Evidence map›Paper›PMID 26848491›Full record

ArticleWorld of wireless mobile and multimedia networks. IEEE International Symposium on a World of Wireless Mobile and Multimedia Networks2011

Towards Understanding the Usage Pattern of Web-based Electronic Medical Record Systems.

Xiaowei Li, Yuan Xue, Bradley Malin

Abstract read
In one paragraph

Article in World of wireless mobile and multimedia networks. IEEE International Symposium on a World of Wireless Mobile and Multimedia Networks, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Factors Affecting Radiologist's PACS Usage.Journal of digital imaging · 2016
    Article
  3. Explaining accesses to electronic medical records using diagnosis information.Journal of the American Medical Informatics Association : JAMIA · 2013
    Article
  4. Context-Aware Anomaly Detection for Electronic Medical Record Systems.HealthSec ... : ... USENIX workshop on health security and privacy. USENIX Workshop on Health Security and Privacy · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Xiaowei LiDepartment of Electrical Engineering & Computer Science, Vanderbilt University, Nashville, USA.
Yuan XueDepartment of Electrical Engineering & Computer Science, Vanderbilt University, Nashville, USA.
Bradley MalinDepartment of Biomedical Informatics, Vanderbilt University, Nashville, USA.

Funding

Automated Detection of Anomalous Accesses to Electronic Health RecordsR01LM010207 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MALIN, BRADLEY A. · 2009 to 2017
$2.4M
NLM NIH HHS R01 LM010207
6 · The paper itself

Abstract

The benefits and importance of electronic medical record (EMR) systems have been well recognized in the healthcare industry. Yet, their wide adoption still face significant barriers in providing on-demand secure medical information access while preserving patients' privacy. Understanding the usage pattern of an EMR system is the first essential step towards building such environment. This paper conducts an in-depth trace analysis of a large-scale EMR system that has been in operation for more than a decade at the Vanderbilt Medical Center. Our study demonstrates several important characteristics of EMR system usage from the perspective of user-initiated sessions. First, the workload of the EMR system is highly stable and consistent with a weekly pattern. Second, EMR behavior varies between users, but each user's behavior tends to be consistent with a slow rate of migration across sessions. Finally, the degree of access between users and medical records is sparse, echoing the limits of patient-caregiver relationships that manifest in real healthcare operations. We believe these observations can assist in the development of system security measures, such as EMR-specific anomaly detection systems, and facilitate system performance optimization.

Indexed as

electronic medical recordusage patternuser behaviorweb session

Identifiers

PMID26848491
PMCPMC4736751

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.