Implementing electronic health records (EHR) in healthcare settings incurs challenges, none more important than maintaining efficiency and safety during rollout. This report quantifies the impact of offloading low-acuity visits to an alternative care site from the emergency department (ED) during EHR implementation. In addition, the report evaluated the effect of EHR implementation on overall p...

BACKGROUND Screening, brief intervention, and referral to treatment (SBIRT) is currently being implemented into health systems nationally via paper and electronic methods. OBJECTIVE The purpose of this study was to evaluate the integration of an electronic SBIRT tool into an existing paper-based SBIRT clinical workflow in a patient-centered medical home. METHODS Usability testing was conduc...

OBJECTIVE We describe the development and evaluation of a system that uses machine learning and natural language processing techniques to identify potential candidates for surgical intervention for drug-resistant pediatric epilepsy. The data are comprised of free-text clinical notes extracted from the electronic health record (EHR). Both known clinical outcomes from the EHR and manual chart ann...

BACKGROUND Electronic health records (EHRs) are a rich resource for developing applications to engage patients and foster patient activation, thus holding a strong potential to enhance patient-centered care. Studies have shown that providing patients with access to their own EHR notes may improve the understanding of their own clinical conditions and treatments, leading to improved health care ...

OBJECTIVES Health information technology, especially electronic health records (EHRs), can be used to improve the efficiency and effectiveness of healthcare providers. This study assessed the cost-savings of incorporating a list of preferred specialty care providers into the EHRs used by all primary care physicians (PCPs), accompanied by a comprehensive implementation plan. METHODS On January...

BACKGROUND Databases derived from primary care electronic health records (EHRs) are ideally suited to study clinical influences on referral patterns. This is the first study outside the United Kingdom to use an EHR database to describe rates of referral per patient from family physicians to specialists. OBJECTIVE To use a primary care EHR database to describe referrals to specialist physicia...

Electronic health record (EHR) systems support local quality improvement efforts by health care organizations and provide the opportunity to address national priority areas for quality measurement, such as specialty care, overuse and efficiency, coordination of care, change over time and patient- reported outcomes (PROs). However, variations in provider workflow and documentation habits, adopti...

Widespread adoption of electronic health records (EHRs) and expansion of patient registries present opportunities to improve patient care and population health and advance translational research. However, optimal integration of patient registries with EHR functions and aggregation of regional registries to support national or global analyses will require the use of standards. Currently, there a...

introduction: users of medical record information in accordance to relying on data and health information, they demand quality. proper storage, maintenance, and archiving of old medical records forms for different purposes has led to lack of enough storage space and retention problems for health services organizations. the objective of this study is to assess the effectiveness of medical record...

introduction: the health information system of hospitals depends on their medical records. therefore, the detailed documentation, and maintenance of patient records can lead to timely diagnosis and effective treatment of diseases in any country, and should be included in the strategic program for disease control. this study aimed to determine the status of the documentation of tuberculosis pati...