Search results for "Electronic health record"

Planning integrated care at primary care centres: lessons learnt through research in stratification tools in the Valencian Healthcare System

2018

Introduction and policy context: In the Valencian Region social services and the healthcare system are not connected. Also there is not any normative jointly regulating resources, services or aid benefits that would mean an integrated care IC portfolio.  Primary care PC centres are the closest and most trustworthy care facility for patients in the Spanish context. Also, PC is one of the most suitable resources to address needs of complex patients, as elderly and/or those with chronic conditions, through an IC approach, but there are some barriers that block its real and effective deployment. Objective and target population: Authors have studied the viability, implementation and development …

Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study

2019

Objectives Electronic health records (EHRs) are rarely shared among medical and dental providers. The purpose of this study was to assess current information sharing and the value of improved electronic information sharing among physicians and dentists in Germany and the United States. Materials and Methods A survey was validated and distributed electronically to physicians and dentists at four academic medical centers. Respondents were asked anonymously about EHR use and the medical and dental information most valuable to their practice. Results There were 118 responses, a response rate of 23.2%. The majority (63.9%) of respondents were dentists and the remainder were physicians. Most res…

Tilgangsstyring av elektronisk pasientjournal : en Delphistudie av dagens utfordringer og synliggjøring av potensielle forbedringer

2014

Masteroppgave i helse- og sosialinformatikk HSI 500 Universitetet Agder 2014 In health care, access to sensitive information about patients is a necessity in order to offer care to the patient, and maintain patient safety. At the same time it is important that the information is protected against unauthorized access, to ensure patient privacy. Access control is an essential function in electronic health records (EHR) to maintain the duality between patient safety and patient privacy by ensuring that authorized personnel are allowed access to information they need. However, care processes are often unpredictable, and a number of end users can be involved in treatment across organizational un…

Nytt og nyttig, men er det nyttiggjort? : erfaring med implementering av Lifecare eRom i kommuner

2016

Masteroppgave i helse- og sosialinformatikk- Universitetet i Agder, 2016 We are both working in a municipality where a nursing home has procured Lifecare eRom, which is a module in the electronic medical record solution Gerica. The purpose of eRom is to provide quick access to a patient’s treatment plan, as well as the possibility to create documentation on touch screens site in the patient’s room. After six months we found that the system was not in use. Furthermore, we were under the impression that there had been some challenges with the implementation. Based on this, we formulated the following issue for exploration: What success factors and barriers have municipalities experienced duri…

An Online Multilingual Medical Vocabulary/Thesaurus/Dictionary (MED-VTD) for Facilitating Understanding of Medical Texts

Medical texts (e.g., reports and medicine leaflets) are usually written by professionals (physicians, medical researchers, etc.) who use their own language and communication style. On the other hand, they are often read by health consumers or other medical professionals who do not have the same vocabularies and can have difficulties in text comprehension. Thus, to help a generic user in understanding a medical text, it would be desirable to have an online medical vocabulary/thesaurus/dictionary that he/she can easily look for finding the plain equivalent of any medical (technical) term and a definition of the term with the same kind of language. In this work, we present an online multilingu…

Validity of five foot and ankle specific electronic patient-reported outcome (ePRO) instruments in patients undergoing elective orthopedic foot or an…

2019

Background: Patient-reported outcomes (PROS) are widely accepted measures for evaluating outcomes of surgical interventions. As patient-reported information is stored in electronic health records, it is essential that there are valid electronic PRO (ePRO) instruments available for clinicians and researchers. The aim of this study was to evaluate the validity of electronic versions of five widely used foot and ankle specific PRO instruments. Methods: Altogether 111 consecutive elective foot/ankle surgery patients were invited face-to-face to participate in this study. Patients completed electronic versions of the Foot and Ankle Ability Measure (FAAM), the Foot and Ankle Outcome Score (FAOS),…

Mortality and cardiovascular disease burden of uncontrolled diabetes in a registry-based cohort: the ESCARVAL-risk study

2018

Background: Despite the epidemiological evidence about the relationship between diabetes, mortality and cardiovascular disease, information about the population impact of uncontrolled diabetes is scarce. We aimed to estimate the attributable risk associated with HbA1c levels for all-cause mortality and cardiovascular hospitalization.Methods: Prospective study of subjects with diabetes mellitus using electronic health records from the universal public health system in the Valencian Community, Spain 2008–2012. We included 19,140 men and women aged 30 years or older with diabetes who underwent routine health examinations in primary care.Results: A total of 11,003 (57%) patients had uncontrolle…

User Experiences and Satisfaction with an Electronic Health Record System

2019

Electronic health records have a crucial role for communication and information management in health care organizations. Electronic health records have improved the access to up-dated medical information at the point-of-care, but they have also been linked to usability issues and user problems. This paper presents a study about the user experience among health care professionals regarding an electronic health record system in Norway. Qualitative research methods were used, with interviews and observations made at a university hospital, where 14 clinical end-users of an electronic health record system contributed. The aim was to study the user experiences and the user satisfaction regarding …

Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations

2016

Aim The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes. Design This study used a cross-sectional descriptive design. Method A retrospective audit of 155 patients' records and patient examinations using the European Pressure Ulcer Advisory Panel form and the Braden scale, conducted in January and February 2013. Results The prevalence of pressure ulcers was 38 (26%) in the audit of the patient records and 33 (22%) in patient examinations. A total of 17 (45%) of the documented press…

Design Requirements for a Patient Administered Personal Electronic Health Record

2011

Published version of a chapter in the book: Biomedical engineering, trends in electronics, communications and software. Intech, 2011 Open Access