Review
Cardiac & Cardiovascular Systems
Pishoy Gouda, Justin Ezekowitz
Summary: The use of electronic medical records has provided new opportunities for cardiovascular research, such as improving quality of care and examining genetic and pharmacological associations. However, further assessment of true clinical utility is needed before fully embracing these opportunities.
JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH
(2023)
Article
Psychology, Clinical
Marta Elliott, Michael Padua, Thomas L. Schwenk
Summary: This study found that problems with EHRs were positively correlated with problems in day-to-day medical practice and negatively correlated with access to social support. Medical practice problems were positively associated with physician distress, while social support was negatively associated with it. Mediation analyses revealed that EHR problems indirectly impact physician distress through problems encountered in medical practice and social support.
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE
(2022)
Article
Information Science & Library Science
Indranil R. Bardhan, Chenzhang Bao, Sezgin Ayabakan
Summary: This study investigates the impact of hospitals' electronic health records (EHR) sourcing strategies on healthcare value. The findings suggest that hospitals with single-vendor EHR configurations have better health information sharing compared to hospitals with multi-vendor systems. The integration between hospitals and physician practices moderates the effect of single sourcing on health information sharing, ultimately improving value in healthcare.
INFORMATION SYSTEMS RESEARCH
(2022)
Article
Geriatrics & Gerontology
Nancy L. L. Schoenborn, Craig E. E. Pollack, Cynthia M. M. Boyd
Summary: Many physicians believe that cancer screening should continue even in older age, limited life expectancy, or functional limitations, possibly due to reluctance to stop cancer screening or EMR reminders in order to retain control over individual patient decisions. However, there is consensus to stop EMR reminders at ages 85+ and <5-year life expectancy.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Medicine, General & Internal
Jenny Park, Somnath Saha, Brant Chee, Janiece Taylor, Mary Catherine Beach
Summary: Physicians' language in patient health records can reflect both negative and positive attitudes, which may impact the quality of care received by patients. It is important for physicians to be aware of their language in order to prevent the perpetuation of negative bias in medical care.
Article
Medicine, General & Internal
Jia Qu
Summary: This paper proposes a blockchain-based electronic health record model to address the issues of data sharing difficulties and privacy disclosure. The results show that using the DPOS algorithm can achieve efficient data sharing with lower computational intensity.
Article
Health Care Sciences & Services
Hossein Estiri, Zachary H. Strasser, Jeffy G. Klann, Pourandokht Naseri, Kavishwar B. Wagholikar, Shawn N. Murphy
Summary: This study utilizes past medical information collected in EHRs to predict death after COVID-19 infection and identifies age, pneumonia history, diabetes with complications, cancer, and pulmonary diseases as important risk factors for mortality prediction.
NPJ DIGITAL MEDICINE
(2021)
Article
Computer Science, Interdisciplinary Applications
Shirou Manabe, Toshihiro Takeda, Atsushi Hattori, Masashi Yamamoto, Yoshie Shimai, Yoshiki Namiuchi, Junji Yamaguchi, Tomomi Yamada, Shozo Konishi, Yasushi Matsumura
Summary: Establishing a network infrastructure for clinical research between Osaka University Hospital and affiliated hospitals in Osaka, as well as introducing a clinical data collection system, solved the integration issue of electronic medical records and clinical data. This network infrastructure can also serve as a medical image collection system, and a total of 28 clinical studies have been conducted using this system since 2013.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2021)
Article
Pediatrics
Jilei Lin, Shuhua Yuan, Bin Dong, Jing Zhang, Lei Zhang, Jinhong Wu, Jiande Chen, Mingyu Tang, Bin Zhang, Hansong Wang, Liangye Xu, Liebin Zhao, Yong Yin
Summary: This study aimed to establish a pediatric lower respiratory tract infections (PLRTIs) database based on structured electronic medical records (SEMRs) and provide an overview and usage process of SEMRs and the database. Medical information was recorded by a clinical information system, and a software plugin was used to set the properties of SEMR items. A total of 1,184 children with lower respiratory tract infections were included in the PLRTIs database. The SEMRs provide complete and high-quality data on pediatric lower respiratory tract infections.
FRONTIERS IN PEDIATRICS
(2022)
Article
Health Care Sciences & Services
Rosa R. L. C. Thielmann, Ciska Hoving, Jochen W. L. Cals, Rik Crutzen
Summary: This study aimed to investigate the effects of online access to medical records on patient empowerment, informed decision-making, and the patient-provider relationship. The results showed that users were more likely than nonusers to believe that online access to medical records would increase their participation in healthcare, improve their relationship with their general practitioner, and facilitate informed decision-making. Overall, online access to medical records has the potential to empower patients and enhance informed decision-making, but the effects are small.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
David Merola, Sebastian Schneeweiss, Deborah Schrag, Joyce Lii, Kueiyu Joshua Lin
Summary: This study aims to develop an algorithm that can identify oncology patients with high electronic health record (EHR) continuity. The results show that using this algorithm for prediction can significantly reduce variable misclassification and improve sensitivity without greatly impacting representativeness.
ANNALS OF EPIDEMIOLOGY
(2022)
Article
Biochemical Research Methods
Bolin Wang, Yuanyuan Sun, Yonghe Chu, Di Zhao, Zhihao Yang, Jian Wang
Summary: In this study, a biomedical word embedding framework based on manifold subspace is proposed, aiming to enhance the representation of distributed word representations in electronic medical record texts. The efficient optimization algorithm with neighborhood preserving embedding based on manifold optimization shows advantages over other baseline methods in intrinsic evaluation and external classification tasks, reducing the difficulty for researchers to process unstructured electronic medical record text data and preserving valuable medical information.
BMC BIOINFORMATICS
(2022)
Article
Computer Science, Information Systems
Lina Sulieman, Robert M. Cronin, Robert J. Carroll, Karthik Natarajan, Kayla Marginean, Brandy Mapes, Dan Roden, Paul Harris, Andrea Ramirez
Summary: This analysis compares the medical history collected in the All of Us Research Program through surveys and electronic health records (EHRs). The study found that survey data can supplement EHR data and disagreement between the two sources can help identify missing records and guide researchers in adjusting biases.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Multidisciplinary Sciences
Ha Na Cho, Imjin Ahn, Hansle Gwon, Hee Jun Kang, Yunha Kim, Hyeram Seo, Heejung Choi, Minkyoung Kim, Jiye Han, Gaeun Kee, Tae Joon Jun, Young-Hak Kim
Summary: Graph representation learning is an effective method for constructing and learning patient embeddings from electronic medical records. This study addresses the challenge of implementing complex and heterogeneous datasets, and successfully predicts patient prognosis and disease event outcomes.
SCIENTIFIC REPORTS
(2022)
Article
Public, Environmental & Occupational Health
Cliff Lindeman, Richard Golonka, Doug Klein, Michael K. Stickland, John C. Spence
Summary: This study compared the characteristics of patients with and without physical activity documented in primary care electronic medical records using pan-Canadian data. The results showed that physical activity was rarely documented in the records, with male patients, younger age groups, no comorbidities, higher blood pressure risk categories, better socioeconomic status, and normal body mass index having the most mentions of physical activity. Female physicians and those practicing in academic sites were more likely to document physical activity. Logistic regression analysis identified several significant covariates, including patient and physician age, comorbidities, and the use of electronic medical record systems.
PREVENTIVE MEDICINE
(2023)