Design and Development of EMR Supporting Medical Process Management

Abstract

Current EMR system benefits physicians by facilitating order entry and reducing errors. It can improve the safety and effectiveness of medical services, but cannot manage the whole medical process and the quality of medical services. In addition to physicians, EMR should be designed for all medical professionals because medical services cannot be accomplished by physicians alone, but also requires the involvement of other medical professionals. Therefore, we applied PDCA, the famous quality management cycle to design a comprehensive and coherent EMR system which can be used throughout the entire treatment process. EMR with the PDCA Cycle can record every order state and every treatment procedure in order to monitor the whole medical process. This extends the safety from planning the treatment to fulfilling it. By analyzing the records, doctors and hospital managers can perfect the medical process and improve healthcare quality. The EMR we designed with the PDCA Cycle provides a record entry interface for physicians and a worksheet interface for nurses and other professionals. Every treatment procedure and every change of orders or tasks will be fed back to medical professionals. So information generated from the beginning to the end of treatment will link with each other to avoid any information islands. Furthermore, the EMR can display the additional information intuitively and real-timely without increasing the burden of medical professionals' work.

Performance Assessment of EMR Systems Based on Post-Relational Database

“…We also performed several modifications based on physicians' opinions to meet their demands for information access and ease of use. Finally, we designed an EMR system called Hygeia and developed it based on the post-relational database Caché and the Ensemble platform, which led to significant benefits [6]. Figure 2 illustrates the system architecture.…”

“…These problems lead to perennial complaints from the users. To resolve these issues, in a joint effort by researchers in China and Japan beginning in 2008, we developed a new-generation EMR system called Hygeia [6]. The entire system was designed on the Caché and Ensemble platform by InterSystems.…”

Research and Development of Semantics-based Sharable Clinical Pathway Systems

“…The processes of creating, editing, and executing a CP should be simultaneously considered during the pre-and post-design of the EMR system to allow effective real-time information sharing and exchange between the EMR system and the pathway module. However, most hospitals have already adopted EMR systems [26][27][28][29] that do not integrate the functions of CPs and in which no interface for CPs was reserved in the development process. Under such circumstances, existing EMR systems must be replaced with new EMR systems to implement embedded electronic pathways.…”

Discussion on the application of multimedia teaching in clinical pharmacology

“…The application value of a good resource can be significantly improved through an appropriate teaching design. Clinical pharmacology is a new branch of science developed rapidly in recent decades, and a study of the action law of drugs in the human body and the interaction between the human body and drugs, in which the human body is taken as the study subject; on the base of pharmacology and clinical medicine, it deals with pharmacokinetics, pharmacodynamics, drug adverse reactions and drug interaction law, and is considered a bridge between the basic medicine and clinical medicine, and a link of pharmacy to clinical medicine [1][2][3][4]. In this article, the thinking and application of multimedia teaching in the teaching process of clinical pharmacology in our school are summarized.…”