scholarly journals Spiritual Care and Electronic Medical Recording in Dutch Hospitals

2020 ◽  
pp. 117-128
Author(s):  
Wim Smeets ◽  
Anneke de Vries
Keyword(s):  
Electronic Medical Records ◽  
Spiritual Care ◽  
Medical Records ◽  
Healthcare Professionals ◽  
Medical Center ◽  
Healthcare Providers ◽  
The Third ◽  
Pros And Cons ◽  
Near Future ◽  
Foregone Conclusion

Abstract Among Dutch healthcare professionals, it is not a foregone conclusion that conversations with patients should be recorded electronically. This article first describes the discussion among patients about the pros and cons of electronic medical records (EMR). The authors then discuss the Dutch and European legislators’ requirements for the protection of patients’ privacy and therefore of their stories and how these requirements work out in the practice of EMR. The third section is devoted to the question of why spiritual caregivers should record their conversations with patients. The authors put forward various arguments for this. In their view, charting appears to serve both the interests of patients and those of the healthcare providers and of the spiritual care professionals themselves. The authors then describe various possible methods of registration, including G. Fitchett’s model in an adapted, more secular form. By means of two case descriptions, one fairly extensive and one more concise, they show how registration takes place in practice at the Radboud University Medical Center in Nijmegen, Netherlands. The article concludes with the formulation of a plan and goals for the near future.

scholarly journals Management of an ophthalmology department during COVID-19 pandemic in Milan, Italy

2020 ◽  
pp. 112067212096033 ◽  
Author(s):  
Emanuela Filomena Legrottaglie ◽  
Laura Balia ◽  
Fabrizio Ivo Camesasca ◽  
Jose Luis Vallejo-Garcia ◽  
Giovanni Fossati ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Vision Loss ◽  
Healthcare Providers ◽  
Northern Italy ◽  
Containment Measures ◽  
Minor Surgery ◽  
Patients At Risk ◽  
Management Experience ◽  
Corneal Collagen

Purpose: Spreading from China, COVID-19 pandemic reached Italy, the first massively involved western nation. At the beginning of March, 2020 in Northern Italy a complete lockdown of activities was imposed. Access to all healthcare providers, was halted for patients with elective problems. We present the management experience of the Humanitas Clinical and Research Center Ophthalmology Department in Rozzano, Milan, Italy, during the lockdown. Methods: Containment measures were taken to reduce viral transmission and identify infected patients. All planned visits were canceled but for those not deferrable. Social distancing was introduced reducing number of visits per hour. Minor surgery for progressive pathologies was continued. As the lockdown prolonged, we reorganized patient care. All canceled cases were evaluated by electronic medical records analysis and telephonic triage, to identify, recall, and visit patients at risk of vision loss. Results: From March 9, to April 30, 2020 we performed a total of 930 visits and 612 exams. Some visits ( n = 698) and exams ( n = 160) were deemed as necessary for continuity of care and performed as planned. Among the remaining 1283 canceled appointments, after evaluation 144 visits and 32 instrumental exams were classified as urgent and rapidly rescheduled. Performed surgical activities were limited to corneal collagen cross linking ( n = 39) and intravitreal injections ( n = 91), compared to 34 and 94, respectively, in the same period of 2019. Conclusion: In-office activities deemed not deferrable were performed safely. The recall service was highly appreciated by all patients. No patient or staff member reported symptoms of COVID-19.

scholarly journals Deterrence approach on the compliance with electronic medical records privacy policy: the moderating role of computer monitoring

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kuang-Ming Kuo ◽  
Paul C. Talley ◽  
Tain-Junn Cheng
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Survey Methodology ◽  
Medical Center ◽  
Hierarchical Regression ◽  
Privacy Policy ◽  
Healthcare Facilities ◽  
Hospital Employees ◽  
Computer Monitoring ◽  
Minimum Requirements

