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The digitalisation studies in public hospitals in Turkey started with the Health Transformation Program in 2003. The Ministry of Health has been measuring the dissemination of meaningful usage and adoption of electronic health record (EHR) using Electronic Medical Record Adoption Model (EMRAM) and Outpatient Electronic Medical Record Adoption Model (O-EMRAM). Using a comprehensive survey, our study intends to measure the stage of EHR adoption in oral and dental health centres (ODHCs) providing primary healthcare services in Turkey. The results obtained were classified by basic and comprehensive EHR functions and benchmarked against the studies addressing EHR adoption in primary healthcare institutions of other countries. In 2021, 167 ODHCs/oral and dental health hospitals (ODHHs) actively operating in Turkey completed the O-EMRAM survey. The data obtained from the survey results were analysed with QlikView Personal Edition. The availability and prevalence of medical information systems and EHR functions and their use were measured. It is observed that 59 (40.7%) of ODHCs/ODHHs have comprehensive EHR functions, while the remaining 86 (59.3%) have basic EHR functions. Under these circumstances, it can be stated that all ODHCs/ODHHs in Turkey use at least basic EHR functions. All ODHCs/ODHHs in Turkey have at least basic EHR functions. The integration of e-prescription, electronic authorisation system and e-Pulse used throughout Turkey and Health Information Management System Society (HIMSS) used in ODHCs/ODHHs can be listed as one of the decisive factors in this result. ODHCs/ODHHs still have a long way to go in adopting EHR, but the current circumstances are also promising. It is considered that this study will serve as a baseline for future measurements and produce a notable result for decision-makers.
The digitalisation studies in public hospitals in Turkey started with the Health Transformation Program in 2003. The Ministry of Health has been measuring the dissemination of meaningful usage and adoption of electronic health record (EHR) using Electronic Medical Record Adoption Model (EMRAM) and Outpatient Electronic Medical Record Adoption Model (O-EMRAM). Using a comprehensive survey, our study intends to measure the stage of EHR adoption in oral and dental health centres (ODHCs) providing primary healthcare services in Turkey. The results obtained were classified by basic and comprehensive EHR functions and benchmarked against the studies addressing EHR adoption in primary healthcare institutions of other countries. In 2021, 167 ODHCs/oral and dental health hospitals (ODHHs) actively operating in Turkey completed the O-EMRAM survey. The data obtained from the survey results were analysed with QlikView Personal Edition. The availability and prevalence of medical information systems and EHR functions and their use were measured. It is observed that 59 (40.7%) of ODHCs/ODHHs have comprehensive EHR functions, while the remaining 86 (59.3%) have basic EHR functions. Under these circumstances, it can be stated that all ODHCs/ODHHs in Turkey use at least basic EHR functions. All ODHCs/ODHHs in Turkey have at least basic EHR functions. The integration of e-prescription, electronic authorisation system and e-Pulse used throughout Turkey and Health Information Management System Society (HIMSS) used in ODHCs/ODHHs can be listed as one of the decisive factors in this result. ODHCs/ODHHs still have a long way to go in adopting EHR, but the current circumstances are also promising. It is considered that this study will serve as a baseline for future measurements and produce a notable result for decision-makers.
Klinik karar destek sistemleri, klinisyenlere klinik karar almaya yardımcı olmak için hastaya özgü değerlendirmeler veya öneriler sunan bilgisayar ya da kâğıt temelli sistemlerdir. Günümüzde insanlar tarafından başka şekilde elde edilemeyen veya yorumlanamayan verilerden ve gözlemlerden faydalanma kabiliyetine sahip nitelikler eklenerek daha da geliştirilmiştir. Özellikle sağlıkta klinik karar destek sistemlerinin kullanımına ilişkin sınırlı kaynak olsa da örnekler, meydana gelebilecek olumsuz olayları ya da hataları azaltacağı yönündedir. Bu derlemede; hemşirelik kararlarının kanıta dayalı bilgi ile birleştirilerek uygulamada kullanımını sağlayan klinik karar destek sistemlerinin avantajları, dezavantajları, kullanım alanları ve kullanımını etkileyen faktörlerin incelenmesi amaçlanmıştır. Sağlıkta, tanılama, alarm sistemleri, hastalık yönetimi, reçete ve ilaç kontrolü gibi amaçlarla geliştirilmiş bilgisayarlı hatırlatıcılar, dokümantasyon şablonları ve klinik iş akışı araçları mevcuttur. Karar destek sistemleri hemşireler tarafından bilgilerin kaydedilmesi, hastalık seyrinin izlenmesi, bakım ile ilgili hatırlatmalarda ve daha önce alınmış olan kararların teyit edilmesi gibi çeşitli şekillerde kullanılmıştır. Yapılan araştırmalar, hemşirelerin bilgi ve deneyimi, teknoloji sisteminin özellikleri ve örgütsel faktörler gibi çeşitli faktörlerin klinik karar destek sisteminin kullanılma şeklini etkileyebileceğini göstermiştir. Klinik karar destek sistemlerinin kullanımı hemşirenin karar vermesini kolaylaştırma, tıbbi hataları ve ilaç hata sayısını azaltma, bilgiye erişimi artırma, bakım kalitesinde tutarlığın sağlanması ve özgüveni artırma gibi faydaların yanı sıra hemşirelikte kanıta dayalı uygulamayı teşvik ettiği belirlenmiştir..
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