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22
February, 2012
Wednesday

Surveillance

Creating an Oversight Infrastructure for Electronic Health Record-Related Patient Safety Hazards

Singh H et al, Journal of Patient Safety, 2011

Electronic health records (EHRs) have potential quality and safety benefits. However, reports of EHR-related safety hazards are now emerging. The Office of the National Coordinator for Health Information Technology recently sponsored an Institute of Medicine committee to evaluate how health information technology use affects patient safety. In this article, we propose the creation of a national EHR oversight program to provide dedicated surveillance of EHR-related safety hazards and to promote learning from identified errors, close calls, and adverse events. The program calls for data gathering, investigation/analysis, and regulatory components. The first 2 functions will depend on institution-level EHR safety committees that will investigate all known EHR-related adverse events and near-misses and report them nationally using standardized methods.
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15 November 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Adverse Events, Patient Safety, Surveillance

Will mHealth Change the Role of Physician?

David Lee Scher, MD

“There are many benefits of mHealth technology to physicians It will increase patient engagement, it will provide data and input from patients on a continuum of time (versus the snapshot of office encounters), it is mobile, it will make office or telehealth conferencing more meaningful, and it will improve the physician-patient relationship (see http://davidleescher.com/2011/10/10/five-reasons-why-physicians-will-love-mhealth/ ).
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16 October 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Engagement, mHealth, Patient, Physician-Patient Relationship, Physicians, Surveillance

Digitizing Uganda’s Health Services: UNICEF Uganda’s New Mobile Programs

AnneryanHeatwole, MobileActive.org

“The Ugandan Ministry of Health has launched an initiative to digitize the country’s health management systems. Because mobile technology can be the fastest, cheapest means of collecting and analyzing data, especially in rural areas, the Minstry is embracing mobile technology to create a seamless system of health management and early warning techniques across the country.
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26 September 2011 | No Comments »
Categories: News | Country: Uganda | Tag(s): mHealth, SMS, Surveillance

Evaluation of natural language processing from emergency department computerized medical records for intra-hospital syndromic surveillance

Gerbier S et al, BMC Medical Informatics and Decision Making, 11(1)

BACKGROUND:
The identification of patients who pose an epidemic hazard when they are admitted to a health facility plays a role in preventing the risk of hospital acquired infection. An automated clinical decision support system to detect suspected cases, based on the principle of syndromic surveillance, is being developed at the University of Lyon’s Hopital de la Croix-Rousse. This tool will analyse structured data and narrative reports from computerized emergency department (ED) medical records. The first step consists of developing an application (UrgIndex) which automatically extracts and encodes information found in narrative reports. The purpose of the present article is to describe and evaluate this natural language processing system.
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8 August 2011 | No Comments »
Categories: Science | Country: France | Tag(s): emergency, emr, NLP, Surveillance

How the FDA can cooperate with web-based EHRs

Robert Rowley, EHR Bloggers

“The Food and Drug Administration (FDA) has a natural alignment with the data and reach of a national, consolidated, wed-based Electronic Health Record (EHR) system. The FDA has the need to collect data “from the field” in their ongoing monitoring of drugs and devices post-release into the market. It also it has the need to have a focused distribution portal for their alerts and warnings.
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6 July 2011 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Alert/Reminder, Surveillance, Web

Sharing Data for Public Health Research by Members of an International Online Diabetes Social Network

Weitzman ER et al, PLoS ONE, 6(4)

Surveillance and response to diabetes may be accelerated through engaging online diabetes social networks (SNs) in consented research. We tested the willingness of an online diabetes community to share data for public health research by providing members with a privacy-preserving social networking software application for rapid temporal-geographic surveillance of glycemic control.
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3 May 2011 | No Comments »
Categories: Science | Tag(s): Data Sharing, Diabetes, Online Communities, social-network, Surveillance

Using Health Information Exchange to Improve Public Health

Shapiro JS et al, American Journal of Public Health, 2011

Public health relies on data reported by health care partners, and information technology makes such reporting easier than ever. However, data are often structured according to a variety of different terminologies and formats, making data interfaces complex and costly. As one strategy to address these challenges, health information organizations (HIOs) have been established to allow secure, integrated sharing of clinical information among numerous stakeholders, including clinical partners and public health, through health information exchange (HIE).
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21 February 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): Health Information Exchange, Public Health, Surveillance

Data-driven approach for creating synthetic electronic medical records

Buczak AL et al, BMC Medical Informatics and Decision Making, 10

Background
New algorithms for disease outbreak detection are being developed to take advantage of full electronic medical records (EMRs) that contain a wealth of patient information. However, due to privacy concerns, even anonymized EMRs cannot be shared among researchers, resulting in great difficulty in comparing the effectiveness of these algorithms. To bridge the gap between novel bio-surveillance algorithms operating on full EMRs and the lack of non-identifiable EMR data, a method for generating complete and synthetic EMRs was developed.
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12 January 2011 | No Comments »
Categories: Science | Country: United States | EHR: EHR, EHR USA | Tag(s): Infectious Diseases, Population health, Surveillance

Trends Update — Social Media Reshaping Healthcare: Twitter as a Public Health Surveillance Tool for the 21st Century

