Clinical trials are an important part of modern medical research, however the effort required to find candidates for participation in such trial is significant. With the increasing prevalence of electronic medical records, automated or semi-automated solutions become feasible. We present an semi-automated approach for determining clinical trial eligibility based on ...

The Health Insurance Portability and Accountability Act (HIPAA) requires physicians to place greater responsibility on protecting electronic transfer of medical records to patients and other medical providers, while allowing them greater access to their owned medical records. The required protections on use of electronic medical records will be very costly ...

How notes are categorized in an electronic medical record (EMR) influences how rapidly users can locate documents and enter new ones, whether algorithmic search for chart deficiencies is possible, and the ease of incorporating collections of existing notes. We balanced these competing needs when developing a note classification scheme for ...

The Institute of Medicine stressed the need for continuous healing relationships, yet the delivery of health care has traditionally been confined to the physician office or hospital. We implemented an eHealth application tightly integrated with our electronic medical record system that provides patients with a convenient, continuously available communication channel ...

As the healthcare industry transitions from paper to electronic medical records (EMRs), medical informatics researchers face the task of ensuring that the electronic presentation of the information remains usable and effective while capitalizing on the ability of EMRs to tailor information to different users. In our research, we focus on ...

We present a real implementation of a concept-based Electronic Medical Record for the management of heart failure disease. Our approach is based on GEHR archetypes represented in XML format for modelling clinical information. By using this technique it could be possible to build a interoperable future-proof clinical information system.

The selection of an enterprise-wide electronic medical record (EMR) by a medical center is a major undertaking that will define its future clinical processes for many years. The parameters that drive the selection include the clinical requirements, the financial needs of the medical center, the geographic setting, the need for ...

This poster present our experience in designing, developing and deploying a Web-based Teleconsultation System based on a Patient Centered Oncological Electronic Medical Record (PEMR) specifically de-signed to provide clinicians a cooperative work tool supporting the oncological patient management. An evaluation phase in a clinical setting was performed when the system ...

Case-based reasoning (CBR)-driven medical diagnostic systems demand a critical mass of up-to-date diagnostic-quality cases that depict the problem-solving methodology of medical experts. In practical terms, procurement of CBR-compliant cases is quite challenging, as this requires medical experts to map their experiential knowledge to an unfamiliar computational formalism. In this paper, ...

The photophysical processes of copolymer formed by copolymerization of 2,2'-dimethacrylamido-1,1'-binaphthyl (DMBN) with vinylcarbazole (VCZ) have been carefully studied. The results show that when the solution of copolymer (DMBN-VCZ) in THF located in low concentration range (< 10(-3) mg/ml), the fluorescence emission is in good agreement with that of DMBN monomer ...

BACKGROUND: Medical guidelines provide recommendations that ought to help physicians in medical decision-making under different circumstances. To develop electronic medical guidelines and to make them available for physicians using the Internet can further enhance the quality and efficiency of health care, especially with the simultaneous use of electronic health records. ...

OBJECTIVE: Considering the growing use of cellular phones and the fast appearance of new phone models, the electromagnetic interference of currently popular cellular phones on electronic medical equipment was tested. METHODS: Three Personal Communication System cellular phones were put at different distances from multiple electronic medical devices, the interference effect ...

NCVHS' endorsement of HL7 as the standard for electronic exchange of patient medical record information promises to simplify the transmission of such information between healthcare organizations. However, this endorsement also empowers HL7 to serve as the architect of the electronic health record. In this article, learn more about HL7 and ...

An emerging strategy to manage financial risk in clinical practice is to involve the physician at the point of care. Using handheld technology, encounter-specific information along with medical necessity policy can be presented to physicians allowing them to integrate it into their medical decision-making process. Three different strategies are discussed: ...

The challenges faced by facilities wishing to implement an electronic medical record system are complex and overwhelming. Issues such as customer acceptance, basic computer skills, and a thorough understanding of how the new system will impact work processes must be considered and acted upon. Acceptance and active support are necessary ...

Wireless LANs using radio waves have recently gained popularity for installation in hospitals. Because electromagnetic waves transmitted from mobile telephones have been shown to cause interference with medical electronic equipment, prudence would seem necessary when introducing radio wave communication devices into hospitals. Therefore, we tested the effect of wireless LAN ...

BACKGROUND AND OBJECTIVE: For the conduct of controlled clinical trials, epidemiologic surveys or even of medical practice of varieties of peripheral neuropathy, the usefulness, error rate and cost-effectiveness of scannable case-report forms has not been studied. MATERIALS AND METHODS: The overall performance, the frequency of the problems identified and corrected, ...

