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41. SUPPORT‐AF: Piloting a Multi‐Faceted, Electronic Medical Record‐Based Intervention to Improve Prescription of Anticoagulation (PubMed)

, the percentage of AC was 71.3%, 63.5%, and 58.3% for these 3 respective groups. Intervention providers reviewed our e-mails and electronic medical record messages 45% and 96% of the time, respectively. For providers responding, patient refusal was the most common reason for patients not being on AC (21%) followed by high bleeding risk (19%). At follow-up 10 weeks later, change in AC was no different for either cardiology or community-based primary care providers relative to controls (0.2% lower and 0.01 (...) SUPPORT‐AF: Piloting a Multi‐Faceted, Electronic Medical Record‐Based Intervention to Improve Prescription of Anticoagulation Background Only 50% of eligible atrial fibrillation ( AF ) patients receive anticoagulation ( AC ). Feasibility and effectiveness of electronic medical record (EMR)-based interventions to profile and raise provider AC percentage is poorly understood. The SUPPORT-AF (Supporting Use of AC Through Provider Profiling of Oral AC Therapy for AF) study aims to improve

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2018 Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

42. Primary care perspective and implementation of a multidisciplinary, institutional prostate cancer screening algorithm embedded in the electronic health record. (PubMed)

and adoption as well as to evaluate how this program affects screening rates.A web-based 18-item survey was programmed and was electronically mailed to practicing PCPs at clinics affiliated with the Duke Primary Care system. The survey assessed provider practices and attitudes regarding CaP screening, factors that influenced their general screening recommendations and the confidence related to communicating with patients about screening. The rate of PSA screening before and after implementation (...) Primary care perspective and implementation of a multidisciplinary, institutional prostate cancer screening algorithm embedded in the electronic health record. In response to controversy regarding prostate cancer (CaP) screening recommendations, a consolidated Duke Cancer Institute (DCI) multidisciplinary algorithm for CaP screening was developed and implemented. We conducted an online survey within the year following its implementation to assess primary care provider (PCP) attitudes

2018 Urologic oncology

43. Science News » New Processing Technique Helps Researchers Use Electronic Health Records to Study Biological Contributors to Mental Illnesses

Science News » New Processing Technique Helps Researchers Use Electronic Health Records to Study Biological Contributors to Mental Illnesses NIMH » New Processing Technique Helps Researchers Use Electronic Health Records to Study Biological Contributors to Mental Illnesses Mental Health Information Outreach Research Funding News & Events About Us Transforming the understanding and treatment of mental illnesses. Search the NIMH Website: > > Recent News March 26, 2019 March 19, 2019 March 13 (...) , 2019 March 11, 2019 February 20, 2019 News by Year News by Topic Disorders Populations Prevention Research Other Menu Recent News March 26, 2019 March 19, 2019 March 13, 2019 March 11, 2019 February 20, 2019 News by Year News by Topic Disorders Populations Prevention Research Other , funded in part by the , was published online February 26, 2018 in the journal Biological Psychiatry . As medicine has entered the digital age, the use of electronic systems for managing health data has skyrocketed

2018 NIMH blog

44. Enrichment sampling for a multi-site patient survey using electronic health records and census data. (PubMed)

Enrichment sampling for a multi-site patient survey using electronic health records and census data. We describe a stratified sampling design that combines electronic health records (EHRs) and United States Census (USC) data to construct the sampling frame and an algorithm to enrich the sample with individuals belonging to rarer strata.This design was developed for a multi-site survey that sought to examine patient concerns about and barriers to participating in research studies, especially (...) Americans, Asians, Hispanics and those with less than a high school degree, respectively). We observed that our EHR data tended to misclassify minority races more often than majority races, and that non-majority races, Latino ethnicity, younger adult age, lower education, and urban/suburban living were each associated with lower response rates to the mailed surveys.We observed substantial enrichment from rarer subpopulations. The magnitude of the enrichment depends on the accuracy of the variables

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2018 Journal of the American Medical Informatics Association

45. Electronic health records: Separating the signal from the noise

Electronic health records: Separating the signal from the noise Electronic health records: Separating the signal from the noise Electronic health records: Separating the signal from the noise | | December 23, 2018 18 Shares 5,177. That’s the current number of “cc’ed charts” as of this morning in my electronic health record in-basket. While it might sound like a lot, this is not at all an unusual accumulation, partly due to the fact that I receive a notation every time a patient at our practice (...) of situations, a consultant would send across a letter, either by fax or regular mail, and we would place a copy of that into the patient’s chart. I always loved getting those (sometimes typed on really nice stationery with fancy letterheads), and they helped confirm my suspicions or put my mind at ease, or helped me get the patient on the right track, the right path, to a better state of health. Now that we get everything, there’s just too much noise. Essential communication I’ve tried re-sorting

