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The influence of electronic reminders on recording diagnoses in a primary health care emergency department: a register-based study in a Finnish town.

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Title: The influence of electronic reminders on recording diagnoses in a primary health care emergency department: a register-based study in a Finnish town.
Authors: Lehto, Mika (AUTHOR), Pitkälä, Kaisu (AUTHOR), Rahkonen, Ossi (AUTHOR), Laine, Merja K. (AUTHOR), Raina, Marko (AUTHOR), Kauppila, Timo (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Jun2021, Vol. 39 Issue 2, p113-122. 10p.
Subjects: Health care reminder systems, Hospital emergency services, Acquisition of data methodology, Nosology, Alcoholism, Pelvic pain, Respiratory infections, Primary health care, Behavior disorders, Medical records, Descriptive statistics, Electronic health records, Medical appointments, Abdominal pain, Acute diseases, Otitis media, Mental illness
Geographic Terms: Finland
Abstract: This study examines whether implementation of electronic reminders is associated with a change in the amount and content of diagnostic data recorded in primary health care emergency departments (ED). A register-based 12-year follow-up study with a before-and-after design. This study was performed in a primary health care ED in Finland. An electronic reminder was installed in the health record system to remind physicians to include the diagnosis code of the visit to the health record. The report generator of the electronic health record-system provided monthly figures for the number of different recorded diagnoses by using the International Classification of Diagnoses (ICD-10th edition) and the total number of ED physician visits, thus allowing the calculation of the recording rate of diagnoses on a monthly basis and the comparison of diagnoses before and after implementing electronic reminders. The most commonly recorded diagnoses in the ED were acute upper respiratory infections of various and unspecified sites (5.8%), abdominal and pelvic pain (4.8%), suppurative and unspecified otitis media (4.5%) and dorsalgia (4.0%). The diagnosis recording rate in the ED doubled from 41.2 to 86.3% (p < 0.001) after the application of electronic reminders. The intervention especially enhanced the recording rate of symptomatic diagnoses (ICD-10 group-R) and alcohol abuse-related diagnoses (ICD-10 code F10). Mental and behavioural disorders (group F) and injuries (groups S-Y) were also better recorded after this intervention. Electronic reminders may alter the documentation habits of physicians and recording of clinical data, such as diagnoses, in the EDs. This may be of use when planning resource managing in EDs and planning their actions. Electronic reminders enhance recording of diagnoses in primary care but what happens in emergency departments (EDs) is not known. Electronic reminders enhance recording of diagnoses in primary care ED. Especially recording of symptomatic diagnoses and alcohol abuse-related diagnoses increased. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The influence of electronic reminders on recording diagnoses in a primary health care emergency department: a register-based study in a Finnish town.
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  Data: This study examines whether implementation of electronic reminders is associated with a change in the amount and content of diagnostic data recorded in primary health care emergency departments (ED). A register-based 12-year follow-up study with a before-and-after design. This study was performed in a primary health care ED in Finland. An electronic reminder was installed in the health record system to remind physicians to include the diagnosis code of the visit to the health record. The report generator of the electronic health record-system provided monthly figures for the number of different recorded diagnoses by using the International Classification of Diagnoses (ICD-10th edition) and the total number of ED physician visits, thus allowing the calculation of the recording rate of diagnoses on a monthly basis and the comparison of diagnoses before and after implementing electronic reminders. The most commonly recorded diagnoses in the ED were acute upper respiratory infections of various and unspecified sites (5.8%), abdominal and pelvic pain (4.8%), suppurative and unspecified otitis media (4.5%) and dorsalgia (4.0%). The diagnosis recording rate in the ED doubled from 41.2 to 86.3% (p &lt; 0.001) after the application of electronic reminders. The intervention especially enhanced the recording rate of symptomatic diagnoses (ICD-10 group-R) and alcohol abuse-related diagnoses (ICD-10 code F10). Mental and behavioural disorders (group F) and injuries (groups S-Y) were also better recorded after this intervention. Electronic reminders may alter the documentation habits of physicians and recording of clinical data, such as diagnoses, in the EDs. This may be of use when planning resource managing in EDs and planning their actions. Electronic reminders enhance recording of diagnoses in primary care but what happens in emergency departments (EDs) is not known. Electronic reminders enhance recording of diagnoses in primary care ED. Especially recording of symptomatic diagnoses and alcohol abuse-related diagnoses increased. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=151552638
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/02813432.2021.1910449
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
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        PageCount: 10
        StartPage: 113
    Subjects:
      – SubjectFull: Health care reminder systems
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Acquisition of data methodology
        Type: general
      – SubjectFull: Nosology
        Type: general
      – SubjectFull: Alcoholism
        Type: general
      – SubjectFull: Pelvic pain
        Type: general
      – SubjectFull: Respiratory infections
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Behavior disorders
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Electronic health records
        Type: general
      – SubjectFull: Medical appointments
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      – SubjectFull: Acute diseases
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      – SubjectFull: Otitis media
        Type: general
      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Finland
        Type: general
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      – TitleFull: The influence of electronic reminders on recording diagnoses in a primary health care emergency department: a register-based study in a Finnish town.
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            – D: 01
              M: 06
              Text: Jun2021
              Type: published
              Y: 2021
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