Relevant bibliographies by topics / Electronic Medical Record (EMR)

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Electronic Medical Record (EMR)'

Author: Grafiati
Published: 4 June 2021
Last updated: 20 February 2023

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Journal articles on the topic "Electronic Medical Record (EMR)"

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Madison, Michele Person. "Electronic Medical Record and Regulatory Implications." Journal of Medical Regulation 93, no. 4 (December 1, 2007): 7–15. http://dx.doi.org/10.30770/2572-1852-93.4.7.

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ABSTRACT Health care practices increasingly rely upon Electronic Medical Records (EMR). EMR systems impact the daily operations and generate additional legal obligations. Effectively implementing an EMR system requires review of the state and federal regulations. EMR access, automation and aggregation of a comprehensive medical record benefit providers. However, each benefit poses substantial risk to the privacy and security of patient information. Vulnerable wireless or internet access, quick unsecured transferability and improper access of the patient’s entire record are implicit within an EMR system. Therefore, providers should perform a risk assessment and implement legally directed safeguards. The national implementation of an “electronic national health record” emphasizes the numerous risks and practical considerations arising through expansive access, automation and aggregation. The government is currently attempting to resolve such risks to ensure the effective use of EMR systems for all providers and patients. Protecting patient’s privacy and security is a daily challenge.
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Malhotra, Naveen, and Marlieta Lassiter. "The Coming Age Of Electronic Medical Records: From Paper To Electronic." International Journal of Management & Information Systems (IJMIS) 18, no. 2 (March 28, 2014): 117. http://dx.doi.org/10.19030/ijmis.v18i2.8493.

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Medical records, first developed in the fifth century, have remained virtually unchanged until the explosion of new technology in the mid-1960s. The National Space and Aeronautics Administrations development of computerized patient record (CPR) brought life to the electronic medical record (EMR) industry. Preventable deaths due to medical errors drew the attention of public and health care professionals to the need for increased patient safety and improved quality measures in medicine. With health care costs compromising 16-17% of the U.S. Gross Domestic Product, Congress passed legislation to financially support providers to adopt electronic medical record (EMR). As a result, future efforts will focus on the sharing of information among all health care stakeholders. Across the world, governments, technology companies, and care providers are collaborating efforts to make the EMR a reality.
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Olson, DaiWai M., Michael S. Rogers, and Sonja E. Stutzman. "Electronic Medical Record Validation: Exploring the Reliability of Intracranial Pressure Data Abstracted From the Electronic Medical Record–Pilot." Journal of Nursing Measurement 23, no. 3 (2015): 532–40. http://dx.doi.org/10.1891/1061-3749.23.3.532.

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Background and Purpose: Intracranial pressure (ICP) monitoring is crucial to decision making for neurologically injured patients, yet measurement of ICP varies greatly among practitioners. Methods: Unblinded, nonrandomized, observational pilot study comparing ICP values collected using pen and paper (P&P), electronic medical record (EMR), and video data with continuous data acquisition (CDA) technology. Results: ICP values did not significantly differ between EMR and P&P records, despite an average of 16 minutes difference in reporting times. ICP values varied significantly when comparing CDA data to EMR or paper. Conclusion: The results of this pilot study put in to question the validity of ICP values that are recorded in the medical record, which has implications for patient care and research.
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Yu, Bo, Duminda Wijesekera, and Paulo Costa. "Informed Consent in Electronic Medical Record Systems." International Journal of Reliable and Quality E-Healthcare 4, no. 1 (January 2015): 25–44. http://dx.doi.org/10.4018/ijrqeh.2015010103.

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Informed consents, either for treatment or use/disclosure, that protect the privacy of patient information subject to law that in certain circumstances may override patient wishes, are mandatory practice in healthcare. Although the healthcare industry has widely adopted Electronic Medical Record (EMR) systems, consents are still obtained and stored primarily on paper or scanned electronic documents. Integrating a consent management system into an EMR system involves various implementation challenges. The authors show how consents can be electronically obtained and enforced using a system that combines medical workflows and ontologically motivated rule enforcement. Finally, the authors describe an implementation that uses open-source software based addition of these components to an open-source EMR system, so that existing systems needn't be scrapped or otherwise rendered obsolete.
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Gajra, Ajeet, Dewilka Simons, Yolaine Jeune-Smith, Amy W. Valley, and Bruce A. Feinberg. "Physician satisfaction with electronic medical records (EMRs): Time for an intelligent health record?" Journal of Clinical Oncology 39, no. 28_suppl (October 1, 2021): 318. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.318.

