Harnessing the epic electronic medical record to track indwelling ureteral stents in a pediatric population

Wagner, Kathryn; Pingle, Srinath‐Reddi; Walker, Kathryn; Floridia, Erin; Medina, Carlos; Rowe, Courtney K.

doi:10.1016/j.jpurol.2021.10.007

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Haurani et al [239], 2020 Not specified Koo et al [240], 2020; Lanzo et al [241], 2016; Rameau et al [242], 2018; Wagner et al [243], 2022 Pediatric Gessner et al [244], 2023 Pediatric and adolescent Mehta et al [245], 2016; Wamsley et al [246], 2014 Physicians Chernitsky et al [247], 2014 Providers and clinic staff…”

Section: Adult and Pediatricmentioning

confidence: 99%

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Chishtie,

Sapiro,

Wiebe

et al. 2023

J Med Internet Res

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Background Electronic health records (EHRs) enable health data exchange across interconnected systems from varied settings. Epic is among the 5 leading EHR providers and is the most adopted EHR system across the globe. Despite its global reach, there is a gap in the literature detailing how EHR systems such as Epic have been used for health care research. Objective The objective of this scoping review is to synthesize the available literature on use cases of the Epic EHR for research in various areas of clinical and health sciences. Methods We used established scoping review methods and searched 9 major information repositories, including databases and gray literature sources. To categorize the research data, we developed detailed criteria for 5 major research domains to present the results. Results We present a comprehensive picture of the method types in 5 research domains. A total of 4669 articles were screened by 2 independent reviewers at each stage, while 206 articles were abstracted. Most studies were from the United States, with a sharp increase in volume from the year 2015 onwards. Most articles focused on clinical care, health services research and clinical decision support. Among research designs, most studies used longitudinal designs, followed by interventional studies implemented at single sites in adult populations. Important facilitators and barriers to the use of Epic and EHRs in general were identified. Important lessons to the use of Epic and other EHRs for research purposes were also synthesized. Conclusions The Epic EHR provides a wide variety of functions that are helpful toward research in several domains, including clinical and population health, quality improvement, and the development of clinical decision support tools. As Epic is reported to be the most globally adopted EHR, researchers can take advantage of its various system features, including pooled data, integration of modules and developing decision support tools. Such research opportunities afforded by the system can contribute to improving quality of care, building health system efficiencies, and conducting population-level studies. Although this review is limited to the Epic EHR system, the larger lessons are generalizable to other EHRs.

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Section: Adult and Pediatricmentioning

confidence: 99%

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Chishtie,

Sapiro,

Wiebe

et al. 2023

J Med Internet Res

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show abstract

“…These elements are not exclusively built by the hospital's IT specialists but also by specifically trained staff members called 'SmartToolBuilders' or 'physician builders' , although they may not necessarily be physicians. 7 Several ways in which Epic's customizable data recording tools can be of use in clinical practice have been described, [8][9][10][11][12][13][14][15][16][17][18] such as integrating disease-specific monitoring and screening tools, 9,11,13,17,18 streamlining documentation and patient handoffs, 8 developing a prescription tool for online educational material, 10 integrating third-party health technology software and hardware 12,14 as well as implementing disease-specific structured data handling tools. 15,16 However, to our knowledge, there has not been any attempt so far to implement a haemophilia-specific navigator in Epic.…”

Section: Introductionmentioning

confidence: 99%

Building a haemophilia‐specific navigator in Epic® Electronic Health Records: Single‐centre preliminary experience

Krumb,

Vanlangendonck,

Lambert

et al. 2023

Haemophilia

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IntroductionWith the increasing complexity of haemophilia care and the advent of numerous therapeutic innovations, there is an unmet need for documentation and data collection tools tailored to people with haemophilia (PwH). To date, no fully integrated haemophilia‐specific electronic health record (EHR) has been described in the literature.AimTo evaluate the feasibility of integrating a haemophilia‐specific navigator into the Epic EHR.MethodsBased on clinical experience and registry datasets, we identified key variables describing both PwH and carriers of haemophilia. These were then incorporated into a REDCap database, which served as a starting point for the development of a comprehensive haemophilia flowsheet. We built a dedicated haemophilia navigator within Epic that includes a flowsheet featuring up to 212 variables, as well as customised note templates and patient lists integrating data from the haemophilia flowsheet.ResultsIt was feasible to develop a haemophilia navigator within Epic over the course of 12 months. The navigator's flowsheet enables systematic and comprehensive clinical assessment of PwH and carriers, while customised patient lists provide a quick summary of each patient's profile to the haemophilia treatment centre staff and highlight issues that require an intervention. In our clinical practice, patients actively participated in the new documentation process and responded positively to the navigator.ConclusionAdapting EHRs to the needs of PwH and carriers promotes holistic care for this population and provides an opportunity for patient empowerment. Such haemophilia‐specific EHRs are expected to promote standardisation of care and facilitate the collection of registry data on a national and international level.

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Institutional experience with a limb salvage quality improvement initiative to reduce length of stay and readmissions

Benfor,

Peden,

Rahimi

2024

JVS-Vascular Insights

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Harnessing the epic electronic medical record to track indwelling ureteral stents in a pediatric population

Cited by 4 publications

References 11 publications

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Building a haemophilia‐specific navigator in Epic® Electronic Health Records: Single‐centre preliminary experience

Institutional experience with a limb salvage quality improvement initiative to reduce length of stay and readmissions

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