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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.


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 ...


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 ...


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 ...


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 Patient Portal And Abnormal Test Results: An Exploratory Study Of Patient Experiences, Traber Giardina, Varsha Modi, Danielle Parrish, Hardeep Singh 2015 Houston VA HSR&D Center for Innovations, in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center and the Section of Health Services Research, Department of Medicine, Baylor College of Medicine

The Patient Portal And Abnormal Test Results: An Exploratory Study Of Patient Experiences, Traber Giardina, Varsha Modi, Danielle Parrish, Hardeep Singh

Patient Experience Journal

Many health care institutions are implementing patient portals that allow patients to track and maintain their personal health information, mostly in response to the Health Information Technology for Economic and Clinical Health Act requirements. Test results review is an area of high interest to patients and provides an opportunity to foster their involvement in preventing abnormal test results from being overlooked, a common patient safety concern. However, little is known about how patients engage with portals to review abnormal results and which strategies could facilitate that interaction in order to ensure safe follow-up on abnormalities. The objective of this qualitative ...


Health Information Technology: A Key Ingredient Of The Patient Experience, Matthew Werder 2015 Hennepin County Medical Center

Health Information Technology: A Key Ingredient Of The Patient Experience, Matthew Werder

Patient Experience Journal

In this exploration to understand the linkages of health information technology (HIT) and patient experience, a comprehensive literature search was conducted using the key words, “information technology, HIT, patient experience, patient satisfaction, and technology”, on the MEDLINE, PubMed, and EMBASE databases resulting in over 1,000 citations. Eventually, 35 of the most relevant articles were reviewed and 11 identified as key references to include in beginning to explore the question, as the transformation of healthcare continues, how can technology enable a positive return on investment to a patients’ perception of their care in an organization and how can technology impact ...


Model Of Cost-Effectiveness Of Mri For Women Of Average Lifetime Risk Of Breast Cancer, Mckenna L. Kimball 2015 Dominican University of California

Model Of Cost-Effectiveness Of Mri For Women Of Average Lifetime Risk Of Breast Cancer, Mckenna L. Kimball

Scholarly and Creative Works Conference

Background: Mammography is the current standard for breast cancer detection however magnetic resonance imaging (MRI) is a more sensitive method of breast imaging. Despite MRI’s increased sensitivity, MRI has more false positives and higher costs. The purpose of this study was to determine if MRI or MRI in conjunction with mammography was a cost-effective solution for breast cancer detection in women with average lifetime risk of breast cancer.

Methods: A mathematical model was used to compare annual mammography, annual MRI, and mammography and MRI on alternate years. The model included the natural history of breast cancer, screening by mammography ...


Examining Faith Community Nurses’ Perception And Utilization Of Electronic Health Records, Carole N. Mattingly, M. Eve Main 2015 Western Kentucky University

Examining Faith Community Nurses’ Perception And Utilization Of Electronic Health Records, Carole N. Mattingly, M. Eve Main

International Journal of Faith Community Nursing

Abstract

The purpose of this study is to identify current faith community nurse documentation practices, explore factors impacting intention to adopt electronic health records, and identify perceived barriers and benefits to electronic health record use among faith community nurses practicing in the Midwest. The technology acceptance model is used to examine impact of perceived usefulness and perceived ease of use of electronic health records on intention to adopt.

This study is a quantitative exploratory research study utilizing a cross-sectional researcher-developed 39-item questionnaire. Surveys were distributed by mail and e-mail to faith community nurses practicing in South-Central Indiana and Western Kentucky ...


Image Enhancement Of Cancerous Tissue In Mammography Images, Richard Thomas Richardson 2015 Nova Southeastern University

Image Enhancement Of Cancerous Tissue In Mammography Images, Richard Thomas Richardson

GSCIS ETDs

This research presents a framework for enhancing and analyzing time-sequenced mammographic images for detection of cancerous tissue, specifically designed to assist radiologists and physicians with the detection of breast cancer. By using computer aided diagnosis (CAD) systems as a tool to help in the detection of breast cancer in computed tomography (CT) mammography images, previous CT mammography images will enhance the interpretation of the next series of images. The first stage of this dissertation applies image subtraction to images from the same patient over time. Image types are defined as temporal subtraction, dual-energy subtraction, and Digital Database for Screening Mammography ...


Formative Research On An Instructional Design Theory For Virtual Patients In Clinical Education: A Pressure Ulcer Prevention Clinical Reasoning Case, Manon Maitland Schladen 2015 Nova Southeastern University

Formative Research On An Instructional Design Theory For Virtual Patients In Clinical Education: A Pressure Ulcer Prevention Clinical Reasoning Case, Manon Maitland Schladen

GSCIS ETDs

Despite advances in health care over the past decades, medical errors and omissions remain significant threats to patient safety and health. A large number of these mistakes are made by trainees, persons who are just beginning to build the case-based experiences that will transform them from novices to expert practitioners. Clinicians use both intuitive and deductive problem-solving skills in caring for patients and they acquire expertise in applying these skills through interaction with many and varied cases.

