Factors affecting cross-hospital exchange of Electronic Medical Records

Purpose: The purpose of this study is to identify controllable treatment-environment-related factors affecting the timing of a central line-associated bloodstream infection (CLABSI) onset in children with cancer with central venous catheters (CVC). Design: This study is a secondary data analysis with the data extracted from electronic medical records in a tertiary hospital in South Korea. This study was conducted by reviewing electronic medical records of 470 pediatric cancer patients younger than the age of 18 years from 2010 to 2016. Method: The timing of a CLABSI onset was identified through the onset of CLABSI and the duration of catheterization. Cox proportional hazards regression analysis was used to estimate the impact of variables on the timing of CLABSI onset. The duration of catheterization was estimated using the Kaplan–Meier method. Finding: Multivariable analysis by Cox proportional model analysis showed that there are six independent variables affecting the timing of a CLABSI onset: length of stay in hospital, catheter insertion location, use of antibiotics on day of catheter insertion, catheter function, number of blood transfusions per 100 days, and number of blood tests per 100 days. Conclusions: The findings of this study provide a foundation for the development of EBP-based CVC guidelines to effectively reduce CLABSIs and maintain a long-term CVC without a CLABSI.

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Private primary care physicians' perspectives on factors affecting the adoption of electronic medical records: A qualitative pre-implementation study

Work ◽

10.3233/wor-131808 ◽

2014 ◽

Vol 48 (4) ◽

pp. 529-538 ◽

Cited By ~ 7

Author(s):

Calvin Or ◽

Katie Wong ◽

Ellen Tong ◽

Antonio Sek

Keyword(s):

Primary Care ◽

Electronic Medical Records ◽

Medical Records ◽

Primary Care Physicians ◽

Implementation Study ◽

Factors Affecting

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Digital Transformation Challenges for the Implementation of Quality Electronic Medical Records

Quality Assurance in the Era of Individualized Medicine - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-7998-2390-2.ch003 ◽

2020 ◽

pp. 63-91

Author(s):

Dimitrios G. Katehakis ◽

Angelina Kouroubali

Keyword(s):

Electronic Medical Records ◽

Medical Records ◽

Digital Transformation ◽

Full Potential ◽

Medical Decisions ◽

Significant Information ◽

Factors Affecting ◽

Key Stakeholders ◽

Electronic Medical Record Systems ◽

Clinically Significant

The purpose of this work is to analyze the digital transformation challenges related to the implementation of quality electronic medical record systems in Greece, within the wider frame of the European digital single market. The authors explore characteristics of quality, interoperable and secure electronic medical records, and provide an overview of the challenges and factors affecting their adoption, implementation, and operation. Key challenges relate to linking electronic medical records with the workflow, building trust and acceptance by making the best use of champions and key stakeholders, and financing the digital transformation transition and sustainability. The foreseen benefits include better support of medical decisions across all stages of the patient pathway, patients empowered to carry with them clinically significant information, fostering research, and unlocking the full potential of vendors to implement innovative tools to support continuity of care.

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FACTORS AFFECTING THE SUCCESS OF THE USE OF ELECTRONIC MEDICAL RECORD (EMR) IN NURSING SERVICES IN HOSPITAL

Journal of Science Innovare ◽

10.33751/jsi.v2i01.1526 ◽

2019 ◽

Vol 2 (01) ◽

pp. 23-27

Author(s):

Astri Safariah

Keyword(s):

Health Service ◽

Electronic Medical Records ◽

Medical Records ◽

Service System ◽

Nursing Service ◽

Factors Affecting ◽

It Systems ◽

Technological Advances ◽

Nursing Services

The hospital is a health service facility that is integrated with the nursing service system. With the advancement of technology, the services of the congregation must be effective and efficient both in terms of service time so that the quality of service to patients is still prioritized. Nurses must be prepared to face challenges in the era of technological advances so that included in the use of electronic medical records, especially in the nursing service order, the factors that influence the success of EMR are nurses as users must be proficient in using computers, management must always evaluate and communicate with EMR use and IT systems themselves must be easier, faster and more flexible to use so nurses are more confident in using EMR

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