Design of Inpatient Electronic Medical Records to Improve Patient Health Services

Research utilising de-identified patient health information extracted from electronic medical records (EMRs) from general practices has steadily grown in recent years in response to calls to increase use of health data for research and other secondary purposes in Australia. Little is known about the views of key primary care personnel on this issue, which are important, as they may influence whether practices agree to provide EMR data for research. This exploratory qualitative study investigated the attitudes and beliefs of general practitioners (GPs), practice managers (PMs) and practice nurses (PNs) around sharing de-identified EMR patient health information with researchers. Semi-structured interviews were conducted with 11 participants (6 GPs, 3 PMs and 2 PNs) recruited via purposive sampling from general practices in Victoria, Australia. Transcripts were coded and thematically analysed. Participants were generally enthusiastic about research utilising de-identified health information extracted from EMRs for altruistic reasons, including: positive effects on primary care research, clinical practice and population health outcomes. Concerns raised included patient privacy and data breaches, third-party use of extracted data and patient consent. These findings can provide guidance to researchers and policymakers in designing and implementing projects involving de-identified health information extracted from EMRs.

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Readiness of Application of Electronic Medical Records in Health Services (Literature Study)

Proceeding International Conference on Medical Record ◽

10.47387/icmr.v2i1.148 ◽

2022 ◽

Vol 2 (1) ◽

pp. 1-12

Author(s):

Lilis Masyfufah ◽

Mrs. Sriwati ◽

Amir Ali ◽

Bambang Nudji

Keyword(s):

Health Services ◽

Electronic Medical Records ◽

Communication Technology ◽

Medical Records ◽

Critical Appraisal ◽

Health Sector ◽

Background Information ◽

Literature Study ◽

Information And Communication ◽

Scientific Research Articles

Background: Information and Communication Technology is advancing rapidly and has a major impact on all life, especially in the health sector, especially medical records. This is manifested in the Electronic Medical Record (EMR), which has now been further developed into an Electronic Health Record (EHR). This technology is used to replace or complement paper medical records. The purpose of this literature study is to determine the readiness to apply electronic medical records in health services.Methods: This study uses a literature study obtained from searching scientific research articles from the 2010–2020 range. Keywords used in this study is readiness and DOQ-IT. The database used comes from Google Sholar, Garuda, Neliti, and One Search. The search found 130 articles, then a critical appraisal process was carried out to produce 10 suitable manuscripts.Results: Various literatures found that the readiness to apply electronic medical records using the DOQ-IT method was influencedby 4 factors including the readiness of human resources, orgnizational culture, insfrastructure, and leadership governance. It can be concluded that the readiness for the application of electronic medical recors in health services with the very ready category is 30%, the moderately ready category is 50%, then the unready category is 20%.Conclusions: From the discussion above, it can be concluded that EMR readiness in health services is categorized as quite ready (50%), very ready (30%), and not ready (20%).

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Electronic Medical Records and Data Warehouses Improve Patient Care and Reduce Costs

The Journal of Urology ◽

10.1016/j.juro.2011.04.028 ◽

2011 ◽

Vol 186 (1) ◽

pp. 7-8

Author(s):

Anthony J. Schaeffer

Keyword(s):

Patient Care ◽

Electronic Medical Records ◽

Medical Records ◽

Improve Patient Care ◽

Data Warehouses ◽

Improve Patient

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Implementation of Electronic Medical Records System EQUALI to Improve Patient Care

Bulletin of Computer Science and Electrical Engineering ◽

10.25008/bcsee.v2i1.1144 ◽

2021 ◽

Vol 2 (1) ◽

pp. 9-16

Author(s):

Tula Espinoza-Cordero ◽

Katherin Ortiz-Cotrina ◽

Carlos Carranza-Llanos ◽

Juan Carlos Cotrina-Aliaga

Keyword(s):

Health Care ◽

Patient Care ◽

Health Center ◽

Electronic Medical Records ◽

Medical Records ◽

Improve Patient Care ◽

Medical Records System ◽

To Receive ◽

Improve Patient ◽

The Way

In the present, where we live a pandemic because of Covid-19, it presents a challenge and change in the way we live for all, in which a different way of being able to receive health care must be created. in this research aimed to implement the electronic medical records system to improve patient care, such research is descriptive-explanatory in which a population of 67 patients from a health center is sampled. In conclusion, the implementation of the Electronic Medical Records System improved patient administrative care at the Health Center.

