Article
Computer Science, Information Systems
Bradley E. Iott, Matthew S. Pantell, Julia Adler-Milstein, Laura M. Gottlieb
Summary: Healthcare organizations are increasingly screening and documenting social determinants of health (SDH) in the electronic health record (EHR) to support medical decision-making and referrals to social care resources. Physicians practicing in community health centers, participating in payment models with social care initiatives, and aware of other advanced EHR functionalities demonstrate higher levels of awareness of social needs documentation.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Health Care Sciences & Services
Nate C. Apathy, Lisa Rotenstein, David W. Bates, A. Jay Holmgren
Summary: This study analyzed the relationship between physician clinical note length and composition and the burden and efficiency of electronic health records (EHRs). The findings suggest that physicians with longer notes and those using copy/paste text experience greater burden and lower efficiency, while the use of templated text shows a non-linear relationship with burden and efficiency.
HEALTH SERVICES RESEARCH
(2023)
Article
Psychology, Developmental
Julia Pickel, Anjali Singapur, Jungwon Min, Danielle Petsis, Kenisha Campbell, Sarah Wood
Summary: The study aimed to evaluate sexual history documentation and Chlamydia trachomatis screening practices in a large pediatric primary care network. The findings showed variations in sexual history documentation across clinics, with the majority of chart notes being noninformative. This highlights the importance of addressing barriers and improving comprehensive sexual health care for adolescents.
JOURNAL OF ADOLESCENT HEALTH
(2022)
Review
Health Care Sciences & Services
Obinwa Ozonze, Philip J. Scott, Adrian A. Hopgood
Summary: Information systems like EHR systems are prone to data quality issues. There is a growing demand for strategies and tools to ensure the fitness of available data. However, developing reliable tools for data quality assessment remains a challenge.
JOURNAL OF MEDICAL SYSTEMS
(2023)
Article
Health Care Sciences & Services
Tom Ebbers, Rudolf B. Kool, Ludi E. Smeele, Richard Dirven, Chrisje A. den Besten, Luc H. E. Karssemakers, Tim Verhoeven, Jasmijn M. Herruer, Guido B. van den Broek, Robert P. Takes
Summary: This study investigated the impact of structured and standardized documentation on the quality of notes in the Electronic Health Record. The results showed that structured documentation significantly improved note quality and that structured notes were more clear and concise.
JOURNAL OF MEDICAL SYSTEMS
(2022)
Review
Computer Science, Information Systems
Abigail E. Lewis, Nicole Weiskopf, Zachary B. Abrams, Randi Foraker, Albert M. Lai, Philip R. O. Payne, Aditi Gupta
Summary: The objective of this study was to determine recent improvements or changes in EHR data quality assessment methodologies. A systematic review of PubMed articles from 2013 to April 2023 was conducted. The findings indicate that there is still a lack of a standard approach for assessing EHR data quality. Guidelines are needed to improve the efficiency, transparency, comparability, and interoperability of data quality assessment.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Health Care Sciences & Services
Lisa S. Rotenstein, Nate Apathy, A. Jay Holmgren, David W. Bates
Summary: This study aimed to investigate physicians' note composition strategies and their correlation with time spent on notes and EHR use. The analysis of 215,207 US-based ambulatory physicians using the Epic EHR identified six distinct note composition strategies. The findings suggest that how physicians use EHR-based documentation tools can significantly impact reducing documentation time and alleviating EHR-associated burden.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Computer Science, Information Systems
A. Jay Holmgren, Masha Kuznetsova, David Classen, David W. Bates
Summary: This study found significant variation in quality performance among EHR vendors, but only a small fraction of quality variation was explained by vendor choice. Hospital performance was mainly driven by the hospital itself and how it used the EHR system, rather than the specific EHR vendor selected.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2021)
Article
Computer Science, Information Systems
Chad Anderson, Mala Kaul, Nageshwara Gullapalli, Sujatha Pitani
Summary: The ubiquity of electronic health records (EHRs) requires residents to incorporate them into medical practice. This research explores the impact of EHRs on resident clinical skills development, particularly in patient encounters.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Geriatrics & Gerontology
David B. Reuben, Hanina L. Rosenstein, Kimberly Chen, Ajaya Pillai, David R. Lee, Sarah D. Meshkat, Grace I. Chen
Summary: This study aimed to improve the quality of care for patients with dementia. By embedding algorithms in the electronic health record system, specific recommendations can be generated to help patients access appropriate clinical services. The results of the study showed that the majority of recommended suggestions were adopted by providers, but there were also cases where the suggestions were perceived as irrelevant to the patients. Geriatricians felt more confident in managing dementia care without referral services.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Medicine, General & Internal
Joshua M. Inglis, Gillian E. Caughey, William Smith, Sepehr Shakib
Summary: This study examined the documentation of opioid adverse drug reactions in electronic health records of four public hospitals in South Australia. The majority of the recorded reactions were suggestive of pharmacological intolerance rather than true allergic reactions. A dedicated clinical service for systematic review of adverse drug reactions is needed to improve the accuracy of documentation.