The contemporary heath care environment, with decreased lengths of stay for patients and reduced duty hours for trainees, makes getting optimal patient exposure ...


Medical Students In Microscopic Anatomy And Pathology Laboratories: Design Of An E-Learning Histology And Histopathology Atlas As An Evolving Response To Interdisciplinary Pre-Clinical Curricular Needs, Michelle S. Davis, Alexandra Mills, Gisela Butera, Donald S. Karcher, Patricia S. Latham, Janette Krum, Rosalyn A. Jurjus 2015 George Washington University

Medical Students In Microscopic Anatomy And Pathology Laboratories: Design Of An E-Learning Histology And Histopathology Atlas As An Evolving Response To Interdisciplinary Pre-Clinical Curricular Needs, Michelle S. Davis, Alexandra Mills, Gisela Butera, Donald S. Karcher, Patricia S. Latham, Janette Krum, Rosalyn A. Jurjus

Anatomy and Regenerative Biology Faculty Publications

E-learning, also known as computer-assisted learning, successfully bridges anatomical knowledge and transferrable skills, such as critical analysis, teamwork, leadership and communication. Several institutions have already integrated histology and physiology in team based laboratory approaches, but integration of histology and pathology instruction has been done to a lesser extent. Our aim was to develop an e-learning atlas that integrates microanatomy and pathology laboratory for an interdisciplinary pre-clinical medical curriculum.

A multidisciplinary team of teaching faculty and students developed an online atlas (microanatomyatlas.com) that includes a library of histology and histopathology images. Traditional laboratory manual instructions and study objectives were added ...


Comparison Of Computer And Paper-Based Protocols For Managing Hyperglycemia In Critical Ill Patients, Andrew T. Peckham 2015 Oregon Health & Science University

Comparison Of Computer And Paper-Based Protocols For Managing Hyperglycemia In Critical Ill Patients, Andrew T. Peckham

Scholar Archive

Introduction: The purpose of this study was to compare a computer-based insulin protocol against two paper-based protocols to control hyperglycemia in intensive care unit (ICU) patients. A safe and effective protocol must minimize hyperglycemia and glucose variability while also avoiding hypoglycemia, all of which are associated with increased risk of death. In theory, computer-based protocols that base insulin dosing on the individual patient’s record of response offer better performance by adjusting to each patient’s sensitivity to insulin. Methods: This is a retrospective cohort study on 1896 patients admitted to four ICUs (surgical, medical/cardiac, trauma, and neuroscience) at ...


Patients, Consumers, And Caregivers: The Original Data Stewards, Erin A. Mackay 2015 EDM Forum

Patients, Consumers, And Caregivers: The Original Data Stewards, Erin A. Mackay

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: For patients and families, the issue of data quality is personal. When treatment decisions or research conclusions are based on incomplete or inaccurate information—a misdiagnosis, an incomplete medication list, the wrong demographic data— care safety, quality, and outcomes suffer—and patients and families suffer.

Opportunity for Change: Thanks in part to the power of health information technology, individuals have new opportunities to be part of the solution when it comes to assessing and improving data quality. Building on a framework for data quality, there are numerous opportunities for patients to be part of ‘feedback loops’ to understand and ...


Transparent Reporting Of Data Quality In Distributed Data Networks, Michael G. Kahn, Jeffrey S. Brown, Alein T. Chun, Bruce N. Davidson, Daniella Meeker, Patrick B. Ryan, Lisa M. Schilling, Nicole G. Weiskopf, Andrew E. Williams, Meredith Nahm Zozus 2015 University of Colorado

Transparent Reporting Of Data Quality In Distributed Data Networks, Michael G. Kahn, Jeffrey S. Brown, Alein T. Chun, Bruce N. Davidson, Daniella Meeker, Patrick B. Ryan, Lisa M. Schilling, Nicole G. Weiskopf, Andrew E. Williams, Meredith Nahm Zozus

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Introduction: Poor data quality can be a serious threat to the validity and generalizability of clinical research findings. The growing availability of electronic administrative and clinical data is accompanied by a growing concern about the quality of these data for observational research and other analytic purposes. Currently, there are no widely accepted guidelines for reporting quality results that would enable investigators and consumers to independently determine if a data source is fit for use to support analytic inferences and reliable evidence generation.

Model and Methods: We developed a conceptual model that captures the flow of data from data originator across ...


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