EHR systems have evolved from management of medical and patient records to the management of comprehensive health records including information about any observed health states e.g., social, economic and environmental conditions; and process such as public health surveillance, health promotion, prevention, education, etc. The paper discusses the analysis and design of Electronic Public Health R...

A prospective quasi-experimental before-and-after study of an electronic medical record-anchored intervention of embedded education on appropriate urine culture indications and indication selection reduced the number of urine cultures ordered for catheterized patients at an academic medical center. This intervention could be a component of CAUTI-reduction bundles. Infect Control Hosp Epidemiol ...

information technology can increase the quality of medical care and is a target for many of the pioneers in the development of clinical or medical information. electronic medical record (emr), one of such technologies, is a well-known and valuable system to access patient information in hospitals. electronic medical records which are used for the purpose of providing basic health care are avail...

INTRODUCTION Colorectal cancer (CRC) screening is recommended for average-risk adults age 50 and older, yet half of eligible US adults are not current. This case study of highest performing practices within the Colorectal Screening in Primary Care study (C-TRIP) explains practice strategies used and provides a model for improving CRC screening in primary care. METHODS A case study design was ...

Background: The relationship between digital tools and medical history taking (classically referred to as anamnesis) in clinical settings is problematic. We explored the context, how data managed by physicians patients which are used, particularly electronic health record, gather, organize record patient’s related data. Materials methods: Systematic review of l...

Problem oriented medical record (POMR) was born in late sixties. Expecting an ordered, complete and updated medical record were some of the goals of its founder. Several healthcare institutions have included problem list into their clinical records but some concerns have been reported. These concerns are in reference to their voluminosity, incompleteness and outdatedness. This study attempts to...

Medical record documentation of patient data has evolved during the past several years. Early patient medical records included brief, written case history reports maintained for teaching purposes. One such document obtained is a text from Egypt of 48 case reports that includes injuries, fractures, wounds, dislocations, and tumors that date back to 1600 BC. This document was written on papyrus t...