Electronic Medical Record Application Research Articles

Trauma Patient Transitions From Critical Care: A Survey of U.S. Trauma Centers.

Transitions between clinical units are vulnerable periods for patients. A significant body of evidence describes the importance of structured transitions, but there is limited reporting of what happens. Describing transitions within a conceptual model will characterize the salient forces that interact during a patient transition and, perhaps, lead to improved outcomes. To describe the processes and resources that trauma centers use to transition patients from critical care to nonintensive care units. This cross-sectional study surveyed all Level I and II trauma centers listed in the American Trauma Society database from September 2020 to November 2020. Data were merged from the American Hospital Association 2018 Hospital Survey. A total of 567 surveys were distributed, of which 152 responded for a (27%) response rate. Results were organized in categories: capital input, organizational facets, employee behavior, employee terms/scope, and labor inputs. Resources and processes varied; the most important opportunities for transition improvement included: (1) handoff instruments were only reported at 36% (n = 27) of trauma centers, (2) mandatory resident education about transitions was only reported at 70% (n = 16) of trauma centers, and (3) only 6% (n = 4) of trauma centers reported electronic medical record applications that enact features to influence employee behavior. After years of focusing on transitions as a high-stake period, there remain many opportunities to develop resources and enact effective processes to address the variability in transition practice across trauma centers.

Design and development of web-based dental electronic medical records according to ministry of health standards

Background: Implementation of electronic medical records in health facilities is still very rare. The issuance of Regulation No. 24 of 2022 by the Minister of Health, which requires electronic medical records, means that all health facilities in Indonesia must be prepared to use electronic medical records. The results show that the format of electronic medical records, especially in dental facilities, is incomplete and non-standardized.
 Objective : The purpose of this study is to create an electronic medical record application for dentistry according to the standards of the Ministry of Health and works well.
 Method: The methods type is research and development with an action research approach. The method used to create the application is SDLC (Systems Development Life Cycle), which includes problem identification, design, application development, testing, implementation and maintenance.
 Result:, The results of dental electronic medical record system application has 100% complete formats according to the minimum requirements of the minister of health regulations, including patient identity formats, patient medical record formats, odontogram formats, medical treatment formats, supporting examination upload formats, and informed consent upload formats .
 Conclusion: This research has succeeded in creating an web-based application for an electronic medical record system for dentistry that has standard specifications of the Ministry of Health

Telehealth Utilization in Oral Medicine and Oral and Maxillofacial Surgery.

Objectives: The objectives of this retrospective study were to analyze telehealth utilization for two specialty care practices: oral medicine (OM) and oral and maxillofacial surgery (OMFS) during the first 2 years of the pandemic, its impact as a new treatment modality and on participating providers, as well as identify the type of patient visit that most readily adopted telehealth. Methods: Retrospective study of patients who sought specialty services, OM and OMFS, at an outpatient clinic in a university health system setting between March 1, 2019, and February 28, 2022. Source data were obtained from Epic, an electronic medical record application. Data were graphed using Tableau and Microsoft Excel software. Statistical analysis was performed utilizing chi-squared test and analysis of variance (ANOVA). Results: OMFS utilized telehealth 12% of the time, and OM 8% of the time. The majority (87%) of telehealth visits were for return patients (RPs). Compared with the first year of the pandemic, there was a decrease in the number of telehealth visits in the second year (p = 0.0001). As of August 2022, new patient (NP) telehealth encounters have largely returned to prepandemic levels (0-1.5%), whereas RP telehealth visits remained at an average level of 11.4% (9.4-12.4%). Surveyed providers consider telehealth as an effective complement to in-person care and will continue its use (4.2/5 Likert scale). Conclusions: Telehealth has become a viable pathway of care for OM and OMFS who previously did not utilize the remote platform to deliver healthcare. As a new treatment modality, telehealth is perceived as impactful in increasing access to specialty care by participating providers. NP visits are now almost completely in person, but telehealth continues for RPs. Ongoing demand for telehealth highlights urgency to develop appropriate standards and effective remote diagnostic/monitoring tools to maximize telehealth's capability to leverage finite health care resources and increase access to specialty care.

