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CONTEXT Health information technology (HIT) is a national policy priority. Knowledge about the special needs, if any, of rural health care providers should be taken into account as policy is put into action. Little is known, however, about rural-urban differences in HIT adoption at the national level. PURPOSE To conduct the first national assessment of(More)
OBJECTIVE To investigate whether the use of diabetes registries meeting Meaningful Use core objectives in primary care practices is associated with differences in quality of care and hospital utilization rates. MATERIALS AND METHODS A practice assessment survey was conducted to identify whether and how practices were using diabetes registries. Insurance(More)
OBJECTIVE To evaluate the performance of a trigger tool for identifying adverse drug events (ADEs) among older adults in ambulatory primary care practices. METHODS Manual 12-month retrospective chart review at six practices using a 39-item trigger tool. Patients aged 65 or above with cardiovascular diagnoses were included. Charts with triggers underwent(More)
CONTEXT Patient safety currently receives only scant attention in most residency curricula. Safety is a subject that transcends the US Accreditation Council for Graduate Medical Education's 6 core competencies. OBJECTIVE To design and implement a new patient safety curriculum in collaboration with the Schools of Nursing and Pharmacy, in such a way as to(More)
Safety has not been well studied in the long-term care setting. This pilot study assesses staff attitudes regarding safety culture at one 250-bed skilled nursing facility. A valid and reliable Safety Attitudes Questionnaire (SAQ) was administered once to a sample of 51 employees. Nursing staff and other health care staff were generally satisfied with their(More)
BACKGROUND AND OBJECTIVE We postulate that professional proximity due to common patients and geographical proximity among practice locations are significant factors influencing the adoption of health information exchange (HIE) services by healthcare providers. The objective of this study is to investigate the direct and indirect network effects of these(More)
The popularity of web services within the IT industry continuous to grow. Accessing web services from a small device is very com-mon these days. There are number of challenges to access a web services on mobile device due to its limited resources and the lack of bandwidth in its communication network. In Mobile devices, Synchronous web services are not(More)