• electronic health records
• disease-focused dashboards
• previsit review
• efficiency
• workflow

• Humans
• Electronic Health Records
• Hypertension, Pulmonary/therapy
• Ambulatory Care Facilities
• Quality Improvement
• Ambulatory Care

• GCC countries
• blockchain
• blockchain barriers
• blockchain in healthcare
• future of healthcare blockchain

• RSP2024R233 Researchers Supporting Project number (RSP2024R233), King Saud University, Riyadh, Saudi Arabia

• health policy
• outcomes research

• Wellcome Trust
• 25310 Cancer Research UK
• Wellcome Trust (Wellcome)

• Electronic health records
• Health IT
• Health policy
• Interoperability
• Patient safety
• Qualitative research
• Semi-structured interviews

• Humans
• Electronic Health Records
• State Medicine
• Delivery of Health Care
• Qualitative Research
• England

• Department of Health
• Patient Safety Translational Research Centre

• Humans
• Mental Health
• Electronic Health Records
• Confidentiality
• Privacy
• Delivery of Health Care

• Health services research
• Mortality (standardised mortality ratios)
• Nurses
• Patient safety

• Developed Countries
• Electronic Health Records
• Humans
• Income
• Patient Safety
• Quality of Health Care
• United States

• psychiatric disorders
• addiction

• Analgesics, Opioid/adverse effects
• Drug Overdose
• Humans
• Opioid Epidemic

• EHR optimization
• EHR use
• documentation burden
• primary care physicians

• MAST
• Telehealth
• aged care
• geriatric medicine
• model of care
• residential aged care
• telegeriatrics

Herpes simplex keratitis, caused primarily by human herpes simplex virus type 1 (HSV-1), remains the most common infectious cause of unilateral blindness and vision impairment in the industrialized world. Major advances in the care of HSV keratitis have been driven in large part by the landmark Herpetic Eye Disease Study randomized clinical trials, which were among the first in ophthalmology to reflect emerging trial conventions, including multicenter subject enrollment, double-masking, placebo controls, and a priori sample size determinations. The results of these trials now form much of the evidence basis for the management of this disease. However, management patterns in clinical practice often deviate from evidence-based care. These perceived quality gaps have given rise to the evolving field of implementation science, which is concerned with the methods of promoting the application of evidence-based medicine within routine care. To overcome variations in the quality and consistency of care for HSV keratitis, a range of clinical- and technology-based innovations are proposed. The most pressing needs include the following: a rational and tractable disease classification scheme that provides an immediate link between the anatomical localization of disease (corneal epithelial, stromal, or endothelial) and the appropriate treatment, and the actualization of an electronic medical record system capable of providing evidence-based treatment algorithms at relevant points of care. The latter would also input data to population-wide disease registries to identify implementation-rich targets for quality improvement, education, and research. These innovations may allow us to reduce the human and economic burdens of this highly morbid, and often blinding, disease.

• Clinical practice guideline
• Diabetes
• Electronic medical record
• Systematic review

• EMR
• IT infrastructure
• care path
• chart check
• checklist
• electronic approval
• electronic charting
• electronic document
• electronic medical records
• implementation committee
• prescription
• quality assurance
• radiation oncology
• treatment history
• workflow design
• written directive

• health informatics
• health policy
• health services administration & management
• information management
• information technology
• telemedicine

• Delivery of Health Care
• Developed Countries
• Electronic Health Records
• Humans
• Income
• Patient Safety
• Research Design
• Systematic Reviews as Topic

• Wellcome Trust
• 215938/Z/19/Z Wellcome Trust
• Wellcome
• NIHR Imperial Biomedical Research Centre
• Patient Safety Translational Research Centre

• Clinical decision support systems
• Data-limited settings
• Distributed data mining
• Model generalizability
• Prognosis prediction
• Transfer learning

• health & safety
• health informatics
• health policy
• quality in health care
• risk management

• Adult
• Electronic Health Records
• Hospitalization
• Hospitals
• Humans
• Inpatients
• Outcome Assessment, Health Care
• Patient Safety

• The Health Foundation

• health economics
• health policy
• information management
• telemedicine

• Adult
• Australia
• Biomedical Technology
• Cross-Sectional Studies
• Female
• Humans
• Job Satisfaction
• Male
• Regression Analysis
• Surveys and Questionnaires
• Work-Life Balance

• care-dependent
• caregivers
• innovative technology
• nurses
• patients

• German Federal Ministry of Education and Research (BMBF)

• artificial intelligence
• data analytics
• digital health
• electronic health records
• health information technology
• healthcare provider economics

• Data Analysis
• Decision Support Systems, Clinical/standards
• Electronic Health Records/standards
• Health Personnel/economics
• Hermeneutics
• Humans

• health policy
• information technology
• quality in health care
• risk management

• Aged
• Aged, 80 and over
• Humans
• Information Services
• Information Technology
• Patient Safety
• Technology

• 16/53/03 Department of Health
• Health Services and Delivery Research Programme

• gestational age
• information systems
• parturition
• pregnancy dating
• ultrasound

• Asia, west
• dental health
• efficiency
• electronic health records
• health care
• health professionals

Inflammatory bowel disease (IBD) is a chronic, inflammatory disorder characterised by both intestinal and extra-intestinal pathology. Patients may receive both emergency and elective care from several providers, often in different hospital settings. Poorly managed transitions of care between providers can lead to inefficiencies in care and patient safety issues. To ensure that the sharing of patient information between providers is appropriate, timely, accurate and secure, effective data-sharing infrastructure needs to be developed. To optimise inter-hospital data-sharing for IBD patients, we need to better understand patterns of hospital encounters in this group.

