scholarly journals The Impact of Changing from Prednisolone to Dexamethasone for the Management of Wheeze in Children- A Service Evaluation

2021 ◽  
pp. 44-46
Author(s):  
James Thyng ◽  
Lynn Cunningham ◽  
Susanne McKinley ◽  
Felix Hay ◽  
Catherine Nunn ◽  
...  
Keyword(s):  
Single Dose ◽  
Electronic Health Records ◽  
Emergency Departments ◽  
Service Evaluation ◽  
Oral Steroid ◽  
Attendance Rates ◽  
Dose Requirement ◽  
Health Records ◽  
Paediatric Emergency ◽  
The Impact

Dexamethasone has become a popular alternative to Prednisolone as an oral steroid used for wheeze in children in many Paediatric Emergency Departments. It has proved non-inferior to Prednisolone in several studies [1,2] and its main advantages are single dose requirement and greater tolerability in children [3,4]. However, to the best of our knowledge there are no studies looking into the differences in re-attendance rates. Using our local Electronic Health Records, we extracted data of all over 5-year olds presenting with asthma and wheeze for 21 months of Prednisolone data and 15 months of Dexamethasone and found no statistically significant increase in re-attendance rates.

scholarly journals The impact of electronic health records on people with diabetes in three different emergency departments

2014 ◽  
Vol 21 (e1) ◽  
pp. e71-e77 ◽  
Author(s):  
Stuart M Speedie ◽  
Young-Taek Park ◽  
Jing Du ◽  
Nawanan Theera-Ampornpunt ◽  
Barry A Bershow ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Emergency Departments ◽  
Health Records ◽  
Electronic Health ◽  
The Impact

scholarly journals The impact of electronic health records on healthcare quality: a systematic review and meta-analysis

2015 ◽  
Vol 26 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Paolo Campanella ◽  
Emanuela Lovato ◽  
Claudio Marone ◽  
Lucia Fallacara ◽  
Agostino Mancuso ◽  
...  
Keyword(s):  
Systematic Review ◽  
Electronic Health Records ◽  
Meta Analysis ◽  
Healthcare Quality ◽  
Health Records ◽  
Electronic Health ◽  
The Impact

The Promise of Electronic Health Records to Promote Shared Decision Making: A Narrative Review and a Look Ahead

2018 ◽  
Vol 38 (8) ◽  
pp. 1040-1045 ◽  
Author(s):  
Alyce Mei-Shiuan Kuo ◽  
Berry Thavalathil ◽  
Glyn Elwyn ◽  
Zsuzsanna Nemeth ◽  
Stuti Dang
Keyword(s):  
Decision Making ◽  
Electronic Health Records ◽  
Shared Decision Making ◽  
Decisional Conflict ◽  
Shared Decision ◽  
Health Records ◽  
Look Ahead ◽  
The Face ◽  
Electronic Health ◽  
The Impact

Background. Shared decision making (SDM) involves the sharing of best available evidence between patients and providers in the face of difficult decisions. We examine outcomes that occur when electronic health records (EHRs) are purposefully used with the goal of improving SDM and detail which EHR functions can benefit SDM. Methods. A systematic search of PubMed yielded 1369 articles. Studies were included only if they used EHR interventions to support SDM and included results that showed impact on SDM. Articles were excluded if they did not measure the impact of the intervention on SDM or did not discuss how SDM had been supported by the EHR. Results. Five studies demonstrated improved clinical outcomes, positive lifestyle behavior changes, more deliberation from patients regarding use of imaging, and less decisional conflict about medication use among patients with use of EHRs aiding SDM. Discussion. Few EHRs have integrated SDM, and even fewer evaluations of these exist. EHRs have potential in supporting providers during all steps of SDM. The promise of EHRs to support SDM has yet to be fully exploited.

The Impact of the Global, Extensible Electronic Health Record

2011 ◽  
pp. 3-13 ◽  
Author(s):  
David W. Forslund ◽  
David G. Kilman
Keyword(s):  
Electronic Health Records ◽  
Negative Impact ◽  
Global Scale ◽  
Global Perspective ◽  
Health Records ◽  
Technological Advances ◽  
The World ◽  
Electronic Health ◽  
The Impact

With the arrival of the “World Wide Web,” we have witnessed a transition toward a truly global perspective with respect to electronic health records. In recent years, much more discussion has focused on the potential for international virtual electronic health records and what is required for them to become a reality in the world today (Kilman & Forslund, 1997). As the Internet becomes more ubiquitous and Web-enabled, we see access to electronic health records using these technologies becoming more commonplace. Even so, these Web-enabled health records still remain technologically isolated from other medical records in the distributed continuum of care; much of the standardization challenge still stands before us. We have witnessed startling technological advances, but we still face considerable obstacles to the goal of having globally standardized electronic health records. In this chapter we describe some of the issues associated with Web-enabled health records, the role of standards in the evolution of Web-enabled health records, and some of the barriers to the development of globally accessible electronic health records. We discuss possible ways to overcome these barriers and the kinds of benefits and opportunities that global health records will help provide. The global scale perspective makes more evident the very real and potentially tragic consequences of prolonged and unnecessary delays in deploying these technologies. Therefore, in an effort to promote a fuller consciousness of health safety, the chapter concludes with a comparative look at the negative impact of impediments in the movement toward global extensible electronic health records.

scholarly journals The Impact of Electronic Health Records on Ambulatory Costs Among Medicaid Beneficiaries

2013 ◽  
Vol 3 (2) ◽  
pp. E1-E16
Author(s):  
Julia Adler-Milstein ◽  
Claudia Salzberg ◽  
Calvin Franz ◽  
E. Orav ◽  
David Bates
Keyword(s):  
Electronic Health Records ◽  
Health Records ◽  
Medicaid Beneficiaries ◽  
Electronic Health ◽  
The Impact

scholarly journals The Impact of Geography on Hospital Electronic Health Records Implementation in Alabama

2011 ◽  
Vol 02 (03) ◽  
pp. 270-283
Author(s):  
D. Au ◽  
R. Weech-Maldonado ◽  
S.H. Houser
Keyword(s):  
Electronic Health Records ◽  
Rural Areas ◽  
Logistic Models ◽  
Rural Hospitals ◽  
Perceived Barriers ◽  
Motivating Factors ◽  
Health Records ◽  
Electronic Health ◽  
The Impact ◽  
Analyze Data

Summary Background: Given relatively less favorable health outcomes in rural Alabama, electronic health records (EHRs) have an even greater potential to improve quality and alleviate disparities if meaningfully used. Objectives: We examined rural-urban differences as it pertained to perceived barriers, benefits, and motivating factors of EHR implementation. Methods: We used multivariate logistic models to analyze data collected from a state-wide, self-completed survey of health information management directors in Alabama hospitals. Results: Findings from our analyses indicate that fewer rural hospitals (8%) have implemented EHRs as compared with urban hospitals (18%). Rural hospitals were 71% less likely to consider reduction in costs as a benefit of EHRs (OR = 0.29), and were 75% less likely to consider lack of structured technology as a challenge factor of EHR implementation (OR = 0.25). Conclusion: Promotion of EHRs in rural areas is challenging but necessary. Understanding perceived barriers and motivating factors of EHR implementation among rural hospitals can inform policy decisions, especially in light of recent meaningful use initiatives.

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