scholarly journals Automated Procedure Logs for Cardiology Fellows: A New Training Paradigm in the Era of Electronic Health Records

2021 ◽  
Vol 13 (1) ◽  
pp. 103-107
Author(s):  
Emeka C. Anyanwu ◽  
Victor Mor-Avi ◽  
R. Parker Ward
Keyword(s):  
Clinical Record ◽  
Volume Changes ◽  
Post Intervention ◽  
Record System ◽  
Health Records ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
Post Procedure ◽  
Electronic Health ◽  
Accurate Record

ABSTRACT Background Procedural experience for residents and fellows is critical for achieving competence, and documentation of procedures performed is required. Procedure logs serve as the record of this experience, but are commonly generated manually, require substantial administrative effort, and cannot be corroborated for accuracy. Objective We developed and implemented a structured clinical-educational report template (CERT), which automatically generates procedure logs directly from the clinical record. Methods Our CERT aimed to replace the post-procedure note template for our cardiac catheterization laboratory and was incorporated into the electronic health record system. Numbers of documented procedures in automated CERT-derived procedure logs over a 1-year post-intervention period (2018–2019) were compared to manual logs and corrected for clinical volume changes. The CERT's impact on fellowship experience was also assessed. Results Automated CERT procedure logs increased weekly procedural documentation over manual procedure logs for total procedures (24.2 ± 6.1 vs 17.1 ± 6.8, P = .007), left heart catheterizations (14.5 ± 3.6 vs 10.8 ± 4.2, P = .039), total procedural elements (40.2 ± 11.4 versus 20.9 ± 12.5, P < .001), and captured procedural details not previously documented. The CERT also reduced self-reported administrative time and improved fellowship experience. Conclusions A novel CERT allows procedure logs to be automatically derived from the clinical record and increased the number of documented procedures, compared to manual logging. This innovation ensures an accurate record of procedural experience and reduces self-reported non-educational administrative time for cardiology fellows.

scholarly journals Real-time clinician text feeds from electronic health records

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
James T. H. Teo ◽  
Vlad Dinu ◽  
William Bernal ◽  
Phil Davidson ◽  
Vitaliy Oliynyk ◽  
...  
Keyword(s):  
Social Media ◽  
Electronic Health Records ◽  
Real Time ◽  
Capacity Planning ◽  
Low Cost ◽  
Disease Outbreaks ◽  
Record System ◽  
Health Records ◽  
Keywords And Phrases ◽  
Electronic Health

AbstractAnalyses of search engine and social media feeds have been attempted for infectious disease outbreaks, but have been found to be susceptible to artefactual distortions from health scares or keyword spamming in social media or the public internet. We describe an approach using real-time aggregation of keywords and phrases of freetext from real-time clinician-generated documentation in electronic health records to produce a customisable real-time viral pneumonia signal providing up to 4 days warning for secondary care capacity planning. This low-cost approach is open-source, is locally customisable, is not dependent on any specific electronic health record system and can provide an ensemble of signals if deployed at multiple organisational scales.

Electronic Health Record System using Blockchain

2019 ◽  
Vol 1 (2) ◽  
pp. 57-61
Author(s):  
Sangeetha R ◽  
Harshini B ◽  
Shanmugapriya A ◽  
Rajagopal T.K.P.
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Family Health ◽  
Health Record ◽  
Medical Organization ◽  
Record System ◽  
Health Records ◽  
Related Information ◽  
Health Related ◽  
Electronic Health

This paper deals with the Electronic Health Records for storing information of the patient which consist of the medical reports. Electronic Health Records (EHRs) are entirely controlled by Hospitals instead of patients, which complicates seeking medical advices from different hospitals. In the existing system of storing details of the patients are very dependent on the servers of the organization. In the proposed all the information of the patient are stored in the blockchain by using the Metamask and these details are stored in the block chain as a blocks of data. Each block consists of the data which is encrypted data. Electronic Health Record (EHR) systems record health-related information on an individual so that it can be consulted by clinicians or staff for patient care. The data is encrypted by the algorithm known as SHA-256 which is used to encrypt all the data of the patients into a single line 256 bit encrypted text which will be stored in the block at etherscan. These records for not only useful for the consultation but also for creation of historic family health information tree that keeps track of genetic health issues and diseases it can also be used for any health service with the authorization from both the patient and medical organization.

scholarly journals Cardiac Catheterization Laboratory Volume Changes During COVID-19—Findings from a Cardiovascular Fellows Consortium

