Best practices: The electronic medical record is an invaluable clinical tool: let's start using it.
This column describes the potential of an enhanced electronic medical record (EMR) to advance best practices by displaying patient history, measuring progress, and facilitating clinical research. To create a graphical, single-page display of patient history, the authors examined data in the Minneapolis Department of Veterans Affairs EMR system, including 1.8 million encounters for 50,000 mental health patients. The prototype dashboard presents information on a patient's current and past providers, diagnoses, therapeutic interventions, prescriptions, dosages, and outcomes. To provide needed outcome data to monitor patient progress, the authors tested two questions with 212 patients. Patient and clinician responses to the questions provide reliable and clinically useful data that can be used in the EMR to track patient change over time. Use of EMRs can bridge gaps between science and practice to inform diagnosis and treatment decisions and permit more accurate prognoses.
Scott I
SI
Vrieze
Anna
A
Docherty
Paul
P
Thuras
Paul
P
Arbisi
William G
WG
Iacono
Scott
S
Sponheim
Christopher R
CR
Erbes
Wayne
W
Siegel
Jennie
J
Leskela
D003695:Delivery of Health Care / Q000379:methods / Q000592:standards; D057286:Electronic Health Records / Q000458:organization & administration / Q000592:standards; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D017410:Practice Guidelines as Topic