A study of nine emergency department residents found significant discrepancies between the electronic medical record and physicians' behaviors during patient encounters. The review of systems and physical examinations documented by physicians were often inaccurately recorded, with limitations including a small sample size and potential...
Boston Medical Center reduced unnecessary diagnostic testing and increased postoperative order sets after implementing electronic medical record-based interventions. The study demonstrates the impact of deploying multiple interventions simultaneously within the electronic medical record on delivering high-value care.
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Researchers analyzed Facebook status histories and electronic medical records of 683 patients to identify correlations between post language and depression. They found that language indicating sadness, loneliness, hostility, self-reference, and rumination were associated with a higher risk of depression.
Patient access to primary care medical records is crucial for fully patient-centered care, but obstacles such as authorization forms, fees, and long waits hinder this ability. Mandating patient portals would address these challenges and enhance the effectiveness of universal healthcare systems.
A study found that lowering the default amount of opioid pills prescribed in a health care system's electronic medical record was associated with a decrease in the total number of opioids prescribed systemwide. This change involved reducing the default number of opioid pills from 30 to 12 in 2017.
Researchers developed an algorithm to predict antidepressant effectiveness based on depression subtypes, achieving higher accuracy than existing methods in clinical settings. Clinicians found the tool more user-friendly, which could significantly impact patients' lives, with a 50% failure rate for first and second treatment attempts.
A computer-generated physician is being developed to explain medical test results to patients in layman's terms, using graphics and videos. The system aims to improve health literacy and patient engagement, particularly among older adults with lower health literacy levels.
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A study from Michigan Medicine reveals significant disparities between patients' self-reported eye symptoms and their electronic medical records. The study analyzed 162 Kellogg patients and found that only 38 had exact agreement between their survey responses and medical records, with symptom reporting driving the inconsistencies.
Researchers found inconsistencies between patient self-report on an Eye Symptom Questionnaire (ESQ) and documentation in the EMR, with 34% having different reporting of blurry vision. This study highlights the importance of accurate symptom documentation for high-quality patient care.
The integration of EMRs and patient portals is changing healthcare delivery by providing actionable data for doctors to make informed decisions. This shift towards a more patient-centered approach enables personalized care, improved health outcomes, and enhanced patient engagement.
The study, published in JAMA Internal Medicine, examines the complex processes shaping dialysis timing and suggests opportunities for patient-centered approaches. The research reveals interrelated factors, including physician practices, precipitating events, and patient-physician dynamics.
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Researchers found that embedded clinical practice guidelines in patient electronic medical records during outpatient visits improved the use of severity measurement tools, referrals to rehabilitation programs, inhaler education, and vaccinations among stable COPD patients. The intervention also led to better quality of care measures.
The Regenstrief tEMR system offers a unique learning environment for medical students, allowing them to practice patient care in a simulated setting. The system uses anonymized patient data to train students on how to navigate electronic medical records and make clinical decisions.
A study by Loyola University Medical Center found that hospitals with increased nurse-to-bed ratios, full adoption of electronic medical records, inpatient physical rehabilitation, home-health programs, and pain management programs were more likely to overcome the 'weekend effect' and improve patient outcomes. This suggests that improv...
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A new study identifies five resources that help hospitals overcome the 'weekend effect' in urgent general surgery procedures. Hospitals with increased nurse-to-bed ratios, electronic medical records, inpatient physical rehabilitation programs, home-health programs, and pain management programs are more likely to improve patient outcomes.
RAVE empowers clinicians to write personalized decision support rules based on their experience with patients, enhancing patient care and safety. The tool's checks and balances ensure that rules meet specified criteria and are only accessible to the intended users.
The Lab-in-a-Box system tracks a doctor's behavior during consultations with patients, analyzing their interactions with electronic medical records. The goal is to provide insights on how to run medical practices more efficiently, while minimizing distractions from screen time.
In a six-month trial, 49% of patients withheld clinically sensitive information from their healthcare providers. Patients sought control over who accessed their records, but doctors had mixed reactions. The study aimed to balance individual privacy with healthcare providers' needs for relevant data.
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A nationwide study found that US doctors spend an average of 8.7 hours per week on administration, including tasks such as billing and insurance approvals. The study also revealed that physicians in Canada spend less time on administrative work due to their single-payer system.
The Radiological Society of North America (RSNA) and the Regenstrief Institute are collaborating on a project to harmonize and unify terms for radiology procedures. The goal is to produce a single unified source of names and codes for radiology procedures, promoting common understanding, simplifying clinical processes, and enhancing da...
Researchers used genotype data from 13,835 individuals to perform the first large-scale phenome-wide association study (PheWAS), discovering 63 previously unknown SNP-disease associations. The study validated known associations across hundreds of previous studies and found genes associated with multiple diseases or traits.
