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307 full-text articles. Page 1 of 14.

Electronic Health Records In The Academic World, Madeline Leapaldt 2016 University of Akron Main Campus

Electronic Health Records In The Academic World, Madeline Leapaldt

Honors Research Projects

Health or medical records are the backbone of the healthcare industry. They allow professions to practice patient-centered, interdisciplinary care. Electronic Health Records help accelerate the care process and allow for a smoother patient experience. However, many healthcare professionals have not used an Electronic Health Record prior to employment or internships. This can be detrimental to the process and slow down the entire team. Research shows that teaching Electronic Health Records in an academic setting allows students to safely explore the system and become comfortable with using technology for healthcare purposes. There are specific requirements that have been shown to aid ...


Healthcare Information Systems: Opportunities And Challenges, Madison Ngafeeson 2015 Northern Michigan University

Healthcare Information Systems: Opportunities And Challenges, Madison Ngafeeson

Madison Ngafeeson

No abstract provided.


Back To The Bedside: Developing A Bedside Aid For Concussion And Brain Injury Decisions In The Emergency Department, Edward R. Melnick, Kevin Lopez, Erik P. Hess, Fuad Abujarad, Cynthia A. Brandt, Richard N. Shiffman, Lori A. Post 2015 Yale School of Medicine

Back To The Bedside: Developing A Bedside Aid For Concussion And Brain Injury Decisions In The Emergency Department, Edward R. Melnick, Kevin Lopez, Erik P. Hess, Fuad Abujarad, Cynthia A. Brandt, Richard N. Shiffman, Lori A. Post

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Context: Current information-rich electronic health record (EHR) interfaces require large, high-resolution screens running on desktop computers. This interface compromises the provider’s already limited time at the bedside by physically separating the patient from the doctor. The case study presented here describes a patient-centered clinical decision support (CDS) design process that aims to bring the physician back to the bedside by integrating a patient decision aid with CDS for shared use by the patient and provider on a touchscreen tablet computer for deciding whether or not to obtain a CT scan for minor head injury in the emergency department, a ...


Ehr-Based Visualization Tool: Adoption Rates, Satisfaction, And Patient Outcomes, Randi E. Foraker, Bobbie Kite, Marjorie Kelley, Albert M. Lai, Caryn Roth, Marcelo A. Lopetegui, Abigail B. Shoben, Michael Langan, Nicole Rutledge, Philip R.O. Payne 2015 The Ohio State University

Ehr-Based Visualization Tool: Adoption Rates, Satisfaction, And Patient Outcomes, Randi E. Foraker, Bobbie Kite, Marjorie Kelley, Albert M. Lai, Caryn Roth, Marcelo A. Lopetegui, Abigail B. Shoben, Michael Langan, Nicole Rutledge, Philip R.O. Payne

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Background: Electronic health records (EHRs) have the potential to enhance patient-provider communication and improve patient outcomes. However, in order to impact patient care, clinical decision support (CDS) and communication tools targeting such needs must be integrated into clinical workflow and be flexible with regard to the changing health care landscape.

Design: The Stroke Prevention in Healthcare Delivery Environments (SPHERE) team developed and implemented the SPHERE tool, an EHR-based CDS visualization, to enhance patient-provider communication around cardiovascular health (CVH) within an outpatient primary care setting of a large academic medical center.

Implementation: We describe our successful CDS alert implementation strategy and ...


Providing Information Across Multiple Devices To The Public Health Workforce: Challenges And Opportunities, E. Hatheway Simpson, Lisa Sedlar 2015 University of Massachusetts Medical School

Providing Information Across Multiple Devices To The Public Health Workforce: Challenges And Opportunities, E. Hatheway Simpson, Lisa Sedlar

Library Publications and Presentations

Public health workers are increasingly using mobile technology to access information. PHPartners.org, the web portal of the Partners in Information Access for the Public Health Workforce, has implemented a responsively designed website to allow users to access and easily view the same information across multiple devices including mobile phones, tablets, and desktop computers. This webinar will present an overview of the benefits of responsive web design, the challenges to implementation, and future developments.


