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We surveyed all acute care hospitals that are members of the American Hospital Association for the presence of specific electronic-record functionalities. Using a definition of electronic health records based on expert consensus, we determined the proportion of hospitals that had such systems in their clinical areas. We also examined the relationship of adoption of electronic health records to specific hospital characteristics and factors that were reported to be barriers to or facilitators of adoption.

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History: American/Geronimo term paper 2084

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As in our previous study, we identified key clinical functions to define the minimum functionalities necessary to call a system an electronic-records system in the hospital setting. We also defined an advanced configuration of functionalities that might be termed a comprehensive electronic-records system. Our survey then determined the proportion of U.S. hospitals reporting the use of electronic health records for either of these sets of functionalities. We hypothesized that large hospitals would have a higher prevalence of adoption of electronic health records than smaller hospitals. Similarly, we hypothesized that major teaching hospitals would have a higher prevalence of adoption than nonteaching hospitals and private hospitals a higher prevalence than public hospitals. Finally, to guide policymakers, we sought to identify frequently reported barriers to adoption and potential mechanisms for facilitating it.

History: American term papers (paper 2084) on Geronimo: Go Khla Yeh,

Most reports of a beneficial effect of electronic-records systems involved systems capable of computerized provider-order entry with clinical-decision support. Our experts took a lenient approach by not requiring the presence of clinical-decision support as part of a basic electronic-records system and by requiring adoption of computerized provider-order entry in only one clinical unit. Whether a hospital that has successfully implemented computerized provider-order entry in one unit can easily implement in other units and add clinical-decision support is unclear. Furthermore, a nonuniform information system within the hospital (paper-based in some units and electronic in others) may increase clinical hazards as patients move from one unit to another. Whether the benefits of adoption of an electronic-records system in some clinical units outweigh the theoretical hazards posed by uneven adoption within the hospital requires examination.

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Kristof Steurbaut, Kirsten Colpaert, Sofie Van Hoecke, Sabrina Steurbaut, Chris Danneels, Johan Decruyenaere, Filip De Turck. . (2010) Design and Evaluation of a Service Oriented Architecture for Paperless ICU Tarification. .

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Yookyung Boo, Young A Noh, Min-Gyung Kim, Sukil Kim. . (2012) A Study of the Difference in Volume of Information in Chief Complaint and Present Illness between Electronic and Paper Medical Records. 41:1, 11-16.

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Yung-Hsiu Lin, Rong-Rong Chen, Sophie Huey-Ming Guo, Su-Chien Chiang, Her-Kun Chang. . (2012) Sharing Personal Health Information Via Service-Oriented Computing: A Case of Long-Term Care. 36, 3563-3571.

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And I say to mankind, Be not curious about God,
For I who am curious about each am not curious about God,
(No array of terms can say how much I am at peace about God and
about death.)

I hear and behold God in every object, yet understand God not in the least,
Nor do I understand who there can be more wonderful than myself.

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Myself moving forward then and now and forever,
Gathering and showing more always and with velocity,
Infinite and omnigenous, and the like of these among them,
Not too exclusive toward the reachers of my remembrancers,
Picking out here one that I love, and now go with him on brotherly terms.

Essay on Geronimo - Term Papers :: College Essays



Through me many long dumb voices,
Voices of the interminable generations of prisoners and slaves,
Voices of the diseas'd and despairing and of thieves and dwarfs,
Voices of cycles of preparation and accretion,
And of the threads that connect the stars, and of wombs and of the
father-stuff,
And of the rights of them the others are down upon,
Of the deform'd, trivial, flat, foolish, despised,
Fog in the air, beetles rolling balls of dung.

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Arshiya A. Baig, Abigail E. Wilkes, Andrew M. Davis, Monica E. Peek, Elbert S. Huang, Douglas S. Bell, Marshall H. Chin. . (2010) Review Paper: The Use of Quality Improvement and Health Information Technology Approaches to Improve Diabetes Outcomes in African American and Hispanic Patients. 67:5_suppl, 163S-197S.

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