BACKGROUND: Baylor University Medical Center (Dallas) converted patient occurrence reporting from a paper form to a custom-built Web-based system that used the medical center's intranet. DEVELOPING THE WEB-BASED SYSTEM: Non-medication patient occurrences were documented manually on paper forms known as incident reports, and medication variances were entered electronically. The medical ...

OBJECTIVE: The chasm theory of marketing states that fundamental differences exist between early adopters of technology and the mainstream marketplace, making it difficult for technology to transition to the mainstream market. We investigated possible differences in attitudes and beliefs about electronic medical records (EMRs) between current EMR users (early market) ...

BACKGROUND: After choosing the best computer hardware and software to use, the next major step is to carefully plan how to implement the change from using paper based medical records to electronic medical records. OBJECTIVE: To examine ways to make it relatively easy for staff and doctors to implement the ...

OBJECTIVES: 1) To describe the content of medical data obtained from parents' use of free text during a computer interview; 2) To assess whether differences in parents' demographics or experience with computers differentiate their production of free text; and 3) To compare parents' entry of free text with the final ...

OBJECTIVE: To determine whether trypan blue staining facilitates epiretinal membrane (ERM) removal in proliferative vitreoretinopathy. METHODS: In 10 patients undergoing vitrectomy for proliferative vitreoretinopathy, ERM peeling was performed without staining the tissue, until no additional ERMs were clearly visible. Then, after a fluid-air exchange, 0.06% trypan blue solution was applied ...

Electronic mail e-mail entered into daily medical practice. It allows various medical activities. An article describes use of e-mail in many aspects of medical practice and orthopaedics as well. Application to use an e-mail between physicians, patient-physician and electronic mailing list attendance dedicated to a specially. Benefits and potential pitfalls ...

The expansion of gambling industries worldwide is intertwined with the growing government dependence on gambling revenue for fiscal assignments. In Australia, electronic gaming machines (EGMs) have dominated recent gambling industry growth. As EGMs have proliferated, growing recognition has emerged that EGM distribution closely reflects levels of socioeconomic disadvantage. More machines ...

Physicians have many unmet information needs that arise in the course of patient care. Many clinical questions could potentially be answered by streamlined access to medical literature, textbooks, and clinical guidelines in the context of the electronic medical record. We designed and implemented SmartQuery, a prototype application to provide context-sensitive ...

Current paper-based processes for performing billing documentation and test ordering at the end of a clinic visit are fraught with problems, resulting in numerous workflow inefficiencies and significant revenue losses for a healthcare organization. Paper forms are often filled out inaccurately or incompletely, or can be misrouted or lost. Computerizing ...

The incorporation of electronic medical records into busy physician clinics has been a major development in the healthcare industry over the past decade. Documentation of key nursing activities, especially when interacting with patients who have chronic diseases, is often lacking or missing from the paper medical record. A case study ...

This paper describes the sequence of events, medical aspects and dose estimations for two radiographers and their driver who were seriously exposed to an iridium-192 industrial radiography source that became detached from its wind-out cable. The men came to medical attention about 1 month later by which time all three ...

Electronic medical record alerts and reminders are increasingly employed as a means of decreasing medical errors and increasing the quality and cost-effectiveness of care. However, clinicians indicate that alerts and reminders can be either help or hindrance. Discerning the elements that determine which they will be, and the requirements of ...

Efficient data entry by clinicians remains a significant challenge for electronic medical records. Current approaches have largely focused on either structured data entry, which can be limiting in expressive power, or free-text entry, which restricts the use of the data for automated decision support. Text-based templates are a semi-structured data ...

BACKGROUND: Electronically available data, both administrative, such as outpatient encounter diagnostic data, and clinical, such as problem lists, are being used increasingly for outcome and quality assessment, risk adjustment, and clinical reminder systems. OBJECTIVE: To determine the accuracy of outpatient primary care diagnostic information recorded in administrative and clinical files ...

The intent of this study was to document current practices in breast cancer genetic counseling and identify areas of variability for patients with a variant of uncertain significance (VUS) in the BRCA1 or BRCA2 gene. Registered members of the National Society of Genetic Counselors (NSGC) Cancer Special Interest Group (SIG) ...

OBJECTIVE: To discuss the possible contribution of electronic patient records in closing the loop among clinical practice, research and education. RESULTS AND CONCLUSIONS: Applying Information and Communication Technology (ICT) to a given medical domain is not merely adding a new technique. When introduced into an environment, ICT will initially often ...

Today, issues of privacy and confidentiality in healthcare are dealt largely informally. Little legislation exists, and the awkwardness of accessing paper records makes violations of patients' privacy sporadic. As healthcare institutions move towards a future where all information is kept in an Electronic Medical Record (EMR), the casual attitudes that ...

