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Study on Electronic Health Record and its ImplementationHuang, Qian, Yin, Qin January 2012 (has links)
This degree project deals with electronic health record (EHR). The report is divided into two main sections; literature study on electronic health record and an EHR system implementation. In the literature study section, EHR background, development history and service condition are introduced. The paper focuses on the sharing of medical information in different users, data safety and privacy. The adjunctions of computer science, technologies are used to solve the medical informatics’ problems. In the implementation section, based on the study of the current EHR systems, the design and implement of a shared EHR system are presented, which can be accessed by different doctors and patients. Access control function and cryptography protections are included in this system. The system test and evaluation are also given.
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Is EHR the Cure? An Examination of the Implementation of an Electronic Health Record in Rural AlbertaTrueman, Janice Unknown Date
No description available.
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A Framework for the Protection of Privacy in an Electronic Health EnvironmentGordon, Michelle 26 July 2010 (has links)
This paper argues that given the proliferation of electronic health records (EHRs) in the health care system, legislative reform must occur to address the inadequacies of Ontario’s current health privacy legislation in accommodating EHRs. A coherent framework for legislation is necessary to capture the important role that privacy plays in public perception when it comes to legislating and managing EHRs in Ontario and, in turn, serve as a tool for legislators to understand the definitions and values of privacy associated with EHRs and the privacy problems worthy of protection in an electronic health environment. The failure to properly address these problems may lead to privacy losses and loss of public confidence in EHR systems. In applying this framework to three legislative options, it is evident that Ontario should amend the Personal Health Information Protection Act, 2004 to better contemplate the privacy protections necessary in an electronic health environment.
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A Framework for the Protection of Privacy in an Electronic Health EnvironmentGordon, Michelle 26 July 2010 (has links)
This paper argues that given the proliferation of electronic health records (EHRs) in the health care system, legislative reform must occur to address the inadequacies of Ontario’s current health privacy legislation in accommodating EHRs. A coherent framework for legislation is necessary to capture the important role that privacy plays in public perception when it comes to legislating and managing EHRs in Ontario and, in turn, serve as a tool for legislators to understand the definitions and values of privacy associated with EHRs and the privacy problems worthy of protection in an electronic health environment. The failure to properly address these problems may lead to privacy losses and loss of public confidence in EHR systems. In applying this framework to three legislative options, it is evident that Ontario should amend the Personal Health Information Protection Act, 2004 to better contemplate the privacy protections necessary in an electronic health environment.
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Is EHR the Cure? An Examination of the Implementation of an Electronic Health Record in Rural AlbertaTrueman, Janice 11 1900 (has links)
As Canada continues its drive towards a national electronic health record the costs are mounting. With 256 projects underway the question has to be asked: what are the true costs of such an endeavor? Success hinges on cooperation at all levels and adequate funding in place to see it to completion. Has Canada taken into full consideration the impact that this project will have in the long run? One small part of a much larger project in rural Alberta puts a face on the huge undertaking. Nurses in one former health region adopted not only an Order Entry module but also began using computers for the first time in order to do their work. Nurses are one of the key end-user groups actually inputting the information into these systems. Is data entry something nurses need to be concerned with at all especially at the Order Entry level?
