Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · Mar 2015
VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes.
To explore the experience of early patient adopters who accessed their clinical notes online using the Blue Button feature of the My HealtheVet portal. ⋯ Initial assessment of the patient experience within the first 9 months of availability provides evidence that patients both value and benefit from online access to clinical notes. These findings are congruent with OpenNotes study findings on a broader scale. Additional outreach and education is needed to enhance patient awareness. Healthcare professionals should author notes keeping in mind the opportunity patient access presents for enhanced communication.
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J Am Med Inform Assoc · Jan 2015
Randomized Controlled TrialEffects of electronic health record use on the exam room communication skills of resident physicians: a randomized within-subjects study.
The effects of electronic health records (EHRs) on doctor-patient communication are unclear. ⋯ Use of an EHR on a laptop computer appears to improve the ability of first-year residents to communicate with patients relative to using a paper chart.
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J Am Med Inform Assoc · Jan 2015
Automated clinical trial eligibility prescreening: increasing the efficiency of patient identification for clinical trials in the emergency department.
(1) To develop an automated eligibility screening (ES) approach for clinical trials in an urban tertiary care pediatric emergency department (ED); (2) to assess the effectiveness of natural language processing (NLP), information extraction (IE), and machine learning (ML) techniques on real-world clinical data and trials. ⋯ By exploiting the text of trial criteria and the content of EHRs, we demonstrated that NLP-, IE-, and ML-based automated ES could successfully identify patients for clinical trials.
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J Am Med Inform Assoc · Jan 2015
Value Driven Outcomes (VDO): a pragmatic, modular, and extensible software framework for understanding and improving health care costs and outcomes.
To develop expeditiously a pragmatic, modular, and extensible software framework for understanding and improving healthcare value (costs relative to outcomes). ⋯ The framework described can be expeditiously implemented to provide a pragmatic, modular, and extensible approach to understanding and improving healthcare value.
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J Am Med Inform Assoc · Nov 2014
An analysis of electronic health record-related patient safety concerns.
A recent Institute of Medicine report called for attention to safety issues related to electronic health records (EHRs). We analyzed EHR-related safety concerns reported within a large, integrated healthcare system. ⋯ Because EHR-related safety concerns have complex sociotechnical origins, institutions with long-standing as well as recent EHR implementations should build a robust infrastructure to monitor and learn from them.