Robotic Joint Replacement Surgery: Does Technology Improve Outcomes, Chelsea Hill, Reem El-Bash, Leslie Johnson, Alberto Coustasse 2015 Marshall University

Robotic Joint Replacement Surgery: Does Technology Improve Outcomes, Chelsea Hill, Reem El-Bash, Leslie Johnson, Alberto Coustasse

Management Faculty Research

Introduction: Osteoarthritis is a common disease that leads patients to seek Total Joint Replacement (TJR). Component misalignments leads to failure of TJR. Computer navigation enhances the precision of component alignment, but the addition of robotic guidance, can boost TJR to a higher level of accuracy.

Methodology: This literature reviewed 29 English language peer reviewed articles from 2002 – 2013 and one website. A conceptual framework was adapted to explain benefits and barriers of adoption of robotic TJR.

Results: A total of ten studies were reviewed with focus on more precise alignment, outcomes, length of stay, and costs. Cost to obtain robotic ...


Designing An Effective User Interface For A Mobile Application, Cynthia N. Kim 2015 California Polytechnic State University - San Luis Obispo

Designing An Effective User Interface For A Mobile Application, Cynthia N. Kim

Graphic Communication

The purpose of this study was to determine the best user interface design practices for an iOS mobile application created for Pre-R, a local start-up company that offers physician house calls and telemedicine services throughout San Luis Obispo. The study included initial background research on best user interface design practices, mapping out and implementing the entire process of designing for mobile applications, conducting usability tests on potential users, and making changes according to the test results. Usability tests allowed for a greater understanding of the effectiveness of Pre-R’s mobile interface design prototype. Results from the usability tests have indicated ...


Telehospitalist Program At Swedish Medical Center : Overview And Case Study Of A Novel Telemedicine Application, Jose Gude 2015 Oregon Health & Science University

Telehospitalist Program At Swedish Medical Center : Overview And Case Study Of A Novel Telemedicine Application, Jose Gude

Scholar Archive

Swedish Medical Center (SMC) in Seattle has been performing acute medical hospital admissions via Telemedicine since 2012. To date, no studies have been published to determine if this novel technological application is safe and effective. Telemedicine applications (namely, Telestroke and Tele-ICU), coupled with the shortage of physician resources, have been the basis for the creation of a “Telehospitalist” model. The current Telehospitalist model at SMC, including the technological and training requirements involved in its operation will be described in this capstone.

A case study of a non-critical medical patient admitted to the hospital via telemedicine will be presented. This case ...


Feasibility, Scope And Requirements For A Web Based Transition Of Care Application For Primary Care Providers, Thomas McCarrick 2015 Oregon Health & Science University

Feasibility, Scope And Requirements For A Web Based Transition Of Care Application For Primary Care Providers, Thomas Mccarrick

Scholar Archive

Research in transitions of care has shown that information flow from hospitals including notification of admission, discharge summaries and medication lists is often poor and undermines good transition handoffs. In spite of efforts to create interoperability and communicate important information about transitions of care, the flow of information is inconsistent, not supported by electronic health record (EHR) functionality, dependent on workarounds within the primary care provider (PCP) practice, and has little feedback to promote quality improvement efforts. EHRs typically do not have tools to track patients who are outside the office, in the hospital, emergency room, subacute or skilled nursing ...


Tele-Endocrinology: Providing Endocrine Consultative Service Using Telemedicine, Rabia Rehman MD, Nicole Pant MD, Jamie W. Tidwell MHA, Sydney J. Ashby MA, Ebenezer A. Nyenwe MD, FACP, FACE 2015 University of Tennessee Health Science Center

Tele-Endocrinology: Providing Endocrine Consultative Service Using Telemedicine, Rabia Rehman Md, Nicole Pant Md, Jamie W. Tidwell Mha, Sydney J. Ashby Ma, Ebenezer A. Nyenwe Md, Facp, Face

Tennessee Medicine E-Journal

Objective: To investigate the efficacy of a telemedicine-based endocrine consultative service in improving outcome measures in rural patients with endocrine disorders.

Materials and Methods: Patients from five rural communities were referred by their primary care providers (PCPs) to the Telemedicine Unit of the University of Tennessee Health Science Center (UTHSC). Patients and the telemedicine studio were connected via videoconference using Polycom VSX 7000 video cameras, television monitors and dedicated lines to transmit video and audio electronic records. Recommendations regarding management were sent to the PCP via fax. Data were summarized using mean and standard deviations for continuous variables, and percentages ...


