The unexploited potential of medical databases used in dentistry

2017 ◽  
Vol 63 (2) ◽  
pp. 94-98
Author(s):  
Claudia-Gabriela Mateiaş ◽  
◽  
Iuliana Babiuc ◽  
Alexandru-Titus Farcaşiu ◽  
Mihaela Păuna ◽  
...  
Keyword(s):  
Decision Support ◽  
Electronic Health Records ◽  
Decision Support Systems ◽  
Electronic Medical Records ◽  
Medical Records ◽  
The Other ◽  
Health Records ◽  
Digital Revolution ◽  
Medical Databases ◽  
Epidemiology Studies

Electronic databases used in dentistry are mainly found in electronic medical records held by dentists. Paper is still used in most clinics and institutions, but, with the digital revolution, it will be gradually replaced by electronic methods of storing information. There is, on the other hand, an unexploited part of electronic health records: they can be used in epidemiology studies, for the creation of decision support systems and in a new branch of medicine, in teledentistry. This paper presents, in short, the different possibilities of using medical databases in different contexts and proposes a modern aproach of solving the problems.

scholarly journals Merits, features, and desiderata to be considered when developing electronic health records with embedded clinical decision support systems in Palestinian hospitals: a consensus study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ramzi Shawahna
Keyword(s):  
Decision Support ◽  
Electronic Health Records ◽  
Analytic Hierarchy Process ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Analytic Hierarchy ◽  
Health Records ◽  
Hierarchy Process

Abstract Background Electronic health records (EHRs) with embedded clinical decision support systems (CDSSs) have the potential to improve healthcare delivery. This study was conducted to explore merits, features, and desiderata to be considered when planning for, designing, developing, implementing, piloting, evaluating, maintaining, upgrading, and/or using EHRs with CDSSs. Methods A mixed-method combining the Delphi technique and Analytic Hierarchy Process was used. Potentially important items were collected after a thorough search of the literature and from interviews with key contact experts (n = 19). Opinions and views of the 76 panelists on the use of EHRs were also explored. Iterative Delphi rounds were conducted to achieve consensus on 122 potentially important items by a panel of 76 participants. Items on which consensus was achieved were ranked in the order of their importance using the Analytic Hierarchy Process. Results Of the 122 potentially important items presented to the panelists in the Delphi rounds, consensus was achieved on 110 (90.2%) items. Of these, 16 (14.5%) items were related to the demographic characteristics of the patient, 16 (14.5%) were related to prescribing medications, 16 (14.5%) were related to checking prescriptions and alerts, 14 (12.7%) items were related to the patient’s identity, 13 (11.8%) items were related to patient assessment, 12 (10.9%) items were related to the quality of alerts, 11 (10%) items were related to admission and discharge of the patient, 9 (8.2%) items were general features, and 3 (2.7%) items were related to diseases and making diagnosis. Conclusions In this study, merits, features, and desiderata to be considered when planning for, designing, developing, implementing, piloting, evaluating, maintaining, upgrading, and/or using EHRs with CDSSs were explored. Considering items on which consensus was achieved might promote congruence and safe use of EHRs. Further studies are still needed to determine if these recommendations can improve patient safety and outcomes in Palestinian hospitals.

Monitoring inbaskets with feedback to providers enhances the timeliness of patient care.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 132-132
Author(s):  
Kerin B. Adelson ◽  
Amelia Anne Trant ◽  
Michael Strait ◽  
Rory Kaplan ◽  
Vanna Dest ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Medical Records ◽  
Weighted Average ◽  
The Other ◽  
Financial Impact ◽  
Multidisciplinary Communication ◽  
Health Records ◽  
Phone Calls ◽  
Or Practice ◽  
Future Work

