Electronic Medical Records and Quality Improvement

Carter, Jonathan T.

doi:10.1016/j.nec.2014.11.018

Cited by 23 publications

(13 citation statements)

References 12 publications

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“…The first revolution relies on the massive availability of data; that is, a high amount of data can be retrieved from EHRs in real time. This aspect contrasts with former ways of collecting data, which required traditional clinical recorders [6,7].…”

Section: Some Relevant Data About Revolution Ai In Medicinementioning

confidence: 99%

Can Artificial Intelligence Improve the Management of Pneumonia

Chumbita

Cillóniz

Puerta‐Alcalde

et al. 2020

JCM

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The use of artificial intelligence (AI) to support clinical medical decisions is a rather promising concept. There are two important factors that have driven these advances: the availability of data from electronic health records (EHR) and progress made in computational performance. These two concepts are interrelated with respect to complex mathematical functions such as machine learning (ML) or neural networks (NN). Indeed, some published articles have already demonstrated the potential of these approaches in medicine. When considering the diagnosis and management of pneumonia, the use of AI and chest X-ray (CXR) images primarily have been indicative of early diagnosis, prompt antimicrobial therapy, and ultimately, better prognosis. Coupled with this is the growing research involving empirical therapy and mortality prediction, too. Maximizing the power of NN, the majority of studies have reported high accuracy rates in their predictions. As AI can handle large amounts of data and execute mathematical functions such as machine learning and neural networks, AI can be revolutionary in supporting the clinical decision-making processes. In this review, we describe and discuss the most relevant studies of AI in pneumonia.

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Section: Some Relevant Data About Revolution Ai In Medicinementioning

confidence: 99%

Can Artificial Intelligence Improve the Management of Pneumonia

Chumbita

Cillóniz

Puerta‐Alcalde

et al. 2020

JCM

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“…Strategies for strengthening EMRs should emphasise the usefulness of EMRs in supporting the clinical tasks of primary care workers [65]. Financial subsidies and incentive policies from governments are also important for the wide and equitable adoption of EMRs in primary care facilities [66,67].…”

Section: Discussionmentioning

confidence: 99%

Perceived Value of Electronic Medical Records in Community Health Services: A National Cross-Sectional Survey of Primary Care Workers in Mainland China

Xia

Gao

Wei

et al. 2020

IJERPH

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Objective: To evaluate the degree to which electronic medical records (EMRs) were used in primary care and the value of EMRs as perceived by primary care workers in China. Methods: A cross-sectional survey was conducted on 2719 physicians (n = 2213) and nurses (n = 506) selected from 462 community health centres across all regions of mainland China except for Tibet. Regional differences in the responses regarding the functionality of existing EMR systems and the perceived value of EMRs were examined using Chi-square tests and ordinal regression analyses. Results: Less than 59% of the community health centres had adopted EMRs. More than 89% of the respondents believed that it was necessary to adopt EMRs in primary care. Of the existing EMR systems, 50% had access to telehealth support for laboratory, imaging or patient consultation services. Only 38.4% captured data that met all task needs and 35.4% supported referral arrangements. “Management of chronic conditions” was voted (66%) as the top preferred feature of EMRs. Higher levels of recognition of the value of EMRs were found in the relatively more developed eastern region compared with their counterparts in other regions. Conclusions: Rapid EMR adoption in primary care is evident in mainland China. The low level of functionality in data acquisition and referral arrangements runs counter to the requirements for “management of chronic conditions”, the most preferred feature of EMRs in primary care. Regional disparities in the realised value of EMRs in primary care deserve policy attention.

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“…Adoption of nation‐wide electronic medical record (EMR) systems should be made a matter of priority throughout the world. This technology has been shown to increase the efficiency of communication with patients and between health care providers (Joos, Chen, Jirjis, & Johnson, ), facilitate coordination by providing access to data during patient encounters (O'Malley, Grossman, Cohen, Kemper, & Pham, ), and decrease medical errors (Carter, ). These advantages are especially crucial when counseling high‐risk isolated populations.…”

Section: Discussionmentioning

confidence: 99%

Genetic counseling of high‐risk isolated populations: A worldwide challenge

Sagi‐Dain

Weissman

Cohen‐Kfir

et al. 2020

Birth Defects Research

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Background Isolated populations with high rates of consanguinity and genetic disorders can be found in most parts of the world. The aim of our paper was to highlight the unique challenges faced in genetic counseling for such patients and to discuss the ways to facilitate the difficulties, with an emphasis on the crucial role of electronic medical records (EMR). Case We report a couple presenting with elevated maternal alpha‐fetoprotein in three pregnancies, in which an erroneous diagnosis of epidermolysis bullosa was established in the past and carried along through several years. The live born proband had no evidence of skin disease; however, soon after birth she was diagnosed with congenital nephrotic syndrome. Sequencing of NPHS1 gene yielded a homozygous likely pathogenic genetic variant c.2104G > A (p.Gly702Arg). Population screening performed in the village of residence revealed a carrier frequency of 1–47. This high frequency justified including testing for the founder genetic variant in the national program for population screening. Conclusions Our report highlights the caution, suspicion and time investment which should be practiced and addressed in genetic counseling of high‐risk isolated populations. Using EMR may facilitate reaching the correct diagnosis, enable accurate genetic counseling and provide information for decision‐making to the couples, as well as “save” a large community from devastating diseases.

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Electronic Medical Records and Quality Improvement

Cited by 23 publications

References 12 publications

Can Artificial Intelligence Improve the Management of Pneumonia

Can Artificial Intelligence Improve the Management of Pneumonia

Perceived Value of Electronic Medical Records in Community Health Services: A National Cross-Sectional Survey of Primary Care Workers in Mainland China

Genetic counseling of high‐risk isolated populations: A worldwide challenge

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