Scenario:
Midwest Regional Health is one of Wisconsin's largest and most sophisticated hospitals, is Implementing a new EHR system that will better their services to their internal and external customers. They are asking ITMC (I-Tech Medical Consortium) to help them navigate through this long term project, thereby improving their commitment to their surrounding community.
Railhealth EMR encompasses the information and capabilities required to support healthcare service delivery, where the information is captured in a computer-readable form that supports interoperability and clinical decision support.
In this presentation, you will know regarding the features, objectives and benefits by using our Railhealth EMR
1Within the EHR[footnoteRef1] [1 ] [Student Name Removed.docxvickeryr87
1
Within the EHR
[footnoteRef:1] [1: ]
[Student Name Removed]
Abstract— This research paper was conducted to demonstrate the usefulness, positives, negatives and challenges associated with implementing the Electronic Health Record in a small private family practice group. Further use of research in this paper includes pieces on project implementation, government security accordance and system recommendations.
INTRODUCTION
Health information technology (HIT) has been revolutionized by the development of the electronic health record (EHR) and its expansion. The generalization of its use includes the transformation of paper patient charts and protected health information (PHI) into electronic forms and from there the options to revolutionize HIT began. The development of the EHR has brought a multitude of advantages and challenges with its implementation in the HIT world. Although the functions of EHR have allowed for both public and private sectors to utilize its possibilities, the private sector will be focused on in this situation. The ability for an electronic system to safely document, record, save, integrate and share with other instantly has allowed HIT to expand rapidly to all corners of the world.
EHR functionalities
In health information technologies, electronic health records have been identified by the Institute of Medicine as having eight core components which include the following [1]: recording patient health information and data, result management, physician order management, decision support, electronic communication and connectivity, patient support, administrative process and reporting, reporting requirements, and population health. Table 1 allows a visual representation of the core components along with other variable options available through the EHR [2]:
As seen, the electronic health record is much more than digitized patient records. As the EHR has the ability to provide functions ranging from patient care through supportive administration functions and even the function of informational infrastructure guidance in order to better aid the staff of the practice in clinical and clerical office services.
Integration of Practice Management System
Practice management systems (PMS) have multiple levels of integration with electronic health record systems yet there are difficulties at each level. Levels of integration can range from full system communication sharing all data entered in to each system or select data pending on the organizations need for level of integration from one system to another [3]. To distinguish the two systems, practice management systems provide more clerical functions of a physician’s office such as patient billing profiles, insurance verification, appointment scheduling and sending appointment reminders [3]. Co-coordination between the two systems have become increasingly more difficult due to the evolution and development of multiple EHR products. As organizations develop new electronic h.
Illustration of Hospital IT Management System Software InterfaceHospi Product
The illustration showcases the user interface of a sophisticated Hospital IT Management System Software. The screen displays a modern dashboard with intuitive icons and data visualizations.
Hospital Management and Inventory Control Solution for Public Hospitals in De...Mamoon Ismail Khalid
Historic underinvestment in public health has left Ecuador
with one of the most inefficient health systems in the region.
The Problem
Little info sharing
The lack of interoperable
systems and records
management contributes to a
lack of understanding of public
health needs leads to
treatments that don't really
address overall health issues
Bureaucracy
Public health employees are
engaged in redundant
administrative tasks that divert
resources from patient care and
clog system
PAPER RECORDING OF INFORMATION
Medical assistants need to manually fill in 5
different records (1 per prescription), they
first do it in paper and then typed it in the
computer since the Wi-Fi is not reliable.
Excessive waits
Lead times for getting
appointments in and long
check in processes lead to
patients abandoning
preventative care that could
save money and improve
patient outcomes
Most people we surveyed
complained about lead time. It
becomes even more
aggravating when it’s an
emergency.