INTERNAL MEDICINE JOURNAL
(2021)
Article
Health Care Sciences & Services
Prabi Rajbhandari, Moises Auron, Sarah Worley, Michelle Marks
Summary: Through a series of educational interventions and electronic system changes, the pediatric hospital successfully increased the utilization rate of the problem list to 100%, maintaining it above 80%. This demonstrates that a combination of education and technology can effectively improve the use of problem lists.
JOURNAL OF PATIENT SAFETY
(2021)
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
Oncology
Scarlett B. Hao, Stephanie Jilcott B. Pitts, John Iasiello, Christopher Mejia, Ashley W. Quinn, Patrycja Popowicz, Anastasios Mitsakos, Alexander A. Parikh, Rebecca A. Snyder
Summary: This study aimed to evaluate the feasibility and acceptability of implementing an electronic health record (EHR) social determinants of health (SDOH) screening instrument into routine oncology practice. The results showed that screening for SDOH using EHR did not significantly affect clinic visit time for patients or clinicians, and the majority of patients had at least one SDOH need. However, some staff perceived workflow barriers. Ongoing investigation is needed to determine the impact of standardized SDOH assessment on cancer care delivery and outcomes.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Article
Multidisciplinary Sciences
Jeannett Kjaer, Louise Milling, Daniel Wittrock, Lars Bak Nielsen, Soren Mikkelsen
Summary: This study investigated the data quality in the electronic prehospital patient record (ePPR) system in the Region of Southern Denmark and explored ambulance professionals' attitudes towards its use. The findings showed that while there is high data quality, there is still room for improvement. The study identified several barriers to data completeness and correctness, including attitudes of ambulance professionals, emergency setting, training and guidelines, and challenges related to the tablet and software.
Article
Geriatrics & Gerontology
Megan Johnson Shen, Ryann Freeman, Stephen Karpiak, Mark Brennan-Ing, Liz Seidel, Eugenia L. Siegler
CLINICAL GERONTOLOGIST
(2019)
Letter
Health Care Sciences & Services
Barton J. Sanders, Melissa Bakar, Sonal Mehta, M. Carrington Reid, Eugenia L. Siegler, Robert C. Abrams, Ronald D. Adelman, Mark S. Lachs
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2020)
Letter
Geriatrics & Gerontology
Eugenia L. Siegler
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2020)
Article
Geriatrics & Gerontology
Chelsie O. Burchett, Megan Johnson Shen, Ryann Freeman, Liz Seidel, Stephen Karpiak, Mark Brennan-Ing, Eugenia L. Siegler
Summary: This study examined the lack of community-based programs targeting older people living with HIV. The findings emphasize the need for community organizations to address the social engagement and isolation issues faced by this population. Programs specifically designed for older people with HIV are necessary to promote socialization and develop support networks.
CLINICAL GERONTOLOGIST
(2022)
Article
Geriatrics & Gerontology
Heather M. Derry, Carrie D. Johnston, Chelsie O. Burchett, Mark Brennan-Ing, Stephen Karpiak, Yuan-Shan Zhu, Eugenia L. Siegler, Marshall J. Glesby
Summary: This study investigated the relationships between psychosocial factors (mood, loneliness, and stigma), inflammatory markers, and age-related health outcomes among older PLWH. The findings showed that depressive symptoms were associated with higher cytokine levels, and higher cytokine levels were related to worse physical function and cognitive complaints. These results highlight the importance of managing comorbidities and leveraging the biopsychosocial relationships to improve the health of older PLWH.
