Article
Public, Environmental & Occupational Health
Jeanette Olsen, Samantha Peterson, Alisyn Stevens
Summary: This program evaluation examined barriers and best practices in implementing electronic health record (EHR) referral programs in two rural healthcare organizations. Barriers included challenging communication and the need for more education, while best practices involved starting small with a provider champion, creating a resource-efficient referral process, and actively involving providers in referral discussions and decisions.
PUBLIC HEALTH NURSING
(2021)
Article
Health Care Sciences & Services
Antonius Mattheus van Rijt, Pauline Hulter, Anne Marie Weggelaar-Jansen, Kees Ahaus, Bettine Pluut
Summary: Mental health care professionals are struggling with the impact of web-based patient access to electronic health records and are seeking ways to modify their practices. There is a lack of systematization and communal appraisal among professionals, but various solutions are being suggested to address the challenges. Professional involvement in the development, implementation, and embedding of patient portals is essential to optimize the effects of web-based patient access.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
S. Elangovan, X. J. Xie, C. McBrearty, D. J. Caplan
Summary: This study demonstrates the utility of electronic dental records (EDRs) in mining meaningful public health information by assessing disease prevalence among unique patients in a U.S. dental college. The prevalence of various non-communicable medical conditions increased with age, and many conditions matched published national estimates, highlighting the potential of EDRs for disease surveillance and research.
Article
Health Care Sciences & Services
Thiago Bulhoes da Silva Costa, Lucas Shinoda, Ramon Alfredo Moreno, Jose E. Krieger, Marco Gutierrez
Summary: This article emphasizes the importance of blockchain in the field of personal health records and proposes a novel ledger-oriented architecture to securely collect, store, share, and manage health data. The authors also highlight the significance of suitable ledgers and smart contracts in operating a blockchain network, as well as the need for standardized evaluation metrics to compare related networks.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Review
Health Care Sciences & Services
Vincent Blijleven, Florian Hoxha, Monique Jaspers
Summary: This study provides a scoping review of workarounds in electronic health record systems, resulting in a theoretically validated and more complete SEWA framework. The revised framework can assist researchers and practitioners in identifying, analyzing, and resolving workarounds, ultimately improving patient safety, quality of care, and efficiency of care.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Pediatrics
Jennifer H. LeLaurin, Jacqueline De La Cruz, Ryan P. Theis, Lindsay A. Thompson, Ji-Hyun Lee, Elizabeth A. Shenkman, Ramzi G. Salloum
Summary: This study aimed to assess parent perspectives on EHR-based social needs screening and documentation and identify family-centered approaches for screening design and implementation.
ACADEMIC PEDIATRICS
(2023)
Article
Computer Science, Information Systems
Kevin Sorg, Hamid Khobzi
Summary: This study investigates the adoption of electronic vaccination records (EVR) by the Swiss population and identifies regional differences in adoption rates. These differences are likely due to distinctions in pharmacies and physicians in different cantons.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2022)
Article
Environmental Sciences
Fereshteh Hafezi, Masoud Bijani, Saeed Gholamrezai, Moslem Savari, Sabine Panzer-Krause
Summary: This study aims to develop a sustainable community-based ecotourism (SCBET) model using qualitative content analysis. The results show that CBET can be crystallized into a four-component model consisting of planning, implementation, evaluation, and situation analysis. The categories for CBET sustainability were matched with the standards of the Global Sustainable Tourism Council (GSTC), and the final SCBET model was presented.
SCIENCE OF THE TOTAL ENVIRONMENT
(2023)
Article
Health Care Sciences & Services
Charlotte Blease, John Torous, Zhiyong Dong, Gail Davidge, Catherine DesRoches, Anna Kharko, Andrew Turner, Ray Jones, Maria Hagglund, Brian McMillan
Summary: This study explores the experiences and opinions of GPs in England regarding patient access to their web-based health records. The majority of GPs expressed skepticism about the benefits of access for both patients and their practices.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Computer Science, Information Systems
Michael Joseph Dino, Michael William Catajan, Christopher Patricio, Joseph Carlo Vital, Trisha Joy Gotinga, Ma. Luisa Crisostomo, Maria Lucita Alonzo, Leila Ferrer, Chona Araga, Ronwaldo San Diego, Fe Bartolome, Maria Luisa Uayan, Evangeline Orata, Arfel Aguilar, Marissa Chua
Summary: The emergence of Electronic Health Records (EHRs) has provided beneficial healthcare information, but many of these technologies do not fully consider human-computer interaction, which affects healthcare professionals as end-users. This study aims to understand the preferences of healthcare providers in the community setting for an ideal EHR system interface.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Article
Health Care Sciences & Services
Patrice D. Tremoulet, Priyanka D. Shah, Alisha A. Acosta, Christian W. Grant, Jon T. Kurtz, Peter Mounas, Michael Kirchhoff, Elizabeth Wade
Summary: The study identified the necessary information for coordinating care for elderly patients' recent acute care visits and developed guidelines for creating useful discharge summaries. Evaluation of simulated elderly patient discharge summaries revealed deficiencies in content and organization, highlighting the need for standardization to improve patient safety and reduce frustration for outpatient providers. Further human factors research is suggested to optimize information presentation and facilitate effective standardization.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Anesthesiology
Richard H. Epstein, Ira S. Hofer, Valiollah Salari, Eilon Gabel
Summary: The data schema developed at UCLA proved to be a practical and scalable method to extract information from the Epic electronic health system database into the perioperative data warehouse in use at UM. Implementing the process developed at UCLA to build a comprehensive perioperative data warehouse from Epic is an extensible process that other hospitals seeking more efficient access to their electronic health record data should consider.
