireland. ( 0,495815577911627 )
J Med Syst - A secure integrated medical information system. ( 0,494458535246472 )
BMC Med Inform Decis Mak - Feasibility test of a UK-scalable electronic system for regular collection of patient-reported outcome measures and linkage with clinical cancer registry data: the electronic Patient-reported Outcomes from Cancer Survivors (ePOCS) system. ( 0,494423138832609 )
Appl Clin Inform - Improving access to longitudinal patient health information within an emergency department. ( 0,494102687428832 )
J Med Syst - Applied patent RFID systems for building reacting HEPA air ventilation system in hospital operation rooms. ( 0,493865809958279 )
AMIA Annu Symp Proc - Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data. ( 0,493669510187383 )
AMIA Annu Symp Proc - Extending the HL7/LOINC Document Ontology Settings of Care. ( 0,493003190388343 )
J Am Med Inform Assoc - Electronic medical record use in pediatric primary care. ( 0,490394005421211 )
BMC Med Inform Decis Mak - A comparison of electronic health records at two major Peking University Hospitals in China to United States meaningful use objectives. ( 0,490265747538693 )
AMIA Annu Symp Proc - Comparing content coverage in medical curriculum to trainee-authored clinical notes. ( 0,490016842806239 )
J Med Syst - The meaningful use of EMR in Chinese hospitals: a case study on curbing antibiotic abuse. ( 0,486964428227272 )
J Med Syst - Design and implementation of web-based discharge summary note based on service-oriented architecture. ( 0,486795098932474 )
J. Med. Internet Res. - Managing the personal side of health: how patient expertise differs from the expertise of clinicians. ( 0,48651877851509 )
Int J Med Inform - Implementation of an electronic medical record does not change delivery of preventive care for HIV-positive patients. ( 0,485746483999208 )
Perspect Health Inf Manag - Electronic medical record systems in critical access hospitals: leadership perspectives on anticipated and realized benefits. ( 0,485011490859011 )
Med Biol Eng Comput - Generation of realistic atrial to atrial interval series during atrial fibrillation. ( 0,484875478616387 )
Int J Med Inform - Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes. ( 0,483970127523174 )
Perspect Health Inf Manag - Workflow and electronic health records in small medical practices. ( 0,483114752738774 )
J Med Syst - Consumer support for health information exchange and personal health records: a regional health information organization survey. ( 0,482253848137779 )
Brief. Bioinformatics - The impact of HGT on phylogenomic reconstruction methods. ( 0,48125715407348 )
Appl Clin Inform - Analysis of free text with omaha system targets in community-based care to inform practice and terminology development. ( 0,479748488782549 )
Int J Med Inform - Socio-technical considerations in epilepsy electronic patient record implementation. ( 0,479382107479672 )
Appl Clin Inform - The impact of domain knowledge on structured data collection and templated note design. ( 0,477150761842079 )
J. Med. Internet Res. - Reasons and barriers for using a patient portal: survey among patients with diabetes mellitus. ( 0,476984913471554 )
J. Med. Internet Res. - Evaluating aspects of online medication safety in long-term follow-up of 136 Internet pharmacies: illegal rogue online pharmacies flourish and are long-lived. ( 0,47652066853919 )
J Chem Inf Model - SAR transfer across different targets. ( 0,475352074713556 )