Mark Curtis, The Cross-Border Biotech Blog

“We have been following innovative uses for social media in the biotech and healthcare industry here on the blog. Recently, a comprehensive paper was published in PLoS ONE outlining the use of “infoveillance” tools on the web to track the public response to the H1N1 epidemic. Dr. Gunther Eysenbach and Cynthia Chew, both researchers at Toronto’s Centre for Global eHealth Innovation, mined and archived over 2 million Twitter posts between May 1 and December 31, 2009.
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16 December 2010 | No Comments »
Categories: News | Tag(s): pandemics, Public Health, Social Media, Surveillance, Twitter

Team uses computers to spot faulty medical devices

Julie Steenhuysen, Reuters

“A computerized tracking system that scans data might help in the difficult task of finding faulty medical devices, U.S. researchers said on Tuesday.
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11 November 2010 | No Comments »
Categories: News | Country: United States | Tag(s): Cardiovascular, Devices, Surveillance

Automated Surveillance to Detect Postprocedure Safety Signals of Approved Cardiovascular Devices

Resnic FS et al, JAMA, 304(18)

Context
Ensuring the safety of medical devices challenges current surveillance approaches, which rely heavily on voluntary reporting of adverse events. Automated surveillance of clinical registries may provide early warnings in the postmarket evaluation of medical device safety. Objective To determine whether automated safety surveillance of clinical registries using a computerized tool can provide early warnings regarding the safety of new cardiovascular devices.
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11 November 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): Cardiovascular, Devices, registry, Safety, Surveillance

Socialized health surveillance

Bob Violino, Government Health IT

“Two public-health-focused agencies, the Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) have launched efforts to use the latest Internet-based technologies to disseminate information about issues such as health hazards and food safety.
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20 October 2010 | No Comments »
Categories: News | Country: United States | Tag(s): Social Media, Surveillance

Building mobile health

The Hindu

“Mobile wireless technologies have the potential to aid speedy disease detection, treatment, and monitoring in remote communities. When combined with the power of computers and special software, they can work in real time and enable interventions by health authorities to prevent communicable diseases from turning into epidemics.
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17 September 2010 | No Comments »
Categories: News | Country: India | Tag(s): mHealth, Surveillance, Wireless

Circulation: Automatic patient monitoring can reduce 45% of in-office visits

CMIO

“Home monitoring with automatic daily surveillance can offer safe, early detection of cardiac events in patients with implantable cardioverter-defibrillators (ICDs) compared with standard follow-up methods, according to a TRUST trial published online July 12 in Circulation.
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20 July 2010 | No Comments »
Categories: News | Country: United States | Tag(s): Cardiology, Implants, Monitoring, Patient, Surveillance

Clinical data often undervalued, underutilized

Pamela Lewis Dolan, amednews

“Electronic medical records carry the promise of physicians being able to analyze patient data to identify trends and patterns that might help patient care.
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12 July 2010 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Clinical Data, Secondary Data Use, Surveillance

EHR Tools Can Assist in Disaster Management, Commentary Piece Says

iHealthBeat

“An electronic health record system maintained by the Rhode Island Health Center Controlled Network helped state health officials monitor patient complaints during recent flooding in the state, Jerald Fingerut — medical director of Blackstone Valley Community Health Care in Rhode Island — writes in a Providence Journal commentary piece.
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8 July 2010 | No Comments »
Categories: News | Country: United States | EHR: EHR, EHR USA | Tag(s): Surveillance

Readiness of the Belgian network of sentinel general practitioners to deliver electronic health record data for surveillance purposes: Results of a survey study.

7th Space

“In order to proceed from a paper based registration to a surveillance system that is based on extraction of electronic health records (EHR), knowledge is needed on the number and representativeness of sentinel GPs using a government-certified EHR system and the quality of EHR data for research
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26 June 2010 | No Comments »
Categories: News | Country: Belgium | EHR: EHR, EHR Belgium | Tag(s): GP, Surveillance

Ethics, Information Technology, and Public Health: New Challenges for the Clinician-Patient Relationship

Goodman KW. The Journal of Law, Medicine & Ethics, 38(1)

Increasingly widespread adoption of health information technology tools in clinical care increases interest in ethical and legal issues related to the use of these tools for public health and the effects of these uses on the clinician-patient relationship. It is argued that patients, clinicians, and society have generally uncontroversial duties to support civil society’s public health mission, information technology supports this mission, and the effects of automated and computerized public health surveillance are likely to have little if any effect on the clinician-patient relationship.
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5 April 2010 | No Comments »
Categories: Science | Country: United States | Tag(s): Ethics, Health Information Technology, Legal, Physician-Patient Relationship, Public Health, Surveillance

‘Connect’ HIE gateway to support cloud services

Paul McCloskey, Government Health IT

“The next version of ‘Connect,’ a software gateway that helps agencies and other organizations share health-related information, will offer cloud-computing-based options for standing up health information services, according to leaders of the project.
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26 March 2010 | No Comments »
Categories: News | Country: United States | Tag(s): Cloud, Health Information Exchange, Surveillance

Informatics infrastructure for syndrome surveillance, decision support, reporting, and modeling of critical illness

Herasevich, Vitaly et al, Mayo Clinic Proceedings, 85(3)

OBJECTIVE:
To develop and validate an informatics infrastructure for syndrome surveillance, decision support, reporting, and modeling of critical illness.
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22 March 2010 | No Comments »
Categories: Science | Country: United States | EHR: EHR | Tag(s): Decision Support, emr, Infrastructure, Intensive care, modelling, Reporting, Surveillance

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