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Search Results (14)
  • Open Access

    ARTICLE

    A Fuzzy Ontological Infrastructure for Semantic Interoperability in Distributed Electronic Health Record

    Ebtsam Adel1, Shaker El-sappagh2, Mohammed Elmogy3, Sherif Barakat1, Kyung-Sup Kwak4,*

    Intelligent Automation & Soft Computing, Vol.26, No.2, pp. 237-251, 2020, DOI:10.31209/2019.100000151

    Abstract Information technology is a beneficial tool for the healthcare industry. Health informatics is concerned with using ICT within the healthcare system. Different electronic health record (EHR) systems independently store large amounts of medical data in various structures and formats. Achieving semantic interoperability in EHR environments will improve the healthcare industry. In our previous studies, we proposed a framework that identifies the different heterogeneous medical data sources. In this paper, we move towards implementing the first module of that framework. We expect our framework to be a step towards improving performance and reducing both human mediation and data losses. More >

  • Open Access

    ARTICLE

    The effect of an electronic health record–based tool on abnormal pediatric blood pressure recognition

    Sarah A. Twichell1, Corinna J. Rea1, Patrice Melvin2, Andrew J. Capraro1, Joshua C. Mandel1, Michael A. Ferguson1, Daniel J. Nigrin1, Kenneth D. Mandl1, Dionne Graham2, Justin P. Zachariah3

    Congenital Heart Disease, Vol.12, No.4, pp. 484-490, 2017, DOI:10.1111/chd.12469

    Abstract Background: Recognition of high blood pressure (BP) in children is poor, partly due to the need to compute age-sex-height referenced percentiles. This study examined the change in abnormal BP recognition before versus after the introduction of an electronic health record (EHR) app designed to calculate BP percentiles with a training lecture.
    Methods and results: Clinical data were extracted on all ambulatory, non-urgent encounters for children 3–18 years old seen in primary care, endocrinology, cardiology, or nephrology clinics at an urban, academic hospital in the year before and the year after app introduction. Outpatients with at least 1 BP above the… More >

  • Open Access

    ARTICLE

    Identification of adults with congenital heart disease of moderate or great complexity from administrative data

    Jill M. Steiner1, James N. Kirkpatrick1, Susan R. Heckbert2, Asma Habib1, James Sibley3, William Lober3, J. Randall Curtis3

    Congenital Heart Disease, Vol.13, No.1, pp. 65-71, 2018, DOI:10.1111/chd.12524

    Abstract Introduction: There is relatively sparse literature on the use of administrative datasets for research in patients with adult congenital heart disease (ACHD). The goal of this analysis is to examine the accuracy of administrative data for identifying patients with ACHD who died.
    Methods: A list of the International Classification of Diseases codes representing ACHD of moderate- or great-complexity was created. A search for these codes in the electronic health record of adults who received care in 2010–2016 was performed, and used state death records to identify patients who died during this period. Manual record review was completed to evaluate performance… More >

  • Open Access

    ARTICLE

    Electronic health record associated stress: A survey study of adult congenital heart disease specialists

    Darcy N. Marckini1, Bennett P. Samuel1, Jessica L. Parker2, Stephen C. Cook1,3

    Congenital Heart Disease, Vol.14, No.3, pp. 356-361, 2019, DOI:10.1111/chd.12745

    Abstract Background: Physician burnout has many undesirable consequences, including nega‐ tive impact on patient care delivery and physician career satisfaction. Electronic health records (EHRs) may exacerbate burnout by increasing physician workload.
    Objective: To determine burnout in adult congenital heart disease (ACHD) specialists by assessing stress associated with EHRs.
    Design: Electronic survey study of ACHD providers.
    Setting: Canada and United States.
    Participants: Three hundred eighty‐three ACHD specialists listed on the Adult Congenital Heart Association directory between February and April 2017.
    Outcome Measures: Burnout was measured using the Maslach Burnout Inventory (MBI) to understand factors contributing to work life and EHR satisfaction. Chi‐… More >

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