REKAM MEDIS ELEKTRONIK (RME) UNTUK PELAYANAN GIZI RUMAH SAKIT

Background: Electronic Medical Record (EMR) is mandatory for the healthcare provider in Indonesia. EMR were also developed for medical support services such as nutrition services. EMR application for nutrition services consists of nutrition assessment forms and patient-integrated clinical development records.Objective: To determine factors that influence the implementation of EMR for hospital nutrition services.Methods: This research is qualitative research with a single-case holistic design. The research location was in Instalasi Gizi RSUD Dr. Soetomo, from May to June 2023. The data collecting method was using in depth-interview and focus group discussions. Participants were selected using purposive sampling. Data was analyzed based on the Human, Organization, and Technology (HOT)–Fit Framework.Results: This research showed that the main factor influencing the success of EMR implementation for hospital nutrition is the digital competencies of the staff. These competencies could be increased by giving some training to the staff. Another essential factor is that organization should support by providing Standard Operating Procedures (SOPs) for EMR implementation and technical support from the Information Technology (IT) team. IT team has the responsibility to handle complaints and problems about EMR. Facilities such as computers and Local Area Networks (LAN) should be sufficient to make EMR implementation run well. The interface and features of EMR should answer the needs of the staff. So, staff would feel EMR is beneficial to help them finish their work, and they would show their acceptance toward this EMR.Conclusions: The success of EMR implementation for hospital nutrition services is determined by several factors like staff digital competencies, organizational support, and provision of computers and LAN for implementing EMR. Positive perception about the benefit of EMR encouraged the increase of EMR utilization in hospitals.

Talk, test, and take one click to curb prostate cancer mortality.

6541 Background: Prostate cancer remains the most commonly diagnosed cancer and the second leading cause of cancer-related death in men in the United States. BronxCare Health System (BCHS) serves the Bronx neighborhoods of Morris Heights, Fordham South, and Mount Hope, notable for the highest prostate cancer incidence rate in New York City as per the American Cancer Society Cancer Action Network report 2019, highlighting the need for prostate cancer screening among the patient population we serve. An anonymous voluntary paper survey was performed in 2019 at BCHS to determine primary care physician understanding and implementation of current PSA testing guidelines. The study showed that primary care providers at BCHS approach PSA testing in a wide variety of ways and screen a wide age range of patients suggesting a need for intervention. An electronic medical record (EMR) decision support tool activated during primary care visits for men aged 55-69 years was implemented beginning January 1, 2021 which facilitates the provider and patient engagement in a shared decision-making discussion. This a follow-up study to determine the effect of this EMR application on PSA order rates and prostate cancer diagnosis rates at BCHS. Methods: The total number of patients who had PSA and lipid panel (LP) screening were extracted from the EMR of BCHS for potentially eligible men (aged 55-69) seen during primary care visits during the years 2016-2022. LP is done annually as a part of routine screening for adults aged 55-69 and is taken as an equivalent of primary care visits. PSA screening rates were compared to LP screening rates to control for unforeseen variables. Similarly, the number of newly-diagnosed prostate cancers among the same population of men was extracted for the years 2016-2021. Data for 2022 is still not available. 2016-2020 are pre-EMR and 2021 and 2022 are post-EMR flag years. The pre and post-EMR flag PSA and prostate cancer diagnosis numbers were compared by calculating Z scores and p-values. Results: The year-wise PSA, LP, and newly-diagnosed prostate cancers (PC) are tabulated below. The proportion of men who had PSA testing among all men aged 55-69 who had LP testing in each pre-EMR flag year was compared to each post-EMR flag year. A significant increase (p < 0.00001) was noted in the proportion of men who had PSA screening after implementation of the EMR application. Similarly, the proportion of men with newly-diagnosed prostate cancer among all men aged 55-69 who had PSA screening significantly increased after EMR application (p < 0.00001). Conclusions: A decision support tool embedded in the EMR has been an effective approach in increasing prostate cancer screening rates and may help curb prostate cancer mortality in our patient population as early detection in right men at the right age has the potential to reduce prostate cancer mortality. [Table: see text]