Abstract Background This study explored the possible antecedents that will motivate hospital employees’ compliance with privacy policy related to electronic medical records (EMR) from a deterrence perspective. Further, we also investigated the moderating effect of computer monitoring on relationships among the antecedents and the level of hospital employees’ compliance intention. Methods Data was collected from a large Taiwanese medical center using survey methodology. A total of 303 responses was analyzed via hierarchical regression analysis. Results The results revealed that sanction severity and sanction certainty significantly predict hospital employees’ compliance intention, respectively. Further, our study found external computer monitoring significantly moderates the relationship between sanction certainty and compliance intention. Conclusions Based on our findings, the study suggests that healthcare facilities should take proactive countermeasures, such as computer monitoring, to better protect the privacy of EMR in addition to stated privacy policy. However, the extent of computer monitoring should be kept to minimum requirements as stated by relevant regulations.

scholarly journals Performance of a Computational Phenotyping Algorithm for Sarcoidosis Using Diagnostic Codes in Electronic Medical Records: A Pilot Study from Two Veterans Affairs Medical Centers

2021 ◽  
Author(s):  
Mohamed I Seedahmed ◽  
Izabella Mogilnicka ◽  
Siyang Zeng ◽  
Gang Luo ◽  
Charles McCulloch ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Practice Guideline ◽  
Medical Records ◽  
Healthcare Providers ◽  
Veterans Affairs ◽  
Case Identification ◽  
Diagnostic Codes ◽  
Medical Centers ◽  
Icd Codes ◽  
New Scoring

ABSTRACTBackgroundThe accuracy of identifying sarcoidosis cases in electronic medical records (EMR) using diagnostic codes is unknown.MethodsTo estimate the statistical performance of using diagnostic codes, ICD-9 and ICD-10 diagnostic codes in identifying sarcoidosis cases in EMR, we searched the San Francisco and Palo Alto Veterans Affairs (VA) medical centers EMR and randomly selected 200 patients coded as sarcoidosis. To further improve diagnostic accuracy, we developed an “index of suspicion” algorithm to identify probable sarcoidosis cases based on clinical and radiographic features. We then determined the positive predictive value (PPV) of diagnosing sarcoidosis by two computational methods using ICD only and ICD plus the “index of suspicion” against the gold standard developed through manual chart review based on the American Thoracic Society (ATS) practice guideline. Finally, we determined healthcare providers’ adherence to the guidelines using a new scoring system.ResultsThe PPV of identifying sarcoidosis cases in VA EMR using ICD codes only was 71% (95%CI=64.7%-77.3%). The inclusion of our construct of “index of suspicion” along with the ICD codes significantly increased the PPV to 90% (95%CI=85.2%-94.6%). The care of sarcoidosis patients was more likely to be classified as “Fully” or “Substantially” adherent with the ATS practice guideline if their managing provider was a specialist (45% of primary care providers vs. 74% of specialists; P=0.008).ConclusionsAlthough ICD codes can be used as reasonable classifiers to identify sarcoidosis cases within EMR, using computational algorithms to extract clinical and radiographic information (“index of suspicion”) from unstructured data could significantly improve case identification accuracy.HighlightsIdentifying sarcoidosis cases using diagnostic codes in EMR has low accuracy.“Unstructured data” contain information useful in identifying cases of sarcoidosis.Computational algorithms could improve the accuracy and efficiency of case identification in EMR.We introduce a new scoring system for assessing healthcare providers’ compliance with the American Thoracic Society (ATS) practice guideline.Compliance scoring could help automatically assess sarcoidosis patients’ care delivery.

scholarly journals Effective Use of Mobile Electronic Medical Records by Medical Interns in Real Clinical Settings: Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
SuJin Kim ◽  
Seulji Ku ◽  
Taerim Kim ◽  
Won Chul Cha ◽  
Kwang Yul Jung
Keyword(s):  
Health Care ◽  
South Korea ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Inverse Relationship ◽  
Medical Center ◽  
Tertiary Hospital ◽  
Mixed Methods Study ◽  
Task Completion ◽  
Workflow Efficiency