Abuse and waste
Inability to track prescriptions
and inventory offer opportunity
for abuse that undermines the
system's overall quality
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
How Clinic Management Software can help you achieve Meaningful Use.pptxRiyafathima18
Clinic management software dubai is a digital tool that helps healthcare providers manage various aspects of their practice, including appointments, patient records, billing, and more. In addition to making it easier to manage day-to-day operations, clinic management software can also help providers achieve Meaningful Use.
Scenario:
Midwest Regional Health is one of Wisconsin's largest and most sophisticated hospitals, is Implementing a new EHR system that will better their services to their internal and external customers. They are asking ITMC (I-Tech Medical Consortium) to help them navigate through this long term project, thereby improving their commitment to their surrounding community.
Railhealth EMR encompasses the information and capabilities required to support healthcare service delivery, where the information is captured in a computer-readable form that supports interoperability and clinical decision support.
In this presentation, you will know regarding the features, objectives and benefits by using our Railhealth EMR
1Within the EHR[footnoteRef1] [1 ] [Student Name Removed.docxvickeryr87
1
Within the EHR
[footnoteRef:1] [1: ]
[Student Name Removed]
Abstract— This research paper was conducted to demonstrate the usefulness, positives, negatives and challenges associated with implementing the Electronic Health Record in a small private family practice group. Further use of research in this paper includes pieces on project implementation, government security accordance and system recommendations.
INTRODUCTION
Health information technology (HIT) has been revolutionized by the development of the electronic health record (EHR) and its expansion. The generalization of its use includes the transformation of paper patient charts and protected health information (PHI) into electronic forms and from there the options to revolutionize HIT began. The development of the EHR has brought a multitude of advantages and challenges with its implementation in the HIT world. Although the functions of EHR have allowed for both public and private sectors to utilize its possibilities, the private sector will be focused on in this situation. The ability for an electronic system to safely document, record, save, integrate and share with other instantly has allowed HIT to expand rapidly to all corners of the world.
EHR functionalities
In health information technologies, electronic health records have been identified by the Institute of Medicine as having eight core components which include the following [1]: recording patient health information and data, result management, physician order management, decision support, electronic communication and connectivity, patient support, administrative process and reporting, reporting requirements, and population health. Table 1 allows a visual representation of the core components along with other variable options available through the EHR [2]:
As seen, the electronic health record is much more than digitized patient records. As the EHR has the ability to provide functions ranging from patient care through supportive administration functions and even the function of informational infrastructure guidance in order to better aid the staff of the practice in clinical and clerical office services.
Integration of Practice Management System
Practice management systems (PMS) have multiple levels of integration with electronic health record systems yet there are difficulties at each level. Levels of integration can range from full system communication sharing all data entered in to each system or select data pending on the organizations need for level of integration from one system to another [3]. To distinguish the two systems, practice management systems provide more clerical functions of a physician’s office such as patient billing profiles, insurance verification, appointment scheduling and sending appointment reminders [3]. Co-coordination between the two systems have become increasingly more difficult due to the evolution and development of multiple EHR products. As organizations develop new electronic h.
Illustration of Hospital IT Management System Software InterfaceHospi Product
The illustration showcases the user interface of a sophisticated Hospital IT Management System Software. The screen displays a modern dashboard with intuitive icons and data visualizations.
Hospital Management and Inventory Control Solution for Public Hospitals in De...Mamoon Ismail Khalid
Historic underinvestment in public health has left Ecuador
with one of the most inefficient health systems in the region.
The Problem
Little info sharing
The lack of interoperable
systems and records
management contributes to a
lack of understanding of public
health needs leads to
treatments that don't really
address overall health issues
Bureaucracy
Public health employees are
engaged in redundant
administrative tasks that divert
resources from patient care and
clog system
PAPER RECORDING OF INFORMATION
Medical assistants need to manually fill in 5
different records (1 per prescription), they
first do it in paper and then typed it in the
computer since the Wi-Fi is not reliable.
