Electronic health records - beyond meaningful use.
Author(s): Ahmad, A
DOI: 10.4338/ACI-2010-06-IE-0037
Author(s): Ahmad, A
DOI: 10.4338/ACI-2010-06-IE-0037
Results of the Austrian MOBITEL (MOBIle phone based TELemonitoring for heart failure patients) trial indicate that home-based telemonitoring improves outcome of chronic heart failure (CHF) patients and reduces both frequency and duration of hospitalizations. Based on lessons learned, we assessed the weak points to clear the way for routine operations.
Author(s): Kastner, P, Morak, J, Modre, R, Kollmann, A, Ebner, C, Fruhwald, Fm, Schreier, G
DOI: 10.4338/ACI-2009-12-RA-0021
Clinical decision support that provides enhanced patient safety at the point of care frequently encounters significant pushback from clinicians who find the process intrusive or time-consuming. We present a hypothetical medical center's dilemma about its allergy alerting system and discuss similar problems faced by real hospitals. We then share some lessons learned and best practices for institutions who wish to implement these tools themselves.
Author(s): Graham, J, Levick, D, Schreiber, R
DOI: 10.4338/ACI-2010-03-CR-0021
OBJECTIVE: Current staging systems are not accurate for classifying pancreatic endocrine tumors (PETs) by risk. Here, we developed a prognostic model for PETs and compared it to the WHO classification system. METHODS: We identified 98 patients diagnosed with PET at NewYork-Presbyterian Hospital/Columbia University Medical Center (1999 to 2009). Tumor and clinical characteristics were retrieved and associations with survival were assessed by univariate Cox analysis. A multivariable model was constructed and [...]
Author(s): Botsis, Taxiarchis, Anagnostou, Valsamo K, Hartvigsen, Gunnar, Hripcsak, George, Weng, Chunhua
DOI: 10.4338/ACI-2009-12-RA-0026
Medication reconciliation was developed to reduce medical mistakes and injuries through a process of creating and comparing a current medication list from independent patient information sources, and resolving discrepancies. The structure and clinician assignments of medication reconciliation varies between institutions, but usually includes physicians, nurses and pharmacists. The Joint Commission has recognized the value of medication reconciliation and mandated implementation in 2006; however, a variety of issues have prevented simple [...]
Author(s): Porcelli, P J, Waitman, L R, Brown, S H
DOI: 10.4338/ACI-2010-02-R-0010
Meaningful use is a multidimensional concept that incorporates complex processes; workflow; interoperability; decision support; performance evaluation; and quality improvement. Meaningful use is congruent with the overall vision for information management in New Zealand. Health practitioners interface with patient information at many levels, and are pivotal to meaningful use at the interface between service providers, patients, and the electronic health record. Advancing towards meaningful use depends on implementing a meaningful interface [...]
Author(s): Monsen, K, Honey, M, Wilson, S
DOI: 10.4338/ACI-2010-06-CR-0035
1. To conduct a review of the role of informatics in pediatric disaster preparedness using all medical databases. 2. To provide recommendations to improve pediatric disaster preparedness by the application of informatics.
Author(s): Burke, R V, Ryutov, T, Neches, R, Upperman, J S
DOI: 10.4338/ACI-2009-12-R-0019
Numerous projects, initiatives, and programs are dedicated to the development of Electronic Health Records (EHR) worldwide. Increasingly more of these plans have recently been brought from a scientific environment to real life applications. In this context, quality is a crucial factor with regard to the acceptance and utility of Electronic Health Records. However, the dissemination of the existing quality approaches is often rather limited.
Author(s): Hoerbst, A, Ammenwerth, E
DOI: 10.4338/ACI-2010-02-R-0009
Data for clinical documentation and medical research are usually managed in separate systems. We developed, implemented and assessed a documentation system for myocardial scintigraphy (SPECT/CT-data) in order to integrate clinical and research documentation. This paper presents concept, implementation and evaluation of this single source system including methods to improve data quality by plausibility checks.
Author(s): Herzberg, S, Rahbar, K, Stegger, L, Schäfers, M, Dugas, M
DOI: 10.4338/ACI-2009-12-RA-0017
This study tested the hypothesis that lactate testing in ED sepsis patients could be increased using a computer alert that automatically recognizes systemic inflammatory response syndrome (SIRS) criteria and recommends lactate testing in cases of sepsis defined as ≥2 SIRS criteria plus physician suspicion of infection. Secondary outcomes included the effect of the alert on lactate testing among admitted sepsis patients, the proportion of admitted patients with lactate ≥4.0 mmol/L [...]
Author(s): Berger, T, Birnbaum, A, Bijur, P, Kuperman, G, Gennis, P
DOI: 10.4338/ACI-2010-09-RA-0054