Analisa Pengaplikasian Sistem Rekam Medis Elektronik di Rumah Sakit Setia Mitra

From the observation at Setia Mitra Hospital, there have been issues relating to the appliance of electronic medical record (EMR) system. As we all know, the EMR system is currently starting to be a must use system on every hospital. The advancement of technology has shift the use of paper based medical record to EMR. But since it's still newly developed, the application of the system in a newly applied EMR on a hospital is an interesting topic for review. Therefore the writer has chosen this topic to be the main issue on this research. This research main purpose is to find and identify the application of EMR in Rumah Sakit Setia Mitra. For this research, the writer is using a qualitative descriptive research, in which the data colletion is based on the observation done by the writer and also based on interviews that's done with the medical record staffs, and will be analyzed and compared with theories that already exist as the based accepted method on EMR and it's application. The results of the research done by the writers have found that EMR application at Setia Mitra Hospital is not yet been applied according with the theory that's aready exist, and the mains source of this difference is because the EMR on the hospital's information system is still under heavy development. Therefore, the author has suggested that the completeness of the hospital information system must take priority, especeially regarding it's medical record system need to be pushed into an EMR system, so it can create a much more complete, better and robust health information management at Rumah Sakit Setia Mitra

Penyebab Ketidaklengkapan Data Diagnosis Pada Rekam Medis Elektronik Terkait Pelaporan(Rl5.3) di Rs St. Elisabeth Medan

Electronic Medical Record (RME) is a computerized health information system that contains social data and patient medical data, and can be equipped with a decision support system. Electronic Medical Records can help better management of patient health services (Andriani et al., 2017). Santa Elisabeth Hospital Medan in inputting its Electronic Medical Record data already uses a web-based application. Where this web-based application is called Sphaira Mobile Electronic Medical Record. This application is still newly implemented and used in the electronic medical record system at the Santa Elisabeth Hospital Medan. With the transfer from manual medical records to electronic medical records, this has resulted in several problems in filling out patient electronic medical records. The purpose of this study was to determine the cause of the incomplete diagnosis data in electronic medical records related to the reporting of the top 10 inpatients (Rl5.3) at the Santa Elisabeth Hospital, Medan. The type of research used is descriptive and qualitative with observation and interview data collection techniques. Based on the results of interviews with the head of the medical record room at Santa Elisabeth Hospital Medan, he stated that the transition from manual medical records to electronic medical records made hospital employees, especially officers in the medical record room, have to adapt, recognize and learn how to operate the Sphaira Mobile Electronic Medical Record application. Factors Causes of incomplete diagnosis data in electronic health records at Santa Elisabeth Hospital Medan: Man. Methods, machines

Designing and Building Secure Electronic Medical Record Application by Applying AES-256 and RSA Digital Signature

Medical records consist of health data that must be kept confidential and is regulated in Indonesian law. Until now the implementation of electronic medical records in Indonesia has not been clearly regulated in a law, while Regulation of the Minister of Health of the Republic of Indonesia state that medical records must be made in writing, complete, and clearly or electronically. In view of this, another approach than the regulation is needed to be able to meet the confidentiality of the data in the regulation, in electronic form. In this study, an electronic medical record application was designed and built that can meet the requirements of the legislation. The application encrypts patient’s health data stored on medical records using the AES-256 algorithm for data confidentiality. The use of AES-256 has been standardized based on the Federal Information Processing Standards Publication 197 and RSA Digital Signature digital signature because it has been standardized based on Federal Information Processing Standards Publication 186-4 and NIST Special Publication 800-89. The proposed application have been made have passed security testing using 6 testcase based on the reference paper.