Excessive waits
Lead times for getting
appointments in and long
check in processes lead to
patients abandoning
preventative care that could
save money and improve
patient outcomes
Most people we surveyed
complained about lead time. It
becomes even more
aggravating when it’s an
emergency.
Abuse and waste
Inability to track prescriptions
and inventory offer opportunity
for abuse that undermines the
system's overall quality
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
The result:
Costly, Inefficient
and non-citizen
centric public
healthcare system
How Clinic Management Software can help you achieve Meaningful Use.pptxRiyafathima18
Clinic management software dubai is a digital tool that helps healthcare providers manage various aspects of their practice, including appointments, patient records, billing, and more. In addition to making it easier to manage day-to-day operations, clinic management software can also help providers achieve Meaningful Use.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
1. Web Based Electronic
Health Records
• Student's name
• Institutional affiliation
• Course number and name
• Instructor's name
• Assignment due date
2. Introduction
• Web based Electronic Health Record System (EHR) is a digital
technological tool that is used in hospitals to store patient data relating
to medical records (Adler-Milstein et al., 2013).
• The term implies that the platform provides real-time records and the
information is only accessible by authorized personnel.
• The information stored is specific and relevant to particular patients
and makes it easy for clinicians to store, share and access patient data
more effectively which improves patient care delivery.
• Also, it streamlines the workflow of medical practitioners and
clinicians.
3. Importance of EHR
• The system provides real-time information about a specific patient.
• Enables quick access to medical records and real-time sharing across
hospital departments.
• Provides a guidelines to the practitioner when making
recommendations about patient care (Schenk et al., 2018).
• Enhances interactions between patient and their General practitioner.
• Also, it reduces the medical costs and risks of data loss through
improved safety, security, reduced paperwork and decreased
duplication.
4. Limitations of EHR system
• Despite the benefits of the system in improving the flow of healthcare
and ehnahcing patient safety, EHR systems have some limitations:
• It generates a temporary loss of healthcare provider productivity.
• It may lead to changes in workflow since some members may have
difficulties adapting the change.
• The initial installation costs and maintenance charges are high for
some facilities.
• Some may raise some privacy and security isues related to protection
of patient confidential data.
5. Experience with a Web Based EHR
• While serving as a volunteer at Jameson Community Hospital, I had the
opportunity to use 75Health which is a free web-based system.
• As I interacted with practitioners, I was trained on how to use the software
in entering patient data and share it with other personnel.
• The system is cloud based and uses a web application that cannot be
downloaded to smartphones.
• It is modelled to optimize clinician’s productivity and integrates a seamless
user experience (Schenk et al., 2018).
• The services offered by system include recording patient data, decision
support tool that guides recommendations, billing and scheduling
capabilities.
6. Design of 75Health Web-based EHR
• The system is a cloud-based database which functions as a website
application.
• The developers haven’t made a downloadable application for
computers and smartphones.
• It has security features such as end-to-end encryption, cloud-
computing, firewalls and digital signatures which guarantee its safety.
• Other network security features that are contained in the system
include wireless security, network penetration testing.
• Multifactor authentication and data loss prevention tools which ensure
that patient records are safe and confidentially stored.
7. • Also, it is modelled to offer a smooth user-computer interface.
• Allows the physician/receptionist to enter patient records, share with
the OPD clinical officer and monitor the flow of the patient until they
are discharged.
• It stores information through servers and cloud-computing functions
that prevent data loss.
8. Experience with a Web Based EHR …. Cont’d
• 75Health is unique because it has an easy-to-use interface.
• Also, it offers comprehensive order management features, stores test
results, prescriptions and avoids duplication (Schenk et al., 2018).
• It has decision support capabilities which provides alerts and
reminders than foster proper clinical practice.
• It also provides an interactive platform necessary for patient education.
9. Unique Properties of 75Health
• Offers in-built feature that helps with scheduling for physician
appointments.
• Automated email generation which enables quick and efficient
communication.