ANESTHESIA AND ANALGESIA
(2021)
Article
Computer Science, Interdisciplinary Applications
Mark S. Pfaff, Ozgur Eris, Charlene Weir, Amanda Anganes, Tina Crotty, Mohammad Rahman, Merry Ward, Jonathan R. Nebeker
Summary: This study aimed to understand the cognitive demands clinicians face when using an EHR system and identify expert clinicians' cues and strategies for managing those demands. Through cognitive task analysis, 145 unique cognitive demands of using an EHR were revealed and categorized into 22 themes across seven categories. The study found that EHR systems may not support clinicians in developing overall awareness, reasoning about patients' states and potential treatments, and working collaboratively.
JOURNAL OF BIOMEDICAL INFORMATICS
(2021)
Article
Pediatrics
Kimberly A. Randell, Maya Ragavan, Lindsey A. Query, Mangai Sundaram, Megan Bair-Merritt, Elizabeth Miller, Mary Denise Dowd
Summary: This study explores the risks associated with the pediatric electronic health record (EHR) for intimate partner violence (IPV) survivors and their children, and identifies strategies to mitigate these risks. The primary risk identified by participants is the potential access of abusers to a child's EHR, which may result in escalated violence and manipulation of IPV survivors. Recommended risk mitigation strategies include limited documentation, restricted EHR access, and discussing documentation with the survivor. The potential benefits of the pediatric EHR for IPV survivors include ensuring continuity of care and reducing the need to repeatedly discuss trauma histories.
ACADEMIC PEDIATRICS
(2022)
Article
Health Care Sciences & Services
Christina Cheng, Emma Gearon, Melanie Hawkins, Crystal McPhee, Lisa Hanna, Roy Batterham, Richard H. Osborne
Summary: Web-based personal health records (PHRs) have the potential to improve healthcare quality and equity, but their uptake has been slow. This study identified a strong association between digital health literacy and the use of a web-based PHR, suggesting that improving digital technology and skills, as well as enhancing healthcare and social support, may promote PHR uptake and help reduce health inequities.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Editorial Material
Health Care Sciences & Services
Peter Cram, Elliot Cram, Joseph Antos, Dean F. Sittig, Ajay Anand, Yue Li
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Editorial Material
Gastroenterology & Hepatology
Theresa Nguyen Wenker, Joel H. Rubenstein, Aaron P. Thrift, Hardeep Singh, Hashem B. El-Serag
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2023)
Article
Health Care Sciences & Services
Jennifer F. Sloane, Chris Donkin, Ben R. Newell, Hardeep Singh, Ashley N. D. Meyer
Summary: Interruptions are common in health care, including in diagnostic decision-making, and can have negative effects on the decision-making process and well-being of the decision-maker. It is important to develop strategies to manage interruptions and mitigate their impact on diagnostic decision-making.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Editorial Material
Health Care Sciences & Services
Traber D. Giardina, LeChauncy D. Woodard, Hardeep Singh
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Editorial Material
Medicine, General & Internal
Andrea Bradford, Hardeep Singh
JOURNAL OF HOSPITAL MEDICINE
(2023)
Article
Medicine, General & Internal
Victoria Hardy, Juliet Usher-Smith, Stephanie Archer, Rebecca Barnes, John Lancaster, Margaret Johnson, Matthew Thompson, Jon Emery, Hardeep Singh, Fiona M. Walter
Summary: This study explores how abdominal symptoms are communicated in primary care and identifies factors that influence the accuracy and completeness of their documentation. The results show that the information documented by doctors often does not match what patients describe, potentially leading to missed opportunities for timely investigation. Therefore, it is crucial to understand patients' descriptions of symptoms.
