A5041885995- Electronic Health Records Systems
- Healthcare Systems and Technology
- Biomedical Text Mining and Ontologies
- SARS-CoV-2 and COVID-19 Research
- Health Sciences Research and Education
- Medical Coding and Health Information
- Radiology practices and education
- SARS-CoV-2 detection and testing
- Animal Virus Infections Studies
- Patient-Provider Communication in Healthcare
- Health Literacy and Information Accessibility
- Primary Care and Health Outcomes
- Topic Modeling
- Patient Safety and Medication Errors
- Ethics in Clinical Research
- Clinical practice guidelines implementation
- Pharmaceutical Practices and Patient Outcomes
- Logic, Reasoning, and Knowledge
- Nursing Diagnosis and Documentation
- Medication Adherence and Compliance
- Radiomics and Machine Learning in Medical Imaging
- Advanced Algebra and Logic
- Medical Imaging Techniques and Applications
- Clinical Reasoning and Diagnostic Skills
- Blood Pressure and Hypertension Studies
University of Washington
2015-2024
Providence Portland Medical Center
2024
Monash University
2023
St George's Hospital
2023
Royal Surrey NHS Foundation Trust
2023
Fred Hutch Cancer Center
2022
Vanderbilt University
2022
Seattle University
2002-2021
University of Washington Medical Center
2015-2021
Brotman Baty Institute
2020-2021
Background Following a 2010-2011 pilot intervention in which limited sample of primary care doctors offered their patients secure Web-based portal access to office visit notes, the participating sites expanded OpenNotes nearly all clinicians care, medical, and surgical specialty practices. Objective The aim this study was examine ongoing experiences perceptions who read ambulatory notes written by broad range doctors, nurses, other clinicians. Methods A total 3 large US health systems...
Over the last 5 years, stimulated by changing healthcare environment and Health Information Technology for Economic Clinical (HITECH) Meaningful Use (MU) Electronic Record (EHR) Incentive program, EHR adoption has increased remarkably, there is early evidence that such resulted in safety quality benefits.1,2 However, with this broad adoption, many clinicians are voicing concerns use had unintended clinical consequences, including reduced time patient-clinician interaction,3 new burdensome...
<h3>Importance</h3> As health information transparency increases, patients more often seek their data. More than 44 million in the US can now readily access ambulatory visit notes online, and practice is increasing abroad. Few studies have assessed documentation errors that identify how these may inform patient engagement safety strategies. <h3>Objective</h3> To assess frequency types of identified by who read open notes. <h3>Design, Setting, Participants</h3> In this survey study, a total...
To describe the perceptions of diverse professionals involved in computerized physician order entry (POE) at sites where POE has been successfully implemented and to identify differences between teaching nonteaching hospitals.A multidisciplinary team used observation, focus groups, interviews with clinical, administrative, information technology staff gather data three sites. Field notes transcripts were coded using an inductive approach patterns themes data.Patterns concerning...
We assess dose and image quality of a state-of-the-art angiographic C-arm system (Axiom Artis dTA, Siemens Medical Solutions, Forchheim, Germany) for three-dimensional neuro-imaging at various levels tube voltages an associated measurement method. Unlike conventional CT, the beam length covers entire phantom, hence, concept computed tomography index (CTDI) is not metric choice, one can revert to dosimetry methods by directly measuring points using small ion chamber. This method allows us...
Access to online patient portals is key improving care, but we have limited understanding of perceptions and the characteristics people who use them.Using a national survey 3677 respondents, describe utilization personal health information (PHI) portals.Most respondents (92%) considered PHI access important, yet only 34% were offered by care provider, just 28% accessed in past year. While there no differences across race or ethnicity importance access, black Hispanic significantly less...
<h3>Importance</h3> The 21st Century Cures Act of 2016 requires that patients be given electronic access to all the information in their medical records. regulations for implementation this law give far easier about care, including notes clinicians write. <h3>Objective</h3> To assess clinicians' views and experiences with sharing clinical (open notes) patients. <h3>Design, Setting, Participants</h3> Web-based survey study physicians, advanced practice nurses, registered physician assistants,...
