The prevalence of obesity documentation in Primary Care Electronic Medical Records. Are we acknowledging the problem?

abstract：OBJECTIVE:With the increasing prevalence of type 2 diabetes (T2D) in youth, primary care providers must identify patients at high risk and implement evidence-based screening promptly. Clinical decision support systems (CDSSs) provide clinicians with personalized reminders according to best evidence. One example is the ...

journal_title：Applied clinical informatics

authors： El Mikati HK,Yazel-Smith L,Grout RW,Downs SM,Carroll AE,Hannon TS

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVE:Venous thromboembolism (VTE) prophylaxis is an important consideration for hospitalized older adults, and the Padua Prediction Score (PPS) is a risk prediction tool used to prioritize patient selection. We developed an automated PPS (APPS) algorithm using electronic health record (EHR) data. This study examin...

journal_title：Applied clinical informatics

authors： Pavon JM,Sloane RJ,Pieper CF,Colón-Emeric CS,Cohen HJ,Gallagher D,Morey MC,McCarty M,Ortel TL,Hastings SN

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Asthma exacerbations are one of the most common medical reasons for children to be brought to the hospital emergency department (ED). Various prediction models have been proposed to support diagnosis of exacerbations and evaluation of their severity. OBJECTIVES:First, to evaluate prediction models construct...

journal_title：Applied clinical informatics

authors： Farion KJ,Wilk S,Michalowski W,O'Sullivan D,Sayyad-Shirabad J

更新日期：2013-08-07 00:00:00

abstract：BACKGROUND:While evidence generally supports the use of medication management technology, systems are typically implemented and evaluated piecemeal rather than as part of a comprehensive model for medication management. Systems to support drug therapy optimization, increasingly a key role of pharmacists in our healthca...

journal_title：Applied clinical informatics

authors： Pellegrin K,Chan F,Pagoria N,Jolson-Oakes S,Uyeno R,Levin A

更新日期：2018-01-01 00:00:00

abstract：OBJECTIVES:Telemonitoring of vital signs is an established option in treatment of patients with chronic heart failure (CHF). In order to allow for early detection of atrial fibrillation (AF) which is highly prevalent in the CHF population telemonitoring programs should include electrocardiogram (ECG) signals. It was th...

journal_title：Applied clinical informatics

authors： Morak J,Kumpusch H,Hayn D,Leitner M,Scherr D,Fruhwald FM,Schreier G

更新日期：2011-11-23 00:00:00

abstract：BACKGROUND:Routine implementation of instruments to capture patient-reported outcomes could guide clinical practice and facilitate health services research. Audio interviews facilitate self-interviews across literacy levels. OBJECTIVES:To evaluate time burden for patients, and factors associated with response times fo...

journal_title：Applied clinical informatics

authors： Trick WE,Deamant C,Smith J,Garcia D,Angulo F

更新日期：2015-03-18 00:00:00

abstract：OBJECTIVES:This study evaluates the accuracy and portability of a natural language processing (NLP) tool for extracting clinical findings of influenza from clinical notes across two large healthcare systems. Effectiveness is evaluated on how well NLP supports downstream influenza case-detection for disease surveillance...

journal_title：Applied clinical informatics

authors： Ferraro JP,Ye Y,Gesteland PH,Haug PJ,Tsui FR,Cooper GF,Van Bree R,Ginter T,Nowalk AJ,Wagner M

更新日期：2017-05-31 00:00:00

abstract：BACKGROUND:Secure clinical messaging and document exchange utilizing the Direct Protocol (Direct interoperability) has been widely implemented in health information technology (HIT) applications including electronic health records (EHRs) and by health care providers and organizations in the United States. While Direct ...

journal_title：Applied clinical informatics

authors： Lane SR,Miller H,Ames E,Garber L,Kibbe DC,Schneider JH,Lehmann CU,DirectTrust Clinicians' Steering Group.

