scholarly journals SVBE: searchable and verifiable blockchain-based electronic medical records system

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Norah Alrebdi ◽  
Abdulatif Alabdulatif ◽  
Celestine Iwendi ◽  
Zhuotao Lian
Keyword(s):  
Cloud Computing ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Security Analysis ◽  
Experimental Results ◽  
Medical Systems ◽  
Unauthorized Access ◽  
Smart Contract ◽  
Medical Records System ◽  
Central Management

AbstractCentral management of electronic medical systems faces a major challenge because it requires trust in a single entity that cannot effectively protect files from unauthorized access or attacks. This challenge makes it difficult to provide some services in central electronic medical systems, such as file search and verification, although they are needed. This gap motivated us to develop a system based on blockchain that has several characteristics: decentralization, security, anonymity, immutability, and tamper-proof. The proposed system provides several services: storage, verification, and search. The system consists of a smart contract that connects to a decentralized user application through which users can transact with the system. In addition, the system uses an interplanetary file system (IPFS) and cloud computing to store patients’ data and files. Experimental results and system security analysis show that the system performs search and verification tasks securely and quickly through the network.

scholarly journals 530 An Audit of Appropriate Documentation Following Urethral Catheterisation

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
I Dokubo ◽  
J Armitage
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Clinical Care ◽  
Medical Personnel ◽  
Urethral Catheter ◽  
Residual Volume ◽  
Urethral Catheterisation ◽  
Catheter Size ◽  
Medical Records System ◽  
Insertion Process

Abstract Introduction Urethral catheterisation is a procedure frequently done in the hospital by medical personnel. Appropriate documentation is necessary to ensure safe clinical care and to reduce the risk of litigation. Method We randomly reviewed electronic notes of patients seen by the on-call urology team who had a urethral catheter inserted in September 2020. Reviewing the trust’s guidelines, we considered that appropriate documentation should include reference to the following 10 items; indication, chaperone present, consent obtained, groin examination, catheter size, catheter type, insertion process, urine colour, water in balloon and residual volume were reviewed. Results A total of 50 patients were included. 72%(36/50) were inserted by a member of the urology team. Only 28%(14/50) had all 10 items documented. Indication for catheterisation was best documented at 94%(47/50) while presence of a chaperone and groin examination (i.e. presence of a foreskin and its replacement post-catheterisation) were the lowest at 44%(22/50). Conclusions This study shows there is low compliance to adequate documentation of urethral catheterisation. A ‘smart phrase’ has been developed for use with our Trusts electronic medical records system to assist clinicians with appropriate documentation. Clinicians that use the phrase ‘.icat’ are prompted to document all 10 requisite items. This uses the mnemonic i-CATHETAR [indication, Chaperone and consent, groin Assessment, Tube (catheter size and type), insertion process (Hard/Easy), urine Tint, Aqua in balloon, Residual volume]. A second audit cycle is currently being done to review the effectiveness of this intervention.

scholarly journals Factors affecting the utilisation of electronic medical records system in Malawian central hospitals

2017 ◽  
Vol 29 (3) ◽  
pp. 247 ◽  
Author(s):  
Khwima E. Mkalira Msiska ◽  
Andrew Kumitawa ◽  
Benjamin Kumwenda
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Factors Affecting ◽  
Medical Records System

RAPID: An electronic medical records system for radiation oncology

1997 ◽  
Vol 7 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Scott L. Sailer ◽  
Joel E. Tepper ◽  
Larry Margolese-Malin ◽  
Julian G. Rosenman ◽  
Edward L. Chaney
Keyword(s):  
Electronic Medical Records ◽  
Radiation Oncology ◽  
Medical Records ◽  
Medical Records System

Improving adherence to safe prescription guidelines for Dapsone: harnessing an enhanced electronic medical records system and a team approach

2012 ◽  
Vol 51 (3) ◽  
pp. 349-354 ◽  
Author(s):  
Ching Yin Neoh ◽  
Elizabeth A.L. Tian ◽  
Cindy Choi ◽  
Hui Hui Leong ◽  
Audrey W.H. Tan ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Team Approach ◽  
Medical Records System

scholarly journals The Risk of Osteonecrosis of the Jaws in Taiwanese Osteoporotic Patients Treated With Oral Alendronate or Raloxifene

2014 ◽  
Vol 99 (8) ◽  
pp. 2729-2735 ◽  
Author(s):  
Wei-Yih Chiu ◽  
Jung-Yien Chien ◽  
Wei-Shiung Yang ◽  
Jyh-Ming Jimmy Juang ◽  
Jang-Jaer Lee ◽  
...  
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Drug Exposure ◽  
Independent Predictor ◽  
Contributing Factors ◽  
Taiwanese Population ◽  
Duration Of Treatment ◽  
Osteonecrosis Of The Jaws ◽  
Prevention Of Osteoporosis ◽  
Medical Records System

Background: This study aimed to explore the possible association between osteonecrosis of the jaws (ONJ) and oral alendronate or raloxifene used for osteoporosis and to estimate its absolute and attributable risks in the Taiwanese population. Methods: Using an electronic medical records system and manual confirmation of ONJ, we identified patients who began taking alendronate or raloxifene for osteoporosis and developed ONJ between January 2000 and April 2012. Results: The incidence of ONJ associated with oral alendronate for the management of osteoporosis began after 1 year of drug exposure and progressively increased with longer durations of therapy, specifically from 0.23% to 0.92% as the duration of treatment went from 2 years to 10 years. The overall frequency of ONJ related to oral alendronate over a 12-year period was 0.55%. The incidence rate of ONJ attributed to alendronate exposure was 283 per 100 000 persons per year. On multivariate Cox proportional analysis, adjusting for the potential confounders, alendronate remains an independent predictor for ONJ occurrence [hazard ratio 7.42 (1.02–54.09)] compared with raloxifene. Advanced age, drug duration, and coexisting diabetes and rheumatoid arthritis are contributing factors to the development of oral alendronate-related ONJ. Conclusion: We provided the evidence to support the association of ONJ with oral alendronate used in the treatment or prevention of osteoporosis.

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