electronic medical record
Waterson P et al, International Journal of Medical Informatics, 2011
Purpose
The purpose of the study was to understand the preparations for the introduction of electronic patient record systems (EPRs) within the outpatient services department of a large acute hospital based in the UK. In particular, one of the main aims of the study was to examine in detail the likely impact of EPRs on the working practices of healthcare workers, their expectations regarding the impact of EPRs within the department and other sociotechnical aspects of the management of patient information.
[ More ]
Published:
15 November 2011 |
Keyword(s): Electronic healthcare records, Electronic Medical Record System, Health Information Technology, Outpatients, UK
Claret P-G et al, The American Journal of Emergency Medicine, 2011
Hospitals implement electronic medical record systems (EMRSs) that are intended to support medical and nursing staff in their daily work. Evolution toward more computerization seems inescapable. Nevertheless, this evolution introduced new problems of organization.
This before-and-after observational study evaluated the door-to-first-medical-contact (FMC) times before and after the introduction of EMRS. A satisfaction questionnaire, administered after the “after” period, measured clinicians’ satisfaction concerning computerization in routine clinical use. The following 5 questions were asked: Do you spare time in your note taking with EMRS? Do you spare time in the medical care that you provide to the patients with EMRS? Does EMRS improve the quality of medical care for your patients? Are you satisfied with the EMRS implementation? Would you prefer a return to handwritten records?
Results showed an increase in door-to-FMC time induced by EMRS and a lower triage capacity. In the satisfaction questionnaire, clinicians reported minimal satisfaction but refused to return to handwritten records.
The increase in door-to-FMC time may be explained by the improved quantity/quality of data and by the many interruptions due to the software. Medical reorganization was requested after the installation of the EMRS.
Published:
24 October 2011 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, France, Hospitals, Implementation, Questionnaires, Satisfaction
Flores Zuniga AE et al, International Journal of Technology Assessment in Health Care, 26(4)
Objectives:
The aim of this study was to examine open-source electronic health record (EHR) software to determine their level of functionalities according to the International Organization for Standardization (ISO) standards.
Methods:
ISO standards were used as a guideline to determine and describe the reference architecture and functionalities of a standard electronic health record system as well the environmental context for which the software has been built. Twelve open-source EHR systems were selected and evaluated according to two-dimensional criteria based on ISO/TS 18308:2004 functional requirements and ISO/TR 20514:2005 context of the EHR system.
[ More ]
Published:
26 October 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, Evaluation, Open Source, Standards
Sykes TA et al, J Am Med Inform Assoc, 2011
Objective
This work seeks to complement and extend prior work by using a multidisciplinary approach to explain electronic medical records (EMR) system use and consequent performance (here, patient satisfaction) among physicians during early stages of the implementation of an EMR.
Design
This was a quantitative study, with data obtained from three distinct sources: individual-level and social-network data from employees; use data from EMR system logs; and patient satisfaction data from patients and/or authorized decision-makers. Responses were obtained from 151 physicians and 8440 patient satisfaction surveys over the course of a 1-year period at the shakedown phase of an EMR system implementation.
[ More ]
Published:
2 February 2011 |
Keyword(s): Australia, Electronic Health Records, Electronic Medical Record System, Electronic Medical Records, Implementation, Patient Satisfaction, Physicians
Salem RM et al, Health Informatics Journal, 16(4)
The Veterans Affairs Hypertension Primary Care Longitudinal Cohort (VAHC) was initiated in 2003 as a pilot study designed to link the VA electronic medical record system with individual genetic data. Between June 2003 and December 2004, 1,527 hypertensive participants were recruited. Protected health information (PHI) was extracted from the regional VA data warehouse. Differences between the clinic and mail recruits suggested that clinic recruitment resulted in an over-sampling of African Americans.
[ More ]
Published:
1 December 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, Electronic Medical Records, Genetic Data, Hypertension, Primary Care, Privacy, United States, Veterans Affairs
Kumar S, Aldrich K. Health Informatics Journal, 16(4)
An EMR system implementation would significantly reduce clinician workload and medical errors while saving the US healthcare system major expense. Yet, compared to other developed nations, the US lags behind. This article examines EMR system efforts, benefits, and barriers, as well as steps needed to move the US closer to a nationwide EMR system.