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318 Background: EMRs are devised to improve the quality and efficiency of healthcare delivery and to reduce medical errors. Despite the widespread use of EMRs, various factors can limit their effectiveness in improving healthcare quality. General EMR use has been cited as a factor contributing to increased workload and clinician burnout in oncology and other specialties. The objective of this qualitative research study was to identify barriers perceived by medical oncologists and hematologists (mO/H) in utilizing EMR software and factors associated with levels of satisfaction. Methods: Between January and April 2021, mO/H from across the U.S. were invited to complete a web-based survey about various trends and critical issues in oncology care. Demographics about the physicians and characteristics of their practices were captured as well in the survey. Responses were aggregated and analyzed using descriptive statistics. Results: A total of 369 mO/H completed the survey: 72% practice in a community setting; 47% identified as a hospital employee; they have an average of 19 years of clinical experience and spend on average 86% of their working time in direct patient care, seeing 17 patients per day on average on clinic days. Most (99%) of mO/H surveyed use an EMR software at their practice, with Epic (45%) and OncoEMR (16%) being the most common. Regarding satisfaction, 16% and 50% reported feeling highly satisfied and satisfied, respectively, with their current EMR, and 3% and 11% reported feeling very dissatisfied or dissatisfied, respectively. Some (19%) stated that they have considered changing their EMR, and 68% are unsure how EMR licensing fees for their practice are paid. EMR pain points most commonly experienced were: time-consuming, e.g., too many steps/click (70%); interoperability, e.g., difficulty sharing information across institutions or other EMR software (45%); data entry issues, e.g., difficulty entering clinical information, scheduling patient visits and reminders, or ordering multiple labs (38%); and poor workflow support (31%). The most useful aspects/features of their EMR software reported were availability of information, e.g., preloaded protocols, chemotherapy regimens and pathways (64%); data access (64%); and multiple access points, including remote access (37%). Conclusions: Satisfaction with EMR were generally positive among the mO/H surveyed. However, there are multiple deterrents to the efficient use of current EMR systems. This information is essential in the design of next-generation EMR (an Intelligent Medical Records system) to allow for incorporation of aspects most useful to the end-users, such as pathway access, preloaded information on cancer management as well as ease of access and portability, and a user experience that minimizes clicks and reduces physician time with EMR.
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Masyfufah, Lilis, Mrs Sriwati, Amir Ali, and Bambang Nudji. "Readiness of Application of Electronic Medical Records in Health Services (Literature Study)." Proceeding International Conference on Medical Record 2, no. 1 (January 10, 2022): 1–12. http://dx.doi.org/10.47387/icmr.v2i1.148.

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Background: Information and Communication Technology is advancing rapidly and has a major impact on all life, especially in the health sector, especially medical records. This is manifested in the Electronic Medical Record (EMR), which has now been further developed into an Electronic Health Record (EHR). This technology is used to replace or complement paper medical records. The purpose of this literature study is to determine the readiness to apply electronic medical records in health services.Methods: This study uses a literature study obtained from searching scientific research articles from the 2010–2020 range. Keywords used in this study is readiness and DOQ-IT. The database used comes from Google Sholar, Garuda, Neliti, and One Search. The search found 130 articles, then a critical appraisal process was carried out to produce 10 suitable manuscripts.Results: Various literatures found that the readiness to apply electronic medical records using the DOQ-IT method was influencedby 4 factors including the readiness of human resources, orgnizational culture, insfrastructure, and leadership governance. It can be concluded that the readiness for the application of electronic medical recors in health services with the very ready category is 30%, the moderately ready category is 50%, then the unready category is 20%.Conclusions: From the discussion above, it can be concluded that EMR readiness in health services is categorized as quite ready (50%), very ready (30%), and not ready (20%).
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Childress, Susan B., Tyler Buckley, Andrew Badke, Amy Horyna, Julie Howell, Lisa Gren, and Anna Catherine Beck. "Hardwiring advance directives into an electronic medical record." Journal of Clinical Oncology 34, no. 7_suppl (March 1, 2016): 146. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.146.

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146 Background: Patient preference at the end of life has been extensively researched and documented. Advance Directives (AD) have been shown to make a difference for patients in the areas of quality, cost, and patient satisfaction. Organizations struggle with meeting federal laws and accreditation expectations due to our complex systems. Literature supports “hardwiring” AD documentation into the EMR and providing “one click” accessibility to AD’s. Changing EMR vendors provides a unique opportunity to optimize access to AD’s, both through patient education /endorsement, review of providers’ role, and engagement of IT. Methods: Huntsman Cancer Institute at the University of Utah identified an opportunity to improve the process of obtaining AD's during a change to Epic as an EMR. MD/RN champions brought a team together that included pastoral care, social work, medical records, and IT. The group used national "Decision Day" efforts as a platform for kicking off the project. Notable barriers to implementation included AD’s from previous EMR not migrating, inadequate systems for RN and SW consultation, lack of triggers to engage provider support, and MD order sets requiring major revisions Accessibility on the banner from any view was deemed best practice. Audits were created to give feedback to hospital staff and the quality department. This effort was also identified as a priority quality goal for the entire institution. Results: There have been significant improvements in assessing patients, obtaining AD's, and providing easy access to these records. Conclusions: EMR systems do not always come with processes in place to address the need to obtain AD's, scan or enter them into the EMR, and provide easy access during critical decision points in patient care. Collaboration with the IT team in identifying institutional requirements and workflow is critical as an organization identifies the need to improve AD system flow or begins planning for transition to a new EMR.
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Corbett, Mary, Ariel Deardorff, and Iris Kovar-Gough. "Emerging Data Management Roles for Health Librarians in Electronic Medical Records." Journal of the Canadian Health Libraries Association / Journal de l'Association des bibliothèques de la santé du Canada 35, no. 2 (August 1, 2014): 55. http://dx.doi.org/10.5596/c14-022.

