An Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter, as well as supporting other care-related activities directly or indirectly via interface—including evidence-based decision support, quality management, and outcomes reporting.
People with severe mental illness are more than twice as likely to have Type 2 diabetes, with even higher risks among patients who are African American or Hispanic, according to a new study led by UCSF.
Clinicians may take upwards of 15 minutes to double-check a patient's medication list in an electronic health record system, but according to a new study, this reconciliation process may be well worth the time for diabetes patients.
Collecting sexual orientation and gender identity, or "SO/GI," data has valuable public health benefits and potential clinical benefits for an individual patient, but medical providers must continue to collect information about patient experiences and behaviors, where clinically appropriate, and avoid making assumptions based on SO/GI data alone, according to a study from researchers at the Perelman School of Medicine at the University of Pennsylvania published today in the Journal of General Internal Medicine.
These days, Americans can manage many facets of their lives through the Internet. But a new poll suggests that many older adults still aren't using online systems to communicate with the doctors and other health care providers they rely on – despite the widespread availability of such systems.
An automated system for identifying patients at risk for complications associated with the use of mechanical ventilators provided significantly more accurate results than did traditional surveillance methods, which rely on manual recording and interpretation of individual patient data.
Doctors know patients with atrial fibrillation are at a higher risk of having a stroke, and now a new study finds that integrating two separate clinical risk score models helps clinicians more accurately assess the stroke risk of patients with Afib.
The potential to promote antibiotic resistance in bacteria isn't the only reason to avoid using antibiotics when possible.
As medical practices seek ways to reduce time spent on low-value administrative tasks, CareCloud has added a new option for powerful speech recognition technology that reduces click-based tasks in EHRs and makes clinical documentation smarter and more personal.
Mayo Clinic continues its move to a single, integrated electronic health record and billing system with the implementation of Epic at its Rochester campus.
Screening patients for diabetes based solely on their age and weight – a recommendation from a leading medical expert group – could miss more than half of high-risk patients, according to a new Northwestern Medicine study of a nationwide sample.
This week, thousands of graduating medical students around the country will find out where they'll head next, to start their residency training. But a new study gives the first objective evidence of the heavy toll that the first year of residency can take on their sleep, physical activity and mood.
A multidisciplinary team of researchers at the University of Illinois at Chicago has published the first quantitative study on the divergent scopes of practice for nurses and doctors.
Researchers at the University of Colorado Anschutz Medical Campus are working to develop statistical models to better predict which patients will be prescribed opioid medications long-term following discharge from a hospital stay.
In the lead up to the European Congress of Radiology, GE Healthcare today announced the commercial launch of its new generation of high-end radiology ultrasound system, the LOGIQ E10.
Researchers at Massachusetts General Hospital and Harvard Medical School have developed a new method to extract valuable symptom information from doctors' notes, allowing them to capture the complexity of psychiatric disorders that is missed by traditional sources of clinical data.
New software to deliver faster and more accurate diagnoses in genetic epilepsies is the ambition of a ground-breaking partnership between Congenica, a global provider of clinical genomics interpretation software, and FutureNeuro, the SFI Research Centre for Chronic and Rare Neurological Diseases, supported by Science Foundation Ireland.
Surgery can be hard on older adults, resulting in serious complications and death far more often than in younger patients. But many seniors aren't adequately prepared for the risks they might face.
Nearly one-quarter of children and teens who had their blood pressure screened at a primary care appointment showed a reading in the hypertensive range, but less than half of those readings could be confirmed after the blood pressure was repeated, according to a new Kaiser Permanente study released today in The Journal of Clinical Hypertension.
How patients and their healthcare providers communicate with one another outside the clinic or doctor's office is changing.
Malnutrition among hospitalized patients remains a serious issue that has been underdiagnosed and undertreated for decades.