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181. Readability assessment of patient-provider electronic messages in a primary care setting. (PubMed)

Readability assessment of patient-provider electronic messages in a primary care setting. The high prevalence of limited health literacy among patients threatens the success of secure electronic messaging between patients from diverse populations and their providers.The purpose of this study is to generate hypotheses about the readability of patient and provider electronic messages.We collected 31 patient-provider e-mail exchanges (n = 119 total messages) from a safety-net primary care clinic (...) . We compared the messages' mean word count and Flesch-Kincaid Grade Levels (FKGLs), calculated the frequency of provider messages below an FKGL = 8, and assessed readability concordance between patients' and providers' messages.Patients used more words in their initial e-mails compared to providers, but the FKGLs were similar, and 68% of provider messages were written below an FKGL = 8. Of 31 exchanges, 9 (29%) contained at least one patient message with an FKGL > 3 grade levels lower than

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2015 Journal of the American Medical Informatics Association

182. GP trainees' in-consultation information-seeking: associations with human, paper and electronic sources. (PubMed)

hard-copy information-seeking included the trainee being younger, the training organization and information-seeking for management rather than diagnosis.Trainee information-seeking is mainly from GP colleagues and electronic sources. Human information-sources are preferentially sought for more complex problems, even by these early-career GPs who have trained in the 'internet era'.© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail (...) GP trainees' in-consultation information-seeking: associations with human, paper and electronic sources. Answering clinical questions arising from patient care can improve that care and offers an opportunity for adult learning. It is also a vital component in practising evidence-based medicine. GPs' sources of in-consultation information can be human or non-human (either hard copy or electronic).To establish the prevalence and associations of GP trainees' in-consultation information-seeking

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2015 Family Practice

183. We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record. (PubMed)

We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record. Poor communication between hospitalists and outpatient physicians can contribute to adverse events after discharge. Electronic medical records (EMRs) shared by inpatient and outpatient clinicians offer primary care providers (PCPs) better access to information surrounding a patient's hospitalization. However, the PCP experience and subsequent expectations for discharge (...) hospitalizations necessitated additional communication via e-mail or telephone; only 31% reported receiving such communication. The content most important in additional communication included medication changes, follow-up actions, and active medical issues.Despite optimized access to information provided by a shared EMR, only 52% of PCPs were satisfied with current discharge communication. PCPs express a continued need for high-touch communication for safe transitions of care. Further standardization

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2015 Journal of Hospital Medicine

184. Improving the care of children with advanced cancer by using an electronic patient-reported feedback intervention: results from the PediQUEST randomized controlled trial. (PubMed)

Improving the care of children with advanced cancer by using an electronic patient-reported feedback intervention: results from the PediQUEST randomized controlled trial. This study aimed to determine whether feeding back patient-reported outcomes (PROs) to providers and families of children with advanced cancer improves symptom distress and health-related quality of life (HRQoL).This study was a parallel, multicentered pilot randomized controlled trial. At most once per week, children age ≥ 2 (...) years old with advanced cancer or their parent completed the computer-based Pediatric Quality of Life and Evaluation of Symptoms Technology (PediQUEST) survey consisting of age- and respondent-adapted versions of the Memorial Symptom Assessment Scale (MSAS), Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL4.0), and an overall Sickness question. In the intervention group (n = 51), oncologists and families received printed reports summarizing PROs; e-mails were sent to oncologists

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2014 Journal of Clinical Oncology

185. Electronic Cigarette Awareness, Use History, and Expected Future Use Among Hospitalized Cigarette Smokers (PubMed)

Electronic Cigarette Awareness, Use History, and Expected Future Use Among Hospitalized Cigarette Smokers E-cigarette use has surged during the past few years while the debate about the product's safety and efficacy for smoking cessation continues. Little is known about the characteristics that distinguish users from nonusers; in this study, we aimed to elucidate these characteristics among hospitalized smokers, a heretofore unstudied population.Cross-sectional data were collected from (...) . For permissions, please e-mail: journals.permissions@oup.com.