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The Effectiveness of Electronic Health Record with Standardized Nursing Languages for Communicating Patient Status Related to a Clinical EventCarrington, Jane M January 2008 (has links)
The purpose of this research was to explore nurses' perceptions of the effectiveness of nursing documentation of patient status during a clinical event when using electronic documentation with or without embedded standardized languages. The theoretical framework for this study was based on principles of information theory. This study was significant in two very important ways; first, in contrast to prior studies, the perceptions of nurses were focused on the documentation of a clinical event. Second, this study explored the nurses' opinions about the strengths and limitations of using structured languages (specifically, the North American Nursing Diagnosis Association (NANDA), the Nursing Intervention Classification (NIC), and the Nursing Outcomes Classification (NOC)) for telling the patient's story during a clinical event, as well as collecting nurses' suggestions for improving electronic documentation. Semi-structured interviews of 37 nurses were conducted in two acute care hospitals. Both hospitals used electronic documentation, but only one used embedded standardized nursing languages. Half the interviewees were asked questions from the perspective of the nurse documenting a clinical event; half were asked questions from the perspective of a nurse reviewing another nurse's documentation of a clinical event. Recorded interviews were transcribed, and the transcripts analyzed using qualitative content analysis. A panel of judges was used to establish reliability of the coding scheme. The results showed that nurses perceived aspects of three categories (usability, legibility, and communication) as strengths of the documentation system. Nurses perceived aspects of three categories (usability, communication, and workarounds) as limitations of the documentation system. Potential solutions to improve the documentation system were defined related to three categories (usability, communication, and collaboration). Usability was perceived by the nurses as a strength of the electronic documentation with embedded nursing languages. Usability of the electronic documentation system with nursing languages was also perceived as a limitation. Improving language usability was identified as a potential solution to improve the electronic documentation system with embedded nursing languages.
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Can data in optometric practice be used to provide an evidence base for ophthalmic public health?Slade, S.V., Davey, Christopher J., Shickle, D. 19 May 2016 (has links)
Yes / Purpose: The purpose of this paper is to investigate the potential of using primary
care optometry data to support ophthalmic public health, research and policy
making.
Methods: Suppliers of optometric electronic patient record systems (EPRs) were
interviewed to gather information about the data present in commercial software
programmes and the feasibility of data extraction. Researchers were presented
with a list of metrics that might be included in an optometric practice dataset via
a survey circulated by email to 102 researchers known to have an interest in eye
health. Respondents rated the importance of each metric for research. A further
survey presented the list of metrics to 2000 randomly selected members of the
College of Optometrists. The optometrists were asked to specify how likely they
were to enter information about each metric in a routine sight test consultation.
They were also asked if data were entered as free text, menus or a combination of
these.
Results: Current EPRs allowed the input of data relating to the metrics of interest.
Most data entry was free text. There was a good match between high priority metrics
for research and those commonly recorded in optometric practice.
Conclusions: Although there were plenty of electronic data in optometric practice,
this was highly variable and often not in an easily analysed format. To facilitate
analysis of the evidence for public health purposes a UK based minimum
dataset containing standardised clinical information is recommended. Further
research would be required to develop suitable coding for the individual metrics
included. The dataset would need to capture information from all sectors of the
population to ensure effective planning of any future interventions.
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Incorporating Personal Health Records into the Disease Management of Rural Heart Failure PatientsBaron, Karen 01 January 2012 (has links)
Personal Health Records (PHRs) allow patients to access and in some cases manage their own health records. Their potential benefits include access to health information, enhanced asynchronous communication between patients and clinicians, and convenience of online appointment scheduling and prescription refills. Potential barriers to PHR use include lack of computer and internet access, poor computer or health literacy, security concerns, and provider disengagement. PHRs may help those living in rural areas and those with chronic conditions such as heart failure, monitor and manage their disease, communicate with their health care team and adhere to clinical recommendations. To provide some much needed actual research, a descriptive mixed methods study of the usability, usefulness, and disease management potential of PHRs for rural heart failure patients was conducted. Fifteen participants were enrolled.
Usability issues fell into three categories: screen layout; applying consistent, standard formatting; and providing concise, clear instructions. Participants used PHR features that were more convenient than other methods or that had some additional benefit to them. There was no difference between rural and urban participants. A heart failure nurse promoted recording daily heart failure symptoms in the PHR. Most participants did so at least once, but many found it cumbersome. Reasons for recording included the comfort of having clinical staff monitor the data. Participants who were stable did not find recording as useful as did those who were newly diagnosed or unstable. Participants used asynchronous communication to send messages to the heart failure nurse that they would not otherwise have communicated.