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<p>Objective: To examine current and developing data management roles and opportunities for health librarians<br />to become involved in electronic medical record (EMR) initiatives. This paper focuses on the Canadian context but has implications farther afield. Methods: To accomplish a state-of-the-art review, searches were conducted in the library and information science databases (LISTA, LISA), biomedical databases (MEDLINE, CINAHL, EMBASE), and on the web for grey literature. Keywords included: clinical librarian, health science librarian, medical librarian, hospital librarian, medical informationist, electronic medical record, EMR, electronic health record, EHR, data management, data curation, health informatics, e-science, and e-science librarianship. MeSH subject headings used were: Medical Records Systems, Computerized/, Electronic Health Records/, and libraries/. Results: There is little evidence of Canadian health librarians’ current involvement in EMR initiatives, but examples from the United States indicate that health librarians’ participation is primarily in system implementation, creating links to the medical literature, and using EMRs to provide patient health information. Further roles for health librarians are emerging in this area as health librarians draw on their core competencies and learn from e-science librarianship to create new opportunities. Data management examples from e-science librarianship, such as building data dictionaries and data management plans and infrastructure, give further direction to health librarians’ involvement in EMRs. Conclusion: As EMRs gradually become more popular in Canada, Canadian health librarians should seek further opportunities for education and outreach to become more involved with these EMR initiatives.</p>
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Carpeggiani, Clara, Alberto Macerata, and Maria Aurora Morales. "Electronic medical record in cardiology: a 10-year Italian experience." Revista da Associação Médica Brasileira 61, no. 4 (August 2015): 317–23. http://dx.doi.org/10.1590/1806-9282.61.04.317.

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SummaryObjectives:the aim of this study was to report a ten years experience in the electronic medical record (EMR) use. An estimated 80% of healthcare transactions are still paper-based.Methods:an EMR system was built at the end of 1998 in an Italian tertiary care center to achieve total integration among different human and instrumental sources, eliminating paper-based medical records. Physicians and nurses who used EMR system reported their opinions. In particular the hospital activity supported electronically, regarding 4,911 adult patients hospitalized in the 2004- 2008 period, was examined.Results:the final EMR product integrated multimedia document (text, images, signals). EMR presented for the most part advantages and was well adopted by the personnel. Appropriateness evaluation was also possible for some procedures. Some disadvantages were encountered, such as start-up costs, long time required to learn how to use the tool, little to no standardization between systems and the EMR technology.Conclusion:the EMR is a strategic goal for clinical system integration to allow a better health care quality. The advantages of the EMR overcome the disadvantages, yielding a positive return on investment to health care organization.
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Kusriyanti, Diana, Budi Matuwi, and Supriyantoro. "Readiness Analysis of Electronic Medical Record Implementation at Dinda Tangerang Hospital Using Correlational Method." European Journal of Business and Management Research 6, no. 4 (July 2, 2021): 19–25. http://dx.doi.org/10.24018/ejbmr.2021.6.4.915.

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The electronic medical record (EMR) known today is not a new system in the documentation of patient medical records. Electronic Medical Record is a system that contains the patient's health and disease history, diagnostic test results, other medical data, and treatment cost information. In Indonesia it is known as Rekam Medis Elektronik (RME). In accordance with the vision of Dinda Tangerang Hospital to be a quality hospital and trusted by all levels of society, it is appropriate to use technology in its medical record services. Where currently the medical record unit of Dinda Tangerang Hospital still uses Paper Based Medical Record. So, a readiness analysis is required to switch to EMR. This research uses quantitative research method with correlational research design that aims to know the readiness of Dinda Tangerang Hospital in applying EMR. The departments studied are the medical department, the medical support department, and the medical records unit. The most powerful relationship between a variable with an R value is 0.632. The value is in the criteria of correlation coefficient value of 0.51–0.75 which means there is a strong relationship between the organization and monitoring and collaboration. while the readiness analysis of Dinda Tangerang Hospital to apply electronic medical records is in range IV and can be said to be ready.
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Dissertations / Theses on the topic "Electronic Medical Record (EMR)"

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Suo, Jiaren. "Pictorial Visualization System with Patient Portal for Problem-based Electronic Medical Record." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/35975.

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The use of electronic medical records (EMRs) has yet to reach its potential for information visualization and achieve corresponding expected outcomes. Current EMR systems show numerous health data with large amounts of texts, which are sometimes integrated in various tables. This type of presentation presents difficulties in promptly determining medical conditions or quickly finding desired information given the volume of texts that needs to be read. Amid these problems, researchers and developers have not explored the creation of easy and intuitive user interfaces for visualizing EMRs. To bridge the gap between current EMR and ideal EMR systems, we propose a prototype web-based pictorial visualization system that can be used by both patients and doctors. The system allows spatial interactivity through representations of human body images (front and back views) and temporal interactivity through interconnected time axes. Medical histories are classified using 11 physiological systems to enable efficient browsing of selected information. This classification enables physicians to quickly understand patients’ health conditions and accordingly make medical decisions, which are useful in emergency rooms and intensive care units.
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Aruldass, Ruby. "Structured Education Using Scenario-Based Training in Cerner Electronic Medical Records." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6515.

