A5007457386- Electronic Health Records Systems
- Ethics in Clinical Research
- Data Quality and Management
- Patient Safety and Medication Errors
- Mobile Health and mHealth Applications
- Biomedical Text Mining and Ontologies
- Trauma and Emergency Care Studies
- Research Data Management Practices
- Healthcare Policy and Management
- Health Policy Implementation Science
- Healthcare Systems and Technology
- Artificial Intelligence in Healthcare and Education
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Food Security and Health in Diverse Populations
- Medical Malpractice and Liability Issues
- Health and Medical Research Impacts
- Machine Learning in Healthcare
- Library Collection Development and Digital Resources
- Clinical Laboratory Practices and Quality Control
- Occupational Health and Safety Research
- Radiology practices and education
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Health disparities and outcomes
Banner - University Medical Center Tucson
2025
The University of Texas Health Science Center at San Antonio
2021-2024
University of Missouri
1999-2024
The University of Texas at San Antonio
2021-2024
Community Medical Center
2024
The University of Texas Health Science Center at Houston
2022-2023
Mount Sinai Health System
2018-2022
Icahn School of Medicine at Mount Sinai
2018-2021
University of British Columbia
2010-2012
University of Missouri Health System
2012
We address the challenges of transitioning from one electronic health record (EHR) to another-a near ubiquitous phenomenon in care. offer mitigating strategies reduce unintended consequences, maximize patient safety, and enhance care delivery.We searched PubMed other sources identify articles describing EHR-to-EHR transitions. combined these references with authors' extensive experience construct a conceptual schema recommendations facilitate transitions.Our query retrieved 1,351 citations:...
<h3>Importance</h3> Guidelines recommend that adult patients receive screening for alcohol and drug use during primary care visits, but the adoption of in routine practice remains low. Clinics frequently struggle to choose a approach is best suited their resources, workflows, patient populations. <h3>Objective</h3> To evaluate how implement electronic health record (EHR)–integrated substance by comparing commonly used methods examining association with implementation outcomes. <h3>Design,...
Abstract Introduction: The focus on social determinants of health (SDOH) and their impact outcomes is evident in U.S. federal actions by Centers for Medicare & Medicaid Services Office National Coordinator Health Information Technology. disproportionate COVID-19 minorities communities color heightened awareness inequities the need more robust SDOH data collection. Four Clinical Translational Science Award (CTSA) hubs comprising Texas Regional CTSA Consortium (TRCC) undertook an inventory...
Despite the renewed interest in Artificial Intelligence-based clinical decision support systems (AI-CDS), there is still a lack of empirical evidence supporting their effectiveness. This underscores need for rigorous and continuous evaluation monitoring processes outcomes associated with introduction health information technology. We illustrate how emergence AI-CDS has helped to bring fore critical importance principles action regarding all technology applications, as these hitherto have...
Managing clinical trials is a complex process requiring careful integration of human, technology, compliance, and operations for success. We collaborated with experts to develop multi-axial Clinical Trials Management Ecosystem (CTME) maturity model (MM) help institutions identify best practices CTME capabilities. A working group research informaticists was established. An online session on models hosted, followed by review the candidate domain axes finalization axes. Next, level attributes...
Quality health care in the home is dependent on having a safe environment to provide care. This analysis based data from larger study aimed at understanding key issues delivery and receipt of support services perspectives workers (HSWs), older adult clients family members. focuses HSWs safety.To explore types patterns safety concerns staff encountered settings.In-depth, semi-structured interviews were conducted with HSWs. The included topic analytical coding workers' verbatim...
Among National Institutes of Health Clinical and Translational Science Award (CTSA) hubs, adoption electronic data warehouses for research (EDW4R) containing from health record systems is nearly ubiquitous. Although benefits EDW4R include more effective, efficient support scientists, little known about how CTSA hubs have implemented services. The goal this qualitative study was to understand the ways in which operationalized clinical translational researchers.After conducting semistructured...