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2014 Nicotine & Tobacco Research

186. Feasibility of a Mobile Electronic Mindfulness Therapy Service for Chronic Pancreatitis

Feasibility of a Mobile Electronic Mindfulness Therapy Service for Chronic Pancreatitis Feasibility of a Mobile Electronic Mindfulness Therapy Service for Chronic Pancreatitis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Feasibility of a Mobile Electronic Mindfulness Therapy Service for Chronic Pancreatitis The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02224898 Recruitment Status : Completed First Posted : August 25, 2014 Last Update Posted : November 17, 2015 Sponsor: Stanford University

2014 Clinical Trials

187. Electronic health record availability among advanced practice registered nurses and physicians. (PubMed)

Electronic health record availability among advanced practice registered nurses and physicians. To characterize availability of electronic health records (EHRs) at the primary practice locations of certified nurse midwives (CNMs), nurse practitioners (NPs), and physicians in California prior to the implementation of the state's Medicaid EHR incentive program.Cross-sectional mail surveys of samples of CNMs, NPs, and physicians who have active California licenses and reside in California

2014 American Journal Of Managed Care

188. Completeness and Timeliness of Electronic vs. Conventional Laboratory Reporting for Communicable Disease Surveillance—Oklahoma, 2011 (PubMed)

Completeness and Timeliness of Electronic vs. Conventional Laboratory Reporting for Communicable Disease Surveillance—Oklahoma, 2011 The Health Information Technology for Economic and Clinical Health (HITECH) Act encourages the meaningful use of certified electronic health record technology. A HITECH-compliant core component is nationwide electronic laboratory reporting (ELR) implementation for communicable disease surveillance. In Oklahoma, laboratories with ≥400 positive tests/year (...) cases were included. We compared ELR with conventional reporting (i.e., mail, fax, telephone, and Internet). We assessed data completeness based on eight demographic and two laboratory fields in each disease report and timeliness by percentage of cases reported in ≤1 business day.Overall, 1,867 reports met the inclusion criteria; 24% of these reports had been submitted by ELR. Data completeness was 90% for ELR and 95% for conventional reporting. Patient addresses accounted for 97% of the missing

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2014 Public Health Reports

189. Family physicians and electronic communication (PubMed)

Family physicians and electronic communication 24733314 2015 02 19 2014 04 15 1715-5258 60 4 2014 Apr Canadian family physician Medecin de famille canadien Can Fam Physician Family physicians and electronic communication. 310 Ladouceur Roger R eng Editorial Canada Can Fam Physician 0120300 0008-350X IM Can Fam Physician. 2014 Jun;60(6):522 24925940 Communication Computer Security Electronic Mail standards Humans Physicians, Family Privacy Social Media 2014 4 16 6 0 2014 4 16 6 0 2015 2 20 6 0

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2014 Canadian Family Physician

190. Impact of Patient Portal Secure Messages and Electronic Visits on Adult Primary Care Office Visits (PubMed)

Impact of Patient Portal Secure Messages and Electronic Visits on Adult Primary Care Office Visits Secure messages and electronic visits ("e-visits") through patient portals provide patients with alternatives to face-to-face appointments, telephone contact, letters, and e-mails. Limited information exists on how portal messaging impacts face-to-face visits in primary care.We conducted a retrospective cohort study of 2,357 primary care patients who used electronic messaging (both secure messages

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2014 Telemedicine Journal and e-Health

191. Provider Perceptions of the Electronic Health Record Incentive Programs: A Survey of Eligible Professionals Who Have and Have Not Attested to Meaningful Use. (PubMed)

