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Relevant bibliographies by topics / Electronic Records Management

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Academic literature on the topic 'Electronic Records Management'

Author: Grafiati

Published: 4 June 2021

Last updated: 30 July 2024

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Journal articles on the topic "Electronic Records Management"

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Gilliland-Swetland, Anne. "Electronic records management." Annual Review of Information Science and Technology 39, no. 1 (October 18, 2006): 219–53. http://dx.doi.org/10.1002/aris.1440390113.

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Popovici, Bogdan-Florin. "Electronic Records Management in Romania: More Electronic-, Less Records-Management." Atlanti 25, no. 1 (October 19, 2015): 183–92. http://dx.doi.org/10.33700/2670-451x.25.1.183-192(2015).

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The management of electronic records and documents seems to be very developed in Romania. Mostly under UE financing, a lot of institutions implemented modern systems and digitized legacy paper records. Pertinent pieces of legislation were adopted (time-stamp, electronic signature and even an electronic archiving act) and this might create an image of proper regulated environment. But a closer look to the facts shows that proper electronic records management lacks almost completely. The paper will look into details about the way modern archives are prepared for the future.

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Kemoni, Henry N. "Management of electronic records." Records Management Journal 19, no. 3 (October 2, 2009): 190–203. http://dx.doi.org/10.1108/09565690910999184.

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Childs, S. "Editorial: Electronic records' management." He@lth Information on the Internet 63, no. 1 (June 1, 2008): 1–2. http://dx.doi.org/10.1258/rsmhii.63.1.1.

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Surovtseva, Nataliya G. "Authenticity and Identity of Electronic Records." Herald of an archivist, no. 2 (2020): 467–77. http://dx.doi.org/10.28995/2073-0101-2020-2-467-477.

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One of the key features of an electronic record is its authenticity. Ensuring the authenticity of managerial electronic records at all stages of its life cycle from the moment of its creation to long-term storage allows us to remove obstacles in the development of electronic records management. The authenticity of electronic records has been the subject of research within the frameworks of an international project InterPARES. A record is considered authentic if its author, place, and time of creation are definitely established, as well as its provenance from the said author. To ensure this property of an electronic record, not only authentication and electronic signature at the moment of the record creation are required, but also creation of the so-called “trusted environment” designed to ensure preservation of records metadata by means of controlled managerial procedures. The focus should be on the information system as a whole. This understanding of electronic record authenticity has been entrenched in international standards on information and documentation. In Russian practice, the concept of “authenticity” is used very rarely; when applied to management electronic records, it is used mainly in the sense of identicalness to some source record. Such understanding involves procedures for comparison with reference record, which should remain unchanged. At the same time, within electronic environment in which the functioning of electronic records takes place, it is practically impossible to ensure that file(s) remain unchanged. Given the record’s social nature, we must understand that immutability of an electronic record is a relative concept that concerns preservation of its social function. That is why we must allow only a relative recognition of the identity of electronic records, allowing for possibility of some changes within which the electronic record retains its social functions. The difference between the copies of electronic records within this difference allows us to talk about authentic records.

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REED, BARBARA. "Electronic records management in Australia." Records Management Journal 7, no. 3 (March 1997): 191–204. http://dx.doi.org/10.1108/eb027111.

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Menkus, Belden. "Issues in Electronic Records Management." EDPACS 28, no. 12 (June 2001): 1–11. http://dx.doi.org/10.1201/1079/43269.28.12.20010601/30399.1.

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Micheal, Pinky Priscylla, Mohd Nizam Yunus, and Irwan Kamaruddin Abd. Kadir. "Effects of Electronic Records Management Best Practices and Records Professionals in Malaysia." Environment-Behaviour Proceedings Journal 8, SI12 (August 31, 2023): 95–101. http://dx.doi.org/10.21834/e-bpj.v8isi12.5011.

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Records management operation is vital as it can protect the organization and also helps in achieving its goal. Proper record keeping is critical to ensuring the administration's successful and productive record management. A wide range of records management difficulties and problems in dealing with electronic records, requires a qualified records manager in an organization to implement records management best practices, including how records are kept and maintained. This paper suggests a qualitative study on records managers to find a solution to the problems mentioned. The findings can benefit organizations dealing with electronic records, thus contributing to the body of knowledge.