Article
Computer Science, Information Systems
Daniel R. Murphy, Andrew J. Zimolzak, Divvy K. Upadhyay, Li Wei, Preeti Jolly, Alexis Offner, Dean F. Sittig, Saritha Korukonda, Riyaa Murugaesh Rekha, Hardeep Singh
Summary: Two eCQMs were developed to assess diagnostic evaluation of cancer and were implemented in two large health systems. These eCQMs can be used to monitor diagnostic performance related to cancer.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Computer Science, Information Systems
Siru Liu, Aileen P. Wright, Barron L. Patterson, Jonathan P. Wanderer, Robert W. Turer, Scott D. Nelson, Allison B. McCoy, Dean F. Sittig, Adam Wright
Summary: This study used ChatGPT to generate suggestions for improving clinical decision support (CDS) logic and compared them to human-generated suggestions. The results showed that ChatGPT-generated suggestions offered unique perspectives and were highly understandable and relevant, but had moderate usefulness and lower acceptance, bias, inversion, and redundancy.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Computer Science, Information Systems
Adam Wright, Richard Schreiber, David W. Bates, Skye Aaron, Angela Ai, Raja Arul Cholan, Akshay Desai, Miguel Divo, David A. Dorr, Thu-Trang Hickman, Salman Hussain, Shari Just, Brian Koh, Stuart Lipsitz, Dustin Mcevoy, Trent Rosenbloom, Elise Russo, David Yut-Chee Ting, Asli Weitkamp, Dean F. Sittig
Summary: The study aimed to improve problem list documentation and care quality. Algorithms were developed to infer clinical problems missing from the coded problem list and a clinical decision support intervention was implemented to suggest adding these missing problems. The intervention significantly improved problem list completeness, but did not show significant differences in clinical quality measures.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Public, Environmental & Occupational Health
Laura Zwaan, Kelly M. Smith, Traber D. Giardina, Jacky Hooftman, Hardeep Singh
Summary: This study aimed to engage patients in setting research priorities for improving diagnosis. By involving patients, we identified the top-10 research questions that can guide future studies on reducing diagnostic errors.
PATIENT EDUCATION AND COUNSELING
(2023)
Article
Medicine, General & Internal
Thimo Marcin, Stefanie C. Hautz, Hardeep Singh, Laura Zwaan, David Schwappach, Gert Krummrey, Stefan K. Schauber, Mathieu Nendaz, Aristomenis Konstantinos Exadaktylos, Martin Mueller, Cornelia Lambrigger, Thomas C. Sauter, Gregor Lindner, Simon Bosbach, Ines Griesshammer, Wolf E. Hautz
Summary: This study investigates the impact of computerised diagnostic decision support systems (CDDS) on diagnostic quality, workflow, resource consumption, and patient outcomes in the emergency department. The study uses a multicentre, outcome assessor and patient-blinded, cluster-randomised, multiperiod crossover superiority trial with a total of 1184 patients. The primary outcome is a binary diagnostic quality risk score, including unscheduled medical care after discharge, change in diagnosis, or death during follow-up, and unexpected upscale in care within 24 hours after hospital admission. The study results will be disseminated through peer-reviewed journals, open repositories, and the network of investigators and advisory boards.
Article
Computer Science, Information Systems
Dean F. Sittig, Aziz Boxwala, Adam Wright, Courtney Zott, Priyanka Desai, Rina Dhopeshwarkar, James Swiger, Edwin A. Lomotan, Angela Dobes, Prashila Dullabh
Summary: In order to achieve the quintuple aim in healthcare, it is necessary to design, develop, implement, use, and evaluate high-quality, patient-centered clinical decision support (PC CDS). We developed a PC CDS lifecycle framework to create a common understanding and language for communication among researchers, patients, clinicians, and policymakers. The framework emphasizes the involvement of patients and their caregivers in all stages of the process.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Respiratory System
Minjoung Monica Koo, Luke T. A. Mounce, Meena Rafiq, Matthew E. J. Callister, Hardeep Singh, Gary A. Abel, Georgios Lyratzopoulos
Summary: Despite being eligible, a large proportion of patients presenting with dyspnoea and haemoptysis do not receive prompt chest imaging, indicating opportunities for earlier lung cancer diagnosis.
Review
Medicine, General & Internal
Kisha J. Ali, Christine A. Goeschel, Derek M. Delia, Leah M. Blackall, Hardeep Singh
Summary: The PRIDx framework can help foster collaboration between payers and providers to improve diagnostic safety.