To determine the type and location of hospital services accessed by IBD patients in England.

This was a retrospective observational study using Hospital Episode Statistics, a large administrative patient data set from the National Health Service in England. Adult patients with a diagnosis of IBD following admission to hospital were followed over a 2-year period to determine the proportion of care accessed at the same hospital providing their outpatient IBD care, defined as their ‘home provider’. Secondary outcome measures included the geographic distribution of patient-sharing, regional and age-related differences in accessing services, and type and frequency of outpatient encounters.

95055 patients accessed hospital services on 1760156 occasions over a 2-year follow-up period. The proportion of these encounters with their identified IBD ‘home provider’ was 73.3%, 87.8% and 83.1% for accident and emergency, inpatient and outpatient encounters respectively. Patients living in metropolitan centres and younger patients were less likely to attend their ‘home provider’ for hospital services. The most commonly attended specialty services were gastroenterology, general surgery and ophthalmology.

Transitions of care between secondary care settings are common for patients with IBD. Effective systems of data-sharing and care integration are essential to providing safe and effective care for patients. Geographic and age-related patterns of care transitions identified in this study may be used to guide interventions aimed at improving continuity of care.

• Inflammatory bowel disease
• Crohn’s disease
• Ulcerative colitis
• Transitions of care
• Continuity of care
• Fragmentation
• Multi-morbidity

• Adult
• Aged
• Ambulatory Care/statistics & numerical data
• Continuity of Patient Care
• Emergency Service, Hospital
• England/epidemiology
• Gastroenterology/statistics & numerical data
• Geography
• Health Services Accessibility
• Hospitalization
• Hospitals
• Humans
• Inflammatory Bowel Diseases/therapy
• Middle Aged
• Outpatients
• Patient Care Team
• Patient Safety
• Retrospective Studies

Health information exchange (HIE) among care providers who cooperate in the treatment of patients with diabetes mellitus (DM) has been rated as an important aspect of successful care. Patient-sharing relations among care providers permit inferences about corresponding information-sharing relations.

This study aimed to obtain information for an effective HIE platform design to be used in DM care by analyzing patient-sharing relations among various types of care providers (ToCPs), such as hospitals, pharmacies, and different outpatient specialists, within a nationwide claims dataset of Austrian DM patients. We focus on 2 parameters derived from patient-sharing networks: (1) the principal HIE partners of the different ToCPs involved in the treatment of DM and (2) the required participation rate of ToCPs in HIE platforms for the purpose of effective communication.

The claims data of 7.9 million Austrian patients from 2006 to 2007 served as our data source. DM patients were identified by their medication. We established metrics for the quantification of our 2 parameters of interest. The principal HIE partners were derived from the portions of a care provider’s patient-sharing relations with different ToCPs. For the required participation rate of ToCPs in an HIE platform, we determine the concentration of patient-sharing relations among ToCPs. Our corresponding metrics are derived in analogy from existing work for the quantification of the continuity of care.

We identified 324,703 DM patients treated by 12,226 care providers; the latter were members of 16 ToCPs. On the basis of their score for 2 of our parameters, we categorized the ToCPs into low, medium, and high. For the most important HIE partner parameter, pharmacies, general practitioners (GPs), and laboratories were the representatives of the top group, that is, our care providers shared the highest numbers of DM patients with these ToCPs. For the required participation rate of type of care provide (ToCP) in HIE platform parameter, the concentration of DM patient-sharing relations with a ToCP tended to be inversely related to the ToCPs member count.

We conclude that GPs, pharmacies, and laboratories should be core members of any HIE platform that supports DM care, as they are the most important DM patient-sharing partners. We further conclude that, for implementing HIE with ToCPs who have many members (in Austria, particularly GPs and pharmacies), an HIE solution with high participation rates from these ToCPs (ideally a nationwide HIE platform with obligatory participation of the concerned ToCPs) seems essential. This will raise the probability of HIE being achieved with any care provider of these ToCPs. As chronic diseases are rising because of aging societies, we believe that our quantification of HIE requirements in the treatment of DM can provide valuable insights for many industrial countries.

• Austria
• diabetes mellitus
• health information exchange
• professional-patient relations

Concerns about privacy and personal data protection resulted in reforms of the existing legislation in the European Union (EU). The General Data Protection Regulation (GDPR) aims to reform the existing directive on the topic of personal data protection of EU citizens with a strong emphasis on more control of the citizens over their data and in the establishment of rules for the processing of personal data. OpenEHR is a standard that embodies many principles of interoperable and secure software for electronic health records (EHRs) and has been advocated as the best approach for the development of hospital information systems.

This study aimed to understand to what extent the openEHR standard can help in the compliance of EHR systems to the GDPR requirements.

A list of requirements for an EHR to support GDPR compliance and also a list of the openEHR design principles were made. The requirements were categorized and compared with the principles by experts on openEHR and GDPR.

A total of 50 GDPR requirements and 8 openEHR design principles were identified. The openEHR principles conformed to 30% (15/50) of GDPR requirements. All the openEHR principles were aligned with GDPR requirements.

This study showed that the openEHR principles conform well to GDPR, underlining the common wisdom that truly realizing security and privacy requires it to be built in from the start. By using an openEHR-based EHR, the institutions are closer to becoming compliant with GDPR while safeguarding the medical data.

• GDPR
• data protection
• electronic health record
• health information interoperability
• openEHR

• continuity of patient care
• eHealth
• health information exchange
• health information interoperability
• medical record linkage
• mental health