Patient Access To Electronic Health Records: Strengths, Weaknesses And What’S Needed To Move Forward, Alicia V. Zuniga 2015 San Jose State University

Patient Access To Electronic Health Records: Strengths, Weaknesses And What’S Needed To Move Forward, Alicia V. Zuniga

iSchool Student Research Journal

Electronic health records (EHRs) are desired by both physicians and patients, but the transition to and acceptance of sensitive health information online has been slow. This paper reviews the current literature on EHR adoption and outlines barriers, advantages and explicit steps for moving toward the EHR ubiquity. Potential benefits of EHRs to patients and physicians include reduced costs for patients, hospitals and insurance providers, patient empowerment, less errors in records and better health outcomes, but security and privacy concerns, cost of implementation and poor electronic records management system design have proved barriers to adoption.


A Geospatial Analysis Of Norovirus Outbreaks In California, And An Investigation Of The Impact Of Environmental Variables, Alexandra Groen 2015 University of San Francisco

A Geospatial Analysis Of Norovirus Outbreaks In California, And An Investigation Of The Impact Of Environmental Variables, Alexandra Groen

Master's Projects

Previous studies and empirical evidence suggest norovirus outbreaks in California exhibit correlation with environmental variables and exhibit spatial spread patterns. Few studies have been done looking at what causes norovirus seasonality in temperate climates and more research is needed on the regional level. This study aims to find what relationships exist with outbreak occurrence and environmental variables in California, as well as any spatial patterns of spread or clustering of outbreaks. Spatial analysis tools were used to find any relationships between California norovirus outbreak data and environmental variables. The results showed a south to north spread of outbreaks in California ...


The Challenges Of Data Quality Evaluation In A Joint Data Warehouse, Charles J. Bae MD, Sandra Griffith PhD, Youran Fan PhD, Cheryl Dunphy RN, Nicolas Thompson MS, John Urchek, Alandra Parchman MHA, Irene L. Katzan MD MS 2015 Cleveland Clinic

The Challenges Of Data Quality Evaluation In A Joint Data Warehouse, Charles J. Bae Md, Sandra Griffith Phd, Youran Fan Phd, Cheryl Dunphy Rn, Nicolas Thompson Ms, John Urchek, Alandra Parchman Mha, Irene L. Katzan Md Ms

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: The use of clinically derived data from electronic health records (EHRs) and other electronic clinical systems can greatly facilitate clinical research as well as operational and quality initiatives. One approach for making these data available is to incorporate data from different sources into a joint data warehouse. When using such a data warehouse, it is important to understand the quality of the data. The primary objective of this study was to determine the completeness and concordance of common types of clinical data available in the Knowledge Program (KP) joint data warehouse, which contains feeds from several electronic systems including ...


Using Qualitative Methods To Create A Home Health Web Application User Interface For Patients With Low Computer Proficiency, Rosa R. Baier, Emily Cooper, Andrea Wysocki, Stefan Gravenstein, Melissa Clark 2015 Brown University

Using Qualitative Methods To Create A Home Health Web Application User Interface For Patients With Low Computer Proficiency, Rosa R. Baier, Emily Cooper, Andrea Wysocki, Stefan Gravenstein, Melissa Clark

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Despite the investment in public reporting for a number of healthcare settings, evidence indicates that consumers do not routinely use available data to select providers. This suggests that existing reports do not adequately incorporate recommendations for consumer-facing reports or web applications.

Methods: Healthcentric Advisors and Brown University undertook a multi-phased approach to create a consumer-facing home health web application in Rhode Island. This included reviewing the evidence base review to identify design recommendations and then creating a paper prototype and wireframe. We performed qualitative research to iteratively test our proposed user interface with two user groups, home health consumers ...


Initial Usability And Feasibility Evaluation Of A Personal Health Record-Based Self-Management System For Older Adults, Barbara Sheehan, Robert James Lucero 2015 Intel Corp, Health and Life Sciences

Initial Usability And Feasibility Evaluation Of A Personal Health Record-Based Self-Management System For Older Adults, Barbara Sheehan, Robert James Lucero

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Electronic personal health record-based (ePHR-based) self-management systems can improve patient engagement and have an impact on health outcomes. In order to realize the benefits of these systems, there is a need to develop and evaluate heath information technology from the same theoretical underpinnings.

