introduction: medical information is a major tool in planning, coordinating and evaluating the delivered healthcare. in addition, documentation of medical records is useful for legal, educational and research purposes, managerial planning and accreditation. the purpose of this study is to identify the reasons for incompleteness of medical records and the physicians and managers' views in this r...

In 2012, Mercy Health Saint Mary’s embarked on a journey to intervene on high-need, high-cost (HNHC) patients. Rather than following traditional approaches of hiring new care managers or creating new clinics, we focused on how we could change the system’s response to complex patients. One of the key outcomes from this approach was implemented by a master’s prepared clinical nurse leader, who de...

During the current conflicts, over 950 soldiers have sustained a combat-related amputation. The majority of these are acute, but an unknown number are performed months to years after the initial injury. The goal of this study is to determine the prevalence of late amputations in our combat wounded. Electronic medical records and radiographs of all soldiers who had a combat-related, lower extrem...

INTRODUCTION Electronic health records (EHR) have become ubiquitous in emergency departments. Medical students rotating on emergency medicine (EM) clerkships at these sites have constant exposure to EHRs as they learn essential skills. The Association of American Medical Colleges (AAMC), the Liaison Committee on Medical Education (LCME), and the Alliance for Clinical Education (ACE) have determ...

Since 2003 when the international norm for implementation of quality management in medical laboratories (EN ISO 15189, Medical laboratories--Particular requirements for quality and competence) was established and accepted, accreditation has become practical, generally accepted method of quality management and confirmation of technical competence of medical laboratories in the whole world. This ...

OBJECTIVE To investigate the demographic and clinical factors of children who present to the pediatric emergency department (ED) with abdominal pain and their outcomes. METHODS A review of the electronic medical record of patients 1 to 18 years old, who presented to the Children's Hospital of Pittsburgh ED with a complaint of abdominal pain over the course of 2 years, was conducted. Demograph...