Provider Perceptions of the Electronic Health Record Incentive Programs: A Survey of Eligible Professionals Who Have and Have Not Attested to Meaningful Use. The HITECH Act of 2009 enabled the Centers for Medicare & Medicaid Services (CMS) to provide financial incentives to health care providers who demonstrate "meaningful use" (MU) of their electronic health records (EHRs). Despite stakeholder involvement in the rule-making phase, formal input about the MU program from a cross section (...) of providers has not been reported since incentive payments began.To examine the perspectives and experiences of a random sample of health care professionals eligible for financial incentives (eligible professionals or EPs) for demonstrating meaningful use of their EHRs. It was hypothesized that EPs actively participating in the MU program would generally view the purported benefits of MU more positively than EPs not yet participating in the incentive program.Survey data were collected by mail from

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2014 Journal of General Internal Medicine

192. Improving the Care of Children With Advanced Cancer by Using an Electronic Patient-Reported Feedback Intervention: Results From the PediQUEST Randomized Controlled Trial. (PubMed)

Improving the Care of Children With Advanced Cancer by Using an Electronic Patient-Reported Feedback Intervention: Results From the PediQUEST Randomized Controlled Trial. This study aimed to determine whether feeding back patient-reported outcomes (PROs) to providers and families of children with advanced cancer improves symptom distress and health-related quality of life (HRQoL).This study was a parallel, multicentered pilot randomized controlled trial. At most once per week, children age ≥ 2 (...) years old with advanced cancer or their parent completed the computer-based Pediatric Quality of Life and Evaluation of Symptoms Technology (PediQUEST) survey consisting of age- and respondent-adapted versions of the Memorial Symptom Assessment Scale (MSAS), Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQL4.0), and an overall Sickness question. In the intervention group (n = 51), oncologists and families received printed reports summarizing PROs; e-mails were sent to oncologists

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2014 Journal of clinical oncology : official journal of the American Society of Clinical Oncology

193. Motivations and barriers to implementing electronic health records and ED information systems in Japan. (PubMed)

Motivations and barriers to implementing electronic health records and ED information systems in Japan. Although electronic health record systems (EHRs) and emergency department information systems (EDISs) enable safe, efficient, and high-quality care, these systems have not yet been studied well. Here, we assessed (1) the prevalence of EHRs and EDISs, (2) changes in efficiency in emergency medical practices after introducing EHR and EDIS, and (3) barriers to and expectations from the EHR-EDIS (...) transition in EDs of medical facilities with EHRs in Japan.A survey regarding EHR (basic or comprehensive) and EDIS implementation was mailed to 466 hospitals. We examined the efficiency after EHR implementation and perceived barriers and expectations regarding the use of EDIS with existing EHRs. The survey was completed anonymously.Totally, 215 hospitals completed the survey (response rate, 46.1%), of which, 76.3% had basic EHRs, 4.2% had comprehensive EHRs, and 1.9% had EDISs. After introducing EHRs

2014 American Journal of Emergency Medicine

194. Can electronic web-based technology improve quality of life data collection? Analysis of Radiation Therapy Oncology Group 0828. (PubMed)

Can electronic web-based technology improve quality of life data collection? Analysis of Radiation Therapy Oncology Group 0828. Missing data are a significant problem in clinical trials, particularly for quality of life (QOL), which cannot be obtained retrospectively. The purpose of this study was to evaluate the feasibility of an electronic web-based strategy for QOL data collection in a cooperative group radiation oncology trial setting.Radiation Therapy Oncology Group (RTOG) 0828 (...) completion rate by 25% (from 52% to 77%) for a relative improvement of ~50%. The web-based tool used in this study was VisionTree Optimal Care (VTOC; VisionTree Software, Inc, San Diego, CA), a Health-Insurance-Portability-Accountability-Act secure, online technology that allows real-time tracking and e-mail reminders. The primary endpoint was the 6-month compliance rate for the validated QOL instrument, Expanded Prostate Index Composite.The QOL completion rate at baseline was 98%. Compared

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2014 Practical radiation oncology

