Metadata Correction: Meaningful Use of Electronic Health Records: Experiences From the Field and Future Opportunities

Slight, Sarah P; Es, Berner; Galanter, William L.; Huff, Stanley M.; Lambert, BL; Lannon, Carole; Lehmann, Christoph U.; McCourt, BJ; McNamara, Mairéad G.; Menachemi, Nir; Th, Payne; Spooner, S. Andrew; Gd, Schiff; Wang, TY; Akincigil, Ayşe; Crystal, Stephen; Sp, Fortmann; Vandermeer, ML; Dw, Bates

doi:10.2196/medinform.5160

Cited by 2 publications

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“…Overall, data completeness, legibility and accuracy were consistently improved by electronic processes as compared with paper-based ones. This is an important and hoped-for benefit, with implications for healthcare quality and safety as well as organisational efficacy 14–17. These critical findings should assure provider institutions that there is immediate and concrete value to automating clinical consent processes.…”

Section: Discussionmentioning

confidence: 92%

Electronic consent in clinical care: an international scoping review

Chimonas

Lipitz‐Snyderman

Matsoukas

et al. 2023

BMJ Health Care Inform

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ObjectiveDigital technologies create opportunities for improvement of consenting processes in clinical care. Yet little is known about the prevalence, characteristics or outcomes of shifting from paper to electronic consenting, or e-consent, in clinical settings. Thus questions remain around e-consent’s impact on efficiency, data integrity, user experience, care access, equity and quality. Our objective was to scope all known findings on this critical topic.Materials and methodsThrough an international, systematic scoping review, we identified and assessed all published findings on clinical e-consent in the scholarly and grey literatures, including consents for telehealth encounters, procedures and health information exchanges. From each relevant publication, we abstracted data on study design, measures, findings and other study features.Main outcome measuresMetrics describing or evaluating clinical e-consent, including preferences for paper versus e-consenting; efficiency (eg, time, workload) and effectiveness (eg, data integrity, care quality). User characteristics were captured where available.ResultsA total of 25 articles published since 2005, most from North America or Europe, report on the deployment of e-consent in surgery, oncology and other clinical settings. Experimental designs and other study characteristics vary, but nearly all focus on procedural e-consents. Synthesis reveals relatively consistent findings around improved efficiency and data integrity with, and user preferences for, e-consent. Care access and quality issues are less frequently explored, with disparate findings.Discussion and conclusionThe literature is nascent and largely focused on issues that are immediate and straightforward to measure. As virtual care pathways expand, more research is urgently needed to ensure that care quality and access are advanced, not compromised, by e-consent.

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Section: Discussionmentioning

confidence: 92%

Electronic consent in clinical care: an international scoping review

Chimonas

Lipitz‐Snyderman

Matsoukas

et al. 2023

BMJ Health Care Inform

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“…Postoperative opioid minimisationElectronic Health Record-based CDS Tools: Computerised decision support (CDS) tools can change prescribing behaviour, prevent medical errors and improve evidence-based clinical practice 60–63. We will gather procedure-specific opioid use data and combine this with existing evidence for procedure-specific prescribing guidelines to develop guidelines for appropriate prescription opioid quantity by procedure.…”

Section: Methods and Analysismentioning

confidence: 99%

Evaluating the implementation and effectiveness of a multi-component intervention to reduce post-surgical opioid prescribing: study protocol of a mixed-methods design

et al. 2019

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IntroductionOpioids prescribed after surgery accounted for 5% of the 191 million opioid prescriptions filled in 2017. Approximately 80% of the opioid pills prescribed by surgical care providers remain unused, leaving a substantial number of opioids available for non-medical use. We developed a multi-component intervention to address surgical providers’ role in the overprescribing of opioids. Our study will determine effective strategies for reducing post-surgical prescribing while ensuring adequate post-surgery patient-reported pain-related outcomes, and will assess implementation of the strategies.Methods and analysisThe Minimising Opioid Prescribing in Surgery study will implement a multi-component intervention, in an Illinois network of six hospitals (one academical, two large community and three small community hospitals), to decrease opioid analgesics prescribed after surgery. The multi-component intervention involves four domains: (1) patient expectation setting, (2) baseline assessment of opioid use, (3) perioperative pain control optimisation and (4) post-surgical opioid minimisation. Four surgical specialities (general, orthopaedics, urology and gynaecology) at the six hospitals will implement the intervention. A mixed-methods approach will be used to assess the implementation and effectiveness of the intervention. Data from the network’s enterprise data warehouse will be used to evaluate the intervention’s effect on post-surgical prescriptions and a survey will collect pain-related patient-reported outcomes. Intervention effectiveness will be determined using a triangulation design, mixed-methods approach with staggered speciality-specific implementation for contemporaneous control of opioid prescribing changes over time. The Consolidated Framework for Implementation Research will be used to evaluate the site-specific contextual factors and adaptations to achieve implementation at each site.Ethics and disseminationThe study aims to identify the most effective hospital-type and speciality-specific intervention bundles for rapid dissemination into our 56-hospital learning collaborative and in hospitals throughout the USA. All study activities have been approved by the Northwestern University Institutional Review Board (ID STU00205053).

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Metadata Correction: Meaningful Use of Electronic Health Records: Experiences From the Field and Future Opportunities

Cited by 2 publications

References 0 publications

Electronic consent in clinical care: an international scoping review

Electronic consent in clinical care: an international scoping review

Evaluating the implementation and effectiveness of a multi-component intervention to reduce post-surgical opioid prescribing: study protocol of a mixed-methods design

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