scholarly journals Factors Influencing Electronic Medical Record Systems Success in Selected Tertiary Healthcare Facilities in South-West, Nigeria

2021 ◽  
Vol 12 (1) ◽  
pp. 14-32
Author(s):  
Adebayo Muritala Adegbore ◽  
Akinyosoye Tolulope Omowumi
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Healthcare Providers ◽  
Healthcare Facility ◽  
Strong Positive Correlation ◽  
Healthcare Facilities ◽  
Adoption Factors ◽  
Usage Evaluation ◽  
Electronic Medical Record Systems ◽  
System Success

Survey research design of the correlational type was employed for this study using stratified random sampling to select two hundred and forty-five (245) respondents. The research instrument which was a structured questionnaire was tagged Adoption Factors and Usage Evaluation of Electronic medical record systems System Success. A total of 222 copies research questionnaire were filled and returned. A statistical package for social science application was used in analysing the results of the research using Pearson Product Moment Correlation Coefficient for hypotheses one and two, and multiple regression analysis for the hypotheses three and four. The result from the study revealed that there was a positive significant correlation between adoption factors and EMRS systems’ success (r= 0.440) and there was a strong positive correlation between usage evaluation and system success of EMRS in the two healthcare facilities (r= 0.618). More so, findings showed that adoption factors jointly and significantly affect EMRS system success with coefficient of 0.648, and a multiple R square of 0.420. And there was also a relative contribution of adoption factors (β = 0.215) and usage evaluation (0.526) on EMRS success. The study concludes that electronic medical record systems have become a standard for every healthcare facility for improvement in the efficiency and profitability of the organisations. The study therefore recommends that, all healthcare facilities in Nigeria should adopt the electronic medical record systems, and all healthcare providers should be given thorough training on the use of EMRS.

Virtuelle Medizin in der Behandlung von Sucht in den USA, Kanada und darüber hinaus

Suchttherapie ◽  
2020 ◽  
Vol 21 (04) ◽  
pp. 189-193
Author(s):  
R. Michael Krausz ◽  
Farhud Shams ◽  
Maurice Cabanis
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record Systems

ZusammenfassungInsbesondere während der aktuellen Corona-Pandemie hat der Gebrauch virtueller Lösungen in der Medizin international stark zugenommen. Es gibt eine zunehmende Akzeptanz gerade auch in dem Bereich der hausärztlichen Versorgung, der Behandlung psychischer Störungen und der Abhängigkeitserkrankungen.Die Entwicklung ist international unterschiedlich, v. a, wenn man die USA und Kanada auf der einen Seite und Europa, insbesondere Deutschland, andererseits vergleicht. In Nordamerika hat bei dem Einsatz von moderner Technologie die Einführung von „Electronic Medical Record Systems“ eine dominierende Rolle gespielt. Diese ist insbesondere auf Abrechnung und Dokumentation zu Versicherungszwecken fokussiert. Daneben gibt es zunehmend Apps, die spezifische therapeutische Ansätze zu implementieren helfen. Die Anwendung virtueller Ansätze im Suchtbereich ist begrenzt, aber in Teilen sehr innovativ und auf deutsche Verhältnisse anwendbar. Wie in Europa gibt es auch in Nordamerika nur sehr begrenzte Forschungskapazitäten und prinzipiell Widerstand bei den medizinischen Berufsgruppen bezüglich der Anwendungsmöglichkeiten und der Rolle im Behandlungsprozess. Mehr Kooperation würde international zu einer Beschleunigung der Entwicklung und der Etablierung gemeinsamer Standards beitragen sowie die Behandlungssysteme bedeutend verbessern.

scholarly journals Association of Lowering Default Pill Counts in Electronic Medical Record Systems With Postoperative Opioid Prescribing

JAMA Surgery ◽  
2018 ◽  
Vol 153 (11) ◽  
pp. 1012 ◽  
Author(s):  
Alexander S. Chiu ◽  
Raymond A. Jean ◽  
Jessica R. Hoag ◽  
Mollie Freedman-Weiss ◽  
James M. Healy ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Opioid Prescribing ◽  
Pill Counts ◽  
Electronic Medical Record Systems

scholarly journals Interdisciplinary Plans of Care, Electronic Medical Record Systems, and Inpatient Mortality