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Nurse practitioners are trained to use the electronic medical record (EMR) to document. Documentation in the EMR is often found to be incomplete, inaccurate, and unreliable, which affects the quality of care and patient safety outcomes. The purpose of the project was to improve the efficiency and effectiveness of nurse practitioners' documentation in the EMR. Malcolm Knowles' adult learning theory was used in this project to develop the education program. Kirkpatrick's training evaluation model was also used to analyze and evaluate the project. The study population included 5 primary care nurse practitioners in an ambulatory care setting using Cerner EMR. The practice-focused question was centered on whether a structured scenario-based training in Cerner would improve the completeness, accuracy, and reliability of EMR documentation. The 5 nurse practitioners were educated using structured, scenario-based training in EMR. The Cerner Advance database showed that there was an average decrease of two seconds in the documentation post-education when compared to the documentation time pre-education. Results for patient quality outcomes indicated that 2 out of 3 quality measures were performed above the national mean. The implication of this study for positive social change includes providing structured education using scenario-based training to help nurse practitioners provide quality care and promote better patient outcomes.
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Bazile, Emmanuel Patrick. "Electronic Medical Records (EMR): An Empirical Testing of Factors Contributing to Healthcare Professionals’ Resistance to Use EMR Systems." NSUWorks, 2016. http://nsuworks.nova.edu/gscis_etd/964.

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The benefits of using electronic medical records (EMRs) have been well documented; however, despite numerous financial benefits and cost reductions being offered by the federal government, some healthcare professionals have been reluctant to implement EMR systems. In fact, prior research provides evidence of failed EMR implementations due to resistance on the part of physicians, nurses, and clinical administrators. In 2010, only 25% of office-based physicians have basic EMR systems and only 10% have fully functional systems. One of the hindrances believed to be responsible for the slow implementation rates of EMR systems is resistance from healthcare professionals not truly convinced that the system could be of substantive use to them. This study used quantitative methods to measure the relationships between six constructs, namely computer self-efficacy (CSE), perceived complexity (PC), attitude toward EMR (ATE), peer pressure (PP), anxiety (AXY), and resistance to use of technology (RES), are predominantly found in the literature with mixed results. Moreover, they may play a significant role in exposing the source of resistance that exists amongst American healthcare professionals when using Electronic Medical Records (EMR) Systems. This study also measured four covariates: age, role in healthcare, years in healthcare, gender, and years of computer use. This study used Structural Equation Modeling (SEM) and an analysis of covariance (ANCOVA) to address the research hypotheses proposed. The survey instrument was based on existing construct measures that have been previously validated in literature, however, not in a single model. Thus, construct validity and reliability was done with the help of subject matter experts (SMEs) using the Delphi method. Moreover, a pilot study of 20 participants was conducted before the full data collection was done, where some minor adjustments to the instrument were made. The analysis consisted of SEM using the R software and programming language. A Web-based survey instrument consisting of 45 items was used to assess the six constructs and demographics data. The data was collected from healthcare professionals across the United States. After data cleaning, 258 responses were found to be viable for further analysis. Resistance to EMR Systems amongst healthcare professionals was examined through the utilization of a quantitative methodology and a cross-sectional research measuring the self-report survey responses of medical professionals. The analysis found that the overall R2 after the SEM was performed, the model had an overall R2 of 0.78, which indicated that 78% variability in RES could be accounted by CSE, PC, ATE, PP, and AXY. The SEM analysis of AXY and RES illustrated a path that was highly significant (β= 0.87, p < .001), while the other constructs impact on RES were not significant. No covariates, besides years of computer use, were found to show any significance differences. This research study has numerous implications for practice and research. The identification of significant predictors of resistance can assist healthcare administrators and EMR system vendors to develop ways to improve the design of the system. This study results also help identify other aspects of EMR system implementation and use that will reduce resistance by healthcare professionals. From a research perspective, the identification of specific attitudinal, demographic, professional, or knowledge-related predictors of reference through the SEM and ANCOVA could provide future researchers with an indication of where to focus additional research attention in order to obtain more precise knowledge about the roots of physician resistance to using EMR systems.
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Lin, Jianjing. "Essays on the Adoption of Electronic Medical Records (EMR) by U.S. Hospitals." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/577202.

