scholarly journals Mixed-methods feasibility study of blood pressure self-screening for hypertension detection

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027986 ◽  
Author(s):  
Alice Tompson ◽  
Susannah Fleming ◽  
Mei-Man Lee ◽  
Mark Monahan ◽  
Sue Jowett ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Records ◽  
Feasibility Study ◽  
Medical Records ◽  
Alternative Methods ◽  
Hypertension Detection ◽  
Technical Problems ◽  
The Cost

ObjectiveTo assess the feasibility of using a blood pressure (BP) self-measurement kiosk—a solid-cuff sphygmomanometer combined with technology to integrate the BP readings into patient electronic medical records— to improve hypertension detection.DesignA concurrent mixed-methods feasibility study incorporating observational and qualitative interview components.SettingTwo English general practitioner (GP) surgeries.ParticipantsAdult patients registered at participating surgeries. Staff working at these sites.InterventionsBP self-measurement kiosks were placed in the waiting rooms for a 12-month period between 2015 and 2016 and compared with a 12-month control period prior to installation.Outcome measures(1) The number of patients using the kiosk and agreeing to transfer of their data into their electronic medical records; (2) the cost of using a kiosk compared with GP/practice nurse BP screening; (3) qualitative themes regarding use of the equipment.ResultsOut of 15 624 eligible patients, only 186 (1.2%, 95% CI 1.0% to 1.4%) successfully used the kiosk to directly transfer a BP reading into their medical record. For a considerable portion of the intervention period, no readings were transferred, possibly indicating technical problems with the transfer link. A comparison of costs suggests that at least 52.6% of eligible patients would need to self-screen in order to bring costs below that of screening by GPs and practice nurses. Qualitative interviews confirmed that both patients and staff experienced technical difficulties, and used alternative methods to enter BP results into the medical record.ConclusionsWhile interviewees were generally positive about checking BP in the waiting room, the electronic transfer system as tested was neither robust, effective nor likely to be a cost-effective approach, thus may not be appropriate for a primary care environment. Since most of the cost of a kiosk system lies in the transfer mechanism, a solid-cuff sphygmomanometer and manual entry of results may be a suitable alternative.

Abstract 372: Electronic Medical Records Can Identify Patients With Persistently Elevated Blood Pressure Without A Prior Diagnosis Of Hypertension.

2014 ◽  
Vol 7 (suppl_1) ◽  
Author(s):  
Olufunso W Odunukan ◽  
Ahmed S Rahman ◽  
Daniel Roellinger ◽  
Steven Cha ◽  
James M Naessens ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Elevated Blood Pressure ◽  
Electronic Records ◽  
Elevated Blood ◽  
Cross Sectional ◽  
Outpatient Visits ◽  
Cross Sectional Design ◽  
Diagnosis Of Hypertension

Background: The diagnosis of hypertension requires systolic blood pressure (SBP) ≥ 140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg on at least 2 different occasions. Therefore, there is the possibility of patients with elevated BP remaining undiagnosed if not seen by the same provider. Purpose: To utilize electronic medical records (EMR) to identify patients not previously diagnosed with hypertension that have elevated blood pressure meeting criteria for a diagnosis of hypertension using a threshold of SBP ≥ 140mmHg or DBP ≥ 90 mmHg (high BP) on 2 or more occasions. Methods: This was a cross sectional design utilizing retrospective multi-year billing and clinical data from a large multi-specialty center in the Midwest. Using electronic records of all outpatient visits in each year from 2009 - 2011, patients with at least 2 visits with SBP ≥ 140mmHg or DBP ≥ 90 mmHg (2HBP) in the measurement year were identified. These patients were compared with previously identified cohorts of known hypertension patients (Known HTN) compiled using the EMR problem list. A sensitivity analysis was done using patients with high BP at 2 consecutive visits (2CHBP) and also those with high BP at 3 consecutive visits (3CHBP). We compared proportions of patients with high BP without a prior diagnosis of hypertension (UDHTN). Results: The proportion of patients with SBP ≥ 140mmHg or DBP ≥ 90 mmHg without a prior diagnosis of hypertension (UDHTN) when compared to the cohort of known patients with a diagnosis of hypertension (Known HTN) was 25% in 2009, 26% in 2010, and 28% in 2011 in the 2CHBP cohort compared to 27% in 2009, 28% in 2010, and 30% in 2011 in the 2HBP cohort and 18% in 2009, 19% in 2010 and 23% in 2011 in the 3CHBP cohort. Conclusion: About a quarter of patients meeting current thresholds on multiple and consecutive visits did not have a known diagnosis of hypertension. The use of EMR can identify these patients for commencement of appropriate management. Table 1