In the paper we discuss the vision and experiences in development of electronic health record based on universal structure of collectable data, multimedia objects, all equipped by supporting systems for data verification and medical guidelines connection. This development is based on existing European and international standards in the field of ...

Intermountain Health Care has integrated the electronic medical record (EMR) with online information resources in order to create easy access to a knowledge base which practicing physicians can use at the point of care. When a user is reviewing problems/diagnosis, medications, or clinical laboratory test results, they can conveniently access ...

Episode creation, the task of classifying medical events and related clinical data to a high-level concept, such as a disease, illness or care, has been primarily an interest of healthcare payers for purposes of cost outcomes analysis. Traditional challenges in episode creation have included: inconsistencies in defining episodes; lack of ...

OBJECTIVES: Our objectives were to determine the user-oriented and legal requirements for a Public Key Infrastructure (PKI) for electronic signatures for medical documents, and to translate these requirements into a general model for a signature system. A prototype of this model was then implemented and evaluated in clinical routine use. ...

The ribosomal differentiation of medical micro-organisms (RIDOM) web server, first described by Harmsen et al. [Harmsden,D., Rothganger,J., Singer,C., Albert,J. and Frosch,M. (1999) Lancet, 353, 291], is an evolving electronic resource designed to provide micro-organism differentiation services for medical identification needs. The diagnostic procedure begins with a specimen partial small subunit ...

PURPOSE: To report blockage of a commercially available ciprofloxacin bottle by white crystalline deposits. This study evaluated the ultrastructural features of the ciprofloxacin crystals. METHODS: A patient underwent intensive topical treatment of an infectious corneal ulcer with commercially available ciprofloxacin 0.3% ophthalmic solution. During treatment, the patient was unable to ...

I have always been infatuated with computers and convinced of their potential for solving problems in biologic research and clinical care. In the 1960s I thought we could use the computer to predict the shape of macromolecules from their chemical formulas and fundamental physical chemical principles. However, with the computers ...

Electronic medical records (EMRs) offer many advantages. However, there are also risks involved with adopting a full commercial EMR. These include high cost, the disruption of clinic routines, and poor or no vendor support. We created and implemented a partial, or miniature EMR (mini EMR) based on Microsoft Access 97 ...

We talked about using 3 UNIX commands. In UNIX, there are many other options for using them. But for the most part, if you can use them like I have shown, you will be able to do everything you need. If you can learn these few points well, I think ...

This paper addresses the need to recognize the importance, and the challenges, of preserving the hugely expanding record of medicine today for historians of the future. We are faced not only with an increase in traditional publishing formats, but also with the rapid growth in electronic communications. Two celebrated medical ...

Medicine is increasingly complex, a reality created by the explosion of knowledge during the last 50 years. The cost of applying this knowledge creates a daunting economic challenge. As a result, there has been a profusion of guidelines intended to influence medical practice. This report explores the interrelated issues and ...

Electromagnetic interference (EMI) with electronic medical equipment by radio waves from mobile telephone handsets has been reported and is currently receiving wide attention. The possibility of EMI with electronic medical equipment by radio waves coming into the hospital has also been pointed out. But so far, there are no reports ...

OBJECTIVE: To provide an introduction to Internet-based Online Personal Medical Records (OPMRs), to assess their use and limitations in acute/critical care situations, and to identify potential improvements that could increase their usefulness. DESIGN: A review of publicly available Internet-based OPMRs conducted in April 2001. DATA SOURCES: Twenty-nine OPMR sites were ...

This study demonstrates that the Virtual Lipid Clinic, an electronic medical record with computer-assisted cholesterol management, is associated with improved lipid management in patients with coronary artery disease. In comparison to traditional documentation methods with "pen and paper" charts, outpatient visits utilizing the electronic medical record were associated with a ...

The sex pheromone of the pea midge consists of 2-acetoxytridecane, (2S,11S)-diacetoxytridecane and (2S,12S)-diacetoxytridecane. The responses of male pea midges to the corresponding stereoisomers of (2S,11S)-diacetoxytridecane and (2S,12S)-diacetoxytridecane were tested in field trapping experiments and by electroantennographic recordings. When added at 20% of the pheromone component to the sex pheromone blend, ...

In 1998, the American Medical Informatics Association (AMIA) published a white paper entitled "Guidelines for the Clinical Use of Electronic Mail with Patients," which outlined a practical framework for this interaction. Interest in the use of other Internet-based tools, such as the World Wide Web, to enhance clinical communication is ...