Electronic Health Records and Support For Primary Care Teamwork

This study examined primary care practices' experiences using electronic health records (EHRs) as they strive to function as teams in patientcentered medical homes (PCMHs). We identify how EHRs facilitate and pose challenges to teamwork and how practices overcame such challenges. We describe solutions and identify opportunities to improve care processes as well as EHR functionalities and policies, to support teamwork

A framework to tackle risk identification and presentation challenges in sepsis

Sepsis trajectories, including onset and recovery, can be difficult to assess, but electronic health records (EHRs) can accurately capture sepsis as a dynamic episode.Includes bibliographical reference

Tactics for Constructing Visions about Electronic Health Records (EHRs)

Background Many qualitative studies focus on the ways healthcare technologies affect situated practices. Although these studies are undeniably important, it is equally important to pay attention to visions about these technologies. This article investigates the media discourse surrounding electronic health record (EHR) initiatives in Northm America.Analysis Drawing upon Bruno Latour’s (1987) framework for analyzing the process of constructing scientific facts, this article examines the tactics through which media discourses construct visions of EHR technologies.Conclusions and implications The analysis shows how these are used to highlight the potential of EHR initiatives in spite of weak empirical evidence. Furthermore, the article demonstrates how visions can be constructed and to support specific agendas by encouragingm and discouraging particular interpretations, expectations, and practices.RÉSUMÉContexte De nombreuses études qualitatives portent sur les manières dont les technologies des soins de santé affectent les pratiques situées. Bien que ces étudesm soient incontestablement importantes, il est tout aussi important de se soucier des visions envers ces technologies véhiculées par des parties intéressées. Cet article examine le discours médiatique sur certaines initiatives nord-américaines envers les dossiers de santé informatisés (DSI).Analyse Cet article s’inspire du cadre développé par Bruno Latour (1987) pour analyser lamconstruction du savoir scientifique. L’article a recours à ce cadre afin d’examiner les tactiquesnemployées par les médias pour développer des visions particulières à l’égard des technologies DSI.Conclusions et implications L’analyse montre comment certains médias vantent lepotentiel d’initiatives DSI sans fournir de données empiriques à l’appui. L’article montre en outre comment ces médias construisent leur perspective en encourageant ou endécourageant certaines interprétations, attentes et pratiques, et ce sous l’influence de partiesnprenantes particulières

Electronic Health Records: Rural survey results

This paper focuses on the results of a recent survey of rural health care providers investigating the perceptions of health professionals toward the investigation and implementation of electronic health records (EHRs) in South Dakota

Patient Access to Electronic Health Records: Strengths, weaknesses and what’s needed to move forward

Electronic health records (EHRs) are desired by both physicians and patients, but the transition to and acceptance of sensitive health information online has been slow. This paper reviews the current literature on EHR adoption and outlines barriers, advantages and explicit steps for moving toward the EHR ubiquity. Potential benefits of EHRs to patients and physicians include reduced costs for patients, hospitals and insurance providers, patient empowerment, less errors in records and better health outcomes, but security and privacy concerns, cost of implementation and poor electronic records management system design have proved barriers to adoption

Concordance Between Electronic Health Record Data and Medicare Part D Claims Data for Oral Anticancer Drug Use

Real-world evidence from electronic health records (EHRs) and claims data are being evaluated for use in regulatory decision-making.1,2 The objective of our study was to determine the concordance between EHR and Medicare Part D (MPD) claims data for the receipt of oral anticancer agents, a rapidly growing treatment option for cancer