Electronic Medical Records (EMRs), Epidemiology, and Epistemology: Reflections on EMRs and Future Pediatric Clinical Research

Wasserman, Richard C.

doi:10.1016/j.acap.2011.02.007

Cited by 76 publications

(71 citation statements)

References 36 publications

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“…1 The expansive range of information and the sheer volume permitting the identification and evaluation of outcomes gathered is appealing for application in a research environment. 2, 3 Combining data from diverse clinical setting also strengthens the generalisability of findings.…”

Section: Introduction and Objectivementioning

confidence: 99%

Can we predict a national profile of non-attendance paediatric urology patients: a multi-institutional electronic health record study

Bush¹,

Vemulakonda²,

Corbett³

et al. 2014

Journal of Innovation in Health Informatics

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Section: Introduction and Objectivementioning

confidence: 99%

Can we predict a national profile of non-attendance paediatric urology patients: a multi-institutional electronic health record study

Bush¹,

Vemulakonda²,

Corbett³

et al. 2014

Journal of Innovation in Health Informatics

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“…11,12 Data collected during routine clinical care can be extracted and reused to support patient-centered and population-based clinical care management, quality reporting, and clinical research. 6,13,14 The concept of "enter once, use many times" has enormous appeal and potential, especially given the high cost of dedicated single-purpose data collection or chart abstraction. 15,16 A clinical research project that develops its own data definitions, data collection forms, and protocols specific to the unique population, interventions, and outcomes has effectively developed its own independent "language" to convey the meaning of concepts being studied.…”

mentioning

confidence: 99%

“…As resources for largescale, long-term sustainable child health research become more limited, efforts that can leverage previous investments are both timely and necessary. 13,14 Study-specific terminology may reflect evolving understanding of conditions being studied. But these one-off terminologies also arise in significant part from the limited adoption of standardized controlled terminologies in pediatric research, a technology that can reduce or eliminate data silos and enhance data reuse and integration.…”

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confidence: 99%

Building a Common Pediatric Research Terminology for Accelerating Child Health Research

et al. 2014

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Longitudinal observational clinical data on pediatric patients in electronic format is becoming widely available. A new era of multiinstitutional data networks that study pediatric diseases and outcomes across disparate health delivery models and care settings are also enabling an innovative collaborative rapid improvement paradigm called the Learning Health System. However, the potential alignment of routine clinical care, observational clinical research, pragmatic clinical trials, and health systems improvement requires a data infrastructure capable of combining information from systems and workflows that historically have been isolated from each other. Removing barriers to integrating and reusing data collected in different settings will permit new opportunities to develop a more complete picture of a patient' s care and to leverage data from related research studies. One key barrier is the lack of a common terminology that provides uniform definitions and descriptions of clinical observations and data. A well-characterized terminology ensures a common meaning and supports data reuse and integration. A common terminology allows studies to build upon previous findings and to reuse data collection tools and data management processes. We present the current state of terminology harmonization and describe a governance structure and mechanism for coordinating the development of a common pediatric research terminology that links to clinical terminologies and can be used to align existing terminologies. By reducing the barriers between clinical care and clinical research, a Learning Health System can leverage and reuse not only its own

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“…An ongoing technical support and renovation of the hardware must be provided in order to overcome these issues and facilitated the transition and adoption process of an EHR system and help the physicians to effectively utilize it. Similar studies have identified other benefits of using the EHRs for pediatricians, including the impact on pediatric clinical research and pediatric quality improvement projects [21].…”

Section: Opinions Of Pediatriciansmentioning

confidence: 99%

Satisfaction with the newly-implemented Electronic System for Integrated Health Information among Pediatricians at a University Hospital

Alsohime¹,

Temsah²,

Khan³

et al. 2017

Preprint

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Background: Electronic Health Records (EHR) are becoming the standard of care in healthcare settings, with their great potentials to reduce operational costs, improve healthcare quality, and patient's safety. Various factors may influence physicians' satisfaction, and there is a need to address them according to healthcare workers' needs in Saudi Arabia.Objective: The objective of this study was to explore factors that may have influenced satisfaction with a newly-implemented EHR system (namely: eSiHi or Electronic System for Integrated Health Information) among Physicians in the Pediatric Department at King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia Methods: A cross-sectional survey was conducted on the physicians of Pediatric Department, KSUMC, between July-August 2015, after two months of launching the EHR system (eSiHi).Results: A total of 150 physicians enrolled in the survey, only (120, 80%) responded to the survey in a timely manner. Tentative analysis of missing values, however, revealed that 112 surveys were complete and suitable for inclusion in the analysis. As such, response rate was 74.6%. 60% of the physicians were males and 40% were females. 27.6% of them were consultants, 43% specialists, followed by 28% who were residents. Almost half of the physicians had no previous experience with Electronic Medical Records (51.8%). 86.7% of the respondents have attended the workshops and the training courses before the implementation of the new EHR system. On average, they rated their satisfaction levels with the EHR (eSiHi) at 5.2 out of 10, and for the usefulness for the patient's care it was rated on average (6.4 out of 10). 82.2% of respondents believed that the EHR improves the Quality of care and reduces errors and 73% of the respondents agreed that EHR's Improve the quality of the clinical practice environment. 55.8% indicated that EHR increased the practice productivity. Conclusions:There is a global and national transition toward an EHR system in the hospitals and the physicians have the willing to support this transition and they appreciate the potential benefits of this system over the paper-based system. In order to increase the like hood of a successful transition, an ongoing technical support must be considered.

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Electronic Medical Records (EMRs), Epidemiology, and Epistemology: Reflections on EMRs and Future Pediatric Clinical Research

Cited by 76 publications

References 36 publications

Can we predict a national profile of non-attendance paediatric urology patients: a multi-institutional electronic health record study

Can we predict a national profile of non-attendance paediatric urology patients: a multi-institutional electronic health record study

Building a Common Pediatric Research Terminology for Accelerating Child Health Research

Satisfaction with the newly-implemented Electronic System for Integrated Health Information among Pediatricians at a University Hospital

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