ACI Open ◽  
2018 ◽  
Vol 02 (01) ◽  
pp. e21-e29
Author(s):  
Joseph Bonner ◽  
Brandon Stange ◽  
Mindy Kjar ◽  
Margaret Reynolds ◽  
Eric Hartz ◽  
...  
Keyword(s):  
Observational Study ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Patient Outcomes ◽  
Odds Ratio ◽  
Experimental Setting ◽  
Inpatient Mortality ◽  
Quasi Experimental ◽  
Electronic Medical Record Systems ◽  
Guide Care

Background Interdisciplinary plans of care (IPOCs) guide care standardization and satisfy accreditation requirements. Yet patient outcomes associated with IPOC usage through an electronic medical record (EMR) are not present in the literature. EMR systems facilitate the documentation of IPOC use and produce data to evaluate patient outcomes. Objectives This article aimed to evaluate whether IPOC-guided care as documented in an EMR is associated with inpatient mortality. Methods We contrasted whether IPOC-guided care was associated with a patient being discharged alive. We further tested whether the association differed across strata of acuity levels and overall frequency of IPOC usage within a hospital. Results Our sample included 165,334 adult medical/surgical discharges for a 12-month period for 17 hospitals. All hospitals had 1 full year of EMR use antedating the study period. IPOCs guided care in 85% (140,187/165,334) of discharges. When IPOCs guided care, 2.1% (3,009/140,187) of admissions ended with the patient dying while in the hospital. Without IPOC-guided care, 4.3% (1,087/25,147) of admissions ended with the patient dying in the hospital. The relative likelihood of dying while in the hospital was lower when IPOCs guided care (odds ratio: 0.45; 99% confidence interval: 0.41–0.50). Conclusion In this observational study within a quasi-experimental setting of 17 community hospitals and voluntary usage, IPOC-guided care is associated with a decreased likelihood of patients dying while in the hospital.

scholarly journals 60 Opening the Narrative on Deprivation of Liberty for the Older Person in Residential Healthcare Facilities: A Legal and Ethical Dilemma

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Florence Hogan ◽  
Adrian Ahern
Keyword(s):  
Human Rights ◽  
Residential Care ◽  
Healthcare Providers ◽  
Community Support ◽  
Healthcare Facility ◽  
Moral Dilemmas ◽  
Legal Framework ◽  
Best Interest ◽  
Healthcare Facilities ◽  
The Individual

Abstract Background While many people enter residential care of their own free will and because it is their preference, the evidence tells us that there are also many who if they had the choice would remain in their own homes. Lack of appropriate community supports may provide some impetus to enter residential care. According to Care Alliance Ireland, an additional four million hours of homecare needs to be provided to cope with the successful ageing demographics, at a cost of €110 million. There is no statutory or common-law power to detain a patient in a Healthcare Facility outside of the application of the Mental Health Act 2001. This presents legal, ethical and moral dilemmas for Healthcare Providers when caring for a person who lacks capacity wishes to self - discharge. A duty of care obligates healthcare professionals to act in the best interest of the individual. Under the Health Act 2007 the requirement is to provide for a ‘safe discharge’. Pending advancement of the Assisted Decision Making (Capacity) Act 2015 which provides a statutory framework to assist and support individuals to make legally-binding agreements about their welfare, their property and affairs we are currently acting under the Lunacy Regulations (1871). Methods We developed a ‘Deprivation of Liberty’ form which enable comprehensive Interdisciplinary Team discussion and direction of care. Presumption of capacity, respect for the resident’s wishes and consideration of all possible supportive actions up to and including sourcing community support services were considered. Results This format has enabled comprehensive discussion and robust adherence to human rights for three residents thus far Conclusion The situation remains that there is no legal framework to guide healthcare providers currently. Using a Human Rights based approach is imperative to guide us while awaiting advancement of the ADMA (2015) and Deprivation of Liberty legislation to be included in this act.

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