BACKGROUND In South Korea, most graduated medical students undertake a 1-year internship before beginning residency and specialization. Interns usually work in a tertiary hospital and rotate between different, randomly assigned departments to be exposed to different medical specialties. Their jobs are mostly simple and repetitive but are still essential for the patient care process. However, owing to the lack of experience and overwhelming workload, interns at tertiary hospitals in South Korea are usually inefficient, often delaying the entire clinical process. Health care providers have widely adopted mobile electronic medical records (mEMRs) as they have been shown to improve workflow efficiency. OBJECTIVE This study investigates the association between the frequency of mEMR usage and the clinical task completion interval time among interns in a tertiary hospital. METHODS This mixed methods study was conducted at the Samsung Medical Center, Seoul, South Korea. Interns who worked at the Samsung Medical Center from March 2018 to February 2019 were included. The hospital electronic medical record (EMR) system known as DARWIN (Data Analysis and Research Window for Integrated kNowledge) was launched with PC and mobile. Both versions are actively used in hospitals by personnel in various positions. We collected the log data from the mEMR server and the intern clinical task time-series data from the EMR server. Interns can manage the process of identifying patients, assigning the clinical task, finishing the requested clinical intern tasks, etc, through the use of the mEMR system. We compared the clinical task completion interval among 4 groups of interns divided by the mEMR frequency quantile. Then, System Usability Score (SUS) questionnaires and semistructured interviews were conducted. RESULTS The regular mEMR users were defined as those who logged in more than once a day on average and used the mEMR until the level after login. Among a total of 87 interns, 84 used the mEMR to verify the requested clinical tasks. The most frequently used item was “Intern task list.” Analysis of the 4 intern groups revealed an inverse relationship between the median time of the task completion interval and the frequency of mEMR use. Correlation analysis showed that the intern task completion time interval had a significant inverse relationship with the individual frequency of mEMR usage (coefficient=-0.27; 95% CI -0.46 to -0.04; <i>P</i>=.02). In the additional survey, the mean SUS value was 81.67, which supported the results of the data analysis. CONCLUSIONS Our findings suggest that frequent mEMR use is associated with improved work efficiency in hospital interns with good usability of the mEMR. Such finding supports the idea that the use of mEMR improves the effectiveness and workflow efficiency of interns working in hospitals and, more generally, in the context of health care.

scholarly journals THE RELIABILITY OF CLINICAL PROBABILITY SCORE IN (WELLS SCORE) THE DIAGNOSIS OF PULMONARY EMBOLISM (PE) IN COVID-19 PATIENTS

2021 ◽  
Vol 9 (09) ◽  
pp. 345-349
Author(s):  
Saleh Alkhubaizi ◽  
◽  
Ahmad Al. ALalwi ◽  
Mamdoh Mahboob ◽  
Mohammed Al. Thubity ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Medical Records ◽  
Healthcare Professionals ◽  
Medical Center ◽  
Pulmonary Angiography ◽  
Clinical Probability ◽  
Study Results ◽  
Significant Difference ◽  
Wells Score ◽  
D Dimer

Background: The risk of developing pulmonary embolism (PE) is high in patients infected with COVID-19, and its diagnosis is a severe challenge for healthcare professionals duringthe COVID-19 pandemic. Physicians are frequently usingcomputed tomography pulmonary angiography(CTPA), d-dimer, and well score for the diagnosis of PE. Methods: A retrospective study was used in which we investigated the reliability of clinical well scores by collecting data, such as medical records in registered form (serum D-dimer level and Wells scores) of every patient for whom physicians have requested whose CTPA with suspicion of PE at King Faisal Medical Center (KFMC) from the period from 1st of April to the 1st of October. Results: The study results showed significantly higher values of d-dimer in patients with positive PEcompared to those with negative values. In addition wells score is not a reliable preclinical score in diagnosis PE in COVID 19 patient. Conclusions: As per the results of the well score, there is no significant difference between vulnerable people with PE +ve and -ve.