Home care is considered an essential pillar of the health systems in many industrialized countries. With increased demand for home workers, there has been growing interest examining recruitment and retention these workers. a focus on support this study we draw data from interviews with 57 workers three Canadian provinces, to examine factors that attract individuals employment sector. These include: previous experience, financial considerations, enjoying working people. Understanding...
Among National Institutes of Health Clinical and Translational Science Award (CTSA) hubs, effective approaches for enterprise data warehouses research (EDW4R) development, maintenance, sustainability remain unclear. The goal this qualitative study was to understand CTSA EDW4R operations within the broader contexts academic medical centers technology.
Objective:The research sought to evaluate whether providing personalized information services by libraries can improve satisfaction with for specific types of patients.Methods:Adult breast cancer (BrCa) clinic patients and mothers inpatient neonatal intensive care unit (NICU) were randomized receive routine (control) or an IRx intervention.Results:The BrCa trial 211 the NICU trial, 88 mothers. The showed no statistically significant differences in ratings between treatment control groups....
Background Up to 60% of health care providers experience one or more symptoms burnout. Perceived clinician burden resulting in burnout arises from factors such as electronic record (EHR) usability lack thereof, perceived loss autonomy, and documentation leading less clinical time with patients. Burnout can have detrimental effects on quality contributes increased medical errors, decreased patient satisfaction, substance use, workforce attrition, suicide. Objective This project aims improve...
BACKGROUND/OBJECTIVES The Hospital Elder Life Program emerged 20 years ago as the reference model for delirium prevention in hospitalized older patients. However, implementation has been achieved at only 200 hospitals worldwide over last years. Among barriers to some institutions is an unwillingness of hospital administration assume costs associated with implementing programs that service all patients risk delirium. Facing such a situation, we implemented unique and self‐evolving care who...
Given the requirement to minimize risks and maximize benefits of technology applications in health care provision, there is an urgent need incorporate theory-informed IT (HIT) evaluation frameworks into existing emerging guidelines for artificial intelligence (AI). Such can help developers, implementers, strategic decision makers build on experience empirical evidence base. We provide a pragmatic conceptual overview selected concrete examples how HIT may be used inform safe development...
Healthcare organizations, including Clinical and Translational Science Awards (CTSA) hubs funded by the National Institutes of Health, seek to enable secondary use electronic health record (EHR) data through an enterprise warehouse for research (EDW4R), but optimal approaches are unknown. In this qualitative study, our goal was understand EDW4R impact, sustainability, demand management, accessibility.
Constant interruptions and continual data flow result in information overload for clinicians become barriers to identification extraction of relevant patient its correct interpretation. The aim the study was describe types, frequencies, impact intensive care unit (ICU) on safety event occurrences electronic health records (EHR) use.We conducted a live observational 6 weeks, observing critical physicians' other providers' communication while recording interruptions, events, EHR use.Across 55...
Health Informatics frameworks have been created surrounding the implementation, optimization, adoption, use and evaluation of health information technology including electronic record systems medical devices. In this contribution, established informatics are presented. Important considerations for each framework its purpose, component parts, rigor development, level testing validation undergone, limitations. order to understand how a effectively, it's often necessary seek additional...
Summary The US government allocated $30 billion to implement electronic health records (EHRs) in hospitals and provider practices through policy addressing Meaningful Use (MU). Most small, rural hospitals, particularly those designated as Critical Access Hospitals (CAHs), comprising nearly a quarter of had not implemented EHRs before. Little is known about implementation this setting. Socio-technical factors differ between larger CAHs, which continue lag behind other EHR adoption....
The start of the COVID-19 pandemic altered research landscape dramatically, but need to understand impacts on communities through was as great ever. In this paper, we detail adaptive processes leveraged bring a network community and academic partners together virtually collaboratively build survey reaching diverse populations, challenges faced, what ultimately facilitated our success. largest driver work shared goal gaining better understanding psychosocial New Yorkers in order address their...
Received: 22 September 2022 Accepted after revision: 02 December Manuscript online:19