Papers by David M. Kaplan
... appreciated. 1 also wish to thank Shaul Tarek for his comments, criticisms and advice andShar... more ... appreciated. 1 also wish to thank Shaul Tarek for his comments, criticisms and advice andSharissa Ellyn for her help in understanding discourse analysis. Finaily, 1 extend a thank-pou ... The term pre-embryo was suggested in 1986 by Anne McLaren. ...
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Abstract:
Background: The quality of electronic medical record (EMR) data is known to be probl... more Abstract:
Background: The quality of electronic medical record (EMR) data is known to be problematic; research on improving these data is needed.
Objective: The primary objective was to explore the impact of using a data entry clerk to improve data quality in primary care EMRs. The secondary objective was to evaluate the feasibility of implementing this intervention.
Methods: We used a before and after design for this pilot study. The participants were 13 community based family physicians and four allied health professionals in Toronto, Canada. Using queries programmed by a data manager, a data clerk was tasked with re-entering EMR information as coded or structured data for chronic obstructive pulmonary disease (COPD), smoking, specialist designations and interprofessional encounter headers. We measured data quality before and three to six months after the intervention. We evaluated feasibility by measuring acceptability to clinicians and workload for the clerk.
Results: After the intervention, coded COPD entries increased by 38% (P = 0.0001, 95% CI 23 to 51%); identifiable data on smoking categories increased by 27% (P = 0.0001, 95% CI 26 to 29%); referrals with specialist designations increased by 20% (P = 0.0001, 95% CI 16 to 22%); and identifiable interprofessional headers increased by 10% (P = 0.45, 95 CI -3 to 23%). Overall, the intervention was rated as being at least moderately useful and moderately usable. The data entry clerk spent 127 hours restructuring data for 11 729 patients.
Conclusions: Utilising a data manager for queries and a data clerk to re-enter data led to improvements in EMR data quality. Clinicians found this approach to be acceptable.
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Abstract:
Background: The quality of electronic medical record (EMR) data is known to be probl... more Abstract:
Background: The quality of electronic medical record (EMR) data is known to be problematic; research on improving these data is needed.
Objective: The primary objective was to explore the impact of using a data entry clerk to improve data quality in primary care EMRs. The secondary objective was to evaluate the feasibility of implementing this intervention.
Methods: We used a before and after design for this pilot study. The participants were 13 community based family physicians and four allied health professionals in Toronto, Canada. Using queries programmed by a data manager, a data clerk was tasked with re-entering EMR information as coded or structured data for chronic obstructive pulmonary disease (COPD), smoking, specialist designations and interprofessional encounter headers. We measured data quality before and three to six months after the intervention. We evaluated feasibility by measuring acceptability to clinicians and workload for the clerk.
Results: After the intervention, coded COPD entries increased by 38% (P = 0.0001, 95% CI 23 to 51%); identifiable data on smoking categories increased by 27% (P = 0.0001, 95% CI 26 to 29%); referrals with specialist designations increased by 20% (P = 0.0001, 95% CI 16 to 22%); and identifiable interprofessional headers increased by 10% (P = 0.45, 95 CI -3 to 23%). Overall, the intervention was rated as being at least moderately useful and moderately usable. The data entry clerk spent 127 hours restructuring data for 11 729 patients.
Conclusions: Utilising a data manager for queries and a data clerk to re-enter data led to improvements in EMR data quality. Clinicians found this approach to be acceptable.
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CMAJ: Canadian Medical Association journal …, Jan 1, 2012
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Early identification of a developmental concern is the first step to changing a child’s early env... more Early identification of a developmental concern is the first step to changing a child’s early environment, which can have an effect on many areas of future health. In this talk, learn how to:
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An examination of the debate over legal abortion in Canada suggests that Parliament can introduce... more An examination of the debate over legal abortion in Canada suggests that Parliament can introduce legislation that permits the forced medical and psychological treatment of pregnant women who are engaging in practices that endanger their fetuses. Such a regulatory venture need not herald a new anti-abortion law. In Winnipeg Child and Family Services (Northwest Area) v. D.F.G, (1997),1 a majority of judges in the Supreme Court of Canada found that the court did not have the jurisdiction to legitimately force a pregnant woman into medical treatment for substance abuse that may harm her fetus. (A superior court judge had seen no reason why the court's jurisdiction of parens patriae [the parents’ role] could not be extended to protect unborn children.) The Supreme Court did comment that Parliament is the best realm for discussing this issue. In the aftermath of the decision, political commentators suggested that Parliament could not credibly legislate in this area because it had not proposed new antiabortion legislation after its attempt to introduce legislation was defeated in the Senate in 1988.
