Upgrading Legacy EHR Systems to Smart EHR Systems

Murua, Ane; Carrasco, Eduardo; Agirre, Agustin; Susperregi, Jose María; Gómez, Jesús

doi:10.1007/978-3-319-59397-5_24

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The implementation, adoption and use of electronic health records (EHRs) is a global challenge despite their numerous advantages for improving health care services. The use of EHRs (O'Mahony, Wright, Yogeswaran, & Govere, 2014;Murua, Carrasco, Agirre, Susperregi, & Gómez, 2017) helps prevent data loss, reduces room for error, enhances the work of nurses, and reduces patient waiting time in the hospital. EHRs can help get more work done efficiently, streamline work processes, and provide point-of-care decision support (Noah & Thomas 2017).…”

Section: Introductionmentioning

confidence: 99%

Primary healthcare nurses' perceptions about their ability to utilise electronic health records

Tengeh

Bimerew

2022

Obzor Zdrav Neg

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Introduction:The implementation, adoption and use of electronic health records remains a global challenge despite the numerous advantages associated with their use. This paper explores primary healthcare nurses' perceptions regarding their skill levels in using EHRs. Methods: Data were collected using a self-administered questionnaire from a sample of 71 nurses (63% response rate) in selected primary health care (PHC) facilities of the Northern-Tygerberg substructure, Cape Town. Results:The overall results show that 59 respondents (83%) believed that they were skilled in using EHRs in PHC. Nearly two thirds of all nurses (46 or 64.8%) reported using EHRs for nursing documentation, 45 nurses (63%) reported using EHRs to store, retrieve and transfer data, 44 (62%) reported being able to design a flow chart, 38 (53.5%) reported being able to access databases and 38 (52.1%) reported being able to convert electronic files for various applications. However, 33 nurses (46.5%) were unsure of their computer skills in creating multimedia files. This varied from service department to service department, with 62 respondents (87.3%) in pediatric care and 59 respondents (83.1%) in family planning, adult nursing and HIV management reporting having EHR skills. Enrolled nurses rated their EHR skills significantly lower (58%) than registered nurses (92%) (p = 0.028). Discussion and conclusion: Although most respondents in this study reported being skilled in using EHRs in PHC, better computer accessibility and continuous training are important ongoing requirements. Further qualitative research is needed to better understand some of the problems and barriers which affect nurses' ability to use EHRs in PHC settings. IZVLEČEKUvod: Uvedba in uporaba elektronskih zdravstvenih kartotek (EZK) predstavlja globalen izziv kljub številnim prednostim, povezanim z njihovo uporabo. Namen raziskave je bil raziskati sposobnosti uporabe EZK medicinskih sester v primarni zdravstveni dejavnosti. Metode: Za zbiranje podatkov smo uporabili lasten vprašalnik na vzorcu 71 medicinskih sester (63-odstotna stopnja odziva) v izbranih ustanovah primarnega zdravstvenega varstva v podstrukturi Northern-Tygerberg, v mestu Cape Town. Rezultati: Rezultati raziskave kažejo, da 59 anketirancev (83 %) ocenjuje, da so vešči uporabe EZK v primarni zdravstveni dejavnosti. Skoraj dve tretjini medicinskih sester (46 oz. 4,8 %) uporablja EZK za potrebe zdravstvene dokumentacije, 45 (63 %) medicinskih sester uporablja EZK za shranjevanje, pridobivanje in prenos podatkov, 44 (62 %) medicinskih sester je sposobnih oblikovati diagram poteka, 38 (53,5 %) medicinskih sester zna dostopati do baz podatkov in 38 (52,1 %) medicinskih sester zna pretvarjati elektronske datoteke za rabo z različnimi aplikacijami. Vendar pa kar 33 (46,5 %) medicinskih sester ni bilo prepričanih o svojih računalniških spretnostih za ustvarjanje večpredstavnostnih datotek. Rezultati se razlikujejo po posameznih oddelkih zdravstvene nege. Kar 62 (87,3 %) anketirancev v pediatrični oskrbi in 59 (83,1 %) a...

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Section: Introductionmentioning

confidence: 99%

Primary healthcare nurses' perceptions about their ability to utilise electronic health records

Tengeh

Bimerew

2022

Obzor Zdrav Neg

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“…Consequently, this impedes the way to an improved patientcare in a networked healthcare setting, also resulting in increased cost and clinical negligence. The future health information systems aimed at the integration, interoperability, innovation, and intelligence [9] [26] for sharing the resource. Exchanging medical information has seamlessly paved the way to introducing medical standards [8][4] [2] providing with a unified approach to medical vocabulary and exchange of information, but none of them has come of age to be used smoothly.…”

Section: Introductionmentioning

confidence: 99%

MedShare: Medical Resource Sharing among Autonomous Healthcare Providers

Yang,

Li,

Qamar

et al. 2018

Preprint

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Legacy Electronic Health Records (EHRs) systems were not developed with the level of connectivity expected from them nowadays. Therefore, interoperability weakness inherent in the legacy systems can result in poor patient care and waste of financial resources. Large hospitals are less likely to share their data with external hospitals due to economic and political reasons. Motivated by these facts, we aim to provide a set of software implementation guidelines, i.e., MedShare to deal with interoperability issues among disconnected healthcare systems. The proposed integrated architecture includes: 1) a data extractor to fetch legacy medical data from a hemodialysis center, 2) converting it to a common data model, 3) indexing patient information using the HashMap technique, and 4) a set of services and tools that can be installed as a coherent environment on top of stand-alone EHRs systems. Our work enabled three cooperating but autonomous hospitals to mutually exchange medical data and helped them develop a common reference architecture. It lets stakeholders retain control over their patient data, winning the trust and confidence much needed towards a successful deployment of MedShare. Security concerns were effectively addressed that also included patient consent in the data exchange process. Thereby, the implemented toolset offered a collaborative environment to share EHRs by the healthcare providers.

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Upgrading Legacy EHR Systems to Smart EHR Systems

Cited by 2 publications

References 13 publications

Primary healthcare nurses' perceptions about their ability to utilise electronic health records

Primary healthcare nurses' perceptions about their ability to utilise electronic health records

MedShare: Medical Resource Sharing among Autonomous Healthcare Providers

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