2020 ◽  
Vol 130 ◽  
pp. 168-169 ◽  
Author(s):  
Sabeeda Kadavath ◽  
Jay Mohan ◽  
Said Ashraf ◽  
Adnan Kassier ◽  
Dalia Hawwass ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
Volume Changes ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory

scholarly journals Real-time clinician text feeds from electronic health records

2020 ◽  
Author(s):  
James Teo ◽  
Vlad Dinu ◽  
William Bernal ◽  
Phil Davidson ◽  
Vitaliy Oliynyk ◽  
...  
Keyword(s):  
Social Media ◽  
Electronic Health Records ◽  
Real Time ◽  
Capacity Planning ◽  
Low Cost ◽  
Free Text ◽  
Record System ◽  
Health Records ◽  
Keywords And Phrases ◽  
Electronic Health

AbstractAnalyses of search engine and social media feeds have been attempted for infectious disease outbreaks1, but have been found to be susceptible to artefactual distortions from health scares or keyword spamming in social media or the public internet 2–4. We describe an approach using real-time aggregation of keywords and phrases of free text from real-time clinician-generated documentation in electronic health records to produce a customisable real-time viral pneumonia signal providing up to 2 days warning for secondary care capacity planning. This low-cost approach is open-source, is locally customisable, is not dependent on any specific electronic health record system and can be deployed at multiple organisational scales.

scholarly journals ICT IN HEALTHCARE WITH HEALTH RECORD STANDARDS

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Prashant Kanade ◽  
Dr Arun Kumar
Keyword(s):  
Treatment Plan ◽  
Family Welfare ◽  
Health Record ◽  
Medical Test ◽  
Record System ◽  
Health Records ◽  
Traditional Health ◽  
Health Related ◽  
Electronic Health ◽  
Health Care Records

Details concerning a person's wellbeing, such as prescription history, immunizations, allergies, and medical test records, should be held in a uniform format. A systematic database of a person's health-care records will aid in assessing the appropriate treatment plan for someone who requires treatment at some point in their life. The majority of countries have their own health-carerecord-keeping scheme. The Ministry of Health and Family Welfare (Government of India) framed the guidelines for Electronic Health Records in our country (India) in 2013, and changes were made by April 2016. The need for the removal of the traditional health record system is stated in these guidelines. This paper's main goal is to propose an efficient model for an interoperable electronic health record system. The system is structured to keep track of the health records of patients in a systematic and user-friendly manner. Easy programmes have been written to convert stored data to communication standards such as HL7 and XML. The health-related details of a patient can be viewed and reused using HL7 and XML. There's even talk about getting specific data from the device. EHR systems in use in other countries are researched and used as a guide to develop an EHR system for India.

scholarly journals Blockchain Usage in the Electronic Health Record System using Attribute-Based Signature

2019 ◽  
Vol 8 (2S11) ◽  
pp. 993-997
Keyword(s):  
Electronic Health Records ◽  
Electronic Health Record ◽  
Patient Data ◽  
Electronic Health Record System ◽  
Health Record ◽  
Record System ◽  
Health Records ◽  
Block Chain ◽  
Electronic Health ◽  
The Government

Block-chain is a list of records which are stored in its blocks that are linked through cryptography. It is used previously for bitcoin transactions only. Now the government and also other organizations are going to use this block-chain in different fields. Electronic Health Records (EHRs) are used for storing the information about the patients. In EHR the information is stored in the paper through web which has some disadvantages. Here we use block-chain and Attribute- Based Signatures (ABS) to store the information about the patient’s in the blocks of block-chain which is stored in cloud. By this we can provide security to the patient data and also there are no storage problems and also through ABS we provide some attributes to the users who are going to access the data of patient.

The My Health Record System: Potential to Undermine the Paradigm of Patient Confidentiality?

2019 ◽  
Vol 42 (2) ◽  
Author(s):  
Gabrielle Wolf ◽  
Danuta Mendelson
Keyword(s):  
Electronic Health Records ◽  
Healthcare Providers ◽  
Health Record ◽  
Sensitive Information ◽  
Record System ◽  
Health Records ◽  
Patient Confidentiality ◽  
Health Practitioners ◽  
Electronic Health ◽  
Traditional Paradigm

Australia’s national electronic health records system – known as the ‘My Health Record (‘MHR’) system’ – may threaten to undermine the traditional paradigm of patient confidentiality within the therapeutic relationship. Historically, patients have felt comfortable imparting sensitive information to their health practitioners on the understanding that such disclosures are necessary and will be relied on principally for the purpose of treating them. The MHR system potentially facilitates access to patients’ health information by individuals and entities beyond the practitioners who are directly providing them with healthcare and, in some circumstances, without the patients’ consent. It may also enable patients’ health practitioners and their employees to read records that those practitioners did not create or receive in the course of treating the patients and that are irrelevant to their treatment of them. The MHR system could have harmful consequences for individual and public health if patients become unwilling to disclose information to their healthcare providers because they fear it will not remain confidential. In addition to examining the risks of breaches of patient confidentiality in the MHR system, this article considers how the potential benefits of an electronic health records system might be achieved while maintaining patient confidentiality to a significant extent.

scholarly journals Electronic health records and online medical records: an asset or a liability under current conditions?