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
(2022)
Article
Immunology
Carrie D. Johnston, Eugenia L. Siegler, Michelle C. Rice, Heather M. Derry, Katie C. Hootman, Yuan-Shan Zhu, Chelsie O. Burchett, Samir K. Gupta, Mary E. Choi, Marshall J. Glesby
Summary: This study found that higher levels of urinary cfmtDNA were more common in older adults with HIV who had poorer physical condition, including unintentional weight loss and lower fat and muscle mass. This suggests that urinary cfmtDNA may reflect pathophysiological aging processes in older adults with HIV, predisposing them to geriatric syndromes. Longitudinal investigation of urinary cfmtDNA as a biomarker of geriatric syndromes is deemed necessary.
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
(2021)
Article
Medicine, General & Internal
Eugenia Siegler, Jerad Moxley, Elizabeth Mauer, Marshall Glesby
Summary: This study examined high-risk and functional comorbidities in a diverse population of HIV patients, finding that functional comorbidities increase with age. Therefore, it is important to assess and monitor these health issues as the HIV population ages.
Article
Infectious Diseases
Jesse O. Wrenn, Suman B. Pakala, Grant Vestal, Meghan H. Shilts, Hunter M. Brown, Sara M. Bowen, Britton A. Strickland, Timothy Williams, Simon A. Mallal, Ian D. Jones, Jonathan E. Schmitz, Wesley H. Self, Suman R. Das
Summary: The clinical outcomes of infections caused by the Omicron variant were compared to those caused by the Delta variant. It was found that infections caused by the Omicron variant were less severe, with significantly lower morbidity and mortality rates, compared to those caused by the Delta variant.
INFLUENZA AND OTHER RESPIRATORY VIRUSES
(2022)
Letter
Public, Environmental & Occupational Health
Sanam Bhatia, Carrie D. Johnston, Heather Derry-Vick, Mark Brennan-Ing, Chelsie O. Burchett, Eugenia L. Siegler, Marshall J. Glesby
AIDS PATIENT CARE AND STDS
(2022)
Article
Geriatrics & Gerontology
Maria T. Brown, John Wikiera, Marz Albarran, Angie Partap, Courtney Ahmed, Victoria Brock, Sheriden Beard, Eugenia L. Siegler
Summary: This study aimed to identify the practical needs of long-term survivors and older people with HIV in New York State and develop recommendations addressing those needs. A statewide survey using community-based participatory research methods was conducted, and participants chose the most important barriers and recommendations in various categories. The findings highlighted the concerns regarding clinical care coordination, housing needs, cultural representation in mental health services, and financial support of consumers.
INNOVATION IN AGING
(2023)
Article
Computer Science, Information Systems
Jesse O. Wrenn, Matthew A. Christensen, Michael J. Ward
Summary: This study investigated the accuracy of measuring the Glasgow Coma Scale (GCS) in determining altered mentation in electronic health records (EHR). The results showed that there was modest agreement between eConfusion and provider documentation, but eConfusion had low sensitivity, making it unsuitable as a measure for altered mentation in clinical decision support tools in the emergency department (ED).
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Article
Immunology
Heather M. Derry, Carrie D. Johnston, Mark Brennan-Ing, Stephen Karpiak, Chelsie O. Burchett, Yuan-Shan Zhu, Eugenia L. Siegler, Marshall J. Glesby
Summary: The study suggests that individuals with a history of childhood sexual abuse (CSA) in HIV patients show stronger links between physiological burden and inflammation, signaling a greater need for interventions. These data indicate that the physiological sequelae of childhood trauma may persist in individuals with HIV.
BRAIN, BEHAVIOR, & IMMUNITY - HEALTH
(2021)
Article
Infectious Diseases
Eugenia L. Siegler, Jerad H. Moxley, Marshall J. Glesby
Summary: A retrospective review of comprehensive geriatric assessment (CGA) in an HIV clinic in New York City found that referred PWH were older, had more functional comorbidities, and commonly reported fatigue and memory issues. CGA offers insight into the psychosocial concerns and needs of older PWH, indicating that although most can manage their activities of daily living, they often have additional deficits beyond their comorbidities.
HIV AIDS-RESEARCH AND PALLIATIVE CARE
(2021)
Article
Gerontology
Heather M. Derry, Carrie D. Johnston, Chelsie O. Burchett, Eugenia L. Siegler, Marshall J. Glesby
JOURNAL OF AGING AND HEALTH
(2020)
Article
Infectious Diseases
Tessa del Carmen, Carrie Johnston, Chelsie Burchett, Eugenia L. Siegler
CURRENT TREATMENT OPTIONS IN INFECTIOUS DISEASES
(2019)