The study expands the knowledge of PHR use by addressing useful functionality and disease management tools among rural patients with heart failure. The patients were able to complete tasks they found useful. The increased communication and disease management tools were useful to some.
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Making it work for me: beliefs about making a personal health record relevant and useableFylan, F., Caveney, L., Cartwright, A., Fylan, Beth 14 June 2018 (has links)
Yes / Background: A Personal Health Record (PHR) is an electronic record that individuals use to manage and share their
health information, e.g. data from their medical records and data collected by apps. However, engagement with
their record can be low if people do not find it beneficial to their health, wellbeing or interactions with health and
other services. We have explored the beliefs potential users have about a PHR, how it could be made personally
relevant, and barriers to its use.
Methods: A qualitative design comprising eight focus groups, each with 6–8 participants. Groups included adults
with long-term health conditions, young people, physically active adults, data experts, and members of the voluntary
sector. Each group lasted 60–90 min, was audio recorded and transcribed verbatim. We analysed the data using
thematic analysis to address the question “What are people’s beliefs about making a Personal Health Record have
relevance and impact?”
Results: We found four themes. Making it work for me is about how to encourage individuals to actively engage with
their PHR. I control my information is about individuals deciding what to share and who to share it with. My concerns is
about individuals’ concerns about information security and if and how their information will be acted upon. Potential
impact shows the potential benefits of a PHR such as increasing self-efficacy, uptake of health-protective behaviours,
and professionals taking a more holistic approach to providing care and facilitating behaviour change.
Conclusions: Our research shows the functionality that a PHR requires in order for people to engage with it. Interactive
functions and integration with lifestyle and health apps are particularly important. A PHR could increase the effectiveness
of behaviour change apps by specifying evidence-based behaviour change techniques that apps should incorporate. A
PHR has the potential to increase health-protective behaviours and facilitate a more person-driven health and social care
system. It could support patients to take responsibility for self-managing their health and treatment regimens, as well as
helping patients to play a more active role when care transfers across boundaries of responsibility. / Leeds Informatics Board
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Hospital Electronic Health Record Adoption and its Influence on Postoperative SepsisFareed, Naleef 08 April 2013 (has links)
Electronic Health Record (EHR) systems could make healthcare delivery safer by providing benefits such as timely access to accurate and complete patient information, advances in diagnosis and coordination of care, and enhancements for monitoring patient vitals. This study explored the nature of EHR adoption in U.S. hospitals and their patient safety performance in relation to one hospital acquired condition: postoperative sepsis – a condition that complicates hospitalizations, increases lengths of stay, and leads to higher mortality rates. Administrative data from several sources were utilized in order to obtain comprehensive information about the patient, organizational, and market characteristics of hospitals, their EHR adoption patterns, and the occurrence of postoperative sepsis among their patients. The study sample consisted of 404 general, short-term, acute care, non-federal, and urban hospitals based in six states, which provided longitudinal data from 2005 to 2009. Hospital EHR and the EHR’s sophistication level were measured by the presence of eight clinical applications. Econometric techniques were used to test six hypotheses that were derived from macro-organizational theories and frameworks. After controlling for potential confounders, the study’s key findings suggested that hospitals had a significant increase in the probability of having EHR as the percent of other hospitals having the most sophisticated EHR (i.e., EHRS3) in the market increased. Conversely, hospitals had a significant decrease in the probability of having EHR when the percent of Medicaid patients increased within a hospital or when the hospital belonged to centralized or moderately centralized systems. Also, the study findings suggested that EHR was associated with a higher rate of postoperative sepsis. Specifically, the intermediate EHR sophistication level (i.e., EHRS2) and the most sophisticated EHR level (i.e., EHRS3) were associated with a significantly higher rate of postoperative sepsis when compared to hospitals that did not have such EHR sophistication. The study results, however, did not support the hypotheses that higher degrees of fit between hospitals’ EHR sophistication level and specific structural dimensions were associated with greater reductions in postoperative sepsis outcomes vis-à-vis hospitals that did not have these types of fit.
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