scholarly journals Access to electronic health knowledge in five countries in Africa: a descriptive study

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Helen Smith ◽  
Hasifa Bukirwa ◽  
Oscar Mukasa ◽  
Paul Snell ◽  
Sylvester Adeh-Nsoh ◽  
...  
Keyword(s):  
Health Knowledge ◽  
Descriptive Study ◽  
Electronic Health

scholarly journals Use of Electronic Health Record Access and Audit Logs to Identify Physician Actions Following Noninterruptive Alert Opening: Descriptive Study (Preprint)

2018 ◽  
Author(s):  
Azraa Amroze ◽  
Terry S Field ◽  
Hassan Fouayzi ◽  
Devi Sundaresan ◽  
Laura Burns ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Primary Care Physicians ◽  
Controlled Trial ◽  
Patient Characteristics ◽  
Clinical Decision ◽  
Descriptive Study ◽  
Health Record ◽  
Log Data ◽  
Electronic Health

BACKGROUND Electronic health record (EHR) access and audit logs record behaviors of providers as they navigate the EHR. These data can be used to better understand provider responses to EHR–based clinical decision support (CDS), shedding light on whether and why CDS is effective. OBJECTIVE This study aimed to determine the feasibility of using EHR access and audit logs to track primary care physicians’ (PCPs’) opening of and response to noninterruptive alerts delivered to EHR InBaskets. METHODS We conducted a descriptive study to assess the use of EHR log data to track provider behavior. We analyzed data recorded following opening of 799 noninterruptive alerts sent to 75 PCPs’ InBaskets through a prior randomized controlled trial. Three types of alerts highlighted new medication concerns for older patients’ posthospital discharge: information only (n=593), medication recommendations (n=37), and test recommendations (n=169). We sought log data to identify the person opening the alert and the timing and type of PCPs’ follow-up EHR actions (immediate vs by the end of the following day). We performed multivariate analyses examining associations between alert type, patient characteristics, provider characteristics, and contextual factors and likelihood of immediate or subsequent PCP action (general, medication-specific, or laboratory-specific actions). We describe challenges and strategies for log data use. RESULTS We successfully identified the required data in EHR access and audit logs. More than three-quarters of alerts (78.5%, 627/799) were opened by the PCP to whom they were directed, allowing us to assess immediate PCP action; of these, 208 alerts were followed by immediate action. Expanding on our analyses to include alerts opened by staff or covering physicians, we found that an additional 330 of the 799 alerts demonstrated PCP action by the end of the following day. The remaining 261 alerts showed no PCP action. Compared to information-only alerts, the odds ratio (OR) of immediate action was 4.03 (95% CI 1.67-9.72) for medication-recommendation and 2.14 (95% CI 1.38-3.32) for test-recommendation alerts. Compared to information-only alerts, ORs of medication-specific action by end of the following day were significantly greater for medication recommendations (5.59; 95% CI 2.42-12.94) and test recommendations (1.71; 95% CI 1.09-2.68). We found a similar pattern for OR of laboratory-specific action. We encountered 2 main challenges: (1) Capturing a historical snapshot of EHR status (number of InBasket messages at time of alert delivery) required incorporation of data generated many months prior with longitudinal follow-up. (2) Accurately interpreting data elements required iterative work by a physician/data manager team taking action within the EHR and then examining audit logs to identify corresponding documentation. CONCLUSIONS EHR log data could inform future efforts and provide valuable information during development and refinement of CDS interventions. To address challenges, use of these data should be planned before implementing an EHR–based study.

scholarly journals Use of Electronic Health Record Access and Audit Logs to Identify Physician Actions Following Noninterruptive Alert Opening: Descriptive Study

10.2196/12650 ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. e12650 ◽  
Author(s):  
Azraa Amroze ◽  
Terry S Field ◽  
Hassan Fouayzi ◽  
Devi Sundaresan ◽  
Laura Burns ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Descriptive Study ◽  
Health Record ◽  
Electronic Health

scholarly journals Oral health knowledge of elementary students

2015 ◽  
Vol 27 (1) ◽  
Author(s):  
Indah Dewi Yvatrani ◽  
Asty Samiaty Setiawan ◽  
Dede Sutardjo
Keyword(s):  
Elementary School ◽  
Oral Health ◽  
Elementary Students ◽  
Health Knowledge ◽  
Dental Treatment ◽  
Descriptive Study ◽  
Survey Method ◽  
Early Age ◽  
Oral Health Knowledge ◽  
Grade 5

Introduction: Dental treatment is considered not very important, but the benefits are vital in supporting health and appearance. Oral health knowledge affects a person’s behavior of maintaining oral hygiene. Efforts to oral health care should be done at early age. The purpose of this study was to determine oral health knowledge of students in grade 5 and 6 of Sekeloa 1 and 2 Elementary School Bandung. Methods: This study was a descriptive study with survey method. The method used in sampling was total sampling with a sample size of 158 students in grade 5 and 6 in Sekeloa 1 and 2 Elementary School Bandung. The data was obtained by distributing questionnaires to the objects. Results: Oral health knowledge of student’s in grade 5 and 6 in Sekeloa 1 and 2 Elemantary School Bandung are in 38 respondents (24.1%) with good category; 85 respondents (53,8%) with moderate category; and 35 respondents (22.2%) with less category. Conclusion: Oral health knowledge of 5 and 6 grades of Sekeloa 1 and 2 Elementary School Bandung was moderate.

