This paper aims to solve a recently arose problem, related to the access to the Electronic Health Records (EHR) in the Hospitals. Due to the digitalization of the information contained in the medical records, and the growing availability of devices that directly generate digital documents to include in it, the EHR are becoming unmanageable. Even more, to find a concrete item of information rele...

Objective Using Failure Mode and Effects Analysis (FMEA) as an example quality improvement approach, our objective was to evaluate whether secondary use of orders, forms, and notes recorded by the electronic health record (EHR) during daily practice can enhance the accuracy of process maps used to guide improvement. We examined discrepancies between expected and observed activities and individu...

OBJECTIVE To evaluate selected Children's Health Insurance Program Reauthorization Act claims-based quality measures using claims data alone, electronic health record (EHR) data alone, and both data sources combined. METHODS Our population included pediatric patients from 46 clinics in the OCHIN network of community health centers, who were continuously enrolled in Oregon's public health insu...

Integrating biomedical research and patient care is a challenging issue requiring interoperability solutions. During a clinical trial, clinical data are captured twice, first in the Electronic Health Record (EHR) and then in the Clinical trials Data Management System (CDMS). The aim of REUSE (Retrieving EHR Useful data for Secondary Exploitation) project is to provide a single source solution f...

Objective: The slow adoption of electronic health record (EHR) systems has been linked to physician resistance to change and the expense of EHR adoption. This qualitative study was conducted to evaluate benefits, and clarify limitations of two mature, robust, comprehensive EHR Systems by tech-savvy physicians where resistance and expense are not at issue. Methods: Two EHR systems were examined ...

OBJECTIVE Increasing patient demand for convenient access to their own healthcare data has led to more personal use of the Electronic Health Record (EHR). With "consumer empowerment" being an important issue of EHR, we are seeing a more "patient-centric" approach of EHR from countries around the world. Researchers have reported on issues in EHR sharing including concerns on privacy and security...

BACKGROUND The effects of electronic health records (EHRs) on doctor-patient communication are unclear. OBJECTIVE To evaluate the effects of EHR use compared with paper chart use, on novice physicians' communication skills. DESIGN Within-subjects randomized controlled trial using observed structured clinical examination methods to assess the impact of use of an EHR on communication. SETTI...

This paper evaluates the contribution of an electronic health records (EHR) system to efficient decision-making by physicians, and investigates whether these systems lead to more efficient medical care in emergency departments (ED). Log-files of patient visits and admissions were retrieved from an integrative EHR system that serves seven main hospitals owned by a large health maintenance organi...

As electronic health records (EHRs) are becoming an integral part of the American Healthcare System, understanding their adoption processes and the associated barriers is of great importance. This research paper analyzes the status of EHR in two different sites, a large and a mid-sized hospital. We designed a framework to better comprehend their current status of EHR adoption. This framework is...

R.L. Richesson, J.E. Andrews (eds.), Clinical Research Informatics, Health Informatics, DOI 10.1007/978-1-84882-448-5_16, © Springer-Verlag London Limited 2012 Abstract Electronic health records (EHR) capture “real-world” disease and care processes and hence offer richer and more generalizable data for comparative effectiveness research than traditional randomized clinical trial studies. With t...