scholarly journals Patterns of Prescribing Co-Amoxiclav to Children in Ibri Polyclinic, Oman

2021 ◽  
Vol 21 (1) ◽  
pp. e72-76
Author(s):  
Weaam S. Al-Yaqoubi ◽  
Nadia S. Al-Maqbali
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Antibiotic Prescription ◽  
Inappropriate Prescribing ◽  
Healthcare Providers ◽  
Evidence Based ◽  
First Line ◽  
Cross Sectional ◽  
Strict Enforcement ◽  
Keywords Antibiotics

Objectives: This study aimed to describe patterns of prescribing co-amoxiclav to children aged ≤5 years at a polyclinic in Oman and to assess level of adherence to the antibiotic prescription guidelines outlined by the Omani Ministry of Health (MOH). Methods: This cross-sectional retrospective study was conducted between June and December 2017 at Ibri Polyclinic (IPC) in Ibri, Oman. A random sample of 399 children aged ≤5 years who were prescribed a suspension of co-amoxiclav over the four winter months of 2016 were included in the study. The children’s electronic medical records were reviewed to determine whether the prescription complied with MOH guidelines. Results: The majority of the children were 2–3 years old (52.4%). Overall, 73.9% of prescriptions were written by general practitioners, while 26.1% were written by specialists. Co-amoxiclav therapy was the first line of management in 90.5% of cases, regardless of category of prescriber. Culture tests were ordered in only 43 cases (10.8%), of which five (11.6%) were found to be sensitive to the prescribed co-amoxiclav. Conclusion: Unnecessary antibiotics were prescribed to many paediatric patients attending IPC. Strict enforcement of the MOH antibiotic guidelines is needed to reduce irrational or discretionary prescription of this type of antibiotic. Healthcare providers should receive additional training in evidence-based methods of prescribing antibiotics.   KEYWORDS Antibiotics; Children; Co-Amoxiclav; Inappropriate Prescribing; Antibiotic Resistance; Oman.

scholarly journals Factors Influencing Healthcare Professionals’ Perception towards EHR/EMR Systems in Gulf Cooperation Council Countries: A Systematic Review

2020 ◽  
Vol 35 (6) ◽  
pp. e192-e192
Author(s):  
Bander Alanazi ◽  
Kerryn Butler-Henderson ◽  
Mohammed R. Alanazi
Keyword(s):  
Systematic Review ◽  
Medical Records ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Gulf Cooperation Council ◽  
Successful Implementation ◽  
Health Technologies ◽  
Factors Influencing ◽  
Electronic Health

Electronic health and medical records are widely adopted in many healthcare settings worldwide to improve the quality of care. Users’ perception is a significant factor influencing the successful implementation and use of e-health technologies. This systematic review aimed to identify factors influencing the perceptions of healthcare professionals towards the adoption and use of electronic health and medical record systems to improve the quality of healthcare services in the countries of the Gulf Cooperation Council. We identified primary studies evaluating healthcare professionals’ perception towards electronic health records and/or electronic medical records in the Gulf region. Seven electronic databases, including Medline, CINAHL, Informit Health Collection, Science Direct, ProQuest, PubMed, and Scopus were used to search for the relevant articles published between January 2007 and December 2016. Thirteen articles met the inclusion criteria and were included in this systematic review. Both individual and system-related factors were found to positively or negatively influence healthcare providers’ perceptions towards the systems. Understanding the impact of healthcare professionals’ perception of health information technology is important for policymakers involved in the implementation programs to ensure their success. Future studies should evaluate other individual characteristics such as age, gender, and profession of the healthcare providers on their perceptions towards e-health technologies.

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