scholarly journals Information and communication technology literacy, knowledge and readiness for electronic medical record system adoption among health professionals in a tertiary hospital, Myanmar: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253691
Author(s):  
Hlaing Min Oo ◽  
Ye Minn Htun ◽  
Tun Tun Win ◽  
Zaw Myo Han ◽  
Thein Zaw ◽  
...  
Keyword(s):  
Health Professionals ◽  
Tertiary Hospital ◽  
Electronic Medical Record System ◽  
Cross Sectional Study ◽  
Ict Literacy ◽  
Record System ◽  
Cross Sectional ◽  
Medical Record System ◽  
Literacy Knowledge ◽  
Information And Communication

Some developing countries are currently introducing and implementing an electronic medical record system (EMRs) for improvement in healthcare delivery services. Availability of information and communication technology (ICT), technical skillful staff, and strong resistance to change by the health professionals impacted the successful adoption of EMRs. This study aimed to assess the ICT literacy, knowledge, and readiness for EMRs adoption among health professionals in a tertiary hospital, Myanmar. A cross-sectional study was conducted among 118 health professionals involving in a tertiary hospital at Nay Pyi Taw, Myanmar from February to April 2020 using a stratified sampling method. The data were collected through face-to-face interviews using a pretested structured questionnaire after getting informed consent. Data were analyzed by using SPSS version 23.0. Chi-square test, Fisher’s exact test, and logistic regression analysis were performed to assess the associated factors of ICT literacy, knowledge, and overall readiness for EMRs adoption. The prevalence of high ICT literacy and knowledge on EMRs among health professionals were 20.3% and 24.6% respectively. The factors associated with ICT literacy were professional, education, duration of service, and reported English language skills. Duration of service was associated with knowledge on EMRs. The overall readiness was 54.2% (core readiness 59.3% and engagement readiness 61.9%), and postgraduate [Adjusted Odds Ratio (AOR): 7.32, 95% Confidence Interval (CI): 2.26–23.68] and knowledge on EMRs (AOR: 1.27, 95% CI: 1.13–1.43) were the factors associated with overall readiness for EMRs adoption. Expanding infrastructure and provision of ICT development training are crucial for the improvement of ICT literacy. EMRs training program enabling hands-on experience should be implemented for improvement of knowledge on EMRs. In general, the overall readiness for EMRs adoption was found to be moderate. Enhancing the establishment of comprehensive on-the-job training and contextualization of curriculum in EMRs training program are recommended to improve the health professionals’ readiness for EMRs adoption.

scholarly journals Health Professionals’ Readiness and Its Associated Factors to Implement Electronic Medical Record System in Four Selected Primary Hospitals in Ethiopia

2020 ◽  
Vol Volume 11 ◽  
pp. 147-154 ◽  
Author(s):  
Shekur Mohammed Awol ◽  
Abreham Yeneneh Birhanu ◽  
Zeleke Abebaw Mekonnen ◽  
Kassahun Dessie Gashu ◽  
Atsede Mazengia Shiferaw ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Health Professionals ◽  
Associated Factors ◽  
Electronic Medical Record System ◽  
Record System ◽  
Medical Record System

scholarly journals Assessment of Knowledge about Healthcare Risk Waste Management at a Tertiary Hospital in the Northern Cape Province, South Africa

2021 ◽  
Vol 18 (2) ◽  
pp. 449
Author(s):  
Mokete Motlatla ◽  
Thelmah Xavela Maluleke
Keyword(s):  
South Africa ◽  
Health Professionals ◽  
Storage Period ◽  
Management Training ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Waste Container ◽  
Professional Nurses

This study aimed at assessing the knowledge about healthcare risk waste (HCRW) management among doctors, professional nurses, pharmacists and laboratory technicians, in accordance with National Environmental Management, Waste Act 59 of 2008, Constitution of South Africa and sustainable development goals (SDG). The quantitative cross-sectional study was conducted, using self-administered questionnaires and stratified random sampling was used. Data was analyzed using the descriptive and inferential statistics. One hundred and forty-four participants were included in the study. The majority 90.28% of the participants were aged 19–50 years, females (71%), professional nurses (36%), and they had 1–10 years of experience (71%). The health professionals were knowledgeable of sharps waste (89%), slightly over (52%) knew anatomical waste, whereas (27%) and (17%) knew radioactive and cytotoxic waste, respectively. Health professionals (92%) agreed that the sharps-waste container should be disposed of in a yellow bin container, at least (63%) and (27%) agreed that red liner and box should be used for both infectious non anatomical waste and for cytotoxic waste. The null hypothesis was tested on knowledge versus age, profession and gender, and evidence against it was found on waste storage period in all three variables where chi-square and Fisher exact p-values were less than the 5% significant level. More attention should be directed towards similar HCRW management training at the hospital for all health professionals and behavior modification. The hospital management must ensure that HCRW-trained health professionals and HCRW management officials put into practice what they have learnt.