Aplikasi Rekam Medis Elektronik Ibu Hamil

The authority and obligations of midwife practices in Indonesia are regulated in the Decree of the Minister of Health of the Republic of Indonesia No.900 / Menkes / SK / VII / 2002 concerning Registration and Practice of Midwives. Delivery assistance allowed by midwives are normal and emergency deliveries, and basic health services only deal with minor cases that are within their capabilities. Implementation of midwife practice services found many problems regarding the management of medical records of pregnant women that have not been optimal, including: incomplete medical records, difficulties in searching for medical record data, less synchronous data, recording and reporting of basic health services that are often too late. This can result in a decrease in the quality of health services for pregnant mother patients until delivery. An alternative solution to this problem is to develop an electronic medical record application for pregnant women that can present a complete and accurate history of the examination and development of the health of pregnant women so as to improve the health services of pregnant women and facilitate the reporting process to related parties. The method of developing an electronic medical record application for pregnant women uses the waterfall method with stages of development: system requirements analysis, system design, implementation and system testing. The programming language used by PHP and MySQL databases. This application program consists of 1) data input for pregnant women, 2) input for examining pregnant women, 3) input medical treatment, and 4) report on examination results. The test results show that this application can store and present information about the health history of pregnant women with a valid so that it can be used as an alternative service for medical records of pregnant women that is more optimal.

TestIME: an application for evaluating the efficiency of Chinese input method engines in electronic medical record entry task

BackgroundWith the wide application of Electronic Medical Record (EMR) systems, it has become a daily work for doctors using keyboards to input clinical information into the EMR system. Chinese Input Method Engine (IME) is essential for doctors to convert pinyin to Chinese characters, and an efficient IME would improve doctors’ healthcare work. We developed a tool (called TestIME) to evaluating the efficiency of the current IMEs used in doctors’ working scenario.The proposed TestIME consists of four major function modules: 1) Test tasks assignment, to ensure that participants using different IMEs to complete the same test task in a random order; 2) IME automatic switching, to automatically switch the input method engines without changing the experimental settings; 3) participants’ behavior monitoring, to record the participants’ keystrokes and timestamp during the typing process; 4) questionnaire, to collect the participants’ subjective data. In addition, we designed a preliminary experiment to demonstrate the usability of TestIME. We selected three sentences from EMR corpus and news corpus as test texts respectively, and recruited four participants in a medical school to complete text entry tasks using the TestIME.ResultsOur TestIME was able to generate 72 files that record the detailed participants’ keyboard behavior while transcribing test texts, and 4 questionnaires that reflect participants’ psychological states. These profiles can be downloaded in a structured format (CSV) from the TestIME for further analysis.ConclusionsWe developed a tool (TestIME) to evaluate Chinese input methods in the EMR entry tasks. In the given text input scenario in healthcare, the TestIME is capable to record doctors’ keyboard behavior, frequently used Chinese terms, IME usability feedback etc. These user profiles are important to improve current IME tools for doctors and further improve healthcare service.

Application of electronic medical record-derived analytics in critical care: Rothman Index predicts mortality and readmissions in surgical intensive care unit patients.