Methods: Using an innovative usability approach based in human-centered distributed information design (HCDID), we tested an ePHR-based falls-prevention self-management system—Self-Assessment via a Personal Health Record (i.e., SAPHeR)—designed using HCDID principles in a laboratory. And we later evaluated SAPHeR’s use by community-dwelling older adults at home.

Results: The innovative approach used in this ...


Adapting The Standard Sir Disease Model In Order To Track And Predict The Spreading Of The Ebola Virus Using Twitter Data, Armin Smailhodzic 2015 Western Kentucky University

Adapting The Standard Sir Disease Model In Order To Track And Predict The Spreading Of The Ebola Virus Using Twitter Data, Armin Smailhodzic

Masters Theses & Specialist Projects

A method has been developed to track infectious diseases by using data mining of active Twitter accounts and its efficacy was demonstrated during the West African Ebola outbreak of 2014. Using a meme based n-gram semantic usage model to search the Twitter database for indications of illness, flight and death from the spread of Ebola in Africa, principally from Guinea, Sierra Leone and Liberia. Memes of interest relate disease to location and severity and are coupled to the density of Tweets and re-Tweets. The meme spreads through the community of social users in a fashion similar to nonlinear wave propagation- ...


Emr Optimization In A Medical Clinic Environment: An Analysis Of It Support, Lydia Maples 2015 University of Tennessee, Knoxville

Emr Optimization In A Medical Clinic Environment: An Analysis Of It Support, Lydia Maples

University of Tennessee Honors Thesis Projects

No abstract provided.


An Information Privacy Examination Of The Practices Of Pharmaceutical Companies Regarding Use Of Information Collected Through Their Websites, Shonda Dellena Brown 2015 Nova Southeastern University

An Information Privacy Examination Of The Practices Of Pharmaceutical Companies Regarding Use Of Information Collected Through Their Websites, Shonda Dellena Brown

GSCIS ETDs

Consumers have begun to take a more proactive approach to their healthcare by accessing pharmaceutical companies Websites to obtain health and drug information, support groups, rebates, coupons, as well as free drug trials. In exchange for these benefits, companies require consumers to voluntarily disclose information. However, research has shown that consumers continue to be concerned about how their information is managed, used, and distributed by companies, especially if accessed via the Web. To date, there has been limited empirical research to examine the actual online practices of companies when it comes to privacy, especially those of pharmaceutical companies. Using Delphi ...


The Importance Of A Pictorial Medical History In Assisting Medical Diagnosis Of Individuals With Intellectual Disabilities: A Telemedicine Approach, Grace Bonanno 2015 Nova Southeastern University

The Importance Of A Pictorial Medical History In Assisting Medical Diagnosis Of Individuals With Intellectual Disabilities: A Telemedicine Approach, Grace Bonanno

GSCIS ETDs

When face-to-face physical medical exams are not possible, virtual physical exams, in the form of a pictorial medical exam/history, can be substituted, and telemedicine can be the means to deliver these virtual exams. The goal of this work was to determine if presence in the form of a visual and/or pictorial medical history can be of benefit to clinicians in the diagnosis of medical conditions of individuals with developmental disabilities (DDs) and/or intellectual disabilities (IDs), in particular those who cannot, because of their cognitive and/or physical disabilities, verbally relate their illness to a clinician. Virtual exams ...


Epistasis, Polygenic Effects, And The Missing Heritability Problem : A Review Of Machine Learning As Applied To Genetic Association Studies, Peter Jenson 2015 Oregon Health & Science University

Epistasis, Polygenic Effects, And The Missing Heritability Problem : A Review Of Machine Learning As Applied To Genetic Association Studies, Peter Jenson

Scholar Archive

In recent years, there has been a significant academic drive to determine the cause of the missing heritability problem which is commonly associated with the genetics of complex traits such as complex diseases. In this paper, I present an in-depth literature review by introducing the nature of this problem and discussing the current state of genetic association studies which commonly involves multi-locus models as predictors (as opposed to the conventional single-locus association studies) that became prominent with the advent of genome-wide sequencing technology. Such genotype-phenotype models that involve sets of genes as predictors is wrought with analytical challenges, such as ...


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