scholarly journals Clinical Pathway and Patient Navigation: Research Protocol on the Appropriateness, Timeliness and Support of Women Diagnosed with Breast Cancer in Abia Stat

2021 ◽  
Vol 6 (3) ◽  
pp. 367-371
Author(s):  
Kelechi N Eguzo ◽  
Adegboyega Lawal ◽  
Chukwuemeka Oluoha ◽  
Kingsley Nnah ◽  
Uwemedimbuk Ekanem ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mixed Methods ◽  
Clinical Pathway ◽  
Patient Navigation ◽  
Electronic Medical Record System ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Record System ◽  
Cross Sectional ◽  
Cancer Management

Background: Breast cancer is the second most common malignancy affecting Nigerian women, and contributes the highest cancer-related mortality in this population. Despite the rising prevalence of breast cancer, Nigerian healthcare professionals do not have adequate resources in screening, diagnosing, treating and follow up of women with breast cancer. The objective of this study was to understand how the development and implementation of a state-wide clinical pathway alongside a patient navigation program will impact the care providers and care receiver (beast cancer patients). Methods: This mixed methods, cross-sectional study will develop and deploy a multidisciplinary clinical pathway focused on breast cancer management. Trained patient navigators will facilitate the implementation of the pathway and to support patients. An electronic medical record system will be deployed to document the use of the pathway. Mixed methods data will be collected periodically, including patient satisfaction, treatment adherence, psychosocial outcomes, and quality of life. Qualitative data will provide contextual details.Anticipated Result and Discussion: This research will potentially structure the management of breast cancer in a way that optimizes available resources while reducing delays in Abia state, Nigeria.

scholarly journals Intravitreal injections: past trends and future projections within a UK tertiary hospital

Eye ◽  
2021 ◽  
Author(s):  
Reena Chopra ◽  
Gabriella C. Preston ◽  
Tiarnan D. L. Keenan ◽  
Pádraig Mulholland ◽  
Praveen J. Patel ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Electronic Medical Record System ◽  
Age Related Macular Degeneration ◽  
Intravitreal Injections ◽  
High Demand ◽  
Record System ◽  
Future Projections ◽  
Age Related ◽  
Medical Record System ◽  
Number Of Injections

Abstract Aims To describe past trends and future projections for the number of intravitreal injections being administered at a large tertiary hospital in London, United Kingdom. Methods Retrospective data from Moorfields Eye Hospital were collected using the electronic medical record system. Descriptive statistics were used to visualise overall trends. Time series forecasting was used to predict the number of injections that will be administered up to and including the year 2029. Results The number of injections has increased nearly 11-fold from 2009 to 2019, with a total of 44,924 injections delivered in 2019. The majority of injections were given for the treatment of neovascular age-related macular degeneration. Aflibercept formed 87% of injections administered in 2019. The number of injections is predicted to continue to increase every year, with nearly 83,000 injections forecasted in the year 2029. Conclusion The demand for intravitreal injections has increased substantially over the last decade and is predicted to further increase. Healthcare systems will need to adapt to accommodate the high demand. Other solutions may include longer-acting therapies to reduce the treatment burden.

scholarly journals Reliability of comorbidity scores derived from administrative data in the tertiary hospital intensive care setting: a cross-sectional study

2019 ◽  
Vol 26 (1) ◽  
pp. e000016 ◽  
Author(s):  
Michael Hua-Gen Li ◽  
Anastasia Hutchinson ◽  
Mark Tacey ◽  
Graeme Duke
Keyword(s):  
Intensive Care ◽  
Administrative Data ◽  
Chart Review ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Systematic Bias ◽  
Rater Agreement ◽  
Record System ◽  
Cross Sectional ◽  
Comorbidity Scores

BackgroundHospital reporting systems commonly use administrative data to calculate comorbidity scores in order to provide risk-adjustment to outcome indicators.ObjectiveWe aimed to elucidate the level of agreement between administrative coding data and medical chart review for extraction of comorbidities included in the Charlson Comorbidity Index (CCI) and Elixhauser Index (EI) for patients admitted to the intensive care unit of a university-affiliated hospital.MethodWe conducted an examination of a random cross-section of 100 patient episodes over 12 months (July 2012 to June 2013) for the 19 CCI and 30 EI comorbidities reported in administrative data and the manual medical record system. CCI and EI comorbidities were collected in order to ascertain the difference in mean indices, detect any systematic bias, and ascertain inter-rater agreement.ResultsWe found reasonable inter-rater agreement (kappa (κ) coefficient ≥0.4) for cardiorespiratory and oncological comorbidities, but little agreement (κ<0.4) for other comorbidities. Comorbidity indices derived from administrative data were significantly lower than from chart review: −0.81 (95% CI − 1.29 to − 0.33; p=0.001) for CCI, and −2.57 (95% CI −4.46 to −0.68; p=0.008) for EI.ConclusionWhile cardiorespiratory and oncological comorbidities were reliably coded in administrative data, most other comorbidities were under-reported and an unreliable source for estimation of CCI or EI in intensive care patients. Further examination of a large multicentre population is required to confirm our findings.