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Criminal Liability for Misuse of Electronic Medical Records in Health Services

SOEPRA ◽

10.24167/shk.v5i2.2431 ◽

2020 ◽

Vol 5 (2) ◽

pp. 215

Author(s):

Prilian Cahyani ◽

Astutik Astutik

Keyword(s):

Health Services ◽

Medical Record ◽

Electronic Medical Record ◽

Electronic Medical Records ◽

Medical Practice ◽

Medical Records ◽

Health Workers ◽

Criminal Liability ◽

Medical Personnel ◽

Conceptual Approach

Electronic medical records (RME) have been used in hospitals as a substitute for or complementary to medical records in the form of paper. The obligation to make medical records is the responsibility of every doctor or dentist in carrying out the medical practice. However, the use of electronic-based medical records does not rule out the possibility of raising problems in the field of law, if some abuse it. This will raise the issue of who has the obligation to take responsibility. The problem is the background of the author to write in an article with the title "Accountability for the Misuse of Electronic Medical Record Abuse in Health Services". The formulation of the problem in this article is: 1) Setting an electronic medical record; 2) Criminal liability for the misuse of electronic medical records. The research method used is normative legal research with a statutory approach and a conceptual approach. From the discussion, it can be seen that in Indonesia the obligation to make medical records is specifically regulated in the Medical Practice Law. Furthermore, in the Ministry of Health No. 269 / MENKES / PER / III / 2008 especially Article 2 paragraph 2 states that medical records can be made electronically. However, to date, no specific regulations are governing electronic medical records. The use of electronic systems in medical records makes it necessary to heed the provisions of Law No. 11 of 2008 concerning Electronic Information and Transactions. The party who has the responsibility for the misuse of the Electronic Medical Record covers people who in this case are medical personnel or certain health workers. Hospitals can also be held responsible for the misuse of electronic medical records.

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Electronic Medical Records in the American Health System: challenges and lessons learned

Ciência & Saúde Coletiva ◽

10.1590/1413-81232020254.28922019 ◽

2020 ◽

Vol 25 (4) ◽

pp. 1293-1304 ◽

Cited By ~ 1

Author(s):

Robert S. Janett ◽

Peter Pano Yeracaris

Keyword(s):

Health Care ◽

Patient Care ◽

Electronic Medical Records ◽

Medical Records ◽

Information Exchange ◽

Improve Patient Care ◽

Lessons Learned ◽

Disruptive Technology ◽

The Impact ◽

Improve Patient

Abstract Electronic medical records have been touted as a solution to many of the shortcomings of health care systems. The aim of this essay is to review pertinent literature and present examples and recommendations from several decades of experience in the use of medical records in primary health care, in ways that can help primary care doctors to organize their work processes to improve patient care. Considerable problems have been noted to result from a lack of interoperability and standardization of interfaces among these systems, impairing the effective collaboration and information exchange in the care of complex patients. It is extremely important that regional and national health policies be established to assure standardization and interoperability of systems. Lack of interoperability contributes to the fragmentation of the information environment. The electronic medical record (EMR) is a disruptive technology that can revolutionize the way we care for patients. The EMR has been shown to improve quality and reliability in the delivery of healthcare services when appropriately implemented. Careful attention to the impact of the EMR on clinical workflows, in order to take full advantage of the potential of the EMR to improve patient care, is the key lesson from our experience in the deployment and use of these systems.

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The impact of electronic medical records' functions on the quality of health services

British Journal of Healthcare Management ◽

10.12968/bjhc.2019.0056 ◽

2020 ◽

Vol 26 (2) ◽

pp. 1-13

Author(s):

Ekhlas Abu Sharikh ◽

Rifat Shannak ◽

Taghrid Suifan ◽

Omar Ayaad

Keyword(s):

Health Services ◽

Electronic Medical Records ◽

Medical Records ◽

Medication Management ◽

Data Entry ◽

Cross Sectional Study ◽

Cross Sectional ◽

Quality Of Health Services ◽

The Impact

Background/aims Electronic medical records are the most common E-health application and they are starting to be implemented worldwide. In Jordan, the introduction of electronic medical records helps to improve quality and reduce service costs. This article aimed to examine how the implementation of electronic medical records impacted health service quality in Jordan. Methods A cross-sectional study was conducted in Jordanian hospitals that used electronic medical records. The data were collected using a self-administered questionnaire, which 582 healthcare professionals returned. The Statistical Package for Social Sciences was used to perform descriptive and statistical analyses. Results The results showed that there was a statistically significant impact when using electronic medical records. These findings were divided into two categories: function (practice management, communication, documentation or data entry, and medication management) and on the quality of services (reliability, responsiveness, assurance, and empathy). Conclusions The research indicated that using electronic medical records improved the quality of health services.

