scholarly journals Benefits of an Electronic Medical Records System in Rural Nepal

2012 ◽  
Vol 52 (188) ◽  
Author(s):  
A Watkinson-Powell ◽  
A Lee
Keyword(s):  
Developing Countries ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Health Workers ◽  
Technical Support ◽  
Original Research ◽  
Supporting Evidence ◽  
Medical Records Systems ◽  
Medical Records System ◽  
Rural Nepal

Introduction: Electronic medical records systems may improve the efficiency and quality of health services in developing countries. However the supporting evidence is limited as there are a number of barriers to their implementation, including lack of infrastructure, resources and skills. The objective of this study was to evaluate the introduction and assess the potential benefits of an Electronic Medical Records System in Rural at an NGO-supported health post in rural Nepal. Methods: Original research in the form of a case report was carried out using participant observation of health clinics, semi-structured interviews with health workers and recording of time spent on clinic activities at the pilot and a control site. Results: This evaluation found that the Electronic Medical Records System was well used and easy to learn. Health workers thought it improved continuity of care and found decision-support tools useful. Monthly report creation was faster but the system was difficult to integrate with government services, which limited the reduction in paperwork. Other problems identified included minor software issues, a lack of back-up, continuity of power supply and inadequate technical support. There was no significant impact on consultation length or time spent interacting with patients. Conclusions: The introduction of the Electronic Medical Records System was largely successful. With adequate technical support and training, Electronic Medical Records System could provide a relatively low-cost means of improving patient care and health worker efficiency in developing countries. However they must be designed to fit their intended environment. Keywords: computerized; electronic health records; medical records; medical records systems..

scholarly journals Implementation of Electronic Medical Records for Service Delivery in Selected State Hospitals in Southwest Nigeria

2021 ◽  
Vol 5 (2) ◽  
pp. 75-94
Author(s):  
Stephen Adekunle Ajayi ◽  
Peter Wamae ◽  
Daniel Wambiri Muthee
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Health Workers ◽  
Poor Performance ◽  
Electronic Record ◽  
Treatment Area ◽  
Medical Records Systems ◽  
Southwest Nigeria ◽  
Statistical Analysis Method

Electronic Medical Records (EMR) is an important communications channel relating to patient health conditions. Unfortunately, many hospitals in Africa, including Nigeria, have not implemented EMR. The few Hospitals that have some level of EMR continues are still struggling with the use of paper and hybrid medical records, which has led to inadequate medical follow-up, medical error, and long waiting time for patients. A sample size of three hundred and ninety-seven (397) was determined using krejcie and morgan models, comprising of strategic managers, and the operational staff drawn from a population of 2889 in the selected hospitals. At the hospital level, purposive sampling was applied in picking strategic managers, while stratified random sampling was method was used to select operational health workers. Questionnaires were used for data collection. The study adopted a descriptive statistical analysis method to describe the existing medical records systems. The finding indicated that the systems in the hospitals are mainly paper-based. The hospitals are also using hybrid system with a few treatment areas having fully electronic medical records systems. In the area where EMR has been implemented, the finding indicates poor penetration of the EMR system, limited modules, staff readiness and poor performance in the treatment area, among others. The study concluded that hospitals that have implemented, EMR is not serving the classical purpose of medical record of supporting treatment and follow up. The study recommended that the selected hospitals should ensure there is the availability of fund, staff training, and technical infrastructures like electronic record managers, ICT support staff, and computer compatible medical devices, among others.

Towards an Integrated Electronic Medical Records System for Quality Healthcare in Ghana

2017 ◽  
Vol 2 (2) ◽  
pp. 38-55
Author(s):  
Patrick Ohemeng Gyaase ◽  
Richard Darko-Lartey ◽  
Harrison William ◽  
Foster Borkloe
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Management Systems ◽  
Key Factors ◽  
Quality Healthcare ◽  
Medical Records Systems ◽  
Implementation Guidelines ◽  
Health Institutions ◽  
Medical Records System ◽  
Standardization Policy

This article explores the factors militating against the diffusion integration electronic medical records in Ghana. Structured questionnaires were used to collect data from respondents in the healthcare ecosystem and analyzed quantitatively using descriptive and inferential statistics. The findings revealed non-integration of electronic medical records systems among the stakeholders of the healthcare ecosystem mostly due to and interoperability issues. There is also substantial usage of technology in capturing and storing medical records. The key factors militating against the integration of electronic medical records systems are inadequate funds to purchase database management systems, acquisition and maintenance costs of electronic medical records systems, and an unclear return on investment on the integrated electronic medical records systems. The article recommends sustained government financial support, standardization policy and implementation guidelines to facilitate the integration of electronic medical records systems in the various health institutions.