• Tracker for diagnostic tests.
• Immunization and vaccination tracking.
• Uploading and sharing documents like consent forms, x-ray reports
and handouts.
10. Challenges while Convincing providers to use
75Health
• The platform doesn’t have a downloadable mobile application which makes it
difficult to convince the clinicians and patients.
• The initial set-up of new practitioners is sophisticated and tiresome.
• In addition, the web software platform cannot be stripped down to a particular
feature (Neves et al., 2020).
• Also, not all fields within the facility can be found using the search function which
limits the capabilities.
• Despite being a drug database system, it does not include medications for some
complications related to renal failure and toxicities.
11. Challenges while Convincing providers to use
75Health
• The trial version of the 75Health cannot support file attachment.
• The system also lacks capability to record details of physical
examination and specific parameters such as MUAC and head
circumference that could be useful to a pediatrician (Neves et al.,
2020).
• The customization features of the software related to electronic
prescription needs to be improved for it to be more impressive to the
workers.
• Also, some features of the application are complex to understand and
apply including record entering which takes much time.
12. Helpful
Features of
75Health
• The system is easy to use and has the
following specific features:
a) Offers automated scheduling abilities,
b) Electronic prescription
c) Electronic billing and payment
d) Tracking of patient performance and
treatment monitoring,
e) Guarantees physician-patient
communication (Neves et al., 2020).
f) Speech Recognition.
13. Benefits for other facilities
• The use of the platform will benefit the facilities by reducing the loads of
paperwork needed for every patient and the potential loss of human errors in the
records (Neves et al., 2020).
• The system will also allow practitioners in those facilities to exchange messages
with other specialists and store the communication for future reference.
• It reduces human and clerical errors from illegible handwriting, and misplaced
documents (Schenk et al., 2018).
• It promotes productivity of clinicians and physicians which allows them to
manage more patients.
14. Impressive
Features of
the Web
Based EHR
1. The system is cloud based.
• As a result, it can be accessed from any
device that is network powered with the
reduced need to investing in hardware and
other software application (Schenk et al.,
2018).
• It also eliminates storage challenges.
2. Message sharing capability.
• This enhances the ability of a clinician to
track patient progress, fix check-up dates
with clients and maintain closer ties with
healthcare givers.
15. Impressive Features of the Web Based
EHR …Cont’d
3. The system is able to store patient records, refer them to other departments and
attach files relevant for client treatment.
4. The system supports electronic prescription which reduces errors related to the
prescription phase of patient care and promotes performance tracking (Neves et al.,
2020).
5. Supports uploading of medical practice forms (lab records, X-ray forms and
patient consent forms) which improves safety and storage for future reference.
6. In addition, the system is able to track the flow of diagnosis, in case of
multidisciplinary stages across the hospital departments.
16. Conclusion
• The healthcare facilities need to embrace more technological devices
and tools to enhance delivery of patient care.
• Web-Based EHR is one of the digital technological advancements in
the healthcare industry that transforms delivery of care.
• The system is relevant because it allows storage, sharing and reference
of patient records which makes patient care quick, and more effective.
• Also, it reduces possible human errors related to care delivery.
17. References
• Schenk, E., Schleyer, R., Jones, C. R., Fincham, S., Daratha, K. B., & Monsen, K.
A. (2018). Impact of adoption of a comprehensive electronic health record on
nursing work and caring efficacy. CIN: Computers, Informatics, Nursing, 36(7),
331-339.
• Neves, A. L., Freise, L., Laranjo, L., Carter, A. W., Darzi, A., & Mayer, E. (2020).
Impact of providing patients access to electronic health records on quality and
safety of care: a systematic review and meta-analysis. BMJ quality &
safety, 29(12), 1019-1032.
• Adler-Milstein, J., & Huckman, R. S. (2013). The impact of electronic health
record use on physician productivity. The American journal of managed
care, 19(10 Spec No), SP345-52.