BACKGROUND The emerging adoption of the electronic medical record (EMR) in primary care enables clinicians and researchers to efficiently examine epidemiological trends in child health, including infant feeding practices. METHODS We completed a population-based retrospective cohort study of 8815 singleton infants born at term in Ontario, Canada, April 2002 to March 2013. Newborn records were ...

Background. While often first treated in the emergency department (ED), identification of sepsis is difficult. Electronic medical record (EMR) clinical decision tools offer a novel strategy for identifying patients with sepsis. The objective of this study was to test the accuracy of an EMR-based, automated sepsis identification system. Methods. We tested an EMR-based sepsis identification tool ...

Introduction Installing an electronic medical record (EMR) in a large organization is a complex and difficult undertaking. Achieving acceptance by clinicians is among the greatest challenges. EMRs typically require substantial change in the way clinicians work; indeed, introduction of EMRs may transform health care organizations. Nearly any change is associated with instability and resistance, ...

Many information technology-enabled healthcare applications have failed because their interfaces are difficult to use. Unfortunately, little attention has been paid in the health informatics community to designing effective user interfaces that are acceptable to healthcare professionals. This paper illustrates a method for improving application interface usability by applying sequential pattern...

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...

A growing number of healthcare organizations are replacing their traditional record keeping methods with the electronic medical record (EMR) systems as part of an on-going effort toward the digitization of healthcare. With the growing use of this digital information system, concerns about the state of security for the EMR systems have also increased. In recent years, a large number of academic ...

This paper provides analysis of a 3-year longitudinal ethnographic study following the gradual adaptation of an Electronic Medical Record (EMR) in a community health centre in Canada. Adopting a sociotechnical perspective, I follow the EMR and the work practices as they undergo continuous modifications and I identify changes that are brought about by the EMR. Findings from this research show es...