scholarly journals Synchronization of patient data among health facilities through electronic medical records system: a case study of Kabgayi District Hospital

2020 ◽  
Vol 2 (3) ◽  
pp. 281
Author(s):  
Charité Niyitegeka ◽  
Thaoussi Uwera ◽  
Noel Korukire ◽  
Sani Nasiru ◽  
Innocent Hakizimana ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
District Hospital ◽  
Patient Data ◽  
Health Facilities ◽  
System A ◽  
Medical Records System

Optimizing EMR User Experience: A Human Factors Approach to Hardware Assessment and Design for Inpatient and Emergency Units

2018 ◽  
Vol 7 (1) ◽  
pp. 97-102 ◽  
Author(s):  
Catherine Dulude ◽  
Chantal Trudel ◽  
W. James King ◽  
Karen Macaulay ◽  
Jennifer Gillert ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
User Satisfaction ◽  
Medical Records ◽  
Participatory Design ◽  
Easy Access ◽  
Just In Time ◽  
Successful Implementation ◽  
End User ◽  
System A ◽  
Emergency Units

Many factors contribute to the successful implementation and adoption of electronic medical records (EMRs). Easy access to the EMR, where and when required by clinicians, is a key component of adoption and end-user satisfaction with the system. A pediatric hospital implementing an integrated EMR used multiple methods within an iterative human-centered design (HCD) framework to develop hardware and access solutions supporting future EMR workflows in Inpatient and Emergency Departments. Context of use analysis, participatory design methods, preliminary analysis of evaluative simulations and tacit knowledge of the project team led to the development of guiding principles for hardware implementation and solutions supporting just-in-time documentation within the constraints of existing facility design.

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.

scholarly journals ELECTRONIC MEDICAL RECORD ALGORITHM TO IDENTIFY UNDIAGNOSED (PRE)DIABETES: A CASE STUDY FROM HAWAIʻI

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S934-S934
Author(s):  
David Stupplebeen ◽  
Tetine L Sentell ◽  
Lance Ching ◽  
Blythe Nett ◽  
Hermina Taylor ◽  
...  
Keyword(s):  
Older Adults ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Clinical Laboratory ◽  
Older Men ◽  
State Health ◽  
Missed Opportunities ◽  
The Past ◽  
Department Of Health

Abstract An estimated one-quarter of United States’ older adults (≥65 years) have diabetes (DM) while half have prediabetes (PreDM). Timely diagnosis can prevent disease progression, but significant proportions of PreDM/DM are undiagnosed. Among Hawai‘i adults, one-third of diabetes and two-thirds of prediabetes cases are undiagnosed; rates for older adults are unknown. Algorithms integrated into Electronic Medical Records (EMR) may improve care by identifying probable undiagnosed cases in patient panels using clinical/laboratory measures. We assessed one algorithm developed by the Hawai‘i Department of Health that identified individuals overdue for screening or with Pre/DM using the records of 20,362 adult patients (51.33% were >65) from a major state health system. 6,371 (31.3%) patients were excluded from analysis; they had no HbA1c screening in the past year or were overdue for screening (70%) based on standard guidelines. Of the remaining 13,991 patients, 7317 were older adults; 6130 (84%) had a PreDM (50.6%) or DM (33.2%) HbA1c value; the rest were controlled or false-positive. Of those older adults with probable PreDM/DM, 38.6% were undiagnosed. Adults >65 were significantly more likely to be flagged with undiagnosed PreDM compared to their younger counterparts (58 versus 54%, p<.001). Notably, 61% of older men flagged with PreDM were undiagnosed. Of the 5,737 patients identified with DM, 22% of those 65 were undiagnosed. Given the recognized high burden of diabetes among older adults, results indicate substantial missed opportunities for the prevention and early treatment of this condition as identified by an EMR algorithm.

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

RAPID: An electronic medical records system for radiation oncology

1997 ◽  
Vol 7 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Scott L. Sailer ◽  
Joel E. Tepper ◽  
Larry Margolese-Malin ◽  
Julian G. Rosenman ◽  
Edward L. Chaney
Keyword(s):  
Electronic Medical Records ◽  
Radiation Oncology ◽  
Medical Records ◽  
Medical Records System
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