[ More ]
Published:
1 December 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, Electronic Medical Records, Implementation, United States
Bach A et al, The Journal of the American Osteopathic Association, 110(10)
During the past couple decades, the use of the word perfect with electronic medical record (EMR) has been almost oxymoronic. Some physicians and hospital staff love their EMR systems, others hate their EMR systems to the point where they ignore them and use paper instead, and still others will not even consider trying such systems. To design the “perfect” EMR system, one must take into account the interests of a number of key stakeholders—hospitals and emergency departments, physicians in private practice, insurance companies, pharmacies, and, most importantly, patients.
[ More ]
Published:
October 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, United States
Diamond E et al, Chest, 138(3)
This article describes the initial and ongoing efforts of our pulmonary medicine practice to deploy an electronic medical records (EMR) system. Key factors in the vendor selection and implementation process included (1) identification and commitment to long-term goals for EMR; (2) dedicated resources, including both physician and nonphysician champions to lead the design and implementation teams; and (3) ample patience and time allotted to achieve the desired results: a fully functional system that enhances quality, improves operational efficiency, and reduces costs.
[ More ]
Published:
September 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, Evaluation, Implementation, Pulmonary Medicine, United States
Linder JA et al, Pharmacoepidemiology and Drug Safety, 2010
Purpose
Physicians in the United States report fewer than 1% of adverse drug events (ADEs) to the Food and Drug Administration (FDA), but frequently document ADEs within electronic health records (EHRs). We developed and implemented a generalizable, scalable EHR-based system to automatically send electronic ADE reports to the FDA in real-time.
[ More ]
Published:
11 October 2010 |
Keyword(s): Adverse Drug Events, Ambulatory Care, Electronic Health Records, Electronic Medical Record System, Electronic Medical Records, Secondary Data Use, United States
Castillo V et al, BMC Medical Informatics and Decision Making, 10(1)
Background
The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although there are some proposals to support their adoption, the proposed support is not by means of information and communication technology which can provide automatic tools of support. The aim of this study is to identify the critical adoption factors for electronic health records by physicians and to use them as a guide to support their adoption process automatically.
[ More ]
Published:
15 October 2010 |
Keyword(s): Adoption, Electronic Health Records, Electronic Medical Record System, Literature Review, Taxonomy
Bowes III WA, MEDINFO 2010
Meaningful and efficient methods for measuring Electronic Health Record (EHR) adoption and functional usage patterns have recently become important for hospitals, clinics, and health care networks in the United State due to recent government initiatives to increase EHR use. To date, surveys have been the method of choice to measure EHR adoption.
[ More ]
Published:
2010 |
Keyword(s): Adoption, Electronic Health Records, Electronic Medical Record System, Electronic Medical Records, Meaningful Use, United States
Poissant L et al, J Am Med Inform Assoc, 12(5)
A systematic review of the literature was performed to examine the impact of electronic health records (EHRs) on documentation time of physicians and nurses and to identify factors that may explain efficiency differences across studies. In total, 23 papers met our inclusion criteria; five were randomized controlled trials, six were posttest control studies, and 12 were one-group pretest-posttest designs. Most studies (58%) collected data using a time and motion methodology in comparison to work sampling (33%) and self-report/survey methods (8%). A weighted average approach was used to combine results from the studies.
[ More ]
Published:
19 May 2005 |
Keyword(s): CPOE, Efficiency, Electronic Medical Record System, Electronic Medical Records, Literature Review, Nurses, Physicians, Systematic Review
Chen T et al, Journal of Medical Systems, 2010
Patient records, including doctors’ diagnoses of diseases, trace of treatments and patients’ conditions, nursing actions, and examination results from allied health profession departments, are the most important medical records of patients in medical systems. With patient records, medical staff can instantly understand the entire medical information of a patient so that, according to the patient’s conditions, more accurate diagnoses and more appropriate in-depth treatments can be provided. Nevertheless, in such a modern society with booming information technologies, traditional paper-based patient records have faced a lot of problems, such as lack of uniform formats, low data mobility, slow data transfer, illegible handwritings, enormous and insufficient storage space, difficulty of conservation, being easily damaged, and low transferability.