The Rothman Index (RI) is an objective measurement of a patient's overall condition, automatically generated from 26 variables including vital signs, laboratory data, cardiac rhythms, and nursing assessments. The purpose of this study was to assess the validity of RI scores in predicting surgical ICU (SICU) readmission rates and mortality. We conducted a single-center retrospective analysis of surgical patients who were transferred from the SICU to the surgical floor from December 2014 to December 2016. Data included demographics, length of stay (LOS), mortality, and RI at multiple pretransfer and post-transfer time points. A total of 1,445 SICU patients were transferred to the surgical floor; 79 patients (5.5%) were readmitted within 48 hours of transfer. Mean age was 52 years, and 67% were male. Compared to controls, patients readmitted to the SICU within 48 hours experienced higher LOS (29 vs. 11 days, p < 0.05) as well as higher mortality (2.5% vs. 0.6%, p < 0.05). Patients requiring readmission also had a lower RI at 72, 48, and 24 hours before transfer as well as at 24 and 48 hours after transfer (p < 0.05 for all). Rothman Index scores were categorized into higher-risk (<40), medium-risk (40-65), and lower-risk groups (>65); RI scores at 24 hours before transfer were inversely proportional to overall mortality (RI < 40 = 2.5%, RI 40-65 = 0.3%, and RI > 65 = 0%; p < 0.05) and SICU readmission rates (RI < 40 = 9%, RI 40-65 = 5.2%, and RI > 65 = 2.8%; p < 0.05). Patients transferred with RI scores greater than 83 did not require SICU readmission within 48 hours. Surgical ICU patients requiring readmission within 48 hours of transfer have a significantly higher mortality and longer LOS compared to those who do not. Patients requiring readmission also have significantly lower pretransfer and post-transfer RI scores compared to those who do not. Rothman Index scores may be used as a clinical tool for evaluating patients before transfer from the SICU. Prospective studies are warranted to further validate use of this technology. Retrospective database review, level III.

Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.

(1) To describe the usage of medication data from the Health Information Exchange (HIE) at the health care system level in the province of Quebec; (2) To assess the accuracy of the medication list obtained from the HIE. A descriptive study was conducted utilizing usage data obtained from the Ministry of Health at the individual provider level from January 1 to December 31, 2015. Usage patterns by role, type of site, and tool used to access the HIE were investigated. The list of medications of 111 high risk patients arriving at the emergency department of an academic healthcare center was obtained from the HIE and compared with the list obtained through the medication reconciliation process. There were 31 022 distinct users accessing the HIE 11 085 653 times in 2015. The vast majority of pharmacists and general practitioners accessed it, compared to a minority of specialists and nurses. The top 1% of users was responsible of 19% of access. Also, 63% of the access was made using the Viewer application, while using a certified electronic medical record application seemed to facilitate usage. Among 111 patients, 71 (64%) had at least one discrepancy between the medication list obtained from the HIE and the reference list. Early adopters were mostly in primary care settings, and were accessing it more frequently when using a certified electronic medical record. Further work is needed to investigate how to resolve accuracy issues with the medication list and how certain tools provide different features.

Application of Electronic Medical Record (Infection Control Support) Systems for Efficient Blood Culture Rounds

Application of Electronic Medical Record (Infection Control Support) Systems for Efficient Blood Culture Rounds

The epidemiology of NCAA men\u2019s lacrosse injuries, 2009/10-2014/15 academic years

BackgroundParticipation in lacrosse has grown at the collegiate levels. However, little research has examined the epidemiology of collegiate men’s lacrosse injuries. This study describes the epidemiology of injuries in National Collegiate Athletic Association (NCAA) men’s lacrosse during the 2009/10–2014/15 academic years.MethodsTwenty-five men’s lacrosse programs provided 63 team-seasons of data for the NCAA Injury Surveillance Program (NCAA-ISP) during the 2009/10–2014/15 academic years. Injuries occurred from participation in an NCAA-sanctioned practice or competition, and required attention from an AT or physician. Injuries were further classified as time loss (TL) injuries if the injury restricted participation for at least 24 h. Injuries were reported through electronic medical record application used by the team medical staff throughout the academic year. Injury rates per 1000 athlete-exposures (AE), injury rate ratios (RR), 95% confidence intervals (CI), and injury proportions were reported.ResultsOverall, 1055 men’s lacrosse injuries were reported, leading to an injury rate of 5.29/1000AE; 95%CI: 4.98–5.61. The TL injury rate was 2.74/1000AE (95%CI: 2.51–2.96). The overall injury rate was higher in competition than practice (12.35 vs. 3.90/1000AE; RR = 3.16; 95%CI: 2.79–3.58). Most injuries were to the lower extremity (58.3%), particularly the ankle (14.1%) in competition and the upper leg (14.3%) in practice. Sprains and strains were the most common diagnoses in both competition (26.9 and 23.7%, respectively) and practice (20.2% and 27.4%, respectively). Most injuries in competitions and practices were due to player contact (32.8 and 17.5%, respectively) and non-contact (29.6 and 40.0%, respectively).ConclusionsOur estimated injury rates are lower than those from previous college men’s lacrosse research. This may be due to increased injury awareness, advances in injury prevention exercise programs, or rule changes. Still, injury prevention can aim to continue reducing the incidence and severity of injury, particularly those sustained in competitions and to the lower extremity.

