Electronic Health Records and Decision Support Local and Global Perspectives (original) (raw)
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It is observed that clinical decision support (CDS) and electronic health records (EHR) should be integrated so that their contribution to improving the quality of health care is enhanced. In this paper, we present results from a review on the related literature. The aim of this review was to find out to what extent CDS developers have actually considered EHR integration in developing CDS. We have also investigated how various clinical standards are taken into account by CDS developers.
An electronic health record to support patients and institutions of the health care system
German medical science : GMS e-journal, 2004
The department of Medical Informatics of the University Hospital Münster and the Gesakon GmbH (an university offspring) initiated the cooperative development of an electronic health record (EHR) called "akteonline.de" in 2000. From 2001 onwards several clinics of the university hospital have already offered this EHR (within pilot projects) as an additional service to selected subsets of their patients. Based on the experiences of those pilot projects the system architecture and the basic data model underwent several evolutionary enhancements, e.g. implementations of electronic interfaces to other clinical systems (considering for example data interchange methods like the Clinical Document Architecture - standardized within the HL7 group - and also interfacing architectures of German GP systems, such as VCS and D2D). "akteonline.de" in its current structure supports patients as well as health care professionals and aims at providing a collaborative health informat...
Electronic Health Records (EHR) of the Emergency Service of the Hospital de Clínicas: Case Study
Clei Electronic Journal, 2021
The Emergency Service management automation of the Hospital de Clínicas of the Universidad Nacional de Asunción is a problem addressed in this work since the patient's care in critical conditions must be accurate, appropriate, and efficient. The development of a management automation tool will generate benefits for both the patient and the hospital's target staff. With the automatization of the processes, it will be possible to achieve: (a) more time to devote to better patient care; (b) doctors will be able to spend part of their time analyzing the statistics and information, which can be generated through the application to perform investigations in the area of emergency care; (c) as well as to optimize the resources of both the staff and logistics used in the hospital. In this work, we present the development of an Electronic Health Records System management based on international health standards to achieve the proposed objective and good practices in the care processes in an area as sensitive as the Emergency Service. After more than 100 years of hospital history, for the first time, it is intended to automate the emergency service processes and generate online information quickly and efficiently. This system will help optimize patient care in the emergency area.
BMC Medical Informatics and …, 2009
Background: Many hospital departments have implemented small clinical departmental systems (CDSs) to collect and use patient data for documentation as well as for other department-specific purposes. As hospitals are implementing institution-wide electronic patient records (EPRs), the EPR is thought to be integrated with, and gradually substitute the smaller systems. Many EPR systems however fail to support important clinical workflows. Also, successful integration of systems has proven hard to achieve. As a result, CDSs are still in widespread use. This study was conducted to see which tasks are supported by CDSs and to compare this to the support offered by the EPR.
A Review of Electronic Health Records Systems Around the World
2015
Electronic Medical Records (EMR) are digitised versions of the paper charts in clinician offices, clinics and hospitals. The information in an EMR is usually stored locally at a practice or a hospital, and it contains the medical and treatment history of a patient. [1] [2] [3] Electronic Health Records (EHR) focus on the total health of a patient, and are designed to reach out beyond the health organisation. The EHR systematically collate and store digitised data on patients from the different healthcare and medical organisations and providers. They also enable the secure electronic sharing of these data between the different healthcare settings, and in some instances, the patient. The information, which includes the EMR, moves with the patient between different healthcare settings, providing a more holistic view of the state of a patient across time. The EHR can also provide information on population health by aggregating relevant data (permissions providing). Sometimes EHR is also...
Electronic Health Records and Clinical Decision Support Systems
Archives of Internal Medicine, 2011
Background: Electronic health records (EHRs) are increasingly used by US outpatient physicians. They could improve clinical care via clinical decision support (CDS) and electronic guideline-based reminders and alerts. Using nationally representative data, we tested the hypothesis that a higher quality of care would be associated with EHRs and CDS. Methods: We analyzed physician survey data on 255 402 ambulatory patient visits in nonfederal offices and hospitals from the 2005-2007 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey. Based on 20 previously developed quality indicators, we assessed the relationship of EHRs and CDS to the provision of guideline-concordant care using multivariable logistic regression.
Electronic health records: Improvement to healthcare decision-making
2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom), 2016
Effective decision-making plays an important role in promoting optimal care delivery. Factors such as availability of data, timely access to data and organised information greatly influences the quality of decision-making as illustrated in a causal loop diagram. The contribution of practice-based evidence thus aims at structuring an approach where healthcare professionals can be consistently assisted in making effective decisions during routine primary care. Through a practice-based evidence ehealth scenario and a data-flow diagram of clinical systems in a public hospital from Singapore, we have identified the importance of leveraging electronic health records as ideal resources in the pursuit of improving healthcare decisionmaking.
Electronic health records-organizational, regional, national, or worldwide
2008
In recent days Google launched in USA the Google Health service as a way to record and to make available personal medical information. Registered users can introduce and access to medical information in any place and at any time. On the other hand, health care providers can upload medical information and test results automatically. Unlike the USA, the Law in Portugal and in the Europe are more restrictive concerning the open access to medical or clinical data. Portugal is making a great effort in the area of information technologies (e.g. through the governmental technological program) that in turn has having a significant impact in the health care organizations like the hospitals and the regional health administrations. The electronic health record is receiving a great attention and various projects are on the ground. Nevertheless, some issues should be taken into account in order to enable, in the future, an effective interchange of health information among the different organizations and the government. In this paper it will be discussed some ideas around the open and global access to medical information.
Yearbook of Medical Informatics, 2007
SummaryElectronic patient record (EPR) systems are increasingly used and have matured sufficiently so as to contribute to high quality care and efficient patient management. Our objective is to summarize current trends and major achievements in the field of EPR in the last year and to discuss their future prospects.Integrating health data from a variety of sources in a comprehensive EPR is a major prerequisite for e-health and eresearch. Current research continues to elaborate architectures, technologies and security concepts. To achieve semantic interoperability standards are developed on different levels, including basic data types, messages, services, architectures, terminologies, ontologies, scope and presentation of EPR content. Standards development organisations have started to harmonize their work to arrive at a consensus standard for EPR systems. Integrating the health care enterprise as a whole will optimize efficient use of resources, logistics and scheduling.The past few...