BACKGROUND Geocoding electronic health records (EHRs) provides novel insights for clinicians, but it is important to understand and address key issues, including privacy and protection of patient records, in order to realize potential benefits. METHODS This paper discusses the issues surrounding geocoding and illustrates potential benefits through 3 case studies of no-shows to clinical appoin...

The purpose of this pilot project was to track the electronic health record documentation of pressure ulcers on a medical-surgical unit and compare the electronic health record with the written medical record.

The US Government is mandating a transition from paperbased patient record systems to electronic medical record systems (EMR), as well as an adopting of the personal health record (PHR). This research seeks to employ nonclinical IT adoption models in a clinical setting to understand how the legal governances, incentives and penalties, and unremitting changes in requirements impact the adoption ...

BACKGROUND AND OBJECTIVE There are limited national data on pediatric health information technology adoption rates. Our objective was to determine pediatricians' adoption rates of electronic health record systems (EHRs), barriers to adoption, and features of the systems adopted. METHODS A survey of 1620 randomly selected US members of the American Academy of Pediatrics from February to July 2...

Patient-controlled personal health record system can help making health care safer, cheaper, and more convenient by facilitating patients to 1) grant any care provider to access their complete personal health records anytime from anywhere, 2) avoid repeated tests and 3) control their privacy transparently. In this paper, we present the architecture of our devised Privacy-aware Patient-controlle...

BACKGROUND To our knowledge, no evidence is available on health care professionals' use of electronic personal health records (ePHRs) for their health management. We therefore focused on nurses' personal use of ePHRs using a modified technology acceptance model. OBJECTIVES To examine (1) the psychometric properties of the ePHR acceptance model, (2) the associations of perceived usefulness, ea...

Information technology (IT), especially in the form of an electronic health record (EHR), is touted by many as a key component of meaningful improvement in health care delivery and outcomes. A personal health record (PHR) may be an element of an EHR or a stand-alone record. Proponents of PHRs see them as tools that will improve consumers' ability to manage their care and will also enlist consum...

ISSUE All too often, quality assurance looks at just one small part of the complex system that is health care. However, evidently each individual patient has one set of experiences and outcomes, often involving a range of health professionals in a number of settings across multiple sectors. ADDRESSING THE ISSUE In order to solve the problems of this complexity, we need to establish high-quali...

We present a framework for developing a community health record to bring stakeholders, information, and technology together to collectively improve the health of a community. It is both social and technical in nature and presents an iterative and participatory process for achieving multisector collaboration and information sharing. It proposes a methodology and infrastructure for bringing multi...