ahima-perspectives > Paper Categories

Electronic Records

The Next-Generation Electronic Health Record in the ICU: A Focus on User-Technology Interface to Optimize Patient Safety and Quality

By Laleh Jalilian, MD, and Saif Khairat, PhD

As a knowledge-based field of medicine, critical care medicine has benefited from the use of the electronic health records (EHRs) in daily practice, as intensive care unit (ICU) patients generate thousands of pieces of clinical data each day. ICU teams must review, interpret, and take action on...
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Factors That Influence Clinician Experience with Electronic Health Records

By Vimal Mishra, MD, MMCi; David Liebovitz, MD; Michael Quinn, PhD; Le Kang, PhD; Thomas Yackel, MD MBA; and Robert Hoyt, MD, FACP, FAMIA

The objective of this study was to report quantitative and qualitative analyses of features, functionalities, organizational, training, clinical specialties, and other factors that impact electronic health record (EHR) experience based on a survey by two large healthcare systems. A total of...
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A Mixed-Methods Evaluation of Standalone Personal Health Record Use by Patients with Type 2 Diabetes

By Kevin T. Fuji, PharmD, MA; Amy A. Abbott, PhD, RN; Kimberly A. Galt, PharmD, PhD, FNAP, FASHP

Self-management of diabetes is key for achieving positive clinical outcomes, with personal health records (PHRs) proposed as a patient-centered technology for facilitating self-care. However, few studies have described patient engagement with a PHR, including facilitators and barriers to use...
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Defining the Medical Record: Relationships of the Legal Medical Record, the Designated Record Set, and the Electronic Health Record

By Phyllis T. Floyd, RN, BSN, MBA, NE-BC; Jim C. Oates, MD; Julie W. Acker; and Robert W. Warren, MD, PhD, MPH.

Not so long ago, defining the “medical record” was simple. It was the paper chart—volume upon volume that captured the serial, dutifully recorded events of a person’s health care at a hospital or physician’s office. Entries were typically handwritten, dated and...
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Health Information Management Best Practices for Quality Health Data During the COVID-19 Global Pandemic

By Mary H. Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA, Kathy Giannangelo, MA, RHIA, CCS, CPHIMS, FAHIMA, and Susan H. Fenton, PhD, RHIA, CPHI, FAHIMA

The emergence of the deadly COVID-19 virus, resulting in the current world-wide pandemic requires effective information management and accurate data reporting to enable the healthcare community’s efforts to learn as much as possible about this specific strain of coronavirus and halt the...
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Characteristics of Individuals Using a Patient Portal via Mobile Technology

By Stephanie Furniss, MS, RHIA; Laurie RinehartThompson, JD, RHIA, CHP; Sarah R. MacEwan, PhD; Cynthia J. Sieck, PhD, MPH; Naleef Fareed, PhD, MBA; Jill Clutter, PhD; Timothy R. Huerta, PhD, MS; and Ann Scheck McAlearney, ScD, MS Abstract Accessing patient portals via mobile technology

Accessing patient portals via mobile technology has been proposed as an approach to reach vulnerable populations that may have limited access to portals through other means. Given the ubiquity of smartphones and their availability among individuals in socioeconomically disadvantaged...
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