scholarly journals Cardiometabolic Profile of Women with Uterine Leiomyoma: A Cross-Sectional Study

2020 ◽  
Author(s):  
Abdelrahman AlAshqar ◽  
Hala El Ouweini ◽  
Megan Gornet ◽  
Gayane Yenokyan ◽  
Mostafa Borahay
Keyword(s):  
Uterine Leiomyoma ◽  
Blood Pressure Measurement ◽  
Uterine Fibroids ◽  
Electronic Medical Record System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Record System ◽  
Cross Sectional ◽  
Early Management ◽  
Cardiometabolic Profile

Objective: To determine the association of cardiometabolic comorbidities and use of cardiometabolic medications with diagnosis of uterine leiomyoma (UL). Design: Cross-sectional study. Setting: The John Hopkins Health System. Population or sample: Women 18 years or older who had at least one visit or hospital encounter and one blood pressure measurement. Methods: Aggregate-level data from January 1, 2013 to January 1, 2020 were collected using SlicerDicer feature of Epic electronic medical record system. Participants were assigned as cases or controls according to UL status. The individual prevalence of each pre-specified cardiometabolic comorbidity and relevant prescription medications was obtained. Main Outcome Measures: We used prevalence odds ratios to assess the association of cardiometabolic comorbidities and use of medications with UL. Results: The study included 27,703 women with UL. Women with UL were more likely to be obese (2.56; 95%CI, 2.49-2.63), have metabolic syndrome (1.82; 95%CI, 1.51-2.19), essential hypertension (1.45; 95%CI, 1.42-1.49), diabetes mellitus (1.29; 95%CI, 1.24-1.33) and hyperlipidemia (1.23; 95%CI, 1.19-1.26). These associations were stronger among younger women and persisted after excluding those who had a hysterectomy. Notably, statins were the only medications associated with a lower UL risk (0.81; 95%CI, 0.79-0.84). Conclusions: UL is associated with an unfavorable cardiometabolic profile in women. If found to be more definitively correlated, prevention and early management of cardiometabolic risk factors may decrease the incidence of UL, and screening women UL for cardiometabolic comorbidities may aid in cardiovascular disease prevention. Funding: NIH grant [1R01HD094380-01] to Mostafa A. Borahay. Keywords: Cardiometabolic comorbidity; Statins; Uterine Fibroids

Instagramming our way through public health communication: why and who is using it?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Vareda ◽  
T Garcia ◽  
J Rachadell
Keyword(s):  
Public Health ◽  
Social Media ◽  
Health Promotion ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Healthy Lifestyles ◽  
Communication Tool ◽  
Cross Sectional ◽  
Non Communicable Diseases

Abstract Background From disease prevention to health promotion, communication is key for Public Health (PH) practice and, according to the 9th Essential Public Health Operation its goal is to improve populations health literacy and capacity to access, understand and use information. Though social media is frequently presented as a potentially useful tool for PH communication, there is a lack of evidence about its effectiveness and impact on PH outcomes. This study researches Instagram® as a PH tool and aims to know who is using it, what content is shared on the platform and how much engagement there is. Methods This cross-sectional study regards information on 1000 Instagram® posts with the hashtags publichealth, publichealthpromotion, healthpromotion, publichealthmatters and publichealtheducation. Authors categorized post content and creators, and reviewed the number of likes and comments per post to determine engagement. Data analysis was performed on IBM SPSS® Statistics. Results The most common content categories were communicable diseases (n = 383), non-communicable diseases (n = 258) and healthy lifestyles (n = 143). Health professionals post more about communicable diseases (43,6%) and non-professionals about healthy lifestyles (36,1%). Non-professionals (n = 191) post about PH issues almost as much as health professionals (n = 220) and PH associations (n = 201). Most don't reference their sources (n = 821). Posts on communicable diseases have the most likes and comments per post (mean of 172 likes and 3,1 comments). Conclusions Half the Instagram® posts analysed in this study were made by health professionals or organizations. Communicable diseases, non-communicable diseases and healthy lifestyles were the most frequent content categories and had the most engagement. The majority of posts didn't reference their sources. Though Instagram® seems to be a potential PH communication tool, further research is needed to confirm its benefits for PH. Key messages Social media platforms like Instagram® are potentially powerful tools for PH communication. There is a need to understand the efficacy of social media as health promotion tools.

Sign in / Sign up

Export Citation Format

Share Document