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A $35 billion program was passed by the federal government to promote the adoption of Electronic Medical Records (EMR). However, billions of incentive payments were flowing out without clear evidence of effective implementation. The dissertation studies the adoption decision of EMR by U.S. hospitals and the consequence of the application of this technology. The first chapter tries to evaluate choosing the locally market-leading vendor by standalone hospitals. I construct a dynamic oligopoly model and apply the methodology developed by Aguirregabiria and Mira (2007) to recover the model primitives with a nationwide sample of U.S. hospitals. The primary finding is that, on average, the per-period profit from choosing the locally market-leading vendor is increased by almost 51% as opposed to that from using any other technology. However, the impact moderates as compared with the sunk cost of implementation. From the counterfactual analysis I find if hospitals were incentivized to choose the locally market-leading vendor, it would help improve the market coordination substantially. The second chapter seeks to understand the incentive of hospital systems in choosing Health IT vendors: using the most-adopted product for coordination or otherwise to differentiate from the local market. I develop a simple discrete-choice model to evaluate the effect of each factor. Using a nationwide sample of affiliated hospitals from 2006 to 2010, I find that on average the system-dominating vendor has much greater advantage over the vendor leading the local market. After addressing the potential endogeneity issue, the impact from choosing the market-leading vendor is even negative. It may imply large systems are likely to create information silos, demonstrating lower propensity for external information exchange. The last chapter examines the impact of adopting EMR on Medicare billing, particularly to understand how the application of Health IT affects hospitals' response to a recent payment reform. Using a nationwide sample of U.S. hospital and claims data, we find, in general, there is no significant difference in billing between hospitals with and without Health IT. However, hospitals behaved quite differently in documenting medical/surgical diagnoses before and after the reform.
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Ramadan, Jemal Saleh, and Niclas Södermark. "Development of an Electronic Medical Record System." Thesis, KTH, Skolan för informations- och kommunikationsteknik (ICT), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-177008.

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Sofiaängen (http://sofiaangen.com/) är en psykoterapeutisk dagverksamhet och skola som ligger på Södermalm i Stockholm. Sofiaängen riktar sig till ungdomar i åldern 14 till 20 med psykiska och sociala problem. Det nuvarande systemet som används av Sofiaängen för att hantera patientjournaler är i form av textfiler placerade i en delad mapp på en Mac-server, vilketvarken är strukturerat, effektivt eller flexibelt. Syftet med detta examensarbete har därför varit att hitta det bästa sättet att implementera ett journalsystem för patientjournaler på, samt att utforma, utveckla och driftsätta den valda lösningen. Arbetet delades in i fyra olika faser. Under den första fasen genomfördes en förstudie där möjliga implementeringar (fristående eller webbaserad) studerades och resultatet överlämnades till beställaren som fick välja den mest lämpliga lösningen. De tre övriga faserna var att utforma, genomföra (och testa) och distribuera den valda lösningen, samt att skriva en användarmanual. Den valda lösningen, att skapa systemet som ett fristående program, implementerades med JavaFX:s plattform och MySQL:s databas-server. Vi använde en iterativ arbetsprocess för att stegvis utveckla de funktionella kraven. Detta för att kunna utvärdera vårt arbete tidigt, utifrån feedback på utvecklingen från beställaren, innan nästa uppsättning krav genomfördes. Examensarbetet har resulterat iett journalsystem som uppfyller alla krav på funktionalitet och design av användargränssnittet som krävdes av Sofiaängen.
Sofiaängen (http://sofiaangen.com/)is a psychotherapeutic day activities center and school located in Södermalm in Stockholm. Sofiaängen targets young peo-ple between the age of 14 and 20 and who have psychological orsocial prob-lems. The current system used by Sofiaängen for handling patient medical records is a Microsoft word file-system on a Mac server, which is neitherefficient norflex-ible. The objective of this bachelor thesis has therefore been to find the best way of implementing an EMRS as well asdesigning, developingand deployingthe selected solution. The work was divided into four different phases. The first phase was conduct-ing feasibility study where possible implementations (standalone and web based) were studied. The result was submitted to Sofiaängen so they couldmake a selection.   The second,third and fourth phases were respectively de-signing, implementing (and testing) and deploying the selected solution. The selected solution was to implement the system as a standalone application. The system was implemented using the JavaFX platform andaMySQL data-base server. We used an iterative software developmentmodel in order to implement the functional requirements incrementally andin doing so we were able to evaluate our work early, before the next set of requirements were implemented after get-tingfeedback on the development from Sofiaängen. The Degree project has resulted in an EMRS which fulfills all of the functional and look-and-feel requirements required by Sofiaängen.
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Nicholas, Marcia M. "Successful Strategies for Implementing EMR Systems in Hospitals." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5386.

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Some hospital leaders are ineffective in implementing the electronic medical record (EMR) systems in the hospitals. The purpose of this multiple case study was to explore strategies hospital leaders use to successfully implement EMR systems. The target population consisted of hospital leaders and healthcare professionals from two hospitals who have successfully implemented EMR systems. The conceptual framework of this research study was Kotter's 8-stage process for leading change, building on the model of an effective change management method. Data were collected from 5 interviewed participants and company documents related to strategies regarding the EMR system implementation. The results of reviewing open-ended interview questions and archived documents were analyzed using codes and themes to facilitate triangulation. Three primary themes were developed from the coded data: (a) strategies hospital leaders use to implement the EMR system, (b) strategies hospital leaders use to achieve quality and best practice, and (c) strategies hospital leaders use to manage change and resistance to change. Results revealed 4 steps for successful implementation: (1) creating a vision, (2) communicating the vision, (3) establishing strong leadership, and (4) consolidating gains. Utilizing the successful strategies hospital leaders use to implement the EMR systems could produce quality patient care, efficiencies in hospital operations, and reduced organizational operation cost. The findings could effect positive social change through delivery of quality health and patient care that results in community cost benefits and healthier patient lifestyles.
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Lusk, David Michael. "An Evaluative Study of User Satisfaction and Documentation Compliance: Using an Electronic Medical Record in an Emergency Department." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1280237643.