The Department of Defense has awarded Nemours a $3.9 million grant to evaluate how physicians use best practice guidelines and strategies to maintain clinical skills. The study will examine patterns in physicians' types of cases and their variability in practice for certain targeted medical conditions.
A UT Arlington computer scientist is leading a project to mine electronic medical records data to personalize patient treatment, predict health care needs, and identify risks. The goal is to improve healthcare outcomes by providing doctors with better information.
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Researchers developed an innovative tool, IMRS-HF, to predict 30-day hospital readmissions in heart failure patients. The tool uses a statistical model that analyzes several variables and provides a risk score for physicians, helping ensure healthier discharge conditions.
A new Regenstrief study found that half of infection preventionists are unaware of health information exchange participation, while only 10% are engaged. The researchers also discovered that most preventers lack access to designed tools for sifting through electronic medical record data.
A study suggests that electronic medical records (EMRs) significantly improve physician compliance with reviewing portal images, leading to more accurate radiation treatment and higher quality care. By leveraging EMRs, hospitals can reduce errors and optimize patient care.
A study found that expanded use of electronic medical records would substantially reduce infant mortality in the U.S., saving approximately 16 babies for every 100,000 live births. A complete national transition to electronic records would save an estimated 6,400 infants each year.
Researchers at Northwestern University have found that using electronic medical records to identify patients with diseases can be faster and cheaper than recruiting thousands of participants. The study used data from five national sites to accurately identify patients with five types of diseases, achieving accuracy rates of 73-98%.
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A new study conducted in Eldoret, Kenya found that computer-generated reminders about overdue tests yielded a nearly 50% increase in the appropriate ordering of CD4 blood tests. This improvement in quality of care was made possible through the implementation of just-in-time clinician support within electronic medical records.
A new approach called Desktop Medicine involves clinicians gathering and analyzing risk factor information to prevent disease onset. This model has substantial implications for educating, training, and practicing medicine, including incorporating bedside and desktop medicine in office visits.
A new study by INFORMS suggests that persuading influential medical centers to adopt electronic medical records can accelerate the adoption of these systems among neighboring hospitals. The research found that targeting well-known, larger, and older hospitals in densely populated regions can significantly increase the rate of adoption.
Implementing electronic medical records (EMRs) in six antiretroviral treatment sites in Malawi improved quarterly cohort reports completion time from up to five days to minutes. The successful deployment of EMRs also prepared a foundation for a comprehensive electronic health record system for other chronic diseases.
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Researchers used electronic medical records to coordinate care for marathon participants, finding benefits include real-time patient data sharing and improved preparation for future events. The study also showed potential for identifying trends in injury patterns.
The University of South Florida will train 100 e-ambassadors to help doctors use and adopt electronic health records, improving patient safety and convenience. The initiative aims to bridge the gap in adopting new systems and make EMRs more responsive to physicians.
The National Institutes of Health is implementing a system to track radiation dose exposure from medical imaging tests, aiming to determine potential cancer risks. The electronic medical record will store and retrieve reports on radiation doses, allowing for the collection of data necessary to assess cancer risk.
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Emergency medical services providers can now securely access patients' pre-existing health information, enabling informed treatment decisions and efficient care delivery. The Indiana Network for Patient Care (INPC) link allows paramedics and EMTs to access patient records in real-time, improving care quality and safety.
The Regenstrief Institute has developed technologies to enable rapid, secure bi-directional exchange of health information between clinical sources and public health organizations. This allows for efficient sharing of information on emerging risks and outbreak detection.
Researchers found that healthcare providers use paper for efficiency, ease of use, and memory aid purposes. They recommend decreasing alerts to avoid information overload.
Researchers found that electronic medical records reduced infections but had no effect on other patient safety indicators. The study suggests that generalizations from early adopters may overstate the value of health IT on a national scale.
Researchers developed an electronic medical record system called ESP that increased reported infections of Chlamydia and gonorrhoea by 40-50% and provided more complete information on patient conditions. The system is designed to report seven types of infections and offers promise for faster detection and prevention of public health th...
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A Kaiser Permanente-funded study will analyze the medical records of 175,000 adults to find ways to improve cardiovascular care nationwide. The two-year study aims to connect adherence to evidence-based care guidelines with risk of disease events.
A Kaiser Permanente study found that electronic medical records and outreach programs significantly improved osteoporosis diagnosis and management in older women. The study, which analyzed data from 3,588 women aged 67 and older, showed a significant increase in bone density screening and osteoporosis medication after a fracture.
EMRs enable better patient care, data analysis, and research studies, but challenges remain in implementation and integration. Despite limitations, EMRs offer advantages such as streamlined reports, medication reminders, and quality tracking.
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A study suggests that implementing three key reforms could transform the Medicare program, including creating an out-of-pocket maximum, paying physicians to submit electronic medical records, and improving care coordination among physicians. This could lead to better treatment, reduced duplicate tests, and improved patient outcomes.