Literature DB >> 23646079

An integrated EHR at Northern California Kaiser Permanente: pitfalls, challenges, and benefits experienced in transitioning.

S Bornstein1.   

Abstract

As legacy information systems age, transition to newer systems is inevitable, but at times fraught with challenge. This brief article addresses some of the pitfalls, challenges, and benefits we experienced at Kaiser Permanente as we transitioned several key clinical information systems to Epic Systems for our integrated comprehensive Electronic Health Record (EHR).

Keywords:  Implementation and deployment; clinical documentation and communications; clinical information systems; electronic health records and systems; facilitators and barriers; integrated information systems; patient records; telemedicine and telehealth

Mesh：

Year:  2012        PMID： 23646079      PMCID： PMC3613027          DOI： 10.4338/ACI-2012-03-RA-0006

Source DB:  PubMed          Journal:  Appl Clin Inform        ISSN： 1869-0327            Impact factor:   2.342


  3 in total

1.  Problem list guidance in the EHR.

Authors:  Beth Acker; June Bronnert; Teresa Brown; Jill S Clark; Betty Dunagan; Tracy Elmer; Suzanne Goodell; Kate Green; Pamela Heller; Casey Holmes; Margo Imel; Kathy Johnson; Crystal Kallem; Melanie Loucks; Sheetal Patel; Debbie A Reed; Rita Scichilone; Anne L Tegen
Journal:  J AHIMA       Date:  2011-09

2.  Improved quality at Kaiser Permanente through e-mail between physicians and patients.

Authors:  Yi Yvonne Zhou; Michael H Kanter; Jian J Wang; Terhilda Garrido
Journal:  Health Aff (Millwood)       Date:  2010-07       Impact factor: 6.301

3.  Patients' engagement with "Sweet Talk" - a text messaging support system for young people with diabetes.

Authors:  Victoria Louise Franklin; Alexandra Greene; Annalu Waller; Stephen Alan Greene; Claudia Pagliari
Journal:  J Med Internet Res       Date:  2008-06-30       Impact factor: 5.428
  3 in total
  13 in total

1.  The Accuracy of an Electronic Pulmonary Embolism Severity Index Auto-Populated from the Electronic Health Record: Setting the stage for computerized clinical decision support.

Authors:  D R Vinson; J E Morley; J Huang; V Liu; M L Anderson; C E Drenten; R P Radecki; D K Nishijima; M E Reed
Journal:  Appl Clin Inform       Date:  2015-05-13       Impact factor: 2.342

2.  An EPIC Switch: Preparing for an Electronic Health Record Transition at Vanderbilt University Medical Center.

Authors:  Kevin B Johnson; Jesse M Ehrenfeld
Journal:  J Med Syst       Date:  2017-11-21       Impact factor: 4.460

3.  Impact of relative contraindications to home management in emergency department patients with low-risk pulmonary embolism.

Authors:  David R Vinson; Carrieann E Drenten; Jie Huang; J Eileen Morley; Megan L Anderson; Mary E Reed; Daniel K Nishijima; Vincent Liu
Journal:  Ann Am Thorac Soc       Date:  2015-05

4.  Computed Tomography Use in Children With Minor Head Trauma Presenting to 21 Community Emergency Departments Within an Integrated Health-Care System.

Authors:  Judy Shan; E Margaret Warton; Mary E Reed; David R Vinson; Nathan Kuppermann; Peter S Dayan; Stuart R Dalziel; Adina S Rauchwerger; Dustin W Ballard
Journal:  Perm J       Date:  2021-11-22

5.  Transitions from One Electronic Health Record to Another: Challenges, Pitfalls, and Recommendations.

Authors:  Chunya Huang; Ross Koppel; John D McGreevey; Catherine K Craven; Richard Schreiber
Journal:  Appl Clin Inform       Date:  2020-11-11       Impact factor: 2.342

6.  Diagnostic Performance of Emergency Physician Gestalt for Predicting Acute Appendicitis in Patients Age 5 to 20 Years.

Authors:  Laura E Simon; Mamata V Kene; E Margaret Warton; Adina S Rauchwerger; David R Vinson; Mary E Reed; Uli K Chettipally; Dustin G Mark; Dana R Sax; D Ian McLachlan; Dale M Cotton; James S Lin; Gabriela Vazquez-Benitez; Anupam B Kharbanda; Elyse O Kharbanda; Dustin W Ballard
Journal:  Acad Emerg Med       Date:  2020-04-02       Impact factor: 3.451

7.  Predictors of Acute Atrial Fibrillation and Flutter Hospitalization across 7 U.S. Emergency Departments: A Prospective Study.

Authors:  Bory Kea; E Margaret Warton; Dustin W Ballard; Dustin G Mark; Mary E Reed; Adina S Rauchwerger; Steven R Offerman; Uli K Chettipally; Patricia C Ramos; Daphne D Le; David S Glaser; David R Vinson
Journal:  J Atr Fibrillation       Date:  2021-02-28

8.  Timing of discharge follow-up for acute pulmonary embolism: retrospective cohort study.

Authors:  David R Vinson; Dustin W Ballard; Jie Huang; Adina S Rauchwerger; Mary E Reed; Dustin G Mark
Journal:  West J Emerg Med       Date:  2015-01-12

9.  Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout.

Authors:  Kenneth E Robinson; Joyce A Kersey
Journal:  Medicine (Baltimore)       Date:  2018-09       Impact factor: 1.817

10.  Acute Pulmonary Embolism in Emergency Department Patients Despite Therapeutic Anticoagulation.

Authors:  Michelle Y Liu; Dustin W Ballard; Jie Huang; Adina S Rauchwerger; Mary E Reed; Sean C Bouvet; David R Vinson
Journal:  West J Emerg Med       Date:  2018-04-06
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