scholarly journals Poor congruence with guidelines in the use of antibiotics for acute bronchitis: a descriptive study based on electronic health records

2016 ◽  
Vol 33 (5) ◽  
pp. 471-475 ◽  
Author(s):  
Sara Malo ◽  
Beatriz Poblador-Plou ◽  
Alexandra Prados-Torres ◽  
María Jesús Lallana ◽  
Clara Laguna-Berna ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Acute Bronchitis ◽  
Descriptive Study ◽  
Health Records ◽  
Electronic Health

scholarly journals AVALIAÇÃO DO CONHECIMENTO DE PUÉRPERAS ACERCA DA AMAMENTAÇÃO

2016 ◽  
Vol 6 (1/4) ◽  
pp. 12-16 ◽  
Author(s):  
Alice Brito Visintin ◽  
Cândida Caniçali Primo ◽  
Maria Helena Costa Amorim ◽  
Franciéle Marabotti Costa Leite
Keyword(s):  
Nutritional Status ◽  
Women’S Health ◽  
Women's Health ◽  
Exclusive Breastfeeding ◽  
Emotional Development ◽  
Health Knowledge ◽  
Descriptive Study ◽  
Postpartum Women ◽  
The City ◽  
Health Objective

A amamentação repercute no estado nutricional, imunológico, cognitivo e emocional da criança, e possui implicações na saúdematerna. Objetivo: avaliar o conhecimento de puérperas acerca da amamentação. Métodos: pesquisa descritiva, realizadaem uma maternidade, no município de São Mateus, ES. Resultados: 51,7% não amamentou anteriormente, 75,5% refere que otempo entre o nascimento e a primeira mamada foi superior à uma hora, 71,5% negou dificuldade em amamentar, 63,8% negater recebido orientação acerca do aleitamento materno no pré-natal e 83,6% sabe o período de aleitamento materno exclusivo.A maioria desconhece as possíveis complicações da amamentação, o preparo das mamas, a posição correta para amamentar, ea pega correta do bebê. Conclusão: as puérperas apresentaram baixo nível de conhecimento acerca da amamentação.Descritores: Aleitamento materno, Saúde da mulher, Conhecimento, Enfermagem.EVALUATION OF THE MOTHERS KNOWLEDGE ABOUT BREASTFEEDINGBreastfeeding affects the nutritional status, immune, cognitive and emotional development of children, and has implications formaternal health. Objective: To assess knowledge of mothers about breastfeeding. Methods: Descriptive study, held in a maternityhospital in the city of São Mateus, ES. Results: 51,7% didn’t breastfeed earlier and 75.5% initiating breastfeeding more than onehour after birth, 71.5% didn’t have any difficulty to breastfeed, 63.8% didn’t receive instruction about breastfeeding. 83.6% ofmothers know the period of exclusive breastfeeding. Most of them unknown the possible complications of breastfeeding, thepreparation of the breasts, correct breastfeeding positioning and latch-on. Conclusion: the postpartum women showed a lowknowledge of breastfeeding.Descriptors: Breastfeeding, Women’s health, Knowledge, Nursing.EVALUACIÓN DE LOS CONOCIMIENTOS DE LAS MADRES SOBRE LA LACTANCIA MATERNALa lactancia materna afecta el estado nutricional, el desarrollo inmunológico, cognitivo y emocional de los niños, y tieneimplicaciones para la salud materna. Objetivo: evaluar los conocimientos de las madres sobre la lactancia materna. Métodos:Estudio descriptivo, realizado en una maternidad en la ciudad de São Mateus, ES. Resultados: 51,7% no amamantaron antes yel 75,5% iniciaron la lactancia materna más de una hora después del nacimiento, el 71,5% no tuvieron ninguna dificultad con lalactancia, el 63,8 % no recibieron instrucción acerca de la lactancia materna. 83,6% de las madres conocieron el período de lalactancia materna exclusiva. La mayoría de ellas desconocen las posibles complicaciones de la lactancia materna, la preparaciónde las mamas y la posición correcta de la lactancia materna. Conclusión: las madres mostraron un bajo conocimiento sobre lalactancia materna.Descriptores: Lactancia materna, Salud de la mujer, Conocimiento, Enfermería.

scholarly journals Current use and costs of electronic health records for clinical trial research: a descriptive study

CMAJ Open ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. E23-E32 ◽  
Author(s):  
Kimberly A. Mc Cord ◽  
Hannah Ewald ◽  
Aviv Ladanie ◽  
Matthias Briel ◽  
Benjamin Speich ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Electronic Health Records ◽  
Descriptive Study ◽  
Health Records ◽  
Clinical Trial Research ◽  
Electronic Health
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