Th e authors used electronic medical records (EMRs) to identify patients with severe sepsis and septic shock. “Sepsis onset time” was determined by fl uidresistant hypotension, vasopressor use, or a lactate level . 4 mmol/L. 1 Th e reliability and validity of the outcome data in EMR-based interventional studies depend on the accuracy of data collection, entry, and storage. A study conducted on ...

The development of private practice Electronic Medical Records (EMR) systems are being driven by economic impetuses (to reduce health care costs), ethical ones (to improve patient care by reducing errors) and social ones (to fit into the US Federal mandate of a planned National Health Information Network (NHIN). This research-in-progress details the design and implementation of a Pediatric Web-...

In this paper, we examine the effect of the adoption of Electronic Medical Records (EMR) systems to neighboring hospitals. We find that although EMR systems increases the operational costs for adopting hospitals, it has significant spillover effects by reducing the health care costs of the other hospitals in the same region (possibly due to patient mobility and better care that is provided by t...

Technology investment in the healthcare industry has targeted both transaction support systems, such as Electronic Medical Records (EMR), and decision support technologies, such as clinical data warehouses and data mining software. While EMR technology adoption has received considerable attention in research studies, decision support technology adoption determinants have received less attention...

OBJECTIVE To assess differences in the use of electronic medical records (EMRs) among medical specialties and practice settings. METHODS A cross-sectional retrospective study using nationally representative data from the National Ambulatory Medical Care Survey for the period 2003-2010 was performed. Bivariate and multivariate analyzes compared EMR use among physicians of 14 specialties and as...

The Obama Administration has continued where the previous one left off in advocating the widespread adoption of electronic (digital) medical records (EMRs). But an expensive EMR system loaded with bells and whistles that you don't really need, and requiring doctors to interact with computers, can cost you in terms of patient-care time as well as money. The Big Three (which can encompass dictati...

One method for rapid learning is to use data from electronic medical records (EMRs) to help build and validate large-scale, physiology-based simulation models. These models can than be used to help answer questions that cannot be addressed directly from the EMR data. Their potential uses include analyses of physiological pathways; simulation and design of clinical trials; and analyses of clinic...

BACKGROUND Electronic medical records (EMRs) represent a potentially rich source of health information for research but the free-text in EMRs often contains identifying information. While de-identification tools have been developed for free-text, none have been developed or tested for the full range of primary care EMR data METHODS We used deid open source de-identification software and modif...

OBJECTIVES Ophthalmology units across the UK vary widely in their adoption of electronic medical records (EMR). There is a lack of evidence to show the extent and progress of EMR adoption. The aim of this study was to capture a snapshot of the current landscape of EMR use, as a baseline for comparison in future studies. SETTING An electronic survey questionnaire was sent to all NHS ophthalmol...

OBJECTIVE It is not automatically given that the paper-based medical record can be eliminated after the introduction of an electronic medical record (EMR) in a hospital. Many keep and update the paper-based counterpart, and this limits the use of the EMR system. The authors have evaluated the physicians' clinical work practices and attitudes toward a system in a hospital that has eliminated the...