2018 KevinMD blog

46. Improving Electronic Written Communication in Aphasia

and instant messaging, electronic mail, and various types of social media has become an increasingly important part of everyday life in our technology driven society. Consequently, difficulty with written expression can significantly restrict people with aphasia from participation in community life, including social, professional, and educational realms. Improving writing in persons with aphasia could improve communication, increase access to information, reduce isolation and facilitate social (...) Improving Electronic Written Communication in Aphasia Improving Electronic Written Communication in Aphasia - 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. Improving Electronic Written Communication

2018 Clinical Trials

47. Use of Remote Monitoring for Cardiovascular Implantable Electronic Device Follow-up - A Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement

Use of Remote Monitoring for Cardiovascular Implantable Electronic Device Follow-up - A Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Use of Remote Monitoring for Cardiovascular Implantable Electronic Device Follow-up - Canadian Journal of Cardiology Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume (...) 29, Issue 6, Pages 644–651 Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Use of Remote Monitoring for Cardiovascular Implantable Electronic Device Follow-up x Raymond Yee Affiliations London Health Sciences Centre-University Hospital, London, Ontario, Canada Correspondence Corresponding author: Dr Raymond Yee, London Health Sciences Centre-University Hospital, 339 Windermere Rd, Room C6-114, London N6A 5A5, Ontario, Canada. Tel.: +1-519-663-3746

2013 Canadian Cardiovascular Society

48. Impact of Laboratory Charge Display Within the Electronic Health Record Across an Entire Academic Medical Center: Results of a Randomized Controlled Trial. (PubMed)

Impact of Laboratory Charge Display Within the Electronic Health Record Across an Entire Academic Medical Center: Results of a Randomized Controlled Trial. To determine the impact of systemwide charge display on laboratory utilization.This was a randomized controlled trial with a baseline period and an intervention period. Tests were randomized to a control arm or an active arm. The maximum allowable Medicare reimbursement rate was displayed for tests in the active arm during the intervention (...) order entry system.The impact of charge display depends on context. Charge display is not always effective.© American Society for Clinical Pathology, 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

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2017 American journal of clinical pathology

49. Refining and Testing the Electronic Social Network Assessment Program (eSNAP)

with the eSNAP application and asked to create a visualization of their social networks. Upon completion, participants will be asked to review their ecomaps and complete the user experience questionnaire. Other Name: Electronic Social Network Assessment Program Behavioral: Questionnaires Participants will complete demographics and baseline (T1; baseline) questionnaires. For all participants Time 2 (T2; 3 week) and Time 3 (T3; 6 week) questionnaires will be completed either by phone, mail, or email (depending (...) Refining and Testing the Electronic Social Network Assessment Program (eSNAP) Refining and Testing the Electronic Social Network Assessment Program (eSNAP) - 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

2017 Clinical Trials

50. Adoption of Electronic Health Records and Perceptions of Financial and Clinical Outcomes Among Ophthalmologists in the United States. (PubMed)

Adoption of Electronic Health Records and Perceptions of Financial and Clinical Outcomes Among Ophthalmologists in the United States. Assessing the rate of electronic health record (EHR) adoption and ophthalmologists' perceptions on financial and clinical productivity is important in understanding how to direct future design and health care policy.To assess adoption rate and perceptions of financial and clinical outcomes of EHRs among ophthalmologists in the United States.Population-based (...) , cross-sectional study. A random sample of 2000 ophthalmologists was generated on the basis of mailing address zip codes from the 2015 American Academy of Ophthalmology US active membership database, which included more than 18 000 ophthalmologists. A survey was sent by email to assess adoption rate of EHRs, perceptions of financial and clinical productivity, and engagement with Medicare and Medicaid programs that incentivize the use of EHRs. The survey was conducted between 2015 and 2016.Adoption

2017 JAMA ophthalmology

51. Electronic Medication Regimen Complexity Index at admission and complications during hospitalization in medical wards: a tool to improve quality of care? (PubMed)