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Semantic interoperability between routine healthcare and clinical research is an unsolved issue, as information systems in the healthcare domain still use proprietary and site-specific data models. However, information exchange and data harmonization are essential for physicians and scientists if they want t...

journal_title：Applied clinical informatics

authors： Breil B,Kenneweg J,Fritz F,Bruland P,Doods D,Trinczek B,Dugas M

更新日期：2012-07-11 00:00:00

abstract：BACKGROUND:Early detection and efficient management of sepsis are important for improving health care quality, effectiveness, and costs. Due to its high cost and prevalence, sepsis is a major focus area across institutions and many studies have emerged over the past years with different models or novel machine learning...

journal_title：Applied clinical informatics

authors： Teng AK,Wilcox AB

更新日期：2020-05-01 00:00:00

abstract：:Patient-generated health data are coming into broader use across the health care spectrum and hold great promise as a means to improve care and health outcomes. At the same time, rapid evolution in the social media and mobile health (mHealth) market has promoted an environment in which creation and transmission of per...

journal_title：Applied clinical informatics

authors： Petersen C,DeMuro P

更新日期：2015-01-14 00:00:00

abstract：BACKGROUND:Although patients who work and have related health issues are usually first seen in primary care, providers in these settings do not routinely ask questions about work. Guidelines to help manage such patients are rarely used in primary care. Electronic health record (EHR) systems with worker health clinical ...

journal_title：Applied clinical informatics

authors： Ash JS,Chase D,Baron S,Filios MS,Shiffman RN,Marovich S,Wiesen J,Luensman GB

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Clinical trials are an important research method for improving medical knowledge and patient care. Multiple international and national guidelines stipulate the need for data quality and assurance. Many strategies and interventions are developed to reduce error in trials, including standard operating procedur...

journal_title：Applied clinical informatics

authors： Houston L,Probst Y,Yu P,Martin A

更新日期：2018-01-01 00:00:00

abstract：OBJECTIVE:Efforts to promote adoption of electronic health records (EHRs) have focused on primary care physicians, who are now expected to exchange data electronically with other providers, including specialists. However, the variation of EHR adoption among specialists is underexplored. METHODS:We conducted a retrospe...

journal_title：Applied clinical informatics

authors： Grinspan ZM,Banerjee S,Kaushal R,Kern LM

更新日期：2013-05-22 00:00:00

abstract：OBJECTIVE:1. To conduct a review of the role of informatics in pediatric disaster preparedness using all medical databases. 2. To provide recommendations to improve pediatric disaster preparedness by the application of informatics. METHODS:A literature search was conducted using MEDLINE, CINHL and the Cochrane Library...

journal_title：Applied clinical informatics

authors： Burke RV,Ryutov T,Neches R,Upperman JS

更新日期：2010-08-04 00:00:00

abstract：BACKGROUND: Poor self-management of heart failure (HF) has contributed to poor health outcomes. Sensor-controlled digital games (SCDGs) integrates data from behavior-tracking sensors to trigger progress, rewards, content, and positive feedback in a digital game to motivate real-time behaviors. OBJECTIVES: To assess th...

journal_title：Applied clinical informatics

authors： Radhakrishnan K,Julien C,O'Hair M,Baranowski T,Lee G,Allen C,Sagna A,Thomaz E,Kim M

更新日期：2020-10-01 00:00:00

abstract：OBJECTIVES:Unwarranted variance in healthcare has been associated with prolonged length of stay, diminished health and increased cost. Practice variance in the management of asthma can be significant and few investigators have evaluated strategies to reduce this variance. We hypothesized that selective redesign of orde...

journal_title：Applied clinical informatics

authors： Jacobs BR,Hart KW,Rucker DW

更新日期：2012-02-08 00:00:00

abstract：BACKGROUND:In 2015, the German Federal Ministry of Education and Research initiated a large data integration and data sharing research initiative to improve the reuse of data from patient care and translational research. The Observational Medical Outcomes Partnership (OMOP) common data model and the Observational Healt...

journal_title：Applied clinical informatics

authors： Maier C,Lang L,Storf H,Vormstein P,Bieber R,Bernarding J,Herrmann T,Haverkamp C,Horki P,Laufer J,Berger F,Höning G,Fritsch HW,Schüttler J,Ganslandt T,Prokosch HU,Sedlmayr M

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Electronic prescribing (e-prescribing) technology was introduced as an alternative to handwritten prescriptions allowing health care professionals to send prescriptions directly to pharmacies. While the technology has many advantages, such as improving pharmacy workflow and reducing medication errors, some l...

journal_title：Applied clinical informatics

authors： Hincapie AL,Alamer A,Sears J,Warholak TL,Goins S,Weinstein SD

更新日期：2019-05-01 00:00:00

abstract：: ...

