The Electronic Health Record Scorecard: A Measure of Utilization and Communication Skills

As the adoption rate of electronic health records (EHRs) in the United States continues to grow, both providers and patients will need to adapt to the reality of a third actor being present during the visit encounter. The purpose of this project is to provide insight on “best” practice patterns for effective communication and efficient use of the EHR in the clinical practice setting. Through the development of a comprehensive scorecard, this project assessed current status of EHR use and communication skills among health care providers in various clinical practice settings. Anticipated benefits of this project are increased comfortability in interfacing with the EHR and increased satisfaction on the part of the provider as well as the patient. Serving as a benchmark, this assessment has the potential to help guide future health information technology development, training, and education for both students and health care providers

Digital Use and Internet Access in Fayetteville, Arkansas

A report on data gathered from a spring 2019 survey by the UA Center for Communication Research. The data will provide the City of Fayetteville with a baseline picture regarding residents’ current levels of internet access, their daily activities online, the importance of the internet to them, and the barriers they see to enhanced online access. Future study will consider the homework gap in homes with K-12 students as well as general internet access issues for residential multi-tenant environments. Data from this survey will inform the City of Fayetteville\u27s Digital Equity Plan

E-Books: Cognitive and Visual Effects

Sight is incredibly important to daily life. One critical use of this sense is reading, which allows people to communicate and learn new things if the reader is able to effectively comprehend what he or she has read. The proliferation of technology has resulted in much of our reading today being done through digital media. Information-presenting screens are found nearly everywhere, including within the education system. While E-books can offer some advantages, their purpose would not be served if they hindered understanding. Additionally, excessive use of technological devices can bring about symptoms of eyestrain. It was hypothesized that E-books are in fact neither helpful nor harmful in reading comprehension but may increase reading time. In the present study, 40 students at Butler University read a short story either on paper or on a laptop screen. They then took a quiz over the plot events of the short story, either in a physical or digital format. Lastly, they completed a short survey regarding their use of E-books and how their technological interactions affect their vision. It was found that the only factor that affected quiz scores was the testing medium. It is important, then, to ensure that online exams are user-friendly

Access Magazine, May 2016

https://scholarworks.sjsu.edu/accessmagazine/1016/thumbnail.jp

Suicide Screening in Primary Care: Use of an Electronic Screener to Assess Suicidality and Improve Provider Follow-Up for Adolescents

Purpose The purpose of this study was to assess the feasibility of using an existing computer decision support system to screen adolescent patients for suicidality and provide follow-up guidance to clinicians in a primary care setting. Predictors of patient endorsement of suicidality and provider documentation of follow-up were examined. Methods A prospective cohort study was conducted to examine the implementation of a CDSS that screened adolescent patients for suicidality and provided follow-up recommendations to providers. The intervention was implemented for patients aged 12–20 years in two primary care clinics in Indianapolis, Indiana. Results The sample included 2,134 adolescent patients (51% female; 60% black; mean age = 14.6 years [standard deviation = 2.1]). Just over 6% of patients screened positive for suicidality. A positive endorsement of suicidality was more common among patients who were female, depressed, and seen by an adolescent−medicine board-certified provider as opposed to general pediatric provider. Providers documented follow-up action for 83% of patients who screened positive for suicidality. Documentation of follow-up action was correlated with clinic site and Hispanic race. The majority of patients who endorsed suicidality (71%) were deemed not actively suicidal after assessment by their provider. Conclusions Incorporating adolescent suicide screening and provider follow-up guidance into an existing computer decision support system in primary care is feasible and well utilized by providers. Female gender and depressive symptoms are consistently associated with suicidality among adolescents, although not all suicidal adolescents are depressed. Universal use of a multi-item suicide screener that assesses recency might more effectively identify suicidal adolescents

Postmortem iris recognition and its application in human identification

Iris recognition is a validated and non-invasive human identification technology currently implemented for the purposes of surveillance and security (i.e. border control, schools, military). Similar to deoxyribonucleic acid (DNA), irises are a highly individualizing component of the human body. Based on a lack of genetic penetrance, irises are unique between an individual’s left and right iris and between identical twins, proving to be more individualizing than DNA. At this time, little to no research has been conducted on the use of postmortem iris scanning as a biometric measurement of identification. The purpose of this pilot study is to explore the use of iris recognition as a tool for postmortem identification. Objectives of the study include determining whether current iris recognition technology can locate and detect iris codes in postmortem globes, and if iris scans collected at different postmortem time intervals can be identified as the same iris initially enrolled. Data from 43 decedents involving 148 subsequent iris scans demonstrated a subsequent match rate of approximately 80%, supporting the theory that iris recognition technology is capable of detecting and identifying an individual’s iris code in a postmortem setting. A chi-square test of independence showed no significant difference between match outcomes and the globe scanned (left vs. right), and gender had no bearing on the match outcome. There was a significant relationship between iris color and match outcome, with blue/gray eyes yielding a lower match rate (59%) compared to brown (82%) or green/hazel eyes (88%), however, the sample size of blue/gray eyes in this study was not large enough to draw a meaningful conclusion. An isolated case involving an antemortem initial scan collected from an individual on life support yielded an accurate identification (match) with a subsequent scan captured at approximately 10 hours postmortem. Falsely rejected subsequent iris scans or "no match" results occurred in about 20% of scans; they were observed at each PMI range and varied from 19-30%. The false reject rate is too high to reliably establish non-identity when used alone and ideally would be significantly lower prior to implementation in a forensic setting; however, a "no match" could be confirmed using another method. Importantly, the data showed a false match rate or false accept rate (FAR) of zero, a result consistent with previous iris recognition studies in living individuals. The preliminary results of this pilot study demonstrate a plausible role for iris recognition in postmortem human identification. Implementation of a universal iris recognition database would benefit the medicolegal death investigation and forensic pathology communities, and has potential applications to other situations such as missing persons and human trafficking cases