132 Background: The adoption of Electronic Health Records (EHRs) has changed the workflow for providers. The “inBasket” feature supplants telephone and email communications, replaces paper results review and has become the way to track incomplete encounters. Failure to promptly complete medical records leads to unread notes and impairs multidisciplinary communication. Also, unclosed encounters lead to potential penalties and uncollected fees. One benefit of the inBasket, is that it can be monitored. Methods: We created a report that tracked EPIC inBasket activities by provider including numbers of open charts, unchecked results, phone calls, incomplete dictations and orders needing cosign. The report shows the number and length of time each activity has been delinquent. In December 2015 we began emailing automated reports to all providers with their monthly results. In January 2016 we began an enforcement process for providers with >50 open charts: 30 days to complete charts or practice would be closed to new patients; if >50 remained after 30 days providers had 60 days before complete suspension from practice. We modeled the financial impact of chart closure by creating a weighted average by payor of fees collected per visit. For charts that would have been delinquent beyond payor filing deadlines this represents actual increased revenue. For charts that would have eventually been closed before the filing deadline this represents earlier revenue capture. Results: See table. Conclusions: Inbasket monitoring with structured feedback to providers led to improvement in the number of open charts, the focus of corrective action. We did not see consistent improvements in the other inbasket metrics. Future work will involve a similar approach to all inBasket metrics. Closing charts also has a significant financial impact; we estimate that $483,049 in fees that could have been lost due to exceeding payor deadlines became collectable. [Table: see text]

ANALYZING THE SCOPE OF INTEGRATING ELECTRONIC MEDICAL RECORDS (EMR) AND ELECTRONIC HEALTH RECORDS (EHR) WITH MULTIMODAL HUMAN COMPUTER INTERACTION (MMHCI)

2016 ◽  
Vol 78 (6) ◽  
Author(s):  
Vairamuthu S. ◽  
Margret Anouncia
Keyword(s):  
Electronic Health Records ◽  
Human Computer Interaction ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Complex Data ◽  
Medical Systems ◽  
Health Records ◽  
History Of ◽  
Electronic Health ◽  
Computer Interaction

Developing applications using Multi Modal Human Computer Interaction (MMHCI) remains a great challenge due to the advancement of technologies. Enhanced interaction applications and tools employed in medical records will help to improve the quality of patients’ healthcare and it opens a variety of research challenges. Replacing a difficult system to store complex data related to medical history of patients through Electronic Medical Records (EMR)/Electronic Health Records (EHR) would offer several advantages that include confidentiality and patient details reliability along with the mechanisms for quick and flexible retrieval of data/information. The task of designing MMHCI applications for real time environment for EMR/EHR is thus complex. As the inputs to medical systems are heterogeneous, the associated issues grow up with the need for new system since the existing frameworks have many gaps and drawbacks. This paper attempts to discuss the possible guidelines, standards, tools and techniques involved in integrating MMHCI with EMR/EHR.

Electronic Medical Records and Electronic Health Records: Overview for Nurse Practitioners

2014 ◽  
Vol 10 (9) ◽  
pp. 660-665 ◽  
Author(s):  
Patricia C. McMullen ◽  
William O. Howie ◽  
Nayna Philipsen ◽  
Virletta C. Bryant ◽  
Patricia D. Setlow ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Electronic Medical Records ◽  
Nurse Practitioners ◽  
Medical Records ◽  
Health Records ◽  
Electronic Health

Foundations for an Electronic Medical Record

1991 ◽  
Vol 30 (03) ◽  
pp. 179-186 ◽  
Author(s):  
A. L. Rector ◽  
W. A. Nowlan ◽  
S. Kay
Keyword(s):  
Decision Support ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Population Data ◽  
The Other ◽  
Basic Requirement ◽  
Clinical Workstation ◽  
The Many

AbstractGiven the many efforts currently under way to develop standards for electronic medical records, it is important to step back and reexamine the fundamental principles which should underlie a model of the electronic medical record. This paper presents an analysis based on the experience in developing the PEN & PAD prototype clinical workstation. The fundamental contention is that the requirements for a medical record must be grounded in its use for patient care. The basic requirement is that it be a faithful record of what clinicians have heard, seen, thought, and done. The other requirements for a medical record, e.g., that it be attributable and permanent, follow naturally from this view. We use the criteria developed to re-examine Weed’s Problem Oriented Medical Record and also relate the criteria to secondary uses of the medical record for population data, communications and decision support.

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