A Beginner\u27s Guide to Research Using Electronic Health Record Data

Since the passage of the American Recovery and Reinvestment Act in 2009, the use of Electronic Health Records (EHRs) in the healthcare system has increased substantially. Accompanying this surge in EHR usage is a surge in healthcare data and increased opportunities to improve our understanding of health care through research using these data. The use of EHR data for research has many benefits, limitations and considerations. Using data that was originally intended to facilitate billing, insurance, and maintenance of clinical records for research can be fraught with challenges, but they can also be a rich source of information. This paper addresses some of these benefits and challenges, along with additional considerations, including ensuring the best quality data, selecting a good study design, tailoring research questions and queries to available data, and understanding ethical issues in using patient data for research. Researchers should develop a clear understanding of the pitfalls inherent in EHR research before beginning a project. As is the case with most research, many of the drawbacks can be reduced with careful preparation, formulation of a research question, procedures and data management

Using the Rapid Assessment for Adolescent Preventative Services Risk Screening Tool to Identify Depression in Two Omaha High Schools

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Physician Awareness of Resources Available for Patients to Increase Physical Activity

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Constructing a Learning Community: One Medical Schools Needs Assessment

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Gendered Differences in Consent and Brochures for Permanent Birth Control

Background Gendered differences have been documented for many healthcare outcomes. One cause of such differences is gendered differences in language, which has been documented in many fields. The difference in language used to describe permanent birth control to women (tubal ligation) versus men (vasectomy) has not been studied. Objectives To analyze consent forms and brochures for female and male permanent sterilization for gendered differences in language. Methods A convenience sample of consent forms and brochures was obtained and analyzed for differences in the emphasis on various subject matter. Results Physiologic explanations and insurance and/or cost was discussed more in documents for men. Side effects, patient autonomy, permanence, children/family, reversible birth control, and mental competence were discussed more in documents for women. Conclusion Most findings were not statistically significant due to small sample size. However, the trends suggest that stereotypes of men being more logical and financially stable are ingrained in the documents and that more deterrent language is used in the documents for women.https://digitalcommons.unmc.edu/emet_posters/1010/thumbnail.jp

Do the Current Health Behaviors of Third-Year Medical Students Have Correlations with Their Frequency and Confidence in Counseling of Patients on Preventive Health Behaviors?

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Perceived Benefits and Barriers of Static Stretching in Exercisers

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Association of Health Literacy and Provider Education with Knowledge of Breast and Cervical Cancer Screening in an Underserved Female Population

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Discordant Cardiopulmonary Resuscitation at an Academic Midwest Medical Center- Prevalence and Solutions

BACKGROUND: Code status orders are important features of patient-centered clinical decisions, patient autonomy, and end-of-life care. Despite proper documentation of “do not resuscitate” (DNR) code status, hospitalized patients may be subjected to cardiopulmonary resuscitation (CPR) efforts that go against their wishes. PURPOSE: The objective of this study was to identify and describe the population of hospitalized patients receiving discordant resuscitation efforts at a Midwest academic medical center utilizing electronic health records (EHR). METHODS: The study included EHR records between 01/01/2011 and 01/01/2021 for hospitalized patients 19 years and older who experienced cardiac arrest (ICD-10 I46) and were documented as DNR. Patients younger than 19 years of age and those with full code status were excluded. EPIC’s “code narrator” was queried for records meeting the inclusion criteria. Using the code start and stop time along with the timestamp of their code status order, patients who were DNR at the time of the code start time were included, and all others were excluded. RESULTS: Thirteen of 112 (11.6%) of DNR patients who experienced cardiac arrest had CPR performed, with two patients experiencing discordant resuscitation twice. Patients who experienced resuscitation efforts discordant with their code status were 53.8% female and 84.6% White, with a median age of 82 years old (47-94). Median code duration was 16.9 minutes (1.7-50.9) with 9.89 minutes (5-50.9) of chest compressions. Average length of code status prior to code start time was 1.66 days. Seven of 15 (46.7%) CPR events resulted in return of spontaneous circulation (ROSC). CONCLUSIONS: Discordant in-hospital resuscitation efforts contribute to significant patient harm and moral distress Thirteen unique patients whose resuscitation wishes were not followed were identified. Long term goals of this project are to investigate possible causes of these events and develop solutions

Additional Laparotomy Sponges Requested During Cesarean Delivery: \u27Early Warning\u27 Associated with Postpartum Hemorrhage

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