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Surovtseva, Natalia Gennadiyevna. "An electronic record as an object of records management: a historiographic review." Samara Journal of Science 7, no. 4 (November 30, 2018): 277–86. http://dx.doi.org/10.17816/snv201874221.

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The paper deals with the main researches of the Russian specialists in records management and experts in related scientific subjects that have been studying electronic records from the moment when this concept was found in the late 1990th till nowadays. The author analyzes definitions of the concept electronic record, studies its features, connected with information environment specifics as well as an electronic medium of information, definition of the main categories of electronic records and indications of their classification. By the beginning of XXI century a concept of electronic record was formed, which was un-contradictory for records management and archival science, its working definition was offered. Scientists think that an electronic record is a document that carries out the same functions and has the same indications as a traditional document. At the same time it was defined that a specific data carrier character and documenting methods put a problem of electronic records typology. The author has also solved a number of urgent problems - defined the electronic records structure and recognized its validity. The most actual problems for further studying were designated in the Program. Later scientific discussions were taken place about these questions to a greater or lesser extent, and now they become active in connection with a problem of an electronic records archival storage.

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Hawthorne, Kisha Hortman, and Lorraine Richards. "Personal health records: a new type of electronic medical record." Records Management Journal 27, no. 3 (November 20, 2017): 286–301. http://dx.doi.org/10.1108/rmj-08-2016-0020.

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Purpose This paper examines existing research on the topic of personal health records (PHRs). Areas covered include PHR/patient portal, recordkeeping, preservation planning, access and provider needs for future reuse of health information. Patient and physician PHR use and functionality, as well as adoption facilitators and barriers, are also reviewed. Design/methodology/approach The paper engages in a review of relevant literature from a variety of subject domains, including personal information management, medical informatics, medical literature and archives and records management literature. Findings The review finds that PHRs are extensions of electronic records. In addition, it finds a lack of literature within archives and records management that may lead to a less preservation-centric examination of the new PHR technologies that are desirable for controlling the lifecycle of these important new records-type. Originality/value Although the issues presented by PHRs are issues that can best be solved with the use of techniques from records management, there is no current literature related to PHRs in the records management literature, and that offered in the medical informatics literature treats the stewardship aspects of PHRs as insurmountable. This paper offers an introduction to the aspects of PHRs that could fruitfully be examined in archives and records management.

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Dissertations / Theses on the topic "Electronic Records Management"

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Kandur, Hamza. "The management of electronic records." Thesis, University College London (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.281917.

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Manikas, Konstantinos. "Records Management and Electronic Records Management Opportunities and Limitations : A case study in Greek companies." Thesis, Linnéuniversitetet, Institutionen för informatik (IK), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-45536.

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This Master thesis focuses on the concept of Records Management (RM) and Electronic Records Management (ERM) and how the adoption of an Electronic Document Records Management System (EDRMS) affects a business setting. The research focuses on the factors of perceived efficiency and on the costs that exist in a company. More specifically, this Master thesis is a qualitative exploratory case study which's aim is to examine and present the experiences and the attitudes of 4 individuals who are working in companies that possess an EDRMS. In order to acquire this deeper understanding, the data collection methods that were used were the in person semi structured interviews and the observation. During the research was examined how the perceived efficiency and the costs in a company are affected by a proper RM/ERM program. The analysis of the collected data shown that the specific individuals in the specific firms are benefited by the EDRMS and that their work is improved.

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Alhaqbani, Bandar Saleh. "Privacy and trust management for electronic health records." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/37635/1/Bandar_Alhaqbani_Thesis.pdf.