195. Use of electronic health records and clinical decision support systems for antimicrobial stewardship. (PubMed)

Use of electronic health records and clinical decision support systems for antimicrobial stewardship. Electronic health records (EHRs) and clinical decision support systems (CDSSs) have the potential to enhance antimicrobial stewardship. Numerous EHRs and CDSSs are available and have the potential to enable all clinicians and antimicrobial stewardship programs (ASPs) to more efficiently review pharmacy, microbiology, and clinical data. Literature evaluating the impact of EHRs and CDSSs (...) technology resources. Further research is needed to determine the true impact of current systems on ASP and the ultimate goal of improved patient outcomes through optimized antimicrobial use. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

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2014 Clinical Infectious Diseases

196. Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint Working Party project on behalf of the British Society for Antimicrobial Chemotherapy (BSAC, host organization), British Heart Rh (PubMed)

Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint Working Party project on behalf of the British Society for Antimicrobial Chemotherapy (BSAC, host organization), British Heart Rh Infections related to implantable cardiac electronic devices (ICEDs), including pacemakers, implantable cardiac defibrillators and cardiac resynchronization therapy devices, are increasing in incidence in the USA and are likely to increase (...) or confirmed ICED infection in the UK, to inform local infection prevention and treatment policies and guidelines and to be used in the development of educational and training material by the relevant professional societies. The questions covered by the guideline are presented at the beginning of each section. © The Author 2014. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions

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2014 Journal of Antimicrobial Chemotherapy

197. Electronic cigarettes: assessing the efficacy and the adverse effects through a systematic review of published studies. (PubMed)

Electronic cigarettes: assessing the efficacy and the adverse effects through a systematic review of published studies. To investigate the efficacy and the adverse effects (AEs) of the electronic cigarette, we performed a systematic review of published studies.We selected experimental and observational studies examining the efficacy (as reduction of desire to smoke and/or number of cigarettes smoked and/or quitting or as reduction of nicotine withdrawal symptoms) and the safety of EC (AEs self (...) -mail: journals.permissions@oup.com.

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2014 Journal of public health (Oxford, England)

198. Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne (...) . Not about analgesics used in the clinic Full text-screening: As above, with the addition of: 7. No relevant outcome measure reported ">Prioritise the exclusion criteria Example: Two reviewers will independently extract data from each article. We first try to extract numerical data from tables, text or figures. If these are not reported, we will extract data from graphs using digital ruler software. In case data are not reported or unclear, we will attempt to contact authors by e-mail (max. 2 attempts

2017 PROSPERO

199. Electronic monitoring systems to assess urinary incontinence: a health technology assessment

Electronic monitoring systems to assess urinary incontinence: a health technology assessment Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address (...) in the clinic Full text-screening: As above, with the addition of: 7. No relevant outcome measure reported ">Prioritise the exclusion criteria Example: Two reviewers will independently extract data from each article. We first try to extract numerical data from tables, text or figures. If these are not reported, we will extract data from graphs using digital ruler software. In case data are not reported or unclear, we will attempt to contact authors by e-mail (max. 2 attempts). In case an outcome is measured

2017 PROSPERO

200. Diagnostic value of indocyanine green infrared ray electronic endoscopy guided sentinel lymph node mapping in gastric cancer: a systematic review and meta-analysis

Diagnostic value of indocyanine green infrared ray electronic endoscopy guided sentinel lymph node mapping in gastric cancer: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g (...) authors by e-mail (max. 2 attempts). In case an outcome is measured at multiple time points, data from the time point where efficacy is highest will be included. ">Methods for data extraction Example: Experimental groups, control group(s) and number of animals per group. ">Data to be extracted: study design Example: Species, sex, weight, age, co‐morbidity, anaesthetic agent used, method of induction of cardiac ischemia, duration of ischemia and duration of reperfusion (if applicable). ">Data

2017 PROSPERO

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