Background: Reducing length of stay to improve access, minimize hospital-associated morbidity, and reduce cost is a top priority at many hospitals. Information about barriers and delays impacting discharge (i.e., arranging subacute nursing facility placement, setting [...]
Background: Implantable cardiac monitors (ICM) have continued to gain acceptance since its introduction into clinical practice to help physician accurately detect cardiac causes of syncope that may need further intervention. Their cost-effectiveness in the evaluation [...]
Background: Inpatient physicians often spend 30-60 minutes daily creating a “rounding list,” a process that requires reviewing the electronic health record (EHR) and transcribing data to paper. Previous studies have described automated rounding-lists leveraging EHR [...]
Background: Healthcare research has traditionally relied upon data collected from clinical trials and data generated from patient registries and insurance claims to drive analyses. As electronic health records (EHR) and computerized physician order entry have [...]
Background: Dedicated hospitalists are associated with improvements in healthcare quality and patient outcomes, but are not feasible for small-volume critical access hospitals (CAHs). A telemedicine “virtual hospitalist” model may expand the capabilities of a CAH [...]
Background: Medication alerts are one of the touted safety features with the electronic health record (EHR). With time, users tend to override the alerts, which leads to patient harm. The phenomenon of “alert fatigue” is [...]
Background: Electronic health record (EHR) systems are used by a majority of US hospitals. EHR use has been associated with increased task complexity, clinical data volume and provider documentation demands. Studies of multiple specialties suggest [...]
Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden [...]
Background: Electronic prescribing (eRx) at discharge enhances safety and quality of care transitions. It results in improved medication adherence and a decreased chance of readmission. Stage 3 Meaningful Use goals include discharge eRx rates of [...]
Background: Accurate, high-quality data is critical for work in quality improvement, research, and clinical operations. With an electronic health record (EHR), vast amounts of observational data are collected on patients every day. This data can [...]