{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T05:01:40Z","timestamp":1761541300199},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>To describe the use of digital images captured by parents or guardians and sent to clinicians for assessment of wounds after pediatric ambulatory surgery.<\/jats:p><jats:p>Subjects with digital images of post-operative wounds were identified as part of an ongoing cohort study of infections after ambulatory surgery within a large pediatric healthcare system. We performed a structured review of the electronic health record (EHR) to determine how digital images were documented in the EHR and used in clinical care.<\/jats:p><jats:p>We identified 166 patients whose parent or guardian reported sending a digital image of the wound to the clinician after surgery. A corresponding digital image was located in the EHR in only 121 of these encounters. A change in clinical management was documented in 20% of these encounters, including referral for in-person evaluation of the wound and antibiotic prescription.<\/jats:p><jats:p>Clinical teams have developed ad hoc workflows to use digital images to evaluate post-operative pediatric surgical patients. Because the use of digital images to support follow-up care after ambulatory surgery is likely to increase, it is important that high-quality images are captured and documented appropriately in the EHR to ensure privacy, security, and a high-level of care.<\/jats:p><jats:p>\n            Citation: Miller MW; Ross RK; Voight C; Brouwer H; Karavite DJ; Gerber JS; Grundmeier RW; Coffin SE. Patient-generated Digital Images after Pediatric Ambulatory Surgery<\/jats:p>","DOI":"10.4338\/aci-2015-12-cr-0168","type":"journal-article","created":{"date-parts":[[2016,7,6]],"date-time":"2016-07-06T08:26:04Z","timestamp":1467793564000},"page":"646-652","source":"Crossref","is-referenced-by-count":7,"title":["Patient-generated Digital Images after Pediatric Ambulatory Surgery"],"prefix":"10.4338","volume":"07","author":[{"given":"Rachael","family":"Ross","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Voight","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Brouwer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean","family":"Karavite","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Gerber","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Grundmeier","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Coffin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2017,12,19]]},"reference":[{"key":"10.4338\/ACI-2015-12-CR-0168-1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.1281"},{"key":"10.4338\/ACI-2015-12-CR-0168-2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.2672"},{"key":"10.4338\/ACI-2015-12-CR-0168-3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03480130104033"},{"key":"10.4338\/ACI-2015-12-CR-0168-4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2012.02.004"},{"key":"10.4338\/ACI-2015-12-CR-0168-5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.09.025"},{"key":"10.4338\/ACI-2015-12-CR-0168-6","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000142402.07896.21"},{"key":"10.4338\/ACI-2015-12-CR-0168-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.05.011"},{"key":"10.4338\/ACI-2015-12-CR-0168-8","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199902000-00018"},{"issue":"2","key":"10.4338\/ACI-2015-12-CR-0168-9","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1001\/archderm.141.2.254","volume":"141","author":"Braun","year":"2005","journal-title":"Arch Dermatol"},{"key":"10.4338\/ACI-2015-12-CR-0168-10","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(98)70011-4"},{"key":"10.4338\/ACI-2015-12-CR-0168-11","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.3481"},{"key":"10.4338\/ACI-2015-12-CR-0168-12","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2010.07.014"},{"key":"10.4338\/ACI-2015-12-CR-0168-13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"10.4338\/ACI-2015-12-CR-0168-14","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2013.09.009"}],"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4338\/ACI-2015-12-CR-0168.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,3,20]],"date-time":"2018-03-20T14:06:18Z","timestamp":1521554778000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4338\/ACI-2015-12-CR-0168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":14,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2017,12,19]]},"published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4338\/aci-2015-12-cr-0168","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}