Benefits of improving processes in cancer care with a care pathway-based electronic medical record

PurposeWe analyzed the intermediate and longer term changes in patients’ waiting times following the implementation of an electronic medical record (EMR) dedicated to ambulatory treatment in both medical and radiation oncology. Methods and materialsA pre-post study design was developed to assess improvements in patients’ waiting times, defined as the number of days between key steps in patient management preceding the first treatment. The postperiod began 1 year after the EMR go-live to allow for a preliminary period of adjustment to the new EMR. The EMR under study was closely integrated into the clinicians’ workflow, being designed as a care pathway information system to provide real-time support to the coordination of the entirety of care processes involving all the care personnel. ResultsThe large majority of the waiting-time indicators decreased over time, with decreases ranging from 2 to 28 days. However, an important time lag was necessary to see an improvement, to the extent that better access was only observed in the final months of the postperiod. ConclusionThe study highlights the potential to design EMR applications that capitalize on tight workflow integration, both in medical and radiation oncology, to deal with the fundamentally collaborative nature of cancer care delivery.

Usability of Academic Electronic Medical Record Application for Nursing Students' Clinical Practicum

ObjectivesNursing curricula for undergraduate nursing students need to reflect the information technology used in current nursing practice. A smart-device Academic Electronic Medical Record (AEMR) application can help nursing students access and document records for the clinical practicum. We conducted a pilot study to evaluate the usability of an AEMR application before applying it to the clinical nursing practicum.MethodsA previously developed EMR application was modified as an AEMR to access patient information at bedside and to practice documentation. We added several features to the current EMR application to create an AEMR environment. We created a series of document forms and several useful scales on an external application, which included nursing admission notes, vital signs, and intake/output. The case scenarios and tasks were created by a research team to evaluate aspects of AEMRs, including their usability and functionality. Five nursing students completed 15 tasks using a think-aloud method with a tablet device.ResultsMinor usability issues were identified and rectified. All participants indicated that they became familiar with the application with little effort. They said that the application icons were intuitive, which helped them find patient information more quickly and accurately.ConclusionsThe application will improve timely access to patient data and documentation for nursing students. We are confident that this AEMR application will enhance nursing students' experience with their clinical practicum, and help them to better understand patient conditions and document them with ideal accessibility.

The effect of electronic medical record application on the length of stay in a Chinese general hospital: a department- and disease-focused interrupted time-series study

A key purpose of electronic medical records (EMR) introduced in medical institutions is to improve work efficiency. The average length of stay (LOS) is just an important indicator to evaluate work efficiency of medical care in hospitals. Recently, there have been reports about effects of EMR application on LOS in medical institutions, but they have been mostly based on the overall analysis of a region or a hospital and not of specific clinical departments and diseases or based on longer time periods. Therefore, in this study, we selected four clinical departments and four diseases with the largest number of inpatients from January 2004 to December 2012 in a Chinese 3A general hospital and used an interrupted time-series method by the departments and diseases to analyze the relationship of EMR application and LOS. Through our analyses, we concluded that, under unadjusted condition, LOS were all reduced (P < 0.001) after EMR application in four departments and for four diseases. After adjustment by gender, age or admission condition, LOS still all decreased after EMR application (P < 0.05) regardless of departments or diseases. The trend changes in LOS reversed from increasing to decreasing in the orthopedics department (coefficient: 0.016 to -0.079), the cardiovascular surgery department (coefficient: 0.007 to -0.126) and all departments overall (coefficient: 0.004 to -0.070), as well as for the intervertebral disc disorders (coefficient: 0.026 to -0.068). Furthermore, the decreasing trend gained a larger slope in the cardiology department (coefficient: -0.017 to -0.023), the neurology department (coefficient: -0.012 to -0.043) and for the coronary heart disease (coefficient: -0.010 to -0.018), the ventricular septal defect (coefficient: -0.024 to -0.059), and the cerebral infarction (coefficient: -0.031 to -0.040). Together, these findings indicate that EMR application coincided with a decrease in LOS and may have a contribution to the decrease.