Abstract Clinicians face competing pressures of being clinically productive while using imperfect electronic health record (EHR) systems and maximizing face-to-face time with patients. EHR use is increasingly associated clinician burnout underscores the need for interventions to improve clinicians’ experiences. With an aim addressing this need, we share evidence-based informatics approaches, pragmatic next steps, future research directions 3 highest contributors burden: (1) documentation,...
With the aim of improving health care processes through information technology (HIT), US government has promulgated requirements for "meaningful use" (MU) electronic records (EHRs) as a condition providers receiving financial incentives adoption and use these systems. Considerable uncertainty remains about impact on effective application EHR systems.The Agency Healthcare Research Quality (AHRQ)-sponsored Centers Education in Therapeutics (CERTs) critically examined MU policy relating to...
Over the last four decades, UK has made large investments in healthcare information technology. The authors conducted interviews and reviewed published unpublished documents to describe national-scale clinical exchange England, how it was achieved, problems experienced that USA might avoid. Clinical accomplished by establishing a foundation of policy, infrastructure, systems care, creating acquiring computing applications with strong use financial incentives. Many software hardware vendors...
At the 2011 American College of Medical Informatics (ACMI) Winter Symposium we studied overlap between health IT and economics what leading healthcare delivery organizations are achieving today using that might offer paths for nation to follow in reform. We recognized by itself can improve value, but its main contribution value may be it make possible new care models achieve much larger value. Health is a critically important enabler fundamental system changes way out our current, severe...
The purpose of this study was to determine if medication cost transparency alerts provided at time prescribing led ambulatory prescribers reduce their use low-value medications.Provider-level were deployed practices a single health system from February 2018 through April 2018. Practice sites included 58 primary care and 152 specialty clinics totaling 1896 attending physicians, residents, advanced practice nurses throughout western Washington. Prescribers in the randomly assigned intervention...
Secure patient portals are widely available, and patients use them to view their electronic health records, including clinical notes. We conducted experiments asking cogenerate notes with clinicians, an intervention called OurNotes.This study aims assess provider experiences attitudes after 12 months of a pilot intervention.Before scheduled primary care visits, were asked submit word-constrained, unstructured interval history agenda for what they would like discuss at the visit. Using...
Abstract It was found that strongly alkaline solutions of sodium hydroxide are able to destroy the hydrophobicity polyethylene terephthalate (PET) whereas polyvinyl chloride (PVC) remains only slightly affected by these solutions. On this basis, a technology involving treatment PET and PVC particles with followed froth flotation nonionic surfactants has been developed tested at laboratory scale. In both steps technology, appropriate experimental conditions, such as concentration reagents,...
With advances in technology, patients increasingly expect to access their health information on phones and computers seamlessly, whenever needed, meet clinical needs. The 1996 passage of the Health Insurance Portability Accountability Act (HIPAA), modifications made by Information Technology for Economic Clinical (HITECH), recent 21st Century Cures (Cures) promise make patients' available them without special effort at no cost. However, inconsistencies among these policies' definitions what...
SARS-CoV-2 is spreading worldwide with continuously evolving variants, some of which occur in the Spike protein and appear to increase viral transmissibility. However, variants that cause severe COVID-19 or lead other breakthroughs have not been well characterized. To discover such we assembled a cohort 683 patients; 388 inpatients ("cases") 295 outpatients ("controls") from April August 2020 using electronically captured COVID test request forms sequenced their genomes. improve analytical...
Healthcare organizations vary in the number of electronic medical record (EMR) systems they use. Some use a single EMR for nearly all care provide, while others EMRs from more than one vendor. These strategies create mixture advantages, risks and costs. Based on our experience two over decade, we analyzed within health to identify costs that presents. We identified data functionality types pose greatest challenge patient safety efficiency. present model classify patterns healthcare...