Towards an Integrated Electronic Medical Records System for Quality Healthcare in Ghana

2020 ◽  
pp. 117-132
Author(s):  
Patrick Ohemeng Gyaase ◽  
Richard Darko-Lartey ◽  
Harrison William ◽  
Foster Borkloe
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Return On Investment ◽  
Financial Support ◽  
Key Factors ◽  
Quality Healthcare ◽  
Medical Records Systems ◽  
Implementation Guidelines ◽  
Medical Records System ◽  
Standardization Policy

This article explores the factors militating against the diffusion integration electronic medical records in Ghana. Structured questionnaires were used to collect data from respondents in the healthcare ecosystem and analyzed quantitatively using descriptive and inferential statistics. The findings revealed non-integration of electronic medical records systems among the stakeholders of the healthcare ecosystem mostly due to and interoperability issues. There is also substantial usage of technology in capturing and storing medical records. The key factors militating against the integration of electronic medical records systems are inadequate funds to purchase database management systems, acquisition and maintenance costs of electronic medical records systems, and an unclear return on investment on the integrated electronic medical records systems. The article recommends sustained government financial support, standardization policy and implementation guidelines to facilitate the integration of electronic medical records systems in the various health institutions.

scholarly journals Assessing Electronic Medical Records Readiness for Service Delivery in State Hospitals in Southwest Nigeria

2021 ◽  
Vol 5 (3) ◽  
pp. 1-17
Author(s):  
Stephen Adekunle Ajayi ◽  
Peter Wamae ◽  
Daniel Wambiri Muthee
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Health Workers ◽  
Poor Performance ◽  
Electronic Record ◽  
Treatment Area ◽  
Medical Records Systems ◽  
Southwest Nigeria ◽  
Statistical Analysis Method

Electronic Medical Records (EMR) is an important communications channel relating to patient health conditions. Unfortunately, many hospitals in Africa, including Nigeria, have not implemented EMR. The few Hospitals that have some level of EMR continues are still struggling with the use of paper and hybrid medical records, which has led to inadequate medical follow-up, medical error, and long waiting time for patients. A sample size of three hundred and ninety-seven (397) was determined using krejcie and morgan models, comprising of strategic managers, and the operational staff drawn from a population of 2889 in the selected hospitals. At the hospital level, purposive sampling was applied in picking strategic managers, while stratified random sampling was method was used to select operational health workers. Questionnaires were used for data collection. The study adopted a descriptive statistical analysis method to describe the existing medical records systems. The finding indicated that the systems in the hospitals are mainly paper-based. The hospitals are also using hybrid system with a few treatment areas having fully electronic medical records systems. In the area where EMR has been implemented, the finding indicates poor penetration of the EMR system, limited modules, staff readiness and poor performance in the treatment area, among others. The study concluded that hospitals that have implemented, EMR is not serving the classical purpose of medical record of supporting treatment and follow up. The study recommended that the selected hospitals should ensure there is the availability of fund, staff training, and technical infrastructures like electronic record managers, ICT support staff, and computer compatible medical devices, among others.

scholarly journals 530 An Audit of Appropriate Documentation Following Urethral Catheterisation

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
I Dokubo ◽  
J Armitage
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Clinical Care ◽  
Medical Personnel ◽  
Urethral Catheter ◽  
Residual Volume ◽  
Urethral Catheterisation ◽  
Catheter Size ◽  
Medical Records System ◽  
Insertion Process

Abstract Introduction Urethral catheterisation is a procedure frequently done in the hospital by medical personnel. Appropriate documentation is necessary to ensure safe clinical care and to reduce the risk of litigation. Method We randomly reviewed electronic notes of patients seen by the on-call urology team who had a urethral catheter inserted in September 2020. Reviewing the trust’s guidelines, we considered that appropriate documentation should include reference to the following 10 items; indication, chaperone present, consent obtained, groin examination, catheter size, catheter type, insertion process, urine colour, water in balloon and residual volume were reviewed. Results A total of 50 patients were included. 72%(36/50) were inserted by a member of the urology team. Only 28%(14/50) had all 10 items documented. Indication for catheterisation was best documented at 94%(47/50) while presence of a chaperone and groin examination (i.e. presence of a foreskin and its replacement post-catheterisation) were the lowest at 44%(22/50). Conclusions This study shows there is low compliance to adequate documentation of urethral catheterisation. A ‘smart phrase’ has been developed for use with our Trusts electronic medical records system to assist clinicians with appropriate documentation. Clinicians that use the phrase ‘.icat’ are prompted to document all 10 requisite items. This uses the mnemonic i-CATHETAR [indication, Chaperone and consent, groin Assessment, Tube (catheter size and type), insertion process (Hard/Easy), urine Tint, Aqua in balloon, Residual volume]. A second audit cycle is currently being done to review the effectiveness of this intervention.

Electronic Medical Records as an Improvement to Comply with Data Protection Rules

2012 ◽  
Vol 1 (3) ◽  
pp. 13-19
Author(s):  
Ángel Igualada Menor ◽  
Teresa Pereyra Caramé
Keyword(s):  
Medical Care ◽  
Electronic Medical Records ◽  
Data Protection ◽  
Medical Records ◽  
Personal Data ◽  
Medical Records Systems ◽  
The Right

The right implementation and design of Electronic Medical Records Systems present an opportunity of improvement, since they provide the owners of personal data, who are under treatment in medical care activities, with the exercise of control over them; avoidance of any change; loss or non-authorised access, as well as availability safeguarding, and use in activities that are not strictly within welfare.

scholarly journals Factors affecting the utilisation of electronic medical records system in Malawian central hospitals

2017 ◽  
Vol 29 (3) ◽  
pp. 247 ◽  
Author(s):  
Khwima E. Mkalira Msiska ◽  
Andrew Kumitawa ◽  
Benjamin Kumwenda
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Factors Affecting ◽  
Medical Records System
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