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This exploratory study examines why Canada and the United States of America have adopted differen... more This exploratory study examines why Canada and the United States of America have adopted different policies regarding research on human embryos. The possible explanation
may rest in an examination of the history and the values expressed in the respective landmark abortion decisions.
Before explicating the benefits of conducting research on
embryos and the concerns that such research elicits, the moral status of the pre-embryo and its biological development are outlined. The relevant cases and policy documents are
analyzed by wedding a neo-institutional approach to policy analysis with Dworkin's theory of judicial review.
While a right to abortion exists in United States, the Canadian judiciary has not identified such a right. Moreover, 'protection of (potential) human life' was found to be a highly institutionalized value in both countries; 'protection of reproductive health' was not as highly institutionalized.
These differences may have differentially constrained the policymakers when contemplating human embryo research options.
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Papers by David M. Kaplan
Background: The quality of electronic medical record (EMR) data is known to be problematic; research on improving these data is needed.
Objective: The primary objective was to explore the impact of using a data entry clerk to improve data quality in primary care EMRs. The secondary objective was to evaluate the feasibility of implementing this intervention.
Methods: We used a before and after design for this pilot study. The participants were 13 community based family physicians and four allied health professionals in Toronto, Canada. Using queries programmed by a data manager, a data clerk was tasked with re-entering EMR information as coded or structured data for chronic obstructive pulmonary disease (COPD), smoking, specialist designations and interprofessional encounter headers. We measured data quality before and three to six months after the intervention. We evaluated feasibility by measuring acceptability to clinicians and workload for the clerk.
Results: After the intervention, coded COPD entries increased by 38% (P = 0.0001, 95% CI 23 to 51%); identifiable data on smoking categories increased by 27% (P = 0.0001, 95% CI 26 to 29%); referrals with specialist designations increased by 20% (P = 0.0001, 95% CI 16 to 22%); and identifiable interprofessional headers increased by 10% (P = 0.45, 95 CI -3 to 23%). Overall, the intervention was rated as being at least moderately useful and moderately usable. The data entry clerk spent 127 hours restructuring data for 11 729 patients.
Conclusions: Utilising a data manager for queries and a data clerk to re-enter data led to improvements in EMR data quality. Clinicians found this approach to be acceptable.
Background: The quality of electronic medical record (EMR) data is known to be problematic; research on improving these data is needed.
Objective: The primary objective was to explore the impact of using a data entry clerk to improve data quality in primary care EMRs. The secondary objective was to evaluate the feasibility of implementing this intervention.
Methods: We used a before and after design for this pilot study. The participants were 13 community based family physicians and four allied health professionals in Toronto, Canada. Using queries programmed by a data manager, a data clerk was tasked with re-entering EMR information as coded or structured data for chronic obstructive pulmonary disease (COPD), smoking, specialist designations and interprofessional encounter headers. We measured data quality before and three to six months after the intervention. We evaluated feasibility by measuring acceptability to clinicians and workload for the clerk.
Results: After the intervention, coded COPD entries increased by 38% (P = 0.0001, 95% CI 23 to 51%); identifiable data on smoking categories increased by 27% (P = 0.0001, 95% CI 26 to 29%); referrals with specialist designations increased by 20% (P = 0.0001, 95% CI 16 to 22%); and identifiable interprofessional headers increased by 10% (P = 0.45, 95 CI -3 to 23%). Overall, the intervention was rated as being at least moderately useful and moderately usable. The data entry clerk spent 127 hours restructuring data for 11 729 patients.
