ArticleAnnals of family medicine
Electronic medical records and diabetes quality of care: results from a sample of family medicine practices.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00201227 (Using Learning Teams for Reflective Adaptation), which is not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Using Learning Teams for Reflective Adaptation
Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Diabetes Care and Management Using Electronic Medical Records: A Systematic Review.Journal of diabetes science and technology · 2019Pooled it
- Impact of electronic medical record on physician practice in office settings: a systematic review.BMC medical informatics and decision making · 2012Pooled it
- Patient web portals to improve diabetes outcomes: a systematic review.Current diabetes reports · 2010Pooled it
- Trial
- Typical electronic health record use in primary care practices and the quality of diabetes care.Annals of family medicineTrial
- Impact of EHR-based clinical decision support on adherence to guidelines for patients on NSAIDs: a randomized controlled trial.Annals of family medicineTrial
- Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising.BMJ open quality · 2023Article
- The impact of the implementation of a clinical decision support system on the quality of healthcare services in a primary care setting.Journal of family medicine and primary care · 2020Article
- Identification of patients with congenital hemophilia in a large electronic health record database.Journal of blood medicine · 2017Article
- A Family Medicine Health Technology Strategy for Achieving the Triple Aim for US Health Care.Family medicine · 2015Article
- Improving performance in medical practices through the extended use of electronic medical record systems: a survey of Canadian family physicians.BMC medical informatics and decision making · 2015Article
- The impact of electronic health record implementation and use on performance of the Surgical Care Improvement Project measures.Health services research · 2015Article
- Parental tobacco screening and counseling in the pediatric emergency department: practitioners' attitudes, perceived barriers, and suggestions for implementation and maintenance.Journal of emergency nursing · 2014Article
- The clinical adoption meta-model: a temporal meta-model describing the clinical adoption of health information systems.BMC medical informatics and decision making · 2014Article
- A typology of electronic health record workarounds in small-to-medium size primary care practices.Journal of the American Medical Informatics Association : JAMIA · 2014Article
- The effectiveness of implementing an electronic health record on diabetes care and outcomes.Health services research · 2012Article
- Users' satisfaction with the primary health care information system in Croatia: a cross-sectional study.Croatian medical journal · 2012Article
- Development of a primary care physician task list to evaluate clinic visit workflow.BMJ quality & safety · 2012Article
- Implementation of electronic medical records: theory-informed qualitative study.Canadian family physician Medecin de famille canadien · 2011Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeCare of patients with diabetes requires management of complex clinical information, which may be improved by the use of an electronic medical record (EMR); however, the actual relationship between EMR usage and diabetes care quality in primary care settings is not well understood. We assessed the relationship between EMR usage and diabetes care quality in a sample of family medicine practices.
methodsWe conducted cross-sectional analyses of baseline data from 50 practices participating in a practice improvement study. Between April 2003 and December 2004 chart auditors reviewed a random sample of medical records from patients with diabetes in each practice for adherence to guidelines for diabetes processes of care, treatment, and achievement of intermediate outcomes. Practice leaders provided medical record system information. We conducted multivariate analyses of the relationship between EMR usage and diabetes care adjusting for potential practice- and patient-level confounders and practice-level clustering.
resultsDiabetes care quality in all practices showed room for improvement; however, after adjustment, patient care in the 37 practices not using an EMR was more likely to meet guidelines for process (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.42-3.57) treatment (OR, 1.67; 95% CI, 1.07-2.60), and intermediate outcomes (OR, 2.68; 95% CI, 1.49-4.82) than in the 13 practices using an EMR.
conclusionsThe use of an EMR in primary care practices is insufficient for insuring high-quality diabetes care. Efforts to expand EMR use should focus not only on improving technology but also on developing methods for implementing and integrating this technology into practice reality.
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