[ More ]
Published:
20 September 2010 |
Keyword(s): Access control, Electronic Health Records, Electronic Medical Record System, Electronic Medical Records, Information Security, Mobile agent
Sox CM et al, J Med Internet Res, 12(3)
Background:
The development of health information technologies should be informed by iterative experiments in which qualitative and quantitative methodologies provide a deeper understanding of the abilities, needs, and goals of the target audience for a personal health application.
[ More ]
Published:
30 August 2010 |
Keyword(s): ADHD, Electronic Health Records, Electronic Medical Record System, Patient Centric, Personal Health Records, Software Design, United States, User-Computer Interface
Wu Z et al, Journal of Medical Systems, 2010
With the rapid development of the Internet, digitization and electronic orientation are required in various applications of our daily life. For e-medicine, establishing Electronic patient records (EPRs) for all the patients has become the top issue during the last decade. Simultaneously, constructing an integrated EPR information system of all the patients is beneficial because it can provide medical institutions and the academia with most of the patients’ information in details for them to make correct decisions and clinical decisions, to maintain and analyze patients’ health.
[ More ]
Published:
27 May 2010 |
Keyword(s): Authentication, e-Health, Electronic Health Records, Electronic Medical Record System, Security
Ainon R et al, Journal of Medical Systems, 2010
This paper aims at identifying the factors that would help to diagnose acute myocardial infarction (AMI) using data from an electronic medical record system (EMR) and then generating structure decisions in the form of linguistic fuzzy rules to help predict and understand the outcome of the diagnosis.
[ More ]
Published:
2 May 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, Fuzzy rules
Gallego-Pérez, Carlos et al, Medicina Clínica, 134 Suppl 1
Strategies for implementation of information systems have mainly focused on the implementation of different models of electronic medical records systems and solutions for specific departments. The next step is to make these systems share and exchange information and assistance that generate accessible citizens. For it, must be structured in a coherent and give a semantic content to allow interoperability between systems.
[ More ]
Published:
February 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, Health Information Exchange, HL7, Implementation, Interoperability, SNOMED CT, Spain, Standards
Ting, S. L. et al, Journal of Medical Systems, 2010
This paper aims to investigate the efficacy and feasibility of Template-based Electronic Medical Record System (TEMRS) and factors for its successful implementation. A TEMRS was designed and implemented in one core clinic of a Hong Kong professional multi-disciplinary medical services provider with four core clinics located in different parts of Hong Kong. Eight doctors participated in the study. Surveys and interviews were conducted to acquire the users’ feedback and satisfaction level. The design, development, and the factors related to the success of the implementation of TEMRS were analyzed.
[ More ]
Published:
1 February 2010 |
Keyword(s): Electronic Health Records, Electronic Medical Record System, Hong Kong, Implementation
Klehr, Joan et al, International Journal of Nursing Terminologies and Classifications, 20(4)
PURPOSE.
To describe a customized electronic medical record documentation system which provides an electronic health record, Epic, which was implemented in December 2006 using standardized taxonomies for nursing documentation.
[ More ]
Published:
October 2009 |
Keyword(s): Documentation, Electronic Health Records, Electronic Medical Record System, Hospital Information Systems, Nursing, Taxonomy, United States
Rahimi, Bahlol et al, BMC Medical Informatics and Decision Making, 9(1)
Background
Computerized provider order entry (CPOE) systems have been introduced to reduce medication errors, increase safety, improve work-flow efficiency, and increase medical service quality at the moment of prescription. Making the impact of CPOE systems more observable may facilitate their adoption by users. We set out to examine factors associated with the adoption of a CPOE system for inter-organizational and intra-organizational care.
[ More ]
Published:
31 December 2009 |
Keyword(s): Adoption, CPOE, Electronic Health Records, Electronic Medical Record System, Innovation, Nurses, Physicians, Survey, Sweden
