scholarly journals Success criteria for electronic medical record implementations in low-resource settings: a systematic review

2015 ◽  
Vol 22 (2) ◽  
pp. 479-488 ◽  
Author(s):  
Fleur Fritz ◽  
Binyam Tilahun ◽  
Martin Dugas
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Reliable Data ◽  
Lessons Learned ◽  
African Countries ◽  
Low Resource Settings ◽  
Low Resource ◽  
Use Of Resources ◽  
Success Criteria ◽  
The Right

Abstract Objective Electronic medical record (EMR) systems have the potential of supporting clinical work by providing the right information at the right time to the right people and thus make efficient use of resources. This is especially important in low-resource settings where reliable data are also needed to support public health and local supporting organizations. In this systematic literature review, our objectives are to identify and collect literature about success criteria of EMR implementations in low-resource settings and to summarize them into recommendations. Materials and Methods Our search strategy relied on PubMed queries and manual bibliography reviews. Studies were included if EMR implementations in low-resource settings were described. The extracted success criteria and measurements were summarized into 7 categories: ethical, financial, functionality, organizational, political, technical, and training. Results We collected 381 success criteria with 229 measurements from 47 articles out of 223 articles. Most papers were evaluations or lessons learned from African countries, published from 1999 to 2013. Almost half of the EMR systems served a specific disease area like human immunodeficiency virus (HIV). The majority of criteria that were reported dealt with the functionality, followed by organizational issues, and technical infrastructures. Sufficient training and skilled personnel were mentioned in roughly 10%. Political, ethical, and financial considerations did not play a predominant role. More evaluations based on reliable frameworks are needed. Conclusions Highly reliable data handling methods, human resources and effective project management, as well as technical architecture and infrastructure are all key factors for successful EMR implementation.

Pediatric hearing screening in low-resource settings: Incorporation of video-otoscopy and an electronic medical record

2019 ◽  
Vol 126 ◽  
pp. 109633 ◽  
Author(s):  
Kristen L. Yancey ◽  
Loyce J. Cheromei ◽  
Jackie Muhando ◽  
Jim Reppart ◽  
James L. Netterville ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Hearing Screening ◽  
Low Resource Settings ◽  
Low Resource

Rapid Adoption of a Serious Illness Conversation Electronic Medical Record Template: Lessons Learned and Future Directions

2020 ◽  
Vol 23 (2) ◽  
pp. 159-161 ◽  
Author(s):  
Erica Wilson ◽  
Rachelle Bernacki ◽  
Joshua R. Lakin ◽  
Corinne Alexander ◽  
Vicki Jackson ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Lessons Learned ◽  
Future Directions ◽  
Serious Illness

The Meaningful Use of Information Therapy (Ix®)

2013 ◽  
Vol 3 (2) ◽  
pp. 1-8
Author(s):  
Donald W. Kemper ◽  
Molly Mettler
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Meaningful Use ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Patient Response ◽  
The Past ◽  
Health Decision ◽  
Centered Care ◽  
The Right

Information Therapy (Ix), getting the right information to the right person at the right time in order to help the person make an informed health decision, is a field that is constantly evolving. Over the past decade, several changes –particularly technological and policy-based developments -- have helped to advance the model. This paper traces the evolution of Information Therapy from a good idea to one that has been widely adopted by clinicians. This paper emphasizes the use of the electronic medical record (EMR) in delivering information therapy prescriptions directly to patients. Patient Response (Px) is proposed as the next phase in the evolution of Information Therapy and patient-centered care.

scholarly journals Challenging the barriers to accessing surgery in low-resource settings: Lessons learned from burns

Surgery ◽  
2015 ◽  
Vol 158 (1) ◽  
pp. 33-36 ◽  
Author(s):  
Greg Elder ◽  
Richard A. Murphy ◽  
Patrick Herard ◽  
Kelly Dilworth ◽  
David Olson ◽  
...  
Keyword(s):  
Lessons Learned ◽  
Low Resource Settings ◽  
Low Resource

scholarly journals Development of an Electronic Medical Record Based Alert for Risk of HIV Treatment Failure in a Low-Resource Setting

PLoS ONE ◽  
2014 ◽  
Vol 9 (11) ◽  
pp. e112261 ◽  
Author(s):  
Nancy Puttkammer ◽  
Steven Zeliadt ◽  
Jean Gabriel Balan ◽  
Janet Baseman ◽  
Rodney Destiné ◽  
...  
Keyword(s):  
Treatment Failure ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Hiv Treatment ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Delivering a Pilot Smoking Cessation Program through the Patient Portal of an Electronic Medical Record (EMR) at a Patient-Centered Medical Home (PCMH)

