We identified the methods used and determined the roles of electronic health records (EHRs) in detecting and assessing adverse drug events (ADEs) in the ambulatory setting.
Author(s): Feng, Chenchen, Le, David, McCoy, Allison B
DOI: 10.1055/s-0039-1677738
To describe physician perceptions of the potential goals, characteristics, and content of the electronic problem list (PL) in pediatric trauma.
Author(s): Hose, Bat-Zion, Hoonakker, Peter L T, Wooldridge, Abigail R, Brazelton Iii, Thomas B, Dean, Shannon M, Eithun, Ben, Fackler, James C, Gurses, Ayse P, Kelly, Michelle M, Kohler, Jonathan E, McGeorge, Nicolette M, Ross, Joshua C, Rusy, Deborah A, Carayon, Pascale
DOI: 10.1055/s-0039-1677737
This article describes lessons learned from the collaborative creation of logical models and standard Health Level Seven (HL7) Fast Healthcare Interoperability Resources (FHIR) profiles for family planning and reproductive health. The National Health Service delivery program will use the FHIR profiles to improve federal reporting, program monitoring, and quality improvement efforts.
Author(s): Matney, Susan A, Heale, Bret, Hasley, Steve, Decker, Emily, Frederiksen, Brittni, Davis, Nathan, Langford, Patrick, Ramey, Nadia, Huff, Stanley M
DOI: 10.1055/s-0038-1677527
Managing prescription renewal requests is a labor-intensive challenge in ambulatory care. In 2009, Vanderbilt University Medical Center developed clinic-specific standing prescription renewal orders that allowed nurses, under specific conditions, to authorize renewal requests. Formulary and authorization changes made maintaining these documents very challenging.
Author(s): Nelson, Scott D, Rector, Hayley H, Brashear, Daniel, Mathe, Janos L, Wen, Haomin, English, Stacey Lynn, Hedges, William, Lehmann, Christoph U, Ozdas-Weitkamp, Asli, Stenner, Shane P
DOI: 10.1055/s-0038-1675813
Clinical interface terminologies (CITs) consist of terms designed for clinical documentation and, through mappings to standardized vocabularies, to support secondary uses of patient data, including clinical decision support, quality measurement, and billing for health care services. The latter purpose requires maps to administrative coding systems, such as the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), for diagnoses in the United States.
Author(s): Rose, Eric, Rube, Steven, Kanter, Andrew S, Cardwell, Matthew, Naeymi-Rad, Frank
DOI: 10.1055/s-0038-1676972
Author(s): Quirós, Fernán Gonzalez Bernaldo de, Baum, Analía, Lira, Antonio
DOI: 10.1055/s-0038-1676970
Excess physician work hours contribute to burnout and medical errors. Self-report of work hours is burdensome and often inaccurate. We aimed to validate a method that automatically determines provider shift duration based on electronic health record (EHR) timestamps across multiple inpatient settings within a single institution.
Author(s): Dziorny, Adam C, Orenstein, Evan W, Lindell, Robert B, Hames, Nicole A, Washington, Nicole, Desai, Bimal
DOI: 10.1055/s-0038-1676819
Local implementation of guidelines for pneumonia care is strongly recommended, but the context of care that affects implementation is poorly understood. In a learning health care system, computerized clinical decision support (CDS) provides an opportunity to both improve and track practice, providing insights into the implementation process.
Author(s): Jones, Barbara E, Collingridge, Dave S, Vines, Caroline G, Post, Herman, Holmen, John, Allen, Todd L, Haug, Peter, Weir, Charlene R, Dean, Nathan C
DOI: 10.1055/s-0038-1676587
Rule-base clinical decision support alerts are known to malfunction, but tools for discovering malfunctions are limited.
Author(s): Aaron, Skye, McEvoy, Dustin S, Ray, Soumi, Hickman, Thu-Trang T, Wright, Adam
DOI: 10.1093/jamia/ocy139