Abstract 119: Using Blood Pressure Values from Electronic Medical Records to Identify Hypertension During Pregnancy

Hypertension ◽  
2018 ◽  
Vol 72 (Suppl_1) ◽  
Author(s):  
Lu Chen ◽  
Thomas Easterling ◽  
T. Craig Cheetham ◽  
Kristi Reynolds ◽  
Lyndsay Avalos ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Electronic Medical Records ◽  
Medical Records

scholarly journals NFC Based Electronic Medical Record

2019 ◽  
Vol 13 (03) ◽  
pp. 4
Author(s):  
Noor Cholis Basjaruddin ◽  
Edi Rakhman ◽  
Kuspriyanto Kuspriyanto ◽  
Mikhael Bagus Renardi
Keyword(s):  
Medical Record ◽  
Electronic Medical Records ◽  
Mobile Phones ◽  
Medical Records ◽  
Near Field ◽  
Near Field Communication ◽  
Important Data ◽  
Record System ◽  
Medical Record System ◽  
Beta Testing

Near Field Communication (NFC) technology enables mobile phones to store important data safely and reliably. The data can be sent to another phone equipped with NFC or read by NFC reader. Through special applications the data can also be added, subtracted, or modified. This NFC capability allows the phone to be developed into a device that can store important data such as e-money or electronic medical records. In this research has been developed medical record system based on Near Field Communication (NFC). The results of alpha and beta testing show that the developed application has good performance.

scholarly journals Identifying hypertension in pregnancy using electronic medical records: The importance of blood pressure values

2020 ◽  
Vol 19 ◽  
pp. 112-118 ◽  
Author(s):  
Lu Chen ◽  
Susan M Shortreed ◽  
Thomas Easterling ◽  
T Craig Cheetham ◽  
Kristi Reynolds ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Hypertension In Pregnancy ◽  
In Pregnancy

Assessing the Coverage of E-Health Services in Sub-Saharan Africa

2017 ◽  
Vol 56 (03) ◽  
pp. 189-199 ◽  
Author(s):  
Taiwo Adigun ◽  
Sanjay Misra ◽  
Nicholas Omoregbe ◽  
Davies Adeloye
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Relevant Literature ◽  
Sub Saharan Africa ◽  
Medical Specialties ◽  
Technical Problems ◽  
Positive Feedbacks ◽  
Published Evidence ◽  
Health Initiatives ◽  
Sub Saharan

SummaryBackground: E-Health has attracted growing interests globally. The relative lack of facilities, skills, funds and information on existing e-Health initiatives has affected progress on e-Health in Africa.Objectives: To review publicly available literature on e-Health in sub-Saharan Africa (sSA) towards providing information on existing and ongoing e-Health initiatives in the region.Methods: Searches of relevant literature were conducted on Medline, EMBASE and Global Health, with search dates set from 1990 to 2016. We included studies on e-Health initiatives (prototypes, designs, or completed projects) targeting population groups in sSA.Results: Our search returned 2322 hits, with 26 studies retained. Included studies were conducted in 14 countries across the four sub-regions in sSA (Central, East, South and West) and spreading over a 12-year period, 2002-2014. Six types of e-Health interventions were reported, with 17 studies (65%) based on telemedicine, followed by mHealth with 5 studies (19%). Other e-Health types include expert system, electronic medical records, e-mails, and online health module. Specific medical specialties covered include dermatology (19%), pathology (12%) and radiology (8%). Successes were ‘widely reported’ (representing 50% overall acceptance or positive feedbacks in a study) in 10 studies (38%). The prominent challenges reported were technical problems, poor internet and connectivity, participants’ selection biases, contextual issues, and lack of funds.Conclusion: E-Health is evolving in sSA, but with poorly published evidence. While we call for more quality research in the region, it is also important that population-wide policies and on-going e-Health initiatives are contex- tually feasible, acceptable, and sustainable.

scholarly journals Improvement of patient safety through implementation of electronic medical records

2017 ◽  
Vol 1 (4) ◽  
pp. 111-112
Author(s):  
Elahe Gozali ◽  
Marjan Ghazisaiedi ◽  
Malihe Sadeghi ◽  
Reza Safdari
Keyword(s):  
Patient Safety ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Access To Health Care ◽  
Clinical Care ◽  
Drug Management ◽  
Bar Code