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Amanda M Singrey ◽  
Kristin A Casper ◽  
Nicole V Brown ◽  
Bella H Mehta
Keyword(s):  
Smoking Cessation ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Home ◽  
Lessons Learned ◽  
Smoking Cessation Program ◽  
Original Research ◽  
Patient Centered Medical Home ◽  
Patient Portal ◽  
Patient Centered

Pharmacists are providing clinical services in nontraditional practice settings including the patient-centered medical home (PCMH). PCMHs strive to improve patient outcomes in a number of ways, including through innovative use of health information technology (HIT) and by encouraging patients to take an active role in their health care. This paper describes a pharmacist-directed smoking cessation program at a PCMH that utilizes HIT to engage patients in the smoking cessation process and lessons learned from implementation of the program to guide other pharmacists considering implementing a similar program. Secure messaging through the patient portal of the electronic medical record (EMR) can be an effective way to deliver a smoking cessation program for appropriately selected patients and aligns with PCMH standards as the program uses HIT to engage patients in self-management.   Type: Original Research

scholarly journals Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Evelyn A. Brakema ◽  
◽  
Frederik A. van Gemert ◽  
Sian Williams ◽  
Talant Sooronbaev ◽  
...  
Keyword(s):  
Implementation Fidelity ◽  
Chronic Respiratory Disease ◽  
Local Health ◽  
Target Groups ◽  
Low Resource Settings ◽  
Train The Trainer ◽  
Low Resource ◽  
The Right ◽  
Lung Health ◽  
Awareness Programme

Abstract Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.

scholarly journals Training and evaluating simulation debriefers in low-resource settings: lessons learned from Bihar, India

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Julia H. Raney ◽  
Melissa M. Medvedev ◽  
Susanna R. Cohen ◽  
Hilary Spindler ◽  
Rakesh Ghosh ◽  
...  
Keyword(s):  
Learning Environment ◽  
Interrater Reliability ◽  
Simulation Training ◽  
Lessons Learned ◽  
Video Data ◽  
Low Resource Settings ◽  
Low Resource ◽  
Simulation Based ◽  
Safe Learning Environment ◽  
Over Time

Abstract Background To develop effective and sustainable simulation training programs in low-resource settings, it is critical that facilitators are thoroughly trained in debriefing, a critical component of simulation learning. However, large knowledge gaps exist regarding the best way to train and evaluate debrief facilitators in low-resource settings. Methods Using a mixed methods approach, this study explored the feasibility of evaluating the debriefing skills of nurse mentors in Bihar, India. Videos of obstetric and neonatal post-simulation debriefs were assessed using two known tools: the Center for Advanced Pediatric and Perinatal Education (CAPE) tool and Debriefing Assessment for Simulation in Healthcare (DASH). Video data was used to evaluate interrater reliability and changes in debriefing performance over time. Additionally, twenty semi-structured interviews with nurse mentors explored perceived barriers and enablers of debriefing in Bihar. Results A total of 73 debriefing videos, averaging 18 min each, were analyzed by two raters. The CAPE tool demonstrated higher interrater reliability than the DASH; 13 of 16 CAPE indicators and two of six DASH indicators were judged reliable (ICC > 0.6 or kappa > 0.40). All indicators remained stable or improved over time. The number of ‘instructors questions,’ the amount of ‘trainee responses,’ and the ability to ‘organize the debrief’ improved significantly over time (p < 0.01, p < 0.01, p = 0.04). Barriers included fear of making mistakes, time constraints, and technical challenges. Enablers included creating a safe learning environment, using contextually appropriate debriefing strategies, and team building. Overall, nurse mentors believed that debriefing was a vital aspect of simulation-based training. Conclusion Simulation debriefing and evaluation was feasible among nurse mentors in Bihar. Results demonstrated that the CAPE demonstrated higher interrater reliability than the DASH and that nurse mentors were able to maintain or improve their debriefing skills overtime. Further, debriefing was considered to be critical to the success of the simulation training. However, fear of making mistakes and logistical challenges must be addressed to maximize learning. Teamwork, adaptability, and building a safe learning environment enhanced the quality enhanced the quality of simulation-based training, which could ultimately help to improve maternal and neonatal health outcomes in Bihar.

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