Electronic Health Records

A report of a QI project aimed at increasing the use of the problem list in inpatient services using Epic. They used the U.S. federal Meaningful Use concept (i.e., that there is at least one problem on the list OR acknowledgment that there were no problems) as the definition of problem list use. Such a definition does not take into account how the problem list is used in care or whether it is accurate or complete, but it did represent a concerted effort to move from organ-system-based to problem-based processes.

Bakel 2014 (J Med Internet Res) | PubMed 24986988 | Author Search

Reports survey results that suggest that children’s hospitals (especially academic ones) are adopting electronic health records at a fast pace from 2008 to 2011, and faster than adult hospitals. Describes survey analysis of selected meaningful use criteria in 2011. Speculates that meaningful use criteria have taken precedence over other functionalities that are more pediatric-specific.

[su_cite_pediatrics url_fragment = ‘131/5/e1563’ author = ‘Nakamura’ year = ‘2013’] | PubMed 23589808 | Author Search

Do pediatricians lag behind other specialties in electronic heath record adoption? In this study of National Ambulatory Medical Care Survey data from 2005-2009, full EHR adoption was highest for internal medicine, family medicine, and pediatrics (9.9 – 11%), but any EHR adoption was lower in pediatrics than the mean adoption rate. In other words, when pediatricians adopt, they tend to implement fully, but they may adopt at a lower rate than other specialties. Grinspan 2013 (Applied Clinical Informatics)