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Abimbola, Isaiah Gbenga. "Assessing Value Added in the Use of Electronic Medical Records in Nigeria." Thesis, Walden University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3702058.

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Electronic medical records (EMRs) or electronic health records have been in use for years in hospitals around the world as a time-saving system for patient record keeping. Despite its widespread use, some physicians disagree with the assertion that EMRs save time. The purpose of this study was to explore whether any time saved with the use of the EMR system was actually devoted by doctors to patient-care and thereby to improved patient-care efficiency. The conceptual support for this study was predicated employing the task-technology fit theory. Task-technology theorists argue that information technology is likely to have a positive impact in individual performance and production timeliness if its capabilities match the task that the user must perform. The research questions addressed the use of an EMR system as a time-saving device, its impact on the quality of patient-care, and how it has influenced patients? access to healthcare in Nigeria. In this research, a comparative qualitative case study was conducted involving 2 hospitals in Nigeria, one using EMRs and another using paper-based manual entry. A purposeful sample of 12 patients and 12 physicians from each hospital was interviewed. Data were compiled and organized using Nvivo 10 software for content analysis. Categories and recurring themes were identified from the data. The findings revealed that reduced patients? registration processing time gave EMR-using doctors more time with their patients, resulting in better patient care. These experiences were in stark contrast to the experiences of doctors who used paper-based manual entry. This study supports positive social change by informing decision makers that time saved by implementing EMR keeping may encourage doctors to spend more time with their patients, thus improving the general quality of healthcare in Nigeria.

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Edman, Henrik. "Sequential Pattern Mining on Electronic Medical Records for Finding Optimal Clinical Pathways." Thesis, KTH, Programvaruteknik och datorsystem, SCS, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-230104.

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Electronic Medical Records (EMRs) are digital versions of paper charts, used to record the treatment of different patients in hospitals. Clinical pathways are used as guidelines for how to treat different diseases, determined by observing outcomes from previous treatments. Sequential pattern mining is a version of data mining where the data mined is organized in sequences. It is a common research topic in data mining with many new variations on existing algorithms being introduced frequently. In a previous report, the sequential pattern mining algorithm PrefixSpan was used to mine patterns in EMRs to verify or suggest new clinical pathways. It was found to only be able to verify pathways partially. One of the reasons stated for this was that PrefixSpan was too inefficient to be able to mine at a low enough support to consider some items. In this report CSpan is used instead, since it is supposed to outperform PrefixSpan by up to two orders of magnitude, in order to improve runtime and thereby address the problems mentioned in the previous work. The results show that CSpan did indeed improve the runtime and the algorithm was able to mine at a lower minimum support. However, the output was only barely improved.
Electronic Medical Records (EMRs) är digitala versioner av behandlingshistoriken för patienter på sjukhus. Clinical pathways används som riktlinjer för hur olika sjukdomar borde behandlas, vilka bestäms genom att observera utkomsten av tidigare behandlingar. Sequential pattern mining är en typ av data mining där datan som behandlas är strukturerad i sekvenser. Det är ett vanligt forskningsområde inom data mining där många nya variationer av existerande algoritmer introduceras frekvent. I en tidigare rapport användes sequential pattern mining algoritmen PrefixSpan på EMRs för att verifiera eller föreslå nya clinical pathways. Den kunde dock endast verifiera pathways delvis. En av anledningarna som nämndes för detta var att PrefixSpan var för ineffektiv för att kunna köras med en tillräckligt låg support för att kunna finna vissa åtgärder i en behandling. I den här rapporten används istället CSpan, eftersom den ska överprestera PrefixSpan med upp till två storleksordningar, för att förbättra körningstiden och därmed adressera problemen som nämns i den tidigare rapporten. Resultaten visar att CSpan förbättrade körningstiden och algoritmen kunde köras med lägre support. Däremot blev utdatan knappt förbättrad.
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Brancazio, Maria Leigh. "Physician EMR Documentation Preference and Voice Recognition Acceptance in an Ambulatory Academic Health System." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1339441679.

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Books on the topic "Electronic Medical Record (EMR)"

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Keys to EMR/EHR success: Selecting and implementing an electronic medical record. 2nd ed. Phoenix, MD: Greenbranch Pub., 2010.

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SAFER electronic health records: Safety assurance factors for EHR resilience. Oakville, ON: Apple Academic Press, 2015.

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D, Gelzer Reed, and Bowers Donna, eds. How to evaluate electronic health record (EHR) systems. Chicago, Ill: American Health Information Management Association, 2008.

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Association, American Medical, ed. Practical EHR: Electronic record solutions for compliance and quality care. Chicago: American Medical Association, 2008.

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Virginia. Department of Health. Report of the Department of Health: Progress report on a pilot project connecting public health providers to Carilion Health System's Electronic Health Record (EHR), to the Governor and the General Assembly of Virginia. Richmond, Va: Commonwealth of Virginia, 2006.

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Arthur, Gasch, ed. Finding the right EHR: Your guide to electronic health records success. Chichester, West Sussex: Wiley-Blackwell, 2010.

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Gasch, Arthur. Successfully choosing your EHR: 15 crucial decisions. Chichester, West Sussex, UK: Wiley-Blackwell, 2010.