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Establishing a nationwide Electronic Health Record system has become a primary objective for many countries around the world, including Australia, in order to improve the quality of healthcare while at the same time decreasing its cost. Doing so will require federating the large number of patient data repositories currently in use throughout the country. However, implementation of EHR systems is being hindered by several obstacles, among them concerns about data privacy and trustworthiness. Current IT solutions fail to satisfy patients’ privacy desires and do not provide a trustworthiness measure for medical data. This thesis starts with the observation that existing EHR system proposals suer from six serious shortcomings that aect patients’ privacy and safety, and medical practitioners’ trust in EHR data: accuracy and privacy concerns over linking patients’ existing medical records; the inability of patients to have control over who accesses their private data; the inability to protect against inferences about patients’ sensitive data; the lack of a mechanism for evaluating the trustworthiness of medical data; and the failure of current healthcare workflow processes to capture and enforce patient’s privacy desires. Following an action research method, this thesis addresses the above shortcomings by firstly proposing an architecture for linking electronic medical records in an accurate and private way where patients are given control over what information can be revealed about them. This is accomplished by extending the structure and protocols introduced in federated identity management to link a patient’s EHR to his existing medical records by using pseudonym identifiers. Secondly, a privacy-aware access control model is developed to satisfy patients’ privacy requirements. The model is developed by integrating three standard access control models in a way that gives patients access control over their private data and ensures that legitimate uses of EHRs are not hindered. Thirdly, a probabilistic approach for detecting and restricting inference channels resulting from publicly-available medical data is developed to guard against indirect accesses to a patient’s private data. This approach is based upon a Bayesian network and the causal probabilistic relations that exist between medical data fields. The resulting definitions and algorithms show how an inference channel can be detected and restricted to satisfy patients’ expressed privacy goals. Fourthly, a medical data trustworthiness assessment model is developed to evaluate the quality of medical data by assessing the trustworthiness of its sources (e.g. a healthcare provider or medical practitioner). In this model, Beta and Dirichlet reputation systems are used to collect reputation scores about medical data sources and these are used to compute the trustworthiness of medical data via subjective logic. Finally, an extension is made to healthcare workflow management processes to capture and enforce patients’ privacy policies. This is accomplished by developing a conceptual model that introduces new workflow notions to make the workflow management system aware of a patient’s privacy requirements. These extensions are then implemented in the YAWL workflow management system.

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Mohamud, Koshin. "Electronic health records in Trinidad and Tobago." Thesis, Saint Mary's University of Minnesota, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3739555.

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Objectives: First, to identify the core Electronic Health Records (EHR) functionalities available to physicians who work in private and public health care facilities in Trinidad and Tobago and the extent to which physicians are using each function. Second, to understand the rate of adoption of Electronic Health Records in private and public hospitals/clinics, and finally, to identify the barriers to adoption of Electronic Health Records in private and public hospitals/clinics in Trinidad and Tobago. Background: The two largest public hospitals in Trinidad and Tobago, Port of Spain General Hospital and San Fernando General Hospital, utilized paper medical records. In Trinidad and Tobago, there is little known about the EHR functions available and being used, adoption rates, and barriers to adoption of EHR in the private and public sectors. Method: Electronic Health Records (n = 130) questionnaires were sent to number of health care practices in the private and public facilities in the five regions of Trinidad and Tobago, in order to understand availability and use of EHR, adoption rates, and barriers to the use of EHR. Results: The most commonly available function for the private and public physicians was Health Information and Data with respective scores of 58% and 29%. Sixty-three percent of the private physicians who adopted EHR reported using the Result Management and Order Management functions. The public physicians who had adopted EHR reported they were not utilizing the Decision Support, Result Management, and Order Management functions. There was no statistical difference between private and public physicians for the available and used functions. A total of 53 private and 19 public physicians responded to the survey (55% response rate). Thirteen (25%) private physicians reported adopting EHR and 2(11%) public physician reported adoption of EHR. Private and public physicians cited start-up cost and technical limitations of systems as the barriers to their practices' adoption of EHR. Conclusion: Findings showed the same availability and use of core functionalities, as well as adoption rate among the private and public facilities, and slightly fewer barriers in the private practices. A larger sample is merited to understand if there is any statistically significant difference between the two groups.

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Hay-Gibson, Naomi V. "Risk and records management : investigating risk and risk management in the context of records and information management in the electronic environment." Thesis, Northumbria University, 2011. http://nrl.northumbria.ac.uk/3308/.