journal_title：Applied clinical informatics

authors： Petersen C,Lehmann CU

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVES:Discharging patients from the Neonatal Intensive Care Unit (NICU) can be delayed for non-medical reasons including the procurement of home medical equipment, parental education, and the need for children's services. We previously created a model to identify patients that will be medically ready for discharge...

journal_title：Applied clinical informatics

authors： Temple MW,Lehmann CU,Fabbri D

更新日期：2016-02-24 00:00:00

abstract：BACKGROUND:We previously demonstrated that a general purpose text mining system, the Vaccine adverse event Text Mining (VaeTM) system, could be used to automatically classify reports of an-aphylaxis for post-marketing safety surveillance of vaccines. OBJECTIVE:To evaluate the ability of VaeTM to classify reports to th...

journal_title：Applied clinical informatics

authors： Botsis T,Woo EJ,Ball R

更新日期：2013-02-27 00:00:00

abstract：BACKGROUND:In 2013, the American College of Cardiology (ACC) and the American Heart Association (AHA) released a revised guideline on statin therapy initiation. The guideline included a 10-year risk calculation based on regression modeling, which made hand calculation infeasible. Compliance to the guideline has been su...

journal_title：Applied clinical informatics

authors： Chang TS,Buchipudi A,Fonarow GC,Pfeffer MA,Singer JS,Cheng EM

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:The 2013 American College of Cardiology / American Heart Association Guidelines for the Treatment of Blood Cholesterol emphasize treatment based on cardiovascular risk. But finding time in a primary care visit to manually calculate cardiovascular risk and prescribe treatment based on risk is challenging. We ...

journal_title：Applied clinical informatics

authors： Scheitel MR,Kessler ME,Shellum JL,Peters SG,Milliner DS,Liu H,Komandur Elayavilli R,Poterack KA,Miksch TA,Boysen J,Hankey RA,Chaudhry R

更新日期：2017-02-08 00:00:00

abstract：BACKGROUND:Although diagnostic error (DE) is a significant problem, it remains challenging for clinicians to identify it reliably and to recognize its contribution to the clinical trajectory of their patients. The purpose of this work was to evaluate the reliability of real-time electronic health record (EHR) reviews u...

journal_title：Applied clinical informatics

authors： Soleimani J,Pinevich Y,Barwise AK,Huang C,Dong Y,Herasevich V,Gajic O,Pickering BW

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND: Electronic health records (EHRs) are used in long-term care to document the patients' condition, medication, and care, thereby supporting communication among caregivers and counteracting adverse drug events. However, the use of EHRs in long-term care has lagged behind EHR use in hospitals. In addition, most...

journal_title：Applied clinical informatics

authors： Hertzum M

更新日期：2021-01-01 00:00:00

abstract：:Objective Patient instructions are generally written by clinicians. However, clinician-centered language is challenging for patients to understand; in the case of pediatric medication instructions, consequences can be serious. Using examples of clinician-written medication instructions from an electronic health record...

journal_title：Applied clinical informatics

authors： Ancker JS,Send A,Hafeez B,Osorio SN,Abramson E

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Care plan concordance among patients and clinicians during hospitalization is suboptimal. OBJECTIVE:This article determines whether an electronic health record (EHR)-integrated patient portal was associated with increased understanding of the care plan, including the key recovery goal, among patients and cl...

journal_title：Applied clinical informatics

authors： Dalal AK,Dykes P,Samal L,McNally K,Mlaver E,Yoon CS,Lipsitz SR,Bates DW

更新日期：2019-05-01 00:00:00

abstract：OBJECTIVE:The Instrument for Evaluating Human-Factor Principles in Medication-Related Decision Support Alerts (I-MeDeSA) was developed recently in the US with a view towards improving considerations of human-factor principles when designing alerts for clinical decision support (CDS) systems. This study evaluated the ge...

journal_title：Applied clinical informatics

authors： Cho I,Lee J,Han H,Phansalkar S,Bates DW

更新日期：2014-06-18 00:00:00

abstract：OBJECTIVES:The authors investigated the impact of computerized provider order entry (CPOE) on the delivery times of analgesia and subsequent patient outcomes. We hypothesized that patients would report less pain and use less pain medications compared with the previous paper-based system. METHODS:Two groups of patients...

journal_title：Applied clinical informatics

authors： Urban MK,Chiu T,Wolfe S,Magid S

更新日期：2015-09-23 00:00:00