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Created August 22, 2019, last updated almost 4 years ago.
Collection: 109, Score: 922, Trend score: 0, Read count: 1137, Articles count: 19, Created: 2019-08-22 02:17:32 UTC. Updated: 2021-02-08 23:48:14 UTC.Notes
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Collected Articles
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We evaluate physician productivity using electronic medical records in a community hospital emergency department. ⋯ Emergency department physicians spend significantly more time entering data into electronic medical records than on any other activity, including direct patient care. Improved efficiency in data entry would allow emergency physicians to devote more time to patient care, thus increasing hospital revenue.
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The impact of the ambulatory electronic health record (EHR) on physician productivity is poorly understood. Fear of productivity loss remains a major concern for practitioners and health care delivery organizations and inhibits system adoption. This study describes the changes in physician productivity after the implementation of a commercially available ambulatory EHR system in a large academic multi-specialty physician group. ⋯ Provider productivity, as measured by patient visit volume, charges, and wRVUs modestly increased for a cohort of multi-specialty providers that adopted a commercially available ambulatory EHR. The productivity gain appeared to become even more pronounced after several months of system experience. This objective data may help persuade apprehensive practitioners that EHR adoption need not harm productivity. The baseline differences in productivity metrics for the adopters and non-adopters in our study suggest that there are fundamental differences in these groups. Further characterizing these differences may help predict EHR adoption success and guide future implementation strategies.
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The goal of this study was to examine the effects of medical notes (MD) in an electronic medical records (EMR) system on doctors' work practices at an Emergency Department (ED). ⋯ We suggest three guidelines for designing future EMR systems to be used in teaching hospitals. First, the design of documentation tools in EMR needs to take into account what we called "note-intensive tasks" to support the collaborative nature of medical work. Second, it should clearly define roles and responsibilities. Lastly, the system should provide a balance between flexibility and interruption to better manage the complex nature of medical work and to facilitate necessary interactions among ED staff and patients in the work environment.
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Although electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States have not adopted these systems. Concerns persist regarding potential negative impacts on clinical workflow. In particular, the impact of EHR operating room (OR) management systems on clinical efficiency in the ophthalmic surgery setting is unknown. ⋯ Electronic health record OR management system implementation was associated with worsening of intraoperative nursing documentation time especially in shorter procedures. However, it is possible to implement an EHR OR management system without serious negative impacts on surgical volume and staffing requirements.
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Int J Technol Assess Health Care · Jan 2008
Factors influencing the quality of medical documentation when a paper-based medical records system is replaced with an electronic medical records system: an Iranian case study.
Information technology is a rapidly expanding branch of science which has affected other sciences. One example of using information technology in medicine is the Electronic Medical Records system. One medical university in Iran decided to introduce such system in its hospital. This study was designed to identify the factors which influence the quality of medical documentation when paper-based records are replaced with electronic records. ⋯ The electronic medical records system can be a good substitute for the paper-based medical records system. However, according to this study, some factors such as low physician acceptance of the electronic medical record system, lack of administrative mechanisms (for instance supervision, neglecting physicians and/or nurses in the development and implementation phases and also continuous training), availability of hardware as well as lack of specific software features can negatively affect transition from a paper-based system to an electronic system.
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Curr. Opin. Obstet. Gynecol. · Dec 2009
ReviewUsing electronic medical records to reduce errors and risks in a prenatal network.
To provide a review of the literature on the impact of implementation of electronic medical records (EMRs) on quality of care, particularly in obstetrics, and to make recommendations concerning key components of a computerized record based on this review. ⋯ Implementation of the EMR in obstetrics is gaining popularity. However, data to support its use are only now emerging. Here, we highlight the literature studying the impact of EMRs on patient care and make recommendations for key components of a computerized system based on these studies. We also emphasize the need for continued study in this area, particularly in obstetrics, in which improvement in care may be able to be demonstrated.
