Usability Evaluation of the Electronic Medical Record of the Rapid Response Team: a Case Study

2021 ◽  
Author(s):  
Mehrdad Karajizadeh ◽  
Reza Nikandish ◽  
Omid Yousefianzadeh ◽  
Zahra Hamedi ◽  
Hamid Reza Saeidnia
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Organ Transplant ◽  
User Interaction ◽  
Rapid Response Team ◽  
Cross Sectional Study ◽  
Rapid Response ◽  
Cross Sectional ◽  
Response Team

Aim: This study was conducted to determine the usability of the rapid response team (RRT) electronic medical records (EMRs) system at an Abu-Ali-Sina organ transplant hospital, Shiraz, Iran. Method: This cross-sectional study was carried out in partnership with 25 direct members of RRT includes nurses and anesthesia technicians who were on the shift during the data collection for two months. To evaluate, the Questionnaire for User Interaction Satisfaction (QUIS) version 7 was used. Data were analyzed by SPSS version 19. Results: A total of 20 out of 25 questionnaires were obtained. Seven (25.0 %) of 27 sections were higher than seven, and all areas were higher than five. The highest rankings were for 1) reading characters on the computer screen 2) highlighting on the screen simplify task 3) overall reactions: wonderful and learning to operate the system. Conclusion: This study demonstrates the usability of the hospital RRT for the EMRs system and over the moderate. However, the flexibility and capability of the rapid response for EMRs tool require to be improved.

scholarly journals Nurses' perception of the quality of the Rapid Response Team

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 228-234
Author(s):  
Ágatha Stahl de Queiroz ◽  
Lilia de Souza Nogueira
Keyword(s):  
Rapid Response Team ◽  
Cross Sectional Study ◽  
Rapid Response ◽  
Cross Sectional ◽  
Work Shift ◽  
Process And Outcome ◽  
Response Team ◽  
Positive Index ◽  
Process Dimension

ABSTRACT Objective: verify the perception nurses have of the quality of the Rapid Response Team in the structure, process and outcome dimensions, as well as the influence of time of practice in the institution and the work shift of the professionals on this perception. Method: cross-sectional study, conducted between September and October 2016, with questionnaires to 55 nurses working in inpatient care units or members of the Rapid Response Team. The positive index and inferential tests were used in the data analysis. Results: a satisfactory positive index was identified in 25 of the 37 items analyzed, and the main frailties occurred in the process dimension. There was discrepancy in the perception of professionals with different length of time in the institution about medical consumables (p=0.05) and request for the Rapid Response Team (p=0.03), besides the work shift and communication among the members involved (p=0.02). Conclusion: the nurses' perception of the quality of the Rapid Response Team is satisfactory, especially in the areas of structure and outcome.

scholarly journals Accuracy of telephone triage in patients suspected of transient ischaemic attack or stroke: A cross-sectional study

2020 ◽  
Author(s):  
Daphne Carmen Erkelens ◽  
Frans H. Rutten ◽  
Loes T. Wouters ◽  
L. Servaas Dolmans ◽  
Esther de Groot ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Decision Support Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Telephone Triage ◽  
Cross Sectional ◽  
Support Tool ◽  
Ischaemic Attack

