scholarly journals Peranan Electronic Health Record System terhadap Keselamatan Pasien di Perawatan Anak

2020 ◽  
Vol 4 (1) ◽  
pp. 22-27
Author(s):  
Yayah Yayah ◽  
La Ode Abdul Rahman
Keyword(s):  
Patient Safety ◽  
Electronic Health Record ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Health Record System ◽  
Health Record ◽  
Record System ◽  
Electronic Health

EHRs merupakan bentuk perkembangan teknologi informasi berupa sistem dokumentasi kesehatan dalam format digital yang dapat memberikan tampilan data otomatis yang mendukung dalam kelengkapan dan keakuratan data yang diharapkan dapat  meningkatkan keselamatan pasien termasuk di perawatan anak. Karena anak merupakan populasi yang rentan dalam isu keselamatan pasien. Tujuan penelitian ini adalah untuk mengetahui peranan EHRs terkait keselamatan pasien di perawatan anak. Penelitian ini menggunakan studi literatur dengan melakukan kajian artikel dan jurnal penelitian yang dicari melalui penelusuran database online yang terbit tahun 2014-2019 dengan kata kunci “electronic health record” OR “electronic medical record” AND “pediatric” AND “patient safety” sebanyak 10 artikel dijadikan bahan analisis utama ditambahkan artikel lainnya sebagai sebagai pendukung pembahasan. Hasil penelitian ini menunjukan bahwa EHRs yang sudah dimodifikasi dengan menampilkan umpan balik tanda waspada berupa sistem peringatan dengan tampilan visual dapat meningkatkan komunikasi yang efektif antar tim kesehatan, memberikan peringatan dalam keamanan dan kewaspadaan obat, serta deteksi dini sepsis pada anak sehingga mendukung pengambilan keputusan untuk melakukan tindakan yang tepat untuk meningkatkan keselamatan pasien. EHRs yang sudah dimodifikasi dengan sistem pendukung berupa sistem peringatan memiliki peranan positif dan efektif dalam meningkatkan keselamatan pasien di perawatan anak.

JSON-LD as an Interchange Technology to Facilitate Health Information Exchange

2019 ◽  
Vol 1 (1) ◽  
pp. 66-78
Author(s):  
Daniel L. Kaukinen
Keyword(s):  
Electronic Health Record ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Data Storage ◽  
Information Exchange ◽  
Data Exchange ◽  
Health Record ◽  
Medical Systems ◽  
Record System ◽  
Electronic Health

Sharing information between medical records to form a comprehensive electronic health record leads to effective health management. However, full implementation of an electronic health record has met various barriers including companies wanting to protect their proprietary data storage formats and resisting conversion to a common data exchange format. Through the development of prototype systems, this article investigates the use of JSON-LD as an interpreter to aid in data interchange and data encapsulation. The prototypes demonstrate that JSON-LD can be applied, with nominal code changes, to an existing electronic medical record system employing JSON as a serialization protocol. This article concludes that JSON-LD works as an efficient wrapper that, when well designed, allows for simplified and robust consumption from and serving of data to other JSON-LD enabled medical systems, thereby elevating the usability and effective interconnectivity of new and existing electronic medical record systems.

scholarly journals Importance of Testing for Usability When Selecting and Implementing an Electronic Health or Medical Record System

2010 ◽  
Vol 6 (3) ◽  
pp. 120-124 ◽  
Author(s):  
Natalie J. Corrao ◽  
Alan G. Robinson ◽  
Michael A. Swiernik ◽  
Arash Naeim
Keyword(s):  
Electronic Health Record ◽  
Medical Record ◽  
Business Processes ◽  
Usability Testing ◽  
Electronic Health Record System ◽  
Health Record ◽  
Record System ◽  
Medical Record System ◽  
Electronic Health

The role of usability testing in the evaluation of an electronic health record system could improve chances that the design is integrated with existing workflow and business processes in a clear, efficient way.

scholarly journals Developing Clinical Decision Support within a Commercial Electronic Health Record System to Improve Antimicrobial Prescribing in the Neonatal ICU

2014 ◽  
Vol 05 (02) ◽  
pp. 368-387 ◽  
Author(s):  
K. Cato ◽  
B. Sheehan ◽  
S. Patel ◽  
J. Duchon ◽  
P. DeLaMora ◽  
...  
Keyword(s):  
Decision Support ◽  
Electronic Health Record ◽  
Clinical Decision Support ◽  
Clinical Decision ◽  
Electronic Health Record System ◽  
Health Record ◽  
Record System ◽  
Antimicrobial Prescribing ◽  
Neonatal Icu ◽  
Electronic Health

SummaryObjective: To develop and implement a clinical decision support (CDS) tool to improve antibiotic prescribing in neonatal intensive care units (NICUs) and to evaluate user acceptance of the CDS tool.Methods: Following sociotechnical analysis of NICU prescribing processes, a CDS tool for empiric and targeted antimicrobial therapy for healthcare-associated infections (HAIs) was developed and incorporated into a commercial electronic health record (EHR) in two NICUs. User logs were reviewed and NICU prescribers were surveyed for their perceptions of the CDS tool.Results: The CDS tool aggregated selected laboratory results, including culture results, to make treatment recommendations for common clinical scenarios. From July 2010 to May 2012, 1,303 CDS activations for 452 patients occurred representing 22% of patients prescribed antibiotics during this period. While NICU clinicians viewed two culture results per tool activation, prescribing recommendations were viewed during only 15% of activations. Most (63%) survey respondents were aware of the CDS tool, but fewer (37%) used it during their most recent NICU rotation. Respondents considered the most useful features to be summarized culture results (43%) and antibiotic recommendations (48%).Discussion: During the study period, the CDS tool functionality was hindered by EHR upgrades, implementation of a new laboratory information system, and changes to antimicrobial testing methodologies. Loss of functionality may have reduced viewing antibiotic recommendations. In contrast, viewing culture results was frequently performed, likely because this feature was perceived as useful and functionality was preserved.Conclusion: To improve CDS tool visibility and usefulness, we recommend early user and information technology team involvement which would facilitate use and mitigate implementation challenges.Citation: Hum RS, Cato K, Sheehan B, Patel S, Duchon J, DeLaMora P, Ferng YH, Graham P, Vawdrey DK, Perlman J, Larson E, Saiman L. Developing clinical decision support within a commercial electronic health record system to improve antimicrobial prescribing in the neonatal ICU. Appl Clin Inf 2014; 5: 368–387 http://dx.doi.org/10.4338/ACI-2013-09-RA-0069

scholarly journals Implementing Pediatric Growth Charts into an Electronic Health Record System

2006 ◽  
Vol 13 (3) ◽  
pp. 302-308 ◽  
Author(s):  
S. T. Rosenbloom ◽  
X. Qi ◽  
W. R. Riddle ◽  
W. E. Russell ◽  
S. C. DonLevy ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Electronic Health Record System ◽  
Growth Charts ◽  
Health Record ◽  
Record System ◽  
Electronic Health
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