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This thesis presents a study of risk management within records management that focuses on small to medium enterprises(SMEs)in the UK. Cases tudies of three SMEs based in the north of England, ranging from micro-businesses to large scale, were undertaken in a two year period. The aims of the study were to investigate risk in the context of electronic information and records management within SMEs, and to develop a working conceptual model or theory for risk management of electronic information and records. This thesis aims to characterise the approaches to risk and electronic information and records management taken by SMEs throughc case studies, narrative analysis and corpus linguistics. Attitudes and drivers for risk management of electronic information and records management in SMEs were investigated and analysed. The history and historiography of risk management and records management were investigated as part of the preliminary research for the project. The objectives included critically evaluating the vocabulary of risk and risk management, and identifying the use of a common vocabulary of risk in records management within the SME context. This was carried out by a transdisciplinary use of the techniques of computer corpus linguistics (CCL). The creation of a corpus from material collected from interview and questionnaire format contributes to a greater linguistic and semiotic comprehension of the ideas and thoughts behind risk management of records management by different levels of employees in an SME. he corpus was used to identify a vocabulary of terms used by the SMEEs in describing their own risk management in terms of records management, and their experience of risk events in their records management. The outcome of the research will inform the practice of managing risks associated with electronic information and records management in SMEs by distribution of results to relevant small businesses working groups.

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Sonico, Eric A. "Implementation and utilization of electronic medical records| An analysis." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1522655.

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This master's thesis will present a literature review and analysis ofthe implementation and use of Electronic Medical Records (EMR). The literature review will discuss reasons that support implementation of EMRs, factors that are necessary for successful implementation and barriers that impede implementation. Also, real-world examples of implementation for medical billing in healthcare organizations will be discussed, as well as the disparity in implementation rates between larger and smaller healthcare organizations.

The analysis portion of this thesis will include data from the 2009 National Ambulatory Medical Survey (NAMCS) EMR Supplement and, through the application of the Chi-Square statistical test using SPSS, will assess whether size of the medical practice in terms of number of physicians is significantly associated with EMR implementation and functionality, the latter of which includes clinical reminders and prescription ordering. It will be shown that physician size is indeed significantly associated with implementation and functionality.

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Lindqvist, Maria. "Keeping or Discarding Records : A Comparison and a Practical Use of Standards for Electronic Records Management." Thesis, Linköpings universitet, Institutionen för datavetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-79290.

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The management of records is an essential part of any organization. Today this implies the management of mostly digital records in electronic record management systems. There are many standards for record management. Three influential standards was compared and used to evaluate such an electronic record management system in this thesis. The purposes of the thesis was to find out how the core features support and interfere with each other, and which changes could be done to a system evaluated according to the standards, as well as what the major challenges were when using document standards to evaluate an electronic record management system. The standards were MoReq2010, ISO 15489 and DoD 5012.02. To conform to the standards, some changes could be done to the studied system. For instance, changing document keys and to include more metadata about disposal of records. The conclusions were that standards are a good complementary source when developing an existing record management system, even though their size and complexity level are issues to deal with.

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Becker, M. Y. W. Y. "CASSANDRA : flexible trust management and its application to electronic health records." Thesis, University of Cambridge, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.596509.

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The emergence of distributed applications operating on large-scale, heterogeneous and decentralised networks poses new and challenging problems of concern to society as a whole, in particular for data security, privacy and confidentiality. Trust management and authorisation policy language have been proposed to address access control and authorisation in this context. Still, many key problems have remained unsolved. Existing systems are often not expressive enough, or are so expressive that access control becomes undecidable; their semantics is not formally specified; and they have not been shown to meet the requirements set by actual real-world applications. This dissertation addresses these problems. We present CASSANDRA, a role-based language and system for expressing authorisation policy, and the results of a substantial case study, a policy for a national electronic health record (HER) system, based on the requirements of the UK National Health Service’s National Programme for Information Technology (NPfIT). CASSANDRA policies are expressed in a language derived from Datalog with constraints. CASSANDRA supports credential-based authorisation (e.g. between administrative domains), and rules can refer to remote policies (for credential retrieval and trust negotiation). The expressiveness of the language (and its computational complexity) can be tuned by choosing an appropriate constraint domain. The language is small and has a formal semantics for both query evaluation and the access control engine. There has been a lack of real-world examples of complex security policies: our NPfIT case study fills this gap. The resulting CASSANDRA policy (with 375 rules) demonstrates that the policy language is expressive enough for a real-world application. We thus demonstrate that a general-purpose trust management system can be designed to be highly flexible, expressive, formally founded and meet the complex requirements of real-world applications.

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Warren, Richard Alton. "Exploring Strategies for Successful Implementation of Electronic Health Records." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4261.