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Experts consider health information technology key to improving efficiency and quality of health care. ⋯ Four benchmark institutions have demonstrated the efficacy of health information technologies in improving quality and efficiency. Whether and how other institutions can achieve similar benefits, and at what costs, are unclear.
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This article describes the initial and ongoing efforts of our pulmonary medicine practice to deploy an electronic medical records (EMR) system. Key factors in the vendor selection and implementation process included (1) identification and commitment to long-term goals for EMR; (2) dedicated resources, including both physician and nonphysician champions to lead the design and implementation teams; and (3) ample patience and time allotted to achieve the desired results: a fully functional system that enhances quality, improves operational efficiency, and reduces costs. An EMR scorecard including multiple system attributes was designed to facilitate vendor comparisons. ⋯ We have accomplished improvements in workflow automation and reductions in staff hours, office supplies, file space, and transcription costs. Our system lacks pulmonary-specific templates and prompts for work flow and clinical decision making. We have directed internal resources and outsourced professional support to design these features as our practice strives to enhance our quality of care with pulmonary disease management that conforms to national guidelines.
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The Obama Administration has continued where the previous one left off in advocating the widespread adoption of electronic (digital) medical records (EMRs). But an expensive EMR system loaded with bells and whistles that you don't really need, and requiring doctors to interact with computers, can cost you in terms of patient-care time as well as money. The Big Three (which can encompass dictation/transcription), drug prescribing, and lab test ordering/results. An inexpensive "KISS" (Keep It Simple, Stupid) EMR containing these basic elements, and not requiring disruptive changes in office routines, may be all you really need.
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Electronic medical records (EMRs) implementation in hospitals and emergency departments (EDs) is becoming increasingly more common. The purpose of this study was to determine the impact of an EMR system on patient-related factors that correlate to ED workflow efficiency. ⋯ Installation of a hospital-wide EMR system had minimal impact on workflow efficiency parameters in an ED.
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Widespread adoption of electronic medical records (EMRs) in the United States is transforming the practice of medicine from a paper-based cottage industry into an integrated health care delivery system. Most physicians and institutions view the widespread use of EMRs to be inevitable. ⋯ Many have questioned whether the substantial investment in electronic health records has really been justified by improved patient outcomes or quality of care. This article describes historical and recent efforts to use EMRs to improve the quality of patient care, and provides a roadmap of EMR uses for the foreseeable future.
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The role of electronic health records (EHR) in enhancing patient safety, while substantiated in many studies, is still debated. ⋯ Sociotechnical models of EHR use point to complex interactions between technology and other aspects of the environment related to human resources, workflow, policy, culture, among others. This study identifies that among primary care practices in the national PPPSA database, having an EHR was strongly empirically associated with the workflow, policy, communication and cultural practices recommended for safe patient care in ambulatory settings.
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Stud Health Technol Inform · Jan 2015
Review Meta AnalysisIdentification of Patient Safety Risks Associated with Electronic Health Records: A Software Quality Perspective.
Although Electronic Health Records (EHR) can offer benefits to the health care process, there is a growing body of evidence that these systems can also incur risks to patient safety when developed or used improperly. This work is a literature review to identify these risks from a software quality perspective. ⋯ This work elucidates the fact that EHR quality problems can adversely affect patient safety, resulting in errors such as incorrect patient identification, incorrect calculation of medication dosages, and lack of access to patient data. Therefore, the risks presented here provide the basis for developers and EHR regulating bodies to pay attention to the quality aspects of these systems that can result in patient harm.
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J Am Med Inform Assoc · Nov 2017
Electronic health record adoption in US hospitals: the emergence of a digital "advanced use" divide.
While most hospitals have adopted electronic health records (EHRs), we know little about whether hospitals use EHRs in advanced ways that are critical to improving outcomes, and whether hospitals with fewer resources - small, rural, safety-net - are keeping up. ⋯ Hospital EHR adoption is widespread and many hospitals are using EHRs to support performance measurement and patient engagement. However, this is not happening across all hospitals.
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