Original Article

Upper Extremity Deep Vein Thrombosis: Incidence, Risk Factors, and Effectiveness of Chemoprophylaxis

Objectives: Upper extremity deep vein thrombosis (UEDVT) is associated with pulmonary embolism and other complications, but there are no recommendations for UEDVT prophylaxis. The purpose of this study was to establish incidence and risk factors for UEDVT and to determine efficacy of pharmacologic prophylaxis for UEDVT prevention. Methods: For this…

Posted in: electronic medical record 6 risk assessment 3 thromboembolism 7

Original Article

Frequency, Timing, and Types of Medication Ordering Errors Made by Residents in the Electronic Medical Records Era

Objectives: To describe associations between resident level of training, timing of medication orders, and the types of inpatient medication ordering errors made by internal medicine residents. Methods: This study reviewed all inpatient medication orders placed by internal medicine residents at a tertiary care academic medical center from July 2011 to…

Posted in: electronic medical record 6 house staff 2 residents 10

Original Article

Effect of the Adoption of a Comprehensive Electronic Health Record on Graduate Medical Education: Perceptions of Faculty and Trainees

Objectives: Health systems are adopting electronic health records (EHRs). There are few studies on the effects of EHR implementation on graduate medical education. The authors sought to longitudinally assess perceptions of the impact of EHRs on graduate medical education during implementation and 2 years after implementation. Methods: A survey was…

Posted in: electronic health record 5 electronic medical record 6 graduate medical education 28 medical education 74

Review Article

Should Antibiotic Allergy Alerts Be Alarming?

Allergies to various antibiotics are reported by a substantial proportion of patients. As a result, clinical decision support programming generates frequent warnings when prescribing within electronic medical records. For a variety of reasons, the majority of these warnings may be inappropriate. Our improved understanding of the underlying physiology of allergic…

Posted in: clinical decision support 4 electronic medical record 6

Original Article

When Should ED Physicians Use an HIE? Predicting Presence of Patient Data in an HIE

Objectives: Health information exchanges (HIEs) make possible the construction of databases to characterize patients as multisystem users (MSUs), those visiting emergency departments (EDs) of more than one hospital system within a region during a 1-year period. HIE data can inform an algorithm highlighting patients for whom information is more likely…

Posted in: electronic medical record 6 health information exchange 4 information sharing 2 information technology 2 physician adoption 2

Original Article

A Comprehensive View of Frequent Emergency Department Users Based on Data from a Regional HIE

Objectives: A small but significant number of patients make frequent emergency department (ED) visits to multiple EDs within a region. We have a unique health information exchange (HIE) that includes every ED encounter in all hospital systems in our region. Using our HIE we were able to characterize all frequent…

Posted in: electronic medical record 6 health information exchange 4 information sharing 2 information technology 2 physician adoption 2
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