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Adoption of electronic health records (EHR) systems in nonfederal acute care hospitals has increased, with adoption rates across the United States reaching as high as 94%. Of the 330 plus acute care hospital EHR implementations in Texas, only 31% have completed attestation to Stage 2 of the meaningful use (MU) criteria. The purpose of this multiple case study was to explore strategies that hospital chief information officers (CIOs) used for the successful implementation of EHR. The target population consists of 3 hospitals CIOs from a multi-county region in North Central Texas who successfully implemented EHRs meeting Stage 2 MU criteria. The conceptual framework, for this research, was the technology acceptance model theory. The data were collected through semistructured interviews, member checking, review of the literature on the topic, and publicly available documents on the respective hospital websites. Using methodological triangulation of the data, 4 themes emerged from data analysis: EHR implementation strategies, overcoming resistance to technology acceptance, strategic alignment, and patient wellbeing. Participants identified implementation teams and informatics teams as a primary strategy for obtaining user engagement, ownership, and establishing a culture of acceptance to the technological changes. The application of the findings may contribute to social change by identifying the strategies hospital CIOs used for successful implementation of EHRs. Successful EHR implementation might provide positive social change by improving the quality of patient care, patient safety, security of personal health information, lowering health care cost, and improvements in the overall health of the general population.

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Adeyeye, Adebisi. "Health care professionals' perceptions of the use of electronic medical records." Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10011612.

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ABSTRACT Electronic medical record (EMR) use has improved significantly in health care organizations. However, many barriers and factors influence the success of EMR implementation and adoption. The purpose of the descriptive qualitative single-case study was to explore health care professionals? perceptions of the use of EMRs at a hospital division of a major medical center. The study findings highlighted the challenges in transitioning from paper records to EMR despite the many benefits and potential improvement in health care. A description of the 16 health care professionals? perceptions of EMR use emerged by adopting the unified theory of acceptance and use of technology (UTAUT) model and NVivo 10 computer software to aid with the analysis of semi-structured, recorded, and transcribed interviews. Themes emerging from the analysis were in five categories: (a) Experience of health care professionals with a subtheme of workflow, (b) Challenges in transition from paper to EMR, (c) Barriers to EMR acceptance, with a subtheme of privacy, confidentiality, and security, (d) Leadership support, and (d) Success of EMR. The findings of the case study may inform health care industry decision makers of additional social and behavioral factors needed for successful EMR strategic planning, implementation, and maintenance.

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Books on the topic "Electronic Records Management"

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Julian, Mims, and International City/County Management Association, eds. Electronic records management. Washington, D.C: International City/County Management Association, 2005.

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B, Mortham Sandra, and Florida Records Management Program, eds. Electronic records: Records management practices. Tallahassee, Fla: The Program, 1996.

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ed, Bearman David, ed. Archival management of electronic records. Pittsburgh, Pa: Archives & Museum Informatics, 1991.

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1953-, Hedstrom Margaret, ed. Electronic records management program strategies. [Pittsburgh]: Archives & Museum Informatics, 1993.

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Shepherd, Elizabeth. The management of electronic records. London: Library Information Technology Centre, 1996.

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United States. National Archives and Records Administration. Office of Records Administration, ed. Managing electronic records. Washington, DC: National Archives and Records Administration, Office of Records Administration, 1990.

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Adam, Azad. Implementing electronic document and record management systems. Boca Raton: Auerbach Publications, 2007.

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Wolfe, Rita M. QuickTronic records management: Manual/electronic simulation. Cinncinnati, Ohio: South-Western Educational Pub., 1996.

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Erlandsson, Alf. Electronic records management: A literature review. Paris: ICA, 1997.

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Association of Records Managers and Administrators., ed. Managing electronic records. 4th ed. Lenexa, Kan: ARMA International, 2009.

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Book chapters on the topic "Electronic Records Management"

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Puentes, John, Gouenou Coatrieux, and Laurent Lecornu. "Secured Electronic Patient Records Content Exploitation." In Healthcare Knowledge Management, 160–75. New York, NY: Springer New York, 2007. http://dx.doi.org/10.1007/978-0-387-49009-0_12.

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Handzic, Meliha. "Empowering Society through Knowledge Records." In Knowledge Management in Electronic Government, 262–67. Berlin, Heidelberg: Springer Berlin Heidelberg, 2003. http://dx.doi.org/10.1007/3-540-44836-5_27.

