Electronic Medical Record Systems Research Papers (original) (raw)

E-medical systems play a quite essential role in the digital transformation of health care record, which allows a patient or the user to create, manage, and control its private Personal Health Record (PHR) through the internet [1][2].... more

E-medical systems play a quite essential role in the digital transformation of health care record, which allows a patient or the user to create, manage, and control its private Personal Health Record (PHR) through the internet [1][2]. Most of the E-Medical record services are outsourced to a third-party that is public cloud. However, such outsourcing of data may lead to a variety of privacy and security related issues because of the risk of information leakage. To avoid such problems, we are developing systems in which data will be encrypted using 3DES algorithm before uploading to the cloud. Subsequently, only the authorized client who has the key or permissions can decrypt the data. E-Medical records are basically sensitive and should be stored in database in encrypted form. Once medical records are encrypted and outsourced, the cloud server can no longer perform keyword search, because the server is not expected to obtain any information about the records. Hence, the goal of the project is to provide security to personal health records where data needs to be kept private.

This capstone action research study focused on nine electronic medical records (EMR) trainers and subject matter experts with no training in instructional design and e-learning tools as e-learning training developers. The research... more

This capstone action research study focused on nine electronic medical records (EMR) trainers and subject matter experts with no training in instructional design and e-learning tools as e-learning training developers. The research question addressed in this study is: "How did the interventional instructional unit impact participants’ attitudes about the ability to use the ADDIE model and incorporate e-learning into electronic medical records system training sessions?" The study involved an eight hour block of instruction on the ADDIE instructional model and e-learning tools. The instruments used for data collection were identical pre- and post-surveys. Data were analyzed and findings made utilizing quantitative analysis. The study concluded that training in instructional design principles and e-learning tools can improve EMR trainer and subject matter expert knowledge and confidence for developing effective training.

When most patients visit physicians in a clinic or a hospital, they are asked about their medical history and related medical tests' results which might not exist or might simply have been lost over time. In emergency situations, many... more

When most patients visit physicians in a clinic or a hospital, they are asked about their medical history and related medical tests' results which might not exist or might simply have been lost over time. In emergency situations, many patients suffer or sadly die because of lack of pertinent medical information. Patient's Health information (PHI) saved by Electronic Medical Record (EMR) could be accessible only by a hospital using their EMR system. Furthermore, Personal Health Record (PHR) information cannot be solely relied on since it is controlled solely by patients. This paper introduces a novel framework for accessing, sharing, and controlling the medical records for patients and their physicians globally, while patients' PHI are securely stored and their privacy is taken into consideration. Based on the framework, a proof of concept prototype is implemented. Preliminary performance evaluation results indicate the validity and viability of the proposed framework.

Resumen–La capacitación de los usuarios en el uso de los sistemas informáticos médicos es un proceso clave para su implementación exitosa. Esta conlleva gran cantidad de recursos y por tener ciertas características únicas que la... more

Resumen–La capacitación de los usuarios en el uso de los sistemas informáticos médicos es un proceso clave para su implementación exitosa. Esta conlleva gran cantidad de recursos y por tener ciertas características únicas que la distinguen se hace en ciertas ocasiones un proceso dificultoso. En este trabajo se randomizaron 174 médicos a dos estrategias de capacitación una a distancia y otra en forma de contacto personal, para la capacitación del uso de una lista de problemas inserta en un registro médico electrónico ...

Globally, the COVID-19 pandemic has given rise to the generation of huge health data directly from the source of crisis including medical diagnosis, hospitalization statistics, infection rate, comorbidity mapping, drug allergy, fatality... more

Globally, the COVID-19 pandemic has given rise to the generation of huge health data directly from the source of crisis including medical diagnosis, hospitalization statistics, infection rate, comorbidity mapping, drug allergy, fatality rate, and other subtle metadata. While some of the data are common knowledge, others are sensitive and require proper management and security. Poorly secured health data could potentially harm reputation, lead to stigmatization, trigger misdiagnosis, or even undermine the current effort to contain the spread of COVID-19. Amid the threats and vulnerabilities that challenge health data, cybersecurity remains a sure way to address the effects and minimize impact of data compromise. This paper analyses the cybersecurity considerations over health data, and proposes mitigation actions to preserve their confidentiality, integrity, and availability.