Introduction: Today, with the complexity of the process of conducting activities, the increase in diversity and the number of hospital services, and the increase in the expectations of clients - consistent with the fast technological advances - most of the hospitals in Iran have turned to mechanized systems to organize their daily activities and to register the patients' information and the care provided. One of these technologies is electronic medical records, which is known as a valuable system to evaluate patients' information in hospitals. The purpose of this paper was to examine the advantages of running electronic medical records in patient safety. Methods: This study is a review paper based on a structured review of papers published in the Google Scholar, SID, Magiran, Pubmed, and Science Direct databases (from 2007 to 2015) and the books on the benefits of implementing electronic medical records in patient safety and the related keywords. Results: Clinical information systems can have a significant effect on the quality of the outputs and patient safety. Various studies have indicated that the physicians with access to clinical guidelines and features such as computer reminders, doctors who did not have these features, presented more appropriate preventive care. Studies show that electronic medical records play a crucial role in improving the quality of patient health and safety services. Moreover, electronic medical record system is usually in connection with other technological tools: electronic drug management records,  electronic record of time and date of drug management are usually associated with bar code technology. Among the benefits of this system is the possibility to record clinical care by the treatment team, which would be especially beneficial for patient's bedside record. If the treatment personnel forgets to ask the patient a particular question, system reminds him/her. Furthermore, electronic medical record is able to remind the nurses of the patient's allergic reactions and medical history without the need for the patient to remind, which improves patient safety. Conclusion: Implementation of electronic medical records boosts up the quality of health services, patient safety, people's access to health care services, and the speed of patients treatment, leading to lower healthcare costs. Thus, considering the benefits mentioned and some other benefits of this kind, one can use this technology in clinical care provided to patients to come up with a safe and effective clinical care.

scholarly journals Diabetes Risk Data Mining Method Based on Electronic Medical Record Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Yang Liu ◽  
Zhaoxiang Yu ◽  
Yunlong Yang
Keyword(s):  
Data Mining ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Diabetes Risk ◽  
Mining Method ◽  
Training Set ◽  
Medical Field ◽  
Data Mining Method

In today’s society, the development of information technology is very rapid, and the transmission and sharing of information has become a development trend. The results of data analysis and research are gradually applied to various fields of social development, structured analysis, and research. Data mining of electronic medical records in the medical field is gradually valued by researchers and has become a major work in the medical field. In the course of clinical treatment, electronic medical records are edited, including all personal health and treatment information. This paper mainly introduces the research of diabetes risk data mining method based on electronic medical record analysis and intends to provide some ideas and directions for the research of diabetes risk data mining method. This paper proposes a research strategy of diabetes risk data mining method based on electronic medical record analysis, including data mining and classification rule mining based on electronic medical record analysis, which are used in the research experiment of diabetes risk data mining method based on electronic medical record analysis. The experimental results in this paper show that the average prediction accuracy of the decision tree is 91.21%, and the results of the training set and the test set are similar, indicating that there is no overfitting of the training set.

scholarly journals The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Nuke Amalia ◽  
Muh Zul Azhri Rustam ◽  
Anna Rosarini ◽  
Dina Ribka Wijayanti ◽  
Maya Ayu Riestiyowati
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Records ◽  
Health Sector ◽  
Developed Countries ◽  
The United States ◽  
Long Time ◽  
The Cost

The development of information technology is now growing rapidly, including in the health sector. According to WHO, medical record is an important compilation of facts about a patient's life and health. The development of information technology in medical records is the electronic medical record (EMR). Developed countries, such as the United States and Korea have implemented EMR for a long time. In developing countries such as Indonesia, the development of EMR is still in progress because its implementation requires many factors to build a system or replace from manual medical records. Eventually, it is hoped that in the future all health care will use the EMR to resume patient datas from admission to discharge. The purpose of this study is to analyse the implementation and preparation of EMR in health care in Indonesia. This study is a literature review on the implementation and preparation of EMR in health care in Indonesia. The review is dome from 28 literature sources (Google-Scholar database). Total of 8 articles were obtained from 2017 to 2021. The results show that there are benefits after switching to EMR, even though some health care only used EMR in certain units. The highest benefit is reducing the cost of duplicating paper for printing. Also there is still limited human resources and tools for implementing EMR in Indonesia. The implementation of this EMR will enable the improvements of the service quality of the health care itself, especially in Indonesia.

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