2018 ◽  
Vol 42 (1) ◽  
pp. 59 ◽  
Author(s):  
Judith Allen-Graham ◽  
Lauren Mitchell ◽  
Natalie Heriot ◽  
Roksana Armani ◽  
David Langton ◽  
...  
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Discharge Summary ◽  
Medical Data ◽  
Record System ◽  
Health Records ◽  
Medical Record System ◽  
Surgical History ◽  
Electronic Health ◽  
Discharge Summaries

Objective The aim of the present study was to audit the current use of medical records to determine completeness and concordance with other sources of medical information. Methods Medical records for 40 patients from each of five Melbourne major metropolitan hospitals were randomly selected (n=200). A quantitative audit was performed for detailed patient information and medical record keeping, as well as data collection, storage and utilisation. Using each hospital’s current online clinical database, scanned files and paperwork available for each patient audited, the reviewers sourced as much relevant information as possible within a 30-min time allocation from both the record and the discharge summary. Results Of all medical records audited, 82% contained medical and surgical history, allergy information and patient demographics. All audited discharge summaries lacked at least one of the following: demographics, medication allergies, medical and surgical history, medications and adverse drug event information. Only 49% of records audited showed evidence the discharge summary was sent outside the institution. Conclusions The quality of medical data captured and information management is variable across hospitals. It is recommended that medical history documentation guidelines and standardised discharge summaries be implemented in Australian healthcare services. What is known about this topic? Australia has a complex health system, the government has approved funding to develop a universal online electronic medical record system and is currently trialling this in an opt-out style in the Napean Blue Mountains (NSW) and in Northern Queensland. The system was originally named the personally controlled electronic health record but has since been changed to MyHealth Record (2016). In Victoria, there exists a wide range of electronic health records used to varying degrees, with some hospitals still relying on paper-based records and many using scanned medical records. This causes inefficiencies in the recall of patient information and can potentially lead to incidences of adverse drug events. What does this paper add? This paper supports the concept of a shared medical record system using 200 audited patient records across five Victorian metropolitan hospitals, comparing the current information systems in place for healthcare practitioners to retrieve data. This research identifies the degree of concordance between these sources of information and in doing so, areas for improvement. What are the implications for practitioners? Implications of this research are the improvements in the quality, storage and accessibility of medical data in Australian healthcare systems. This is a relevant issue in the current Australian environment where no guidelines exist across the board in medical history documentation or in the distribution of discharge summaries to other healthcare providers (general practitioners, etc).

scholarly journals Persisting workarounds in Electronic Health Record System use: types, risks and benefits

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Albert Boonstra ◽  
Tess L. Jonker ◽  
Marjolein A. G. van Offenbeek ◽  
Janita F. J. Vos
Keyword(s):  
Electronic Health Records ◽  
Health Professionals ◽  
Single Case ◽  
Structured Interviews ◽  
Dutch Hospital ◽  
Record System ◽  
Health Records ◽  
Risks And Benefits ◽  
Working Practices ◽  
Electronic Health

Abstract Background Electronic Health Records (EHRs) are now widely used to create a single, shared, and reliable source of patient data throughout healthcare organizations. However, health professionals continue to experience mismatches between their working practices and what the EHR allows or directs them to do. Health professionals adopt working practices other than those imposed by the EHR to overcome such mismatches, known as workarounds. Our study aims to inductively develop a typology of enduring EHR workarounds and explore their consequences by answering the question: What types of EHR workarounds persist, and what are the user-perceived consequences? Methods This single case study was conducted within the Internal Medicine department of a Dutch hospital that had implemented an organization-wide, commercial EHR system over two years ago. Data were collected through observations of six EHR users (see Additional file 1, observation scheme) and 17 semi-structured interviews with physicians, nurses, administrators, and EHR support staff members. Documents were analysed to contextualize these data (see Additional file 2, interview protocol). Results Through a qualitative analysis, 11 workarounds were identified, predominantly performed by physicians. These workarounds are categorized into three types either performed while working with the system (in-system workflow sequence workarounds and in-system data entry workarounds) or bypassing the system (out-system workarounds). While these workarounds seem to offer short-term benefits for the performer, they often create threats for the user, the patient, the overall healthcare organization, and the system. Conclusion This study increases our understanding of the enduring phenomenon of working around Electronic Health Records by presenting a typology of those workarounds that persist after adoption and by reflecting on the user-perceived risks and benefits. The typology helps EHR users and their managers to identify enduring types of workarounds and differentiate between the harmful and less harmful ones. This distinction can inform their decisions to discourage or obviate the need for certain workarounds, while legitimating others.

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