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Douglass), Jones Ed (Edward, and American Medical Association, eds. EHR implementation: A step-by-step guide for the medical practice. 2nd ed. Chicago, Ill: American Medical Association, 2012.

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Association, Medical Group Management, ed. EHR optimization and operations guide for medical practices. Englewood, CO: Medical Group Management Association, 2012.

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S, Pieczkiewicz David, ed. Data visualization strategies for the electronic health record. Hauppauge, N.Y: Nova Science Publisher's, Inc., 2011.

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Book chapters on the topic "Electronic Medical Record (EMR)"

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Goldberg, Harold I. "Electronic Medical Record (EMR)." In Informatics in Primary Care, 12–23. New York, NY: Springer New York, 2002. http://dx.doi.org/10.1007/978-1-4613-0069-4_2.

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Adler, Kenneth G. "Selecting an EMR." In Electronic Medical Records, 37–56. Totowa, NJ: Humana Press, 2010. http://dx.doi.org/10.1007/978-1-60761-606-1_3.

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Smeets, Wim, and Anneke de Vries. "Spiritual Care and Electronic Medical Recording in Dutch Hospitals." In Charting Spiritual Care, 117–28. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47070-8_7.

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Abstract Among Dutch healthcare professionals, it is not a foregone conclusion that conversations with patients should be recorded electronically. This article first describes the discussion among patients about the pros and cons of electronic medical records (EMR). The authors then discuss the Dutch and European legislators’ requirements for the protection of patients’ privacy and therefore of their stories and how these requirements work out in the practice of EMR. The third section is devoted to the question of why spiritual caregivers should record their conversations with patients. The authors put forward various arguments for this. In their view, charting appears to serve both the interests of patients and those of the healthcare providers and of the spiritual care professionals themselves. The authors then describe various possible methods of registration, including G. Fitchett’s model in an adapted, more secular form. By means of two case descriptions, one fairly extensive and one more concise, they show how registration takes place in practice at the Radboud University Medical Center in Nijmegen, Netherlands. The article concludes with the formulation of a plan and goals for the near future.
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Frize, Monique. "The Electronic Medical Record (EMR): Design, Safety, and Meaningful Use." In Health Care Engineering Part II, 7–21. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-031-01658-5_2.

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Samuel, Victoria, Adewole Adewumi, Benjamin Dada, Nicholas Omoregbe, Sanjay Misra, and Modupe Odusami. "Design and Development of a Cloud-Based Electronic Medical Records (EMR) System." In Data, Engineering and Applications, 25–31. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-13-6351-1_3.

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Haque, Rafita, Hasan Sarwar, S. Rayhan Kabir, Rokeya Forhat, Muhammad Jafar Sadeq, Md Akhtaruzzaman, and Nafisa Haque. "Blockchain-Based Information Security of Electronic Medical Records (EMR) in a Healthcare Communication System." In Intelligent Computing and Innovation on Data Science, 641–50. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-3284-9_73.

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Ferreira, Ana, Ricardo Cruz-Correia, Luís Antunes, and David Chadwick. "Security of Electronic Medical Records." In Handbook of Research on Distributed Medical Informatics and E-Health, 30–47. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-002-8.ch003.

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This chapter reports the authors’ experiences regarding security of the electronic medical record (EMR). Although the EMR objectives are to support shared care and healthcare professionals’ workflow, there are some barriers that prevent its successful use. These barriers comprise not only costs, regarding resources and time, but also patient / health professional relations, ICT (information and communication technologies) education as well as security issues. It is very difficult to evaluate EMR systems; however some studies already made show problems regarding usability and proper healthcare workflow modeling. Legislation to guide the protection of health information systems is also very difficult to implement in practice. This chapter shows that access control, as a part of an EMR, can be a key to minimize some of its barriers, if the means to design, develop and evaluate access control are closer to users’ needs and workflow complexity.
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"Electronic Medical Records (EMR)." In Encyclopedia of Systems Biology, 652. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-9863-7_100432.

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Leavitt, Mark. "Electronic Medical Records (EMR)." In Best Practices. Auerbach Publications, 2002. http://dx.doi.org/10.1201/9781420031409.ch20.

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"Electronic Medical Records (EMR)." In Healthcare Information Systems, 269–98. Auerbach Publications, 2002. http://dx.doi.org/10.1201/9781420031409-29.

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Conference papers on the topic "Electronic Medical Record (EMR)"

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Park, Hyun-A. "Secure Electronic Medical Record (EMR) System." In 2019 International Conference on Computational Science and Computational Intelligence (CSCI). IEEE, 2019. http://dx.doi.org/10.1109/csci49370.2019.00181.

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Meinert, David. "Resistance to Electronic Medical Records (EMRs): A Barrier to Improved Quality of Care." In InSITE 2005: Informing Science + IT Education Conference. Informing Science Institute, 2005. http://dx.doi.org/10.28945/2896.