Abstract Background: The Netherlands Triage Standard (NTS) is a widely used decision support tool for telephone triage at Dutch out-of-hours primary care services (OHS-PC), which, however, has never been validated against clinical outcomes. We aimed to determine the accuracy of the NTS urgency allocation for patients with neurological symptoms suggestive of a transient ischaemic attack (TIA) or stroke, with the clinical outcomes TIA, stroke, and other (neurologic) life-threatening events (LTEs) as the reference.Method: A cross-sectional study of telephone triage recordings of patients with neurological symptoms calling the OHS-PC between 2014 and 2016.The allocated NTS urgencies were derived from the electronic medical records of the OHS-PC. The clinical outcomes were retrieved from the electronic medical records of the patients’ own general practitioners. The accuracy of a high NTS urgency allocation (medical help within three hours) was calculated in terms of sensitivity, specificity, positive and negative predictive values (PPV and NPV) with the clinical outcomes TIA/stroke/other LTEs as the reference.Results: Of 1,269 patients, 635 (50.0%) received the diagnosis TIA/stroke (34.2% TIA/minor stroke, 15.8% major ischaemic or haemorrhagic stroke), and 4.8% other LTEs. For TIA/stroke/other LTEs, the sensitivity and specificity of the NTS urgency allocation were 0.72 (95%CI 0.68-0.75) and 0.48 (95%CI 0.43-0.52), and the PPV and NPV were 0.62 (95%CI 0.60-0.64) and 0.58 (95%CI 0.54-0.62).Conclusions: The NTS decision support tool used in Dutch OHS-PC performed poor to moderately regarding safety (sensitivity) and efficiency (specificity) in allocating adequate urgencies to patients with and without TIA/stroke/other LTEs.

scholarly journals Disaster Safety Assessment in Primary Healthcare Facilities: A Cross-Sectional Study, Kurdistan, Iran

2020 ◽  
Author(s):  
Arezoo Yari ◽  
Yadolah Zarezadeh ◽  
Farin Fatemi ◽  
Ali Ardalan ◽  
Siamak Vahedi ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Safety Evaluation ◽  
Rapid Response Team ◽  
Cross Sectional Study ◽  
Decision Makers ◽  
Structural Safety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Response Team

Abstract Primary Healthcare facilities in Iran deliver health services at all levels nationwide. Resiliency and flexibility of such facilities is important when a disaster occurs. Thus, evaluating functional, structural, and non-structural aspects of safety of these facilities is essential. In this cross-sectional study, using the safety evaluation checklist of primary healthcare centers provided by the Ministry of Health and Medical Education, 805 health centers in Kurdistan Province were evaluated in terms of functional, structural, and non-structural safety. The levels of total, functional, structural, and non-structural safety were equal to 28.7, 23.8, 20.2, and 42.3 out of 100 respectively. Regarding the functional preparedness, the highest score was related to rapid response team, while the lowest score was belonged to financial affairs. Nevertheless, in structural and non-structural areas, the scores of different items were almost similar to one another. Both Iran and Kurdistan Province are disaster-prone areas. This study concluded that the safety score of primary healthcare facilities in total was unsatisfactory. Thus, promoting preparedness, resilience and continuity of service delivery is essential during disasters and emergencies. The finding of this study could be beneficial for national and provincial decision-makers and policymakers in this regard

scholarly journals Prevalence of APOL1 Risk Variants in Afro-Descendant Patients with Chronic Kidney Disease in a Latin American Country

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Carlos E. Duran ◽  
Alejandro Ramírez ◽  
Juan G. Posada ◽  
Johanna Schweineberg ◽  
Liliana Mesa ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Electronic Medical Records ◽  
Latin American ◽  
Medical Records ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Risk Variants ◽  
Different Levels

Introduction. In Colombia, the genetic background of the populations was shaped by different levels of admixture between Natives, European, and Africans. Approximately 35.363 patients have diagnosed chronic kidney disease and according to population studies, 10.4% of these patients are Afro-descendant. We aim to assess the frequency of APOL1 variants G1 and G2 in Afro-descendant patients with ESRD treated at la Fundacion Valle del Lili University Hospital in Cali, Colombia. Methods. This is an observational cross-sectional study. Afro-descendant patients with ESRD in waitlist or recipients of kidney transplant were evaluated. Clinical data were collected from the electronic medical records. Genotyping was carried out by amplification of the exon 7 of the APOL1 gene. For the identification of risk genotypes, the bioinformatics tool BLAST was used. Results. We enrolled 102 participants. The frequency of APOL1 risk variants was 67.2%, in which 24.5% (n = 25) were G1 heterozygous and 5.8% (n = 6) were G2 heterozygous and 37% of the patients had high-risk status with two alleles in homozygous (G1/G1 = 21 and G2/G2 = 3) or compound heterozygote (G1/G2 = 14) form.

