Search results for "Electronic Medical Record"
showing 7 items of 7 documents
Rare Cancers Europe (RCE) methodological recommendations for clinical studies in rare cancers: A European consensus position paper
2015
While they account for one-fifth of new cancer cases, rare cancers are difficult to study. A higher than average degree of uncertainty should be accommodated for clinical as well as for population-based decision making. Rules of rational decision making in conditions of uncertainty should be rigorously followed and would need widely informative clinical trials. In principle, any piece of new evidence would need to be exploited in rare cancers. Methodologies to explicitly weigh and combine all the available evidence should be refined, and the Bayesian logic can be instrumental to this end. Likewise, Bayesian-design trials may help optimize the low number of patients liable to be enrolled in …
Health Education at La Ribera Universitary Hospital
2013
This paper describes the potential of learning platforms offering at the La Ribera Health Department. More than 100 activities have been designed and at least 5000 users have been participating. The paper concludes, first, that there are important factors to achieve a successful implementation of such elearning project. In second place it remarks that elearning platform can be used for other support activities rather than only online courses. Finally, the study emphasizes that training in electronic medical record of our professionals is a key element of hospital business.
Radiation protection in paediatrics age
2014
Radiological protection in paediatric population from medical imaging is a subject promoted by various international associations and it is becoming a main field of interest. Paediatric patients have a significant risk from ionizing radiation (IR) following X-ray examination (chest, abdomen and skeletal segments), multidetector CT (MDCT) and PET imaging [1]. Their greater damage’s risk is due to: growing tissues with elevated turnover and high radio sensitivity cellular, the high water content which amplifies the damage, the small body size that involves the exposure of large areas associated with the expectation of long- life makes possible the development of diseases resulting from geneti…
Enabling Primary and Specialist Care Interoperability Through HL7 CDA Release 2 and the Chronic Care Model: An Italian Case Study
2012
Interoperability is the key to enable clinical information systems for General Practitioners (GP) and Hospital Specialists (HS) in order to exchange and manage the Chronic Care Models (CCM) medical records, Patient Summary (PS), and Electronic Prescription (e-Prescription) documents while accessing the electronic health record. We present a localization experience for PS and e-prescription, based on the Health Level Seven Version 3 Clinical Document Architecture Release 2, developed for Italian healthcare. We describe also an experience on the implementation of CCM for sharing patient clinical data among healthcare providers in the management of diagnostic and therapeutic pathways for chron…
Defining the role of common variation in the genomic and biological architecture of adult human height
2014
Item does not contain fulltext Using genome-wide data from 253,288 individuals, we identified 697 variants at genome-wide significance that together explained one-fifth of the heritability for adult height. By testing different numbers of variants in independent studies, we show that the most strongly associated approximately 2,000, approximately 3,700 and approximately 9,500 SNPs explained approximately 21%, approximately 24% and approximately 29% of phenotypic variance. Furthermore, all common variants together captured 60% of heritability. The 697 variants clustered in 423 loci were enriched for genes, pathways and tissue types known to be involved in growth and together implicated genes…
Temporal variability analysis reveals biases in electronic health records due to hospital process reengineering interventions over seven years
2019
[EN] Objective To evaluate the effects of Process-Reengineering interventions on the Electronic Health Records (EHR) of a hospital over 7 years. Materials and methods Temporal Variability Assessment (TVA) based on probabilistic data quality assessment was applied to the historic monthly-batched admission data of Hospital La Fe Valencia, Spain from 2010 to 2016. Routine healthcare data with a complete EHR was expanded by processed variables such as the Charlson Comorbidity Index. Results Four Process-Reengineering interventions were detected by quantifiable effects on the EHR: (1) the hospital relocation in 2011 involved progressive reduction of admissions during the next four months, (2) th…
E-Learning Experiences in La Ribera Health Department
2014
This paper shows how the training of health professionals is improving thanks to the use of new technologies, in particular e-learning. This type of technology is widely used in medical education and there are multiple research works that report its effective deployment by health professionals and students. However, there is a need to incorporate e-learning platforms and online methods in healthcare organizations through a systematic and rigorous approach what is proposed in the current work. This approach has been applied since 2009 in the context of La Ribera Health Department implementing a high number of e-learning experiences. The obtained outcomes reveal how useful have been these exp…