Resumen: Cada día son más las instituciones con sistemas de información hospitalarios. Con el advenimiento de las distintas tecnologías y estándares disponibles, actualmente pueden satisfacerse muchas de las necesidades de intercambio de... more

Resumen: Cada día son más las instituciones con sistemas de información hospitalarios. Con el advenimiento de las distintas tecnologías y estándares disponibles, actualmente pueden satisfacerse muchas de las necesidades de intercambio de información. Utilizar un formato estándar para los documentos clínicos aumenta las posibilidades de lograr interoperabilidad. El CDA (Clinical Document Architecture) de HL7 es un estándar de documentos marcados

& Abstract One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). In this paper we argue that the primary change has been a shift in the focus of... more

& Abstract One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). In this paper we argue that the primary change has been a shift in the focus of documentation from monitoring individual patient progress to recording data pertinent to Institutional Priorities (IPs). The specific IPs to which we refer include: finance/reimbursement; risk man-agement/legal considerations; quality improvement/safety initiatives; meeting regulatory and accreditation standards; and patient care deliv-ery/evidence based practice. Following a brief history of the transition from the paper record to the EHR, the authors discuss unintended or contested consequences resulting from this change. These changes primarily reflect changes in the organization and amount of clinician work and clinician-patient relationships. The paper is not a research report but was informed by an institutional ethnography the aim of which was to understand how the EHR impacted clinicians and administrators in a large, urban hospital in the United States. The paper was also informed by other sources, including the philosophies of Jacques Ellul, Don Idhe, and Langdon Winner. One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). Like all technological developments, the EHR has changed healthcare practices and relationships. In this study, we argue that the primary change has been a shift in focus of documentation from monitoring individual patient progress to recording data pertinent to institutional priorities. We focus on the consequences that this change has for patients and providers. We argue that the organization of work and the patient–clinician relationship are subtly but powerfully shifting in response to changes in healthcare

The most important part of alarm systems is the rules set that allows triggering alerts. We propose a generic rule design framework which can support the design and the implementation of alerts for drug prescriptions or their... more

The most important part of alarm systems is the rules set that allows triggering alerts. We propose a generic rule design framework which can support the design and the implementation of alerts for drug prescriptions or their pharmaceutical validation. Our approach takes into account two important criteria, which represent two real challenges for the system designers. First, the developer needs to identify and model both users’ requirements and business processes in which the alarm system works. Second, the developer needs to model the knowledge associated with the decision rules with an appropriate language. We show how the Unified Process helps to model the business process for pharmaceutical validation. Knowledge representation benefited from use of SBVR, a language dedicated to rule representation within an object oriented framework. After a successful implementation of a prototype we plan to integrate such system within the hospital information system of the Georges Pompidou hospital.

BACKGROUND The widespread use of gastrointestinal endoscopy for diagnosis and treatment requires effective, standardised report systems. This need is further increased by the limited storage of images, and by the need for structured... more

BACKGROUND The widespread use of gastrointestinal endoscopy for diagnosis and treatment requires effective, standardised report systems. This need is further increased by the limited storage of images, and by the need for structured databases for surveillance and epidemiology. We therefore aimed for a report system which would be quick, easy to learn, and suitable for use in busy daily practice. METHODS Endobase III is an endoscopy information system offering three different ways of report writing, i.e. standard reports, text blocks and Minimal Standard Terminology (MST). A working group of two university and four general hospitals worked as a reference group for the development of standard reports and text blocks. Guidelines from various gastrointestinal endoscopy societies were followed to compose the reports. RESULTS Standard reports were based on a list of distinct diagnoses; text blocks were based on anatomic landmarks and individual procedures. As such, 316 standard reports we...

This article presents an electronic patient record (EPR) for stroke patients. At the neurology department of the Maastricht University Hospital, coordination and communication of the multidisciplinary team for stroke patients is intended... more

This article presents an electronic patient record (EPR) for stroke patients. At the neurology department of the Maastricht University Hospital, coordination and communication of the multidisciplinary team for stroke patients is intended to be supported by an EPR. Existing, structured, paper nursing and medical records served as a starting point for the development of the EPR. In close cooperation with

To show how our newly developed software for classification and storage of visually routinely assessed EEGs are used to evaluate the general background activity (GBA) and the alpha rhythm (AR) in a large number of prospective EEGs. EEGs... more

To show how our newly developed software for classification and storage of visually routinely assessed EEGs are used to evaluate the general background activity (GBA) and the alpha rhythm (AR) in a large number of prospective EEGs. EEGs from 4651 consecutive patients were visually assessed using a computerized description system connected to an EEG database. The AR and the GBA apart from the AR were described separately for frequency and amplitude. AR frequencies declined from the age of 45 years and slowed with increasing age independently of non-AR pathology and gender. Females had higher AR frequencies than males. EEGs with non-GBA pathology had lower GBA frequencies and higher GBA amplitudes. Higher GBA amplitudes were associated with lower GBA frequencies in normal EEGs for all age groups. EEG interpretations by 4 independent electroencephalographers showed the same trends, but differed in exact assessment of frequencies and amplitudes. EEG interpretations stored in a categoriz...

DAWIDOWSKI, Adriana Ruth et al. Changes in physicians' attitudes to computerized ambulatory medical record systems: a longitudinal qualitative study. Gac Sanit [online]. 2007, vol. 21, n. 5, pp. 384-389. ISSN 0213-9111. doi:... more

DAWIDOWSKI, Adriana Ruth et al. Changes in physicians' attitudes to computerized ambulatory medical record systems: a longitudinal qualitative study. Gac Sanit [online]. 2007, vol. 21, n. 5, pp. 384-389. ISSN 0213-9111. doi: 10.1590/S0213-...