Electronic Medication Regimen Complexity Index at admission and complications during hospitalization in medical wards: a tool to improve quality of care? Adverse events during hospitalization are a major worry considering their frequency and their burden. Many could be avoided by immediate identification of at-risk patients at admission and adapted prevention. The complexity of a patient's medication regimen immediately available at admission is a good indicator of the complexity (...) of the patient's condition. This study aims to determine whether the electronic Medication Regimen Complexity Index (MRCI) at admission is associated with complications during hospitalization.We performed a multilevel logistic regression model, adjusted for age and sex.Premier Perspective™ database, a clinical and financial information system from 417 US hospitals.Adults hospitalized for more than 3 days in a medical ward and included in Premier's Perspective™ database for 2006.Multilevel logistic

2017 International Journal for Quality in Health Care

52. Concept Clearance » Leveraging Electronic Medical Records for Psychiatric Genetic Research

Concept Clearance » Leveraging Electronic Medical Records for Psychiatric Genetic Research NIMH » Leveraging Electronic Medical Records for Psychiatric Genetic Research Mental Health Information Outreach Research Funding News & Events About Us Transforming the understanding and treatment of mental illnesses. Search the NIMH Website: > > > Concept Clearance • May 25, 2017 Presenter: Anjené Addington, Ph.D., M.P.H. Division of Neuroscience and Basic Behavioral Science Goal: The purpose (...) of this initiative is to support projects that implement creative and robust molecular epidemiologic approaches that leverage existing electronic medical records (EMR) from large, population-based cohorts. Such projects would incorporate individual polygenic risk scores and other genetic markers of risk to conduct analyses that advance our understanding of the complex etiology of severe mental disorders. Rationale: Psychiatric disorders are highly heritable and account for a large proportion of global disease

2017 NIMH blog

53. Community-Acquired Pneumonia Case Validation in an Anonymized Electronic Medical Record-Linked Expert System. (PubMed)

Community-Acquired Pneumonia Case Validation in an Anonymized Electronic Medical Record-Linked Expert System. An electronic anonymized patient portal analysis using radiographic reports and admission and discharge diagnoses had sensitivity, specificity, positive predictive value, and negative predictive value of 84.7%, 78.2%, 75%, and 87%, respectively, for community-acquired pneumonia validated against a blinded expert medical review. This approach can help to track antimicrobial use (...) and resistance.© The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

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2017 Clinical Infectious Diseases

54. Electronic Health Record Adoption among Obstetrician/Gynecologists in the United States: Physician Practices and Satisfaction. (PubMed)

Electronic Health Record Adoption among Obstetrician/Gynecologists in the United States: Physician Practices and Satisfaction. Implementation of electronic health records (EHRs) has historically been lower among obstetrician-gynecologists (ob-gyns) than many physician groups. This study described ob-gyns' adoption and use of EHR systems in practice, as well as barriers and benefits to implementation. Surveys asking about the physicians' use of EHR, satisfaction with systems, and what features (...) they found most or least helpful were mailed to 1,200 ob-gyns. An overall response rate of 57.4% was achieved, with 559 returning completed surveys. Over three-quarters of responders reported that they used an EHR system or planned to implement one. Physicians without EHR tended to be older, were more likely to be male, have a solo practice, and describe themselves as Asian/Pacific Islander. Over 63% of those physicians who use EHR reported being satisfied with their system, while 30.8% were

2017 Journal for Healthcare Quality

55. Electronically available comorbidities should be used in surgical site infection risk adjustment. (PubMed)

Electronically available comorbidities should be used in surgical site infection risk adjustment. Healthcare-associated infections such as surgical site infections (SSIs) are used by the Centers for Medicare and Medicaid Services (CMS) as pay-for-performance metrics. Risk adjustment allows a fairer comparison of SSI rates across hospitals. Until 2016, Centers for Disease Control and Prevention (CDC) risk adjustment models for pay-for-performance SSI did not adjust for patient comorbidities. New (...) proportion to risk-adjusted ranks, 24 of 28 (86%) hospitals changed ranks, 16 (57%) changed by ≥2 ranks, and 4 (14%) changed by >10 ranks.We developed a well-performing risk adjustment model for SSI using electronically available comorbidities. Comorbidity-based risk adjustment should be strongly considered by the CDC and CMS to adequately compare SSI rates across hospitals.© The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved

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2017 Clinical Infectious Diseases

56. Effects of Calorie Restriction and Fiber Type on Glucose Uptake and Abundance of Electron Transport Chain and Oxidative Phosphorylation Proteins in Single Fibers from Old Rats. (PubMed)