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While most industries have aggressively leveraged information technology (IT) to improve quality and reduce costs the healthcare sector has lagged behind. Electronic Medical Records (EMRs) hold great promise for improving quality of care yet widespread adoption is lacking. Physician acceptance is critical to widespread adoption of ambulatory EMRs, yet there is little independent research on physician perceptions. This paper attempts to address this void by reporting the results of a study of physician perceptions related to EMRs in a large, multi-specialty clinic. Physician perceptions of select EMR functions and general attitudes and beliefs are reported. While the importance and anticipated utilization of EMR functions varied, nearly 80 percent of the respondents felt an EMR should be implemented. The findings have implications for both vendors attempting to design and market EMR systems and physician executives and practice managers seeking to solicit support for EMR adoption and/or develop a successful implementation strategy.
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Santoso, Dian Budi, Nuryati, and Nur Rokhman. "Experience of Electronic Medical Records Adoption in Primary Health Care in Indonesia." In The 2nd International Conference on Technology for Sustainable Development. Switzerland: Trans Tech Publications Ltd, 2022. http://dx.doi.org/10.4028/p-j260sd.

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Along with the development of information technology, health care facilities in Indonesia have begun to adopt the use of electronic medical records (EMR). This adoption process needs to be documented as a best practice model for health care facilities in the transition process from paper-based medical records to electronic ones. This paper discusses specifically the adoption process of EMR in primary health care facilities. Focus group discussion, interviews, and documentation studies were carried out in one community health center and one general practitioner clinic in a Special Region of Yogyakarta, Indonesia, which is in the process of transitioning medical record management from paper-based to electronic-based. The transition process begins with the appointment of a key people leader, socialization related to EMR, comparative studies to other health facilities that have implemented EMR, determining the projected impact of EMR implementation, conducting needs analysis and design, starting the implementation of EMR, and conducting periodic evaluations. The transition process went through well by the two primary health care facilities which were the subjects of this study. There are several obstacles from the human resources and the technical side but they can be overcome in line with periodic evaluation and improvement.
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Kadhim, Dua Abdulrazak, Sarfraz Iqbal, and Päivi Jokela. "Electronic Health Records: Non-Swedish Speaking Refugee’s Perspective." In The 18th international symposium on health information management research. Linnaeus University Press, 2022. http://dx.doi.org/10.15626/ishimr.2020.16.

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Electronic health record (EHR) is a ubiquitous e-health tool that includes both Electronic Medical Record (EMR) and personal health record (PHR). EHR is aimed to be a versatile digital tool that can benefit both caregivers and patients through Quick and easy access to medical information at any time from hospitals or primary care. However, the fact that the bulk of core records, including self-service data for patients, is only available in Swedish may limit the scope, availability and feasibility of self service through EHRs access for refugee patients who are non-Swedish speakers. Research results suggest that the EHRs should be meaningful, modified, and improved based on patient’s needs, by actively involving patients in their healthcare. The issues such as EHRs an information sharing communication System, lack of Information about using EHR, language barrier a hinderance in using EHR, EHRs as medical recommendation system, better instructions about EHRs, presenting medical information in diagnosis part in EHRs in other languages and presenting medical information in diagnosis part in EHRs by sound are very important to address non-Swedish speaking refugee patients’ needs to use EHRs.
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Wan, Yun, and William Perry. "Lessons from method: A successful Electronic Medical Record (EMR) system implementation." In 2011 IEEE International Conference on Intelligence and Security Informatics (ISI 2011). IEEE, 2011. http://dx.doi.org/10.1109/isi.2011.5984091.

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Ridic, Ognjen, Semsudin Plojovic, Senad Busatlic, and Goran Ridic. "Electronic medical record (EMR) as one of priorities of innovative management." In 2014 22nd Telecommunications Forum Telfor (TELFOR). IEEE, 2014. http://dx.doi.org/10.1109/telfor.2014.7034562.

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Zakaria, Nasriah. "Exploring electronic medical record (EMR) using an information retrieval perspective IEEE ICOCI 2006." In Informatics (ICOCI). IEEE, 2006. http://dx.doi.org/10.1109/icoci.2006.5276425.

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Binti Ismail, Nurul Izzatty, and Nor Hazana Binti Abdullah. "Developing electronic medical records (EMR) framework for Malaysia's public hospitals." In 2011 IEEE Colloquium on Humanities, Science and Engineering (CHUSER). IEEE, 2011. http://dx.doi.org/10.1109/chuser.2011.6163702.

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Farlinda, Sustin, Feby Erawantini, Saiful Anwar, and Destya Putri Zakiah Utami. "Designing and Building Electronic Medical Record (EMR) on Web-Based in Primary Health Services." In The First International Conference on Social Science, Humanity, and Public Health (ICOSHIP 2020). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210101.020.

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Yung-Yu Su, J. Fulcher, Khin Than Win, Herng-Chia Chiu, and Gui-Fen Chiu. "Evaluating the implementation of Electronic Medical Record (EMR) Systems from the Perspective of Health Professional." In 2008 IEEE 8th International Conference on Computer and Information Technology Workshops. CIT Workshops 2008. IEEE, 2008. http://dx.doi.org/10.1109/cit.2008.workshops.45.

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Reports on the topic "Electronic Medical Record (EMR)"

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Verhulst, Daren A. Case Study: The Transformation of the Health Record; The Impact of Electronic Medical Records in a Military Treatment Facility. Fort Belvoir, VA: Defense Technical Information Center, June 2006. http://dx.doi.org/10.21236/ada473555.

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