scholarly journals Accuracy of telephone triage in suspected transient ischaemic attack or stroke: A cross-sectional study

2020 ◽  
Author(s):  
Daphne Carmen Erkelens ◽  
Frans H. Rutten ◽  
Loes T. Wouters ◽  
L. Servaas Dolmans ◽  
Esther de Groot ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Decision Support Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Telephone Triage ◽  
Cross Sectional ◽  
Support Tool ◽  
Ischaemic Attack

Abstract BackgroundThe Netherlands Triage Standard (NTS) is a widely used decision support tool for telephone triage at Dutch out-of-hours primary care services (OHS-PC), which, however, has never been validated against clinical outcomes. We aimed to determine the accuracy of the NTS urgency allocation for patients with neurological symptoms suggestive of a transient ischaemic attack (TIA) or stroke, with the clinical outcomes TIA, stroke, and other (neurologic) life-threatening events (LTEs) as the reference.MethodA cross-sectional study of telephone triage recordings of patients with neurological symptoms calling the OHS-PC between 2014 and 2016.The allocated NTS urgencies were derived from the electronic medical records of the OHS-PC. The clinical outcomes were retrieved from the electronic medical records of the patients’ own general practitioners. The accuracy of a high NTS urgency allocation (medical help within three hours) was calculated in terms of sensitivity, specificity, positive and negative predictive values (PPV and NPV) with the clinical outcomes TIA/stroke/other LTEs as the reference.ResultsOf 1,269 patients, 635 (50.0%) received the diagnosis TIA/stroke (34.2% TIA/minor stroke, 15.8% major ischaemic or haemorrhagic stroke), and 4.8% other LTEs. For TIA/stroke/other LTEs, the sensitivity and specificity of the NTS urgency allocation were 0.72 (95%CI 0.68–0.75) and 0.48 (95%CI 0.43–0.52), and the PPV and NPV were 0.62 (95%CI 0.60–0.64) and 0.58 (95%CI 0.54–0.62).ConclusionsThe NTS decision support tool used in Dutch OHS-PC performed poor to moderately regarding safety (sensitivity) and efficiency (specificity) in allocating adequate urgencies to patients with and without TIA/stroke/other LTEs.Trial registration: the Netherlands National Trial Register, identification number NTR7331.

scholarly journals Utilization of Electronic Medical Records Data for Medical Research in a Hospital in China: A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Rui Li ◽  
Yue Niu ◽  
Sarah Robbins Scott ◽  
Chu Zhou ◽  
Lan Lan ◽  
...  
Keyword(s):  
Medical Research ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Data Availability ◽  
Sectional Study ◽  
Data Utilization ◽  
Cross Sectional ◽  
Research Activities ◽  
Per Capita

BACKGROUND With the proliferation of electronic medical records systems (EMRs), there is an increasing interest in utilizing EMRs data for medical research, yet there is no quantitative research on EMRs data utilization for medical research purposes. OBJECTIVE Understand the current status of clinical data utilization in clinical research activities, including trends in recent years and differences between different populations, to find out the present problems in the use of EMR data for research, and provide a reference for promoting the utilization of EMR data in scientific research. METHODS For this descriptive, cross-sectional study, the utilization of EMRs data by staff at Xuanwu Hospital in Beijing, China between 2016 and 2019 was analyzed. The utilization of EMRs data was described as the number of requests, the proportion of requesters, and the frequency of requests per capita. The comparison by year, professional title, and age was conducted by double-sided chi square test. RESULTS From 2016 to 2019, EMRs data utilization was poor, as the proportion of requesters was 5.8% and the frequency was 0.1 times / person / year. The frequency per capita gradually slowed and more older, senior level staff used EMRs data compared to younger staff. CONCLUSIONS The value of using EMRs data for research purposes does not get enough attention among researchers in Chinese hospitals. Ensuring equal availability of EMRs data and highlighting the benefits of such systems can help promote its use in research settings. Future research should focus on mechanisms that encourage data utilization, ensure fair data availability, and promote data sharing.

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