Conclusions: Utilising a data manager for queries and a data clerk to re-enter data led to improvements in EMR data quality. Clinicians found this approach to be acceptable.
may rest in an examination of the history and the values expressed in the respective landmark abortion decisions.
Before explicating the benefits of conducting research on
embryos and the concerns that such research elicits, the moral status of the pre-embryo and its biological development are outlined. The relevant cases and policy documents are
analyzed by wedding a neo-institutional approach to policy analysis with Dworkin's theory of judicial review.
While a right to abortion exists in United States, the Canadian judiciary has not identified such a right. Moreover, 'protection of (potential) human life' was found to be a highly institutionalized value in both countries; 'protection of reproductive health' was not as highly institutionalized.
These differences may have differentially constrained the policymakers when contemplating human embryo research options.
Background: The quality of electronic medical record (EMR) data is known to be problematic; research on improving these data is needed.
Objective: The primary objective was to explore the impact of using a data entry clerk to improve data quality in primary care EMRs. The secondary objective was to evaluate the feasibility of implementing this intervention.
Methods: We used a before and after design for this pilot study. The participants were 13 community based family physicians and four allied health professionals in Toronto, Canada. Using queries programmed by a data manager, a data clerk was tasked with re-entering EMR information as coded or structured data for chronic obstructive pulmonary disease (COPD), smoking, specialist designations and interprofessional encounter headers. We measured data quality before and three to six months after the intervention. We evaluated feasibility by measuring acceptability to clinicians and workload for the clerk.
Results: After the intervention, coded COPD entries increased by 38% (P = 0.0001, 95% CI 23 to 51%); identifiable data on smoking categories increased by 27% (P = 0.0001, 95% CI 26 to 29%); referrals with specialist designations increased by 20% (P = 0.0001, 95% CI 16 to 22%); and identifiable interprofessional headers increased by 10% (P = 0.45, 95 CI -3 to 23%). Overall, the intervention was rated as being at least moderately useful and moderately usable. The data entry clerk spent 127 hours restructuring data for 11 729 patients.
Conclusions: Utilising a data manager for queries and a data clerk to re-enter data led to improvements in EMR data quality. Clinicians found this approach to be acceptable.
Background: The quality of electronic medical record (EMR) data is known to be problematic; research on improving these data is needed.
Objective: The primary objective was to explore the impact of using a data entry clerk to improve data quality in primary care EMRs. The secondary objective was to evaluate the feasibility of implementing this intervention.
Methods: We used a before and after design for this pilot study. The participants were 13 community based family physicians and four allied health professionals in Toronto, Canada. Using queries programmed by a data manager, a data clerk was tasked with re-entering EMR information as coded or structured data for chronic obstructive pulmonary disease (COPD), smoking, specialist designations and interprofessional encounter headers. We measured data quality before and three to six months after the intervention. We evaluated feasibility by measuring acceptability to clinicians and workload for the clerk.
Results: After the intervention, coded COPD entries increased by 38% (P = 0.0001, 95% CI 23 to 51%); identifiable data on smoking categories increased by 27% (P = 0.0001, 95% CI 26 to 29%); referrals with specialist designations increased by 20% (P = 0.0001, 95% CI 16 to 22%); and identifiable interprofessional headers increased by 10% (P = 0.45, 95 CI -3 to 23%). Overall, the intervention was rated as being at least moderately useful and moderately usable. The data entry clerk spent 127 hours restructuring data for 11 729 patients.
Conclusions: Utilising a data manager for queries and a data clerk to re-enter data led to improvements in EMR data quality. Clinicians found this approach to be acceptable.
may rest in an examination of the history and the values expressed in the respective landmark abortion decisions.
Before explicating the benefits of conducting research on
embryos and the concerns that such research elicits, the moral status of the pre-embryo and its biological development are outlined. The relevant cases and policy documents are
analyzed by wedding a neo-institutional approach to policy analysis with Dworkin's theory of judicial review.
While a right to abortion exists in United States, the Canadian judiciary has not identified such a right. Moreover, 'protection of (potential) human life' was found to be a highly institutionalized value in both countries; 'protection of reproductive health' was not as highly institutionalized.
These differences may have differentially constrained the policymakers when contemplating human embryo research options.