BACKGROUND Modern electronic health record systems (EHRS) reportedly offer advantages including improved quality, error prevention, cost reduction, and increased efficiency. This project reviewed the impact on specimen turnaround times (TAT) and percent compliance for specimens processed in a STAT laboratory after implementation of an upgraded EHRS. METHODS Before EHRS implementation, laborat...

OBJECTIVE To evaluate admission medication reconciliation in children with medically complex conditions (MCC) by determining the availability and accuracy of five information sources and characterising admitting order errors. DESIGN Prospective quality improvement cohort study. SETTING Tertiary care free-standing children's hospital in the Intermountain west, USA. PARTICIPANTS 23 children...

OBJECTIVE To appraise the published evidence regarding the accuracy of external cause-of-injury codes in hospital records. DESIGN Systematic review. DATA SOURCES Electronic databases searched included PubMed, PubMed Central, Medline, CINAHL, Academic Search Elite, Proquest Health and Medical Complete, and Google Scholar. Snowballing strategies were used by searching the bibliographies of re...

OBJECTIVE To determine the clonal relationship of ESBL-producing and quinolone resistant E.coli strains and to investigate the risk factors for infections with these microorganisms. METHODS A total of 95 ESBL-producing and quinolone resistant E.coli strains isolated from various clinical specimens of inpatients and outpatients in our hospital were included in the study. Risk factors for infec...

Communication is one of the foundations on which safe, high quality care is built.1, 3, 6, 17, 20 The nature of hospital medicine requires that nurses and providers be efficient and effective in communicating with multiple disciplines.17 This need for timely communication must continually be balanced with the need to minimize interruptions in workflow.1,2 3,4,6,7,9,13,15,17,18 Interruptions not...

Use of electronic health records (EHRs) is an important innovation for patients in jails and prisons. Efforts to incentivize health information technology, including the Medicaid EHR Incentive Program, are generally aimed at community providers; however, recent regulation changes allow participation of jail health providers. In the New York City jail system, the Department of Health and Mental ...

Although Klebsiella bacteremia in children is perceived to be associated with fatal consequences, data are scarce on those children presenting with diarrhea. We evaluated the factors associated with Klebsiella bacteremia in such children. In this retrospective chart analysis, data of all diarrheal children was retrieved from electronic medical record system (named as SHEBA) of Dhaka Hospital of...

Objective. Emergency medical services (EMS) research is frequently dependent on data recorded by prehospital personnel. Linking EMS information with hospital outcome depends on essential identifying data. We sought to determine the accuracy of these data in patients who activated EMS for chest pain and to describe the types of errors committed. Methods. We performed a retrospective, consecutive...

BACKGROUND Self-reported data are often used for estimates on healthcare utilization in cost-effectiveness studies. OBJECTIVE To analyze older adults' self-report of healthcare utilization compared to data obtained from the general practitioners' (GP) electronic medical record (EMR) and to study the differences in healthcare utilization between those who completed the study, those who did not...