Using glucose time series data from a well measured population drawn from an electronic health record (EHR) repository, the variation in predictability of glucose values quantified by the time-delayed mutual information (TDMI) was explained using a mechanistic endocrine model and manual and automated review of written patient records. The results suggest that predictability of glucose varies wi...

Frances Peabody’s timeless lecture toHarvardMedical School students, published in JAMA almost90years ago,1 spoke of the complex and deeply human experience of illness, as epitomized by the powerful observation “for the secret of the care of the patient is in caring for the patient.” Peabodyemphasizedhowcaringmeantunderstanding for each patient how particular personal and emotional circumstances...

numerous advantages are derived from the electronic health record (ehr).though achieving such advantages depends on its architecture, at present no unique understanding of the architecture dimensions and specifications is available. therefore, the aim of the present study is a systematic review of architecture perception of the electronic health record. the authors searched the literature in sc...

The Change readiness research method (CRR) has become a wellknown method in Denmark to identify issues needed to be discussed on a hospital ward before implementation of a new IT-system and to start a dialogue. A precondition for a constructive dialogue, however, is a high degree of participation. The latest experiences of the CRR method were gained from its use in eight wards in the Danish Gep...

Ehrlich FRS & Ehrlich [1] claim that overpopulation , over-consumption and the future climate mean that 'preventing a global collapse of civilization is perhaps the foremost challenge confronting humanity'. What is missing from the well-referenced perspective of the potential downsides for the future of humanity is any balancing assessment of the progress being made on these three challenges (a...

Optimization and experience with using EHRs may improve physician experiences. Physician opinions about EHR-related impacts, and the extent to which these impacts differ by self-reported optimized EHR use and length of experience are examined through nationally representative physician data of EHR users from the National Electronic Health Records Survey extended survey (n=1,471). Logistic regre...

OBJECTIVE Despite efforts made by ambulatory care organizations to standardize the use of electronic health records (EHRs), practices often incorporate these systems into their work differently from each other. One potential factor contributing to these differences is within-practice communication patterns. The authors explore the linkage between within-practice communication patterns and pract...