Background The Electronic Health Record (EHR) lies at the heart of NHS plans for integrated patient care (Jones, 2004). Building on the partners’ studies of medical record keeping practices and inter-organisational communication (Hartswood et al., 2003), methodologies for userled development (Hartswood et al., 2002), the use of paper in knowledge work (Sellen and Harper, 2001), pattern language...

An investigationwas undertakenof the mechanismof a previouslyreportedcross-resistancebetweenvincristine (VCR) and daunorubicin(DNR) in Ehrlichascites tumor cells. No significantdifferencewas demonstratedfor the time course of [3H]VCRuptake in cells resistantto VCR (EHR 2/VCR+) and in cells resistant to DNR (EHR 2/ DNR+), whereaswild-typecellsaccumulatednearly6-fold more drug at steady state. Th...

BACKGROUND Notifying clinicians about abnormal test results through electronic health record (EHR) -based "alert" notifications may not always lead to timely follow-up of patients. We sought to understand barriers, facilitators, and potential interventions for safe and effective management of abnormal test result delivery via electronic alerts. METHODS We conducted a qualitative study consist...

To cope with the challenges of Taiwan’s healthcare system, the Department of Health (DOH) has proposed a five-year National Healthcare Information Project (NHIP) to establish a nationwide infrastructure for electronic health record (EHR) and health information exchange. An interoperable EHR adoption project, as part of NHIP, setup among eleven medical centers in 2007. We conduct a study to asse...

With the U.S. government calling for electronic health records (EHRs) for all Americans by the year 2014, adoption of an interoperable EHR is imminent in America's future. However, recent estimates for EHR implementation in the ambulatory care environment are just over 10 percent. This second part of a two-part study examines EHR acceptance factors in an academic-based healthcare system. Innova...

OBJECTIVE The intersection of electronic health records (EHR) and patient safety is complex. To examine the applicability of two previously developed conceptual models comprehensively to understand safety implications of EHR implementation in the English National Health Service (NHS). METHODS We conducted a secondary analysis of interview data from a 30-month longitudinal, prospective, case s...

BACKGROUND There is little data on the effect of the EHR on emergency department (ED) efficiency. OBJECTIVE 1) to quantify the effect of the EHR on patient flow in an academic pediatric ED. 2) to analyze the effects of patient census, boarding time, staffing hours, and acuity on the mean daily ED length-of-stay (LOS) and triage-to-provider time. METHODS ED performance was compared before an...

BACKGROUND In contrast to the acute hospital sector, there have been relatively few implementations of integrated electronic health record (EHR) systems into specialist mental health settings. The National Programme for Information Technology (NPfIT) in England was the most expensive IT-based transformation of public services ever undertaken, which aimed amongst other things, to implement integ...

BACKGROUND Homecare is an important and effective way of managing chronic illnesses using skilled nursing care in the home. Unlike hospitals and ambulatory settings, clinicians visit patients at home at different times, independent of each other. Twenty-nine percent of 10,000 homecare agencies in the United States have adopted point-of-care EHRs. Yet, relatively little is known about the growin...