Abstract
The electronic medical record is an essential technology tool to improve the quality of care. In present study we reported on the design and feasibility of electronic medical records in Female Pelvic Floor Dysfunction Ward. Our main goal was documentation with the least possible missed data, evidence-based decision making, documented active patient follow up and increasing patient’s satisfaction. The Electronic Registry System of Female Pelvic Floor Dysfunction (Vali e Asr Hospital, Tehran, Iran) was designed in mid 2014 and tested till March 2015. The software description was designed based on previous paper questionnaire used in this ward. The electronic questionnaires were filled in upon hospitalization and thereafter including follow ups. The questionnaire included 10 demographic and 15 main questions. A digital analog scale (1 - 10) in each part quantified the effects of problem on patient’s quality of life and also the effects of interventions as well. Entered information in each step was available for those with defined access. Reporting design was dependent on the needed data. Our supervised data entry was a guarantee to the quality of information with the least errors. Access to all para clinical data made rapid and evidence-based decision making. Patient satisfaction was achieved because of unified approach. The most interesting part was access to evidence-based results and data to be used in research projects. This study showed that EMRs in Female Pelvic Floor Dysfunction Wards could provide valuable information, improve the quality of care and increase patient’s satisfaction.
Highlights
Electronic medical records (EMRs) contribute dramatically to the improvement of the quality and efficiency of care
Most developing countries face with lack of robust health care infrastructure in the form of information and communications technology (ICT) [3]
In present pilot study we reported on the design and feasibility of Electronic medical records and discussed the potential for such technologies in Female Pelvic Floor Dysfunction Ward (Vali e Asr Hospital, Tehran, Iran)
Summary
Electronic medical records (EMRs) contribute dramatically to the improvement of the quality and efficiency of care. Cost effectiveness of EMRs has long been proven in different clinical settings [1] [2]. The EMR is an essential technology tool for health care, modernizing the management of medical information and contributing to high-quality patient care and efficient management [1]. Available charts have been reported as benefits of an EMR system by other studies [3]. Electronic medical records support clinical activities and reduce errors [4]. Most countries in Europe and the USA are using EMRs to improve health care quality. Most developing countries face with lack of robust health care infrastructure in the form of information and communications technology (ICT) [3]
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