Application of Electronic Medical Record in the President Ward Rounds

In order to achieve better results, an electronic medical record system is implemented for the president ward rounds of the hospital. We prepare the numbers of medical records and medical data before the ward rounds, according to the contents of ward rounds. The contents of the ward rounds are evaluated and discussed jointly by the hospital leadership and the department directors. A large screen is used to display the examined medical records during the ward rounds, using which the problems encountered and the quality of medical records maintained during medical procedures, are learned of through the examination of the medical records. Electronic medical records are used for the president ward rounds so that the president is able to learn the daily work status and solve problems on site, especially problems involving multiple departments. Departments can understand the medical conditions by themselves and a communication platform is set up for the hospital leadership and department directors through the presentation and analysis of the medical data. These methods can promote clinical medical quality and improve the management level.

The Use of Mobile Devices To Improve Alarm Systems

The Joint Commission 2007 Annual Report stated, “Inadequate communication between care providers, or between care providers and patients/families, is consistently the main root cause of sentinel events.”1 Critical components of communication regarding the health status of a patient are the alerts and notifications originating from the various patient monitors; yet according to the American Journal of Emergency Medicine, as many as 99.4% of alarms are false and less than 1% result in change to patient management.2 Looking to 2011, alarm hazards remain an ongoing challenge, listed at number two on the ECRI Institute’s Top 10 Health Technology Hazards for this year.3 This paper addresses how the use of mobile devices such as the iPhone, the Android smart phone, and the Blackberry with intuitive interfaces and messaging coupled with an integrated alarm management platform will improve clinical satisfaction and operational workflow and decrease risk at the point of care.

(P2-65) Perception of Emergency Care Providers Toward the Implementation of an Electronic Medical Record System in the Emergency Department of a Level-1 Trauma Center

BackgroundManual documentation has an inherent problem of improper communication, manipulation, and validity. An electronic medical record (EMR) is a computerized medical record created in an organization that delivers care, such as a hospital. EMRs tend to be a part of a local, stand-alone, health information system that allows for storage and retrieval.ObjectivesThe objective of this study was to assess the perception of emergency care providers toward the implementation of an EMR System in the emergency department of a Level-1 Trauma Center.MethodsA qualitative survey was conducted among consenting doctors and nurses in the emergency department of the All India Institute of Medical Sciences February to October 2010. Data were collected from a sample of 22—eight doctors and 14 nurses. The collection tool was a structured, closed-ended questionnaire of 12 questions based on usability, applicability, and security, of EMR. A Likert scale (LS) was used (1 = worst, 4 = best). Surveys were done on Day 20, Day 45, and after nine months of implementation of. Responses of emergency care providers were compiled and analyzed using SPSS version 16.ResultsThree surveys consisted of 22 participants in each survey. The survey domain of usability improved on Survey 3 (LS = 2.57), Survey 2 (LS = 2.46), Survey 1 (LS = 2.24). Application of EMR improved from Survey 1 to Survey 3. The data regarding perception of security concerns such as manipulation of data, transparency, and accountability were comparable among Survey 1, Survey 2, and Survey 3. Initial satisfaction was strongly associated with perception of usefulness of data mining for research purposes.ConclusionsSatisfaction with an EMR system at its implementation generally persisted through the first year of use. Implementation plans must include positive reinforcement regarding EMR among emergency care providers.