Electronic Health Record

/Tag:Electronic Health Record

A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

Background: Adverse drug events (ADEs) are responsible for up to 770,000 inpatient injuries and deaths annually in the United States, most of which are from prescribing errors. Electronic order sets are designed to improve quality [...]

By | 2018-03-19T15:44:29+00:00 March 19th, 2018|Patient Safety, Research, Uncategorized|Comments Off on A DATA MINING APPROACH TO DETECTING MEDICATION ORDER NEAR MISSES ASSOCIATED WITH ELECTRONIC ORDER SETS

An Electronic Health Record-Based Severe Sepsis Alert to Improve Sepsis Treatment Performance: Randomized Evaluation

Background: Sepsis, severe sepsis, and septic shock combined, are estimated to affect between 650,000 and 750,000 Americans annually, and has an associated mortality rate between 20 to 50%.  Early identification of patients with sepsis is [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Finalist, Patient Safety, Research Abstracts|Comments Off on An Electronic Health Record-Based Severe Sepsis Alert to Improve Sepsis Treatment Performance: Randomized Evaluation

Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

Background: The use of IV insulin is one of the primary therapeutic options for the treatment of hyperkalemia. Unfortunately the available literature reports that hypoglycemia is a common occurrence as a result of the treatment [...]

By | 2018-03-19T15:44:08+00:00 March 19th, 2018|Quality Improvement, Research, Uncategorized|Comments Off on Assessing The Impact Of An Order Panel Utilizing Weight-Based Insulin And Standardized Monitoring Of Blood Glucose For Patients With Hyperkalemia

DEPLOYMENT OF SEPSIS WATCH, A DEEP LEARNING SEPSIS DETECTION AND TREATMENT PLATFORM

Background: Sepsis is one of the top causes of inpatient mortality and rapid detection presents numerous challenges. In March, 2016, an interdisciplinary team consisting of top clinicians, data scientists and machine learning experts at a [...]

By | 2019-03-11T14:25:18+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on DEPLOYMENT OF SEPSIS WATCH, A DEEP LEARNING SEPSIS DETECTION AND TREATMENT PLATFORM

DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

Background: Hospital associated injury is the third leading cause of death in the United States. Lack of communication about patient safety issues among care team members and with patients is a key source of hospital [...]

By | 2017-04-20T17:23:41+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on DEVELOPMENT AND PILOT TESTING OF A NOVEL PATIENT SAFETY DASHBOARD INTEGRATED INTO A VENDOR EHR

DEVELOPMENT OF AN EHR DISCHARGE READINESS TOOL USING STAKEHOLDER ENGAGEMENT TACTICS

Background: Typical solutions to incorporating provider input into discharge planning often rely on one-way communication mechanisms and data entry that is not dynamic (i.e. providers estimate day of discharge in advance). We are designing a [...]

By | 2019-03-11T14:25:10+00:00 March 11th, 2019|Hospital Medicine 2019, Innovations, Technology in Hospital Medicine|Comments Off on DEVELOPMENT OF AN EHR DISCHARGE READINESS TOOL USING STAKEHOLDER ENGAGEMENT TACTICS

EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Background: Delays in antibiotic administration in sepsis – particularly after the development of hypotension – are associated with increased mortality. Current guidelines recommend antibiotic initiation within one hour of sepsis recognition. However, it is not [...]

By | 2019-03-11T14:19:28+00:00 March 11th, 2019|Hospital Medicine 2019, Outcomes Research, Research|Comments Off on EARLY ISOLATED HYPOTENSION, A SEPSIS ‘CANARY IN THE COAL MINE’: TIMING OF ANTIBIOTICS ACCORDING TO HYPOTENSION IDENTIFIES DIFFERENT SEPSIS SUBTYPES AT DIFFERING RISKS OF TREATMENT DELAY

Effect of Resident Work Load on Electronic Health Record Documentation

Background: Patient record form one of the most important part of clinical care as the primary source for patient information for primary team, consultants, nurses and other paramedic staff and help in providing a higher [...]

By | 2018-03-19T12:55:15+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Technology in Hospital Medicine|Comments Off on Effect of Resident Work Load on Electronic Health Record Documentation

FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

Background: Sepsis, which is life-threatening organ dysfunction occurring in response to systemic infection, is a frequently fatal syndrome for which early recognition and treatment are paramount. While there are some reports that female and black [...]

By | 2018-03-19T13:05:12+00:00 March 19th, 2018|Hospital Medicine 2018, Other, Research|Comments Off on FACTORS IMPACTING TIME TO ANTIBIOTIC ADMINISTRATION IN PATIENTS WITH SEPSIS: A SINGLE-CENTER STUDY OF ELECTRONIC HEALTH RECORD DATA

Finding Meaning in Meaningful Use: Implementing a Patient Portal in an Urban Safety Net Academic Hospital

Background: Driven by meaningful use (MU) incentives, many safety net systems have adopted patient portals, which offer patients online access to their health information. Portal use correlates with increased engagement and better health outcomes, but [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Technology in Hospital Medicine|Comments Off on Finding Meaning in Meaningful Use: Implementing a Patient Portal in an Urban Safety Net Academic Hospital

Improving Goals of Care Documentation at an Academic Medical Center with Electronic Health Record-Based Alerting

Background: Hospital admission presents an important opportunity to engage with patients about goals of care (GOC) and advanced care planning. The significant and sensitive nature of GOC conversations requires that documentation of a patient’s goals [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Quality Improvement|Comments Off on Improving Goals of Care Documentation at an Academic Medical Center with Electronic Health Record-Based Alerting

Improving Medication Safety Through a New Multidisciplinary Approach to Medicine Reconciliation at an Urban Safety Net Academic Hospital

Background: Studies have shown that care transitions represent times of great risk, especially to vulnerable patients; medication reconciliation is a major component of ensuring safe care transitions. Yet, challenges exist to obtaining a best possible [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Transitions of Care|Comments Off on Improving Medication Safety Through a New Multidisciplinary Approach to Medicine Reconciliation at an Urban Safety Net Academic Hospital

PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD

Background: Wrong-patient order entry errors are common and often have the potential to cause patient harm. The Office of the National Coordinator for Health Information Technology Patient Identification SAFER Guide recommends displaying patient photographs in [...]

By | 2019-03-11T14:21:14+00:00 March 11th, 2019|Hospital Medicine 2019, Patient Safety, Research|Comments Off on PATIENTS’ ACCEPTANCE OF INCORPORATING THEIR PHOTOGRAPH INTO THE ELECTRONIC HEALTH RECORD

Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

Background: In-hospital mortality attributable to sepsis is higher than overall population mortality (Gaieski DF et al, 2013; Dombrovskiy VY, 2007). Furthermore, the rates of severe sepsis are increasing annually (Dombrovskiy VY,2007). Early detection and early [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Innovations Abstracts, Patient Safety|Comments Off on Pilot of a Low-Resource, Ehr-Based Protocol for Sepsis Monitoring, Alert, and Intervention

PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION

Background: Sepsis is a common, costly, and mortal clinical syndrome. Many delays in sepsis recognition and intervention are due to “data latency,” the period of time between data suggestive of sepsis being entered in the [...]

By | 2017-04-20T17:23:49+00:00 April 20th, 2017|Innovations Abstracts, Patient Safety|Comments Off on PILOT OF A LOW-RESOURCE, EHR-BASED TOOL FOR SEPSIS MONITORING, ALERT, AND INTERVENTION