BACKGROUND Up to now, costs attributable to adverse events (AEs) and preventable AEs in the Netherlands were unknown. We assessed the total direct medical costs associated with AEs and preventable AEs in Dutch hospitals to gain insight in opportunities for cost savings. METHODS Trained nurses and physicians retrospectively reviewed 7,926 patient records in 21 hospitals. Additional patient inf...

OBJECTIVE  To determine whether patient outcomes differ between general internists who graduated from a medical school outside the United States and those who graduated from a US medical school. DESIGN  Observational study. SETTING  Medicare, USA. PARTICIPANTS  20% national sample of data for Medicare fee-for-service beneficiaries aged 65 years or older admitted to hospital with a medical...

IMPORTANCE Surgical site infections (SSIs) may increase health care costs, but few studies have conducted an analysis from the perspective of hospital administrators. OBJECTIVE To determine the change in hospital profit due to SSIs. DESIGN Retrospective study of data from January 1, 2007, to December 31, 2010. SETTING The study was performed at 4 of The Johns Hopkins Health System acute c...

Evaluating hospital information systems leads to the improvement and devotion based on the users' needs, especially the medical records section users in hospitals, which are in contact with this system from the moment the patient enters the hospital until his/ her release and after that. The present research aimed to evaluate the hospital information systems from the point of view of the medica...

OBJECTIVE User acceptance of information technology has been a significant area of research for more than two decades in the field of information technology. This study assessed the acceptance of information technology in the context of Health Information Management (HIM) by utilizing Technology Acceptance Model (TAM) which was modified and applied to assess user acceptance of health informatio...

OBJECTIVE To investigate patients who called the emergency medical services (EMS) for primary healthcare (PHC) problems. DESIGN A retrospective and exploratory patient record study from an EMS perspective, comparing two groups: those who were potential candidates for PHC and those who were not. All data were gathered from EMS and hospital records. SETTINGS The study was completed at the EMS...

Robert El-Kareh, MD, MPH Christopher Roy, MD Gregor Brodsky, BA Molly Perencevich, MD Eric G. Poon, MD, MPH Division of Biomedical Informatics, University of California San Diego, San Diego, California. Division of Hospital Medicine, University of California San Diego, San Diego, California. Division of General Medicine, Brigham and Women’s Hospital, Boston, Massachusetts. Hospitalist Service, ...

In recent years, baseball bat performance has come under scrutiny. Fans of Major League Baseball have seen homerun records broken and the governing organizations of both college and high school baseball have stepped in with tighter controls of baseball bat performance. This paper discusses a few of the ways that baseball bat performance is affected by changes in the material and physical proper...

BACKGROUND Recently, many hospitals have introduced mobile electronic medical records (mEMRs). Although numerous studies have been published on the usability or usage patterns of mEMRs through user surveys, investigations based on the real data usage are lacking. OBJECTIVE Asan Medical Center, a tertiary hospital in Seoul, Korea, implemented an mEMR program in 2010. On the basis of the mEMR u...