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Why protect confidentiality in health records? A review of research evidence

Australian Health Review ◽

10.1071/ah040048 ◽

2004 ◽

Vol 28 (1) ◽

pp. 48 ◽

Cited By ~ 6

Author(s):

Ea Mulligan ◽

Annette Braunack-Mayer

Keyword(s):

Health Care ◽

Health Services ◽

Electronic Medical Records ◽

Medical Records ◽

Access To Health Care ◽

Research Evidence ◽

Health Providers ◽

Access To Health ◽

Patient Consent ◽

Full Benefit

We present the main arguments for protecting the confidentiality of health services, along with those for limiting confidentiality. These arguments are then substantiated by reference to research evidence. There is evidence that access to health care is restricted if confidentiality is not promised to some groups of patients. Fear of disclosure does diminish patients? candour, and this can compromise the quality of care. While patients are concerned about confidentiality and some are harmed by ?leaks? from health services, most people in Australia still trust health providers to keep their secrets, and patients rarely become aware of a breach of confidence. It has been claimed that strict protection of confidentiality may obstruct the pursuit of medical research and the use of electronic medical records. There is, as yet, no evidence that gaining full benefit from the use of electronic medical records entails reduced protection for confidentiality. The losses to epidemiological research if patient consent were always required are hotly debated. Confidentiality should be protected because it protects patients from harm, supports access to health care and produces better health outcomes.

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Utilizing Electronic Medical Records to Discover Changing Trends of Medical Behaviors Over Time

Methods of Information in Medicine ◽

10.3414/me16-01-0047 ◽

2017 ◽

Vol 56 (S 01) ◽

pp. e49-e66 ◽

Cited By ~ 1

Author(s):

Liangying Yin ◽

Zhengxing Huang ◽

Wei Dong ◽

Chunhua He ◽

Huilong Duan

Keyword(s):

Health Services ◽

Electronic Medical Records ◽

Medical Records ◽

Treatment Patterns ◽

Time Range ◽

Treatment Interventions ◽

Changing Trends ◽

Probabilistic Topic Model ◽

Changing Patterns ◽

Over Time

SummaryObjectives: Medical behaviors are playing significant roles in the delivery of high quality and cost-effective health services. Timely discovery of changing frequencies of medical behaviors is beneficial for the improvement of health services. The main objective of this work is to discover the changing trends of medical behaviors over time.Methods: This study proposes a two-steps approach to detect essential changing patterns of medical behaviors from Electronic Medical Records (EMRs). In detail, a probabilistic topic model, i.e., Latent Dirichlet allocation (LDA), is firstly applied to disclose yearly treatment patterns in regard to the risk stratification of patients from a large volume of EMRs. After that, the changing trends by comparing essential/critical medical behaviors in a specific time period are detected and analyzed, including changes of significant patient features with their values, and changes of critical treatment interventions with their occurring time stamps.Results: We verify the effectiveness of the proposed approach on a clinical dataset containing 12,152 patient cases with a time range of 10 years. Totally, 135 patients features and 234 treatment interventions in three treatment patterns were selected to detect their changing trends. In particular, evolving trends of yearly occurring probabilities of the selected medical behaviors were categorized into six content changing patterns (i.e, 112 growing, 123 declining, 43 up-down, 16 down-up, 35 steady, and 40 jumping), using the proposed approach. Besides, changing trends of execution time of treatment interventions were classified into three occurring time changing patterns (i.e., 175 early-implemented, 50 steady-implemented and 9 delay-implemented).Conclusions: Experimental results show that our approach has an ability to utilize EMRs to discover essential evolving trends of medical behaviors, and thus provide significant potential to be further explored for health services redesign and improvement.

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