Effects of Calorie Restriction and Fiber Type on Glucose Uptake and Abundance of Electron Transport Chain and Oxidative Phosphorylation Proteins in Single Fibers from Old Rats. Calorie restriction (CR; reducing calorie intake by ~40% below ad libitum) can increase glucose uptake by insulin-stimulated muscle. Because skeletal muscle is comprised of multiple, heterogeneous fiber types, our primary aim was to determine the effects of CR (initiated at 14 weeks old) and fiber type on insulin (...) fibers; (b) significantly (p < .05 to .001) reduced abundance of several mitochondrial electron transport chain (ETC) and oxidative phosphorylation (OxPhos) proteins in type I, IIA, and IIBX but not IIB and IIX fibers; and (c) unaltered hexokinase II abundance in each fiber type. These results demonstrate that CR can enhance glucose uptake in each fiber type of rat skeletal muscle in the absence of upregulation of the abundance of hexokinase II or key mitochondrial ETC and OxPhos proteins.©

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2017 Biological Sciences and Medical Sciences

57. Design and implementation of decision support for tobacco dependence treatment in an inpatient electronic medical record: a randomized trial. (PubMed)

Design and implementation of decision support for tobacco dependence treatment in an inpatient electronic medical record: a randomized trial. Tobacco dependence treatment for hospitalized smokers results in long-term cessation if treatment continues at least 30 days post-discharge. Health information technology may facilitate ongoing tobacco dependence treatment after hospital discharge. To describe the use and impact of a new decision support tool and order set for inpatient physicians (...) , addressing tobacco dependence treatment for hospitalized smokers, embedded in an electronic health record (EHR). In a cluster-randomized trial, 254 physicians were randomized (1:1) to either receive or not receive the decision support tool and order set, which were embedded in the Epic (Madison, WI) EHR used at 2 hospitals in a single city. When an adult patient was admitted to a medical service, an electronic alert appeared if the patient was coded in the EHR as a smoker. For physicians randomized

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2017 Translational behavioral medicine

58. Outcomes in Patients with Cardiovascular Implantable Electronic Device Infection Managed with Chronic Antibiotic Suppression. (PubMed)

Outcomes in Patients with Cardiovascular Implantable Electronic Device Infection Managed with Chronic Antibiotic Suppression. Most cardiovascular implantable electronic device (CIED) recipients are elderly, have multiple comorbid conditions, and are at increased risk of CIED infection (CIEDI). Current guidelines recommend complete device removal in patients with CIEDI to prevent relapse and mortality. However, comorbidities or other factors may preclude device removal, thus prompting (...) a nonsurgical approach that includes chronic antibiotic suppression (CAS). There are limited data on outcomes of patients receiving CAS for CIEDI.We retrospectively screened 660 CIEDI cases from 2005 to 2015 using electronic health records and a CIEDI institutional database and identified 48 patients prescribed CAS. Primary outcomes were infection relapse and survival.The median age was 78 years, and 73% (35/48) were male. The median Charlson comorbidity index was 4. Common pathogens were coagulase-negative

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2017 Clinical Infectious Diseases

59. Time-Course of Cause-Specific Hospital Admissions During Snowstorms: An Analysis of Electronic Medical Records From Major Hospitals in Boston, Massachusetts. (PubMed)

Time-Course of Cause-Specific Hospital Admissions During Snowstorms: An Analysis of Electronic Medical Records From Major Hospitals in Boston, Massachusetts. With global climate change, more frequent severe snowstorms are expected; however, evidence regarding their health effects is very limited. We gathered detailed medical records on hospital admissions (n = 433,037 admissions) from the 4 largest hospitals in Boston, Massachusetts, during the winters of 2010-2015. We estimated the percentage (...) into interventions that prevent hospitalizations and protect public health during harsh winter conditions.© The Author 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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2017 American Journal of Epidemiology

60. Electronic Patient Reporting of Symptoms During Cancer Treatment

Electronic Patient Reporting of Symptoms During Cancer Treatment Electronic Patient Reporting of Symptoms During Cancer Treatment - 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. Electronic Patient Reporting (...) will be given a booklet with patient-level symptom advice and a link to the content online. All participants will receive compensation for participation, mailed to them as gift cards by UNC. CRAs will train all participants how to complete outcomes questionnaires for the trial using the PRO-Core online system. Participants will be given a choice to complete these in clinic or from home online, or if necessary via paper in clinic (with the CRA entering the data into PRO-Core). If the patient does not self

2017 Clinical Trials

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