With increasingly ubiquitous electronic medical record (EMR) implementation accelerated by the adoption of the HITECH Act, there is much interest in the secondary use of collected data to improve outcomes and promote personalized medicine. A plethora of research has emerged using EMRs to investigate clinical research questions and assess variations in both treatments and outcomes. However, whet...

Clinical quality indicators are tools to measure the quality of healthcare and can be classified into structure-related, process-related and outcome-related indicators. The objective of this study is to investigate whether the electronic medical record (EMR) data from a Chinese diabetes specialty hospital can be used for the automated computation of a set of 38 diabetes quality indicators, espe...

BACKGROUND There is growing interest in the use of technology to enhance the tracking and quality of clinical information available for patients in disaster settings. This paper describes the design and evaluation of the Wireless Internet Information System for Medical Response in Disasters (WIISARD). MATERIALS AND METHODS WIISARD combined advanced networking technology with electronic triage...

The building of thesauri for large domains, especially for medicine, is a costly affair. However, in many domains thesauri can be constructed on an ontological basis [Wielinga , Schreiber, 2001]. We are developing an ontological information retrieval system for the retrieving of medical records from an electronic medical record system (EMR). We decided to use the UMLS as a basis for building th...

PURPOSE Atrial fibrillation/flutter (AF) is frequently associated with cardiovascular comorbidities. Observational health care databases are commonly used for research purposes in studies of quality of care, health economics, outcomes research, drug safety, and epidemiology. This retrospective cohort study applied a common data model to administrative claims data (Truven Health Analytics Market...

BACKGROUND Development and validation of automated electronic medical record (EMR) search strategies is important in identifying extubation failure in the intensive care unit (ICU). We developed and validated an automated search algorithm (strategy) for extubation failure in critically ill patients. METHODS The EMR search algorithm was created through sequential steps with keywords applied to...

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...

Hypothetical: A medical malpractice lawsuit alleges a failure to diagnose the aortic dissection that caused the sudden death of the patient. Two days before his death, the patient had visited a medical clinic, where the patient had shown normal vital signs except for a slight fever, and a mild shortness of breath. Based on the initial clinical presentation, the tentative diagnosis was pericardi...

The deployment of an electronic medical records (EMR) raises several important issues. Those addressed in this study are the access to such a system, satisfaction on security and authorization protocols follow, awareness backup recovery mechanisms place, appreciation training IT staff. This qualitative took place natural setting units' environments. A purposive sample 40 professionals Greece Om...

The health information technology (HIT) literature has focused on how healthcare organizations use electronic medical record (EMR) systems and other clinical IT for care delivery coordination. However, few studies have examined implementation of these technologies impact the organizations’ revenue cycle management (RCM) consequent financial sustainability. Against that backdrop, we draw institu...