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Goldstein, Neal D. "Data Management." In A Researcher's Guide to Using Electronic Health Records, 85–114. 2nd ed. London: CRC Press, 2023. http://dx.doi.org/10.4324/9781003258872-7.

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Alhaqbani, Bandar, and Colin Fidge. "Access Control Requirements for Processing Electronic Health Records." In Business Process Management Workshops, 371–82. Berlin, Heidelberg: Springer Berlin Heidelberg, 2008. http://dx.doi.org/10.1007/978-3-540-78238-4_38.

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Gloth, F. Michael. "Electronic Health Records, Medications, and Long-Term Care." In Medication Management in Older Adults, 105–9. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-60327-457-9_9.

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Kalsekar, Atharva, Avinash Jaiswal, Rogin Koshy, Sameer Mandloi, and Bhavesh N. Gohil. "Secure Electronic Health Records (EHR) Management Using Blockchain." In Blockchain for Information Security and Privacy, 245–74. Boca Raton: Auerbach Publications, 2021. http://dx.doi.org/10.1201/9781003129486-12.

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Henricks, Walter H. "Electronic Health Records and Their Implications and Opportunities for Laboratories." In Clinical Laboratory Management, 918–32. Washington, DC, USA: ASM Press, 2014. http://dx.doi.org/10.1128/9781555817282.ch53.

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Jain, Prateek, Sagar Bhargava, Naman Jain, Shelly Sachdeva, Shivani Batra, and Subhash Bhalla. "Healthsurance – Mobile App for Standardized Electronic Health Records Database." In Data Management and Analytics for Medicine and Healthcare, 136–53. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67186-4_11.

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Jagadamba, G., E. L. Sai Krishna, J. P. Amogh, B. B. Abhishek, and H. N. Manoj. "Adaptive Electronic Health Records Management and Secure Distribution Using Blockchain." In Proceedings of International Conference on Network Security and Blockchain Technology, 312–24. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3182-6_25.

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Pentland, Brian T., Inkyu Kim, Quan Zhang, and Julie Ryan Wolf. "Effects of Concurrency in Complex Service Organizations: Evidence from Electronic Health Records." In Business Process Management Workshops, 149–60. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-25383-6_12.

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Conference papers on the topic "Electronic Records Management"

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"Pervasive secure electronic healthcare records management." In The 2nd International Workshop on Ubiquitous Computing. SciTePress - Science and and Technology Publications, 2005. http://dx.doi.org/10.5220/0002572801010110.

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Gunnlaugsdottir, Johanna. "ELECTRONIC RECORDS MANAGEMENT SYSTEMS - The Human Factor." In 11th International Conference on Enterprise Information Systems. SCITEPRESS - Science and Technology Publications, 2009. http://dx.doi.org/10.5220/0002000600970104.

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Humm, Bernhard G., and Paul Walsh. "Flexible yet Efficient Management of Electronic Health Records." In 2015 International Conference on Computational Science and Computational Intelligence (CSCI). IEEE, 2015. http://dx.doi.org/10.1109/csci.2015.84.

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Yu, Fang, Feng Dan, and Wang Dandong. "MPEG Application in Electronic Records and Document Management." In 2010 Fourth International Conference on Mangement of E-Commerce and E-Government (ICMeCG). IEEE, 2010. http://dx.doi.org/10.1109/icmecg.2010.89.

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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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Ballal, Siddhesh, Yash Chandre, Rohini Pise, Babita Sonare, and Sonali Patil. "Blockchain-Based Decentralized Platform for Electronic Health Records Management." In 2023 IEEE International Conference on Blockchain and Distributed Systems Security (ICBDS). IEEE, 2023. http://dx.doi.org/10.1109/icbds58040.2023.10346392.

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"An Approach Towards Information Quality Management of Electronic Health Records." In International Conference on Health Informatics. SCITEPRESS - Science and and Technology Publications, 2014. http://dx.doi.org/10.5220/0004752402700275.

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Jiamsawat, Watchara, Chidchanok Choksuchat, and Sureena Matayong. "Blockchain-Based Electronic Medical Records Management of Hospital Emergency Ward." In 2021 International Conference on COMmunication Systems & NETworkS (COMSNETS). IEEE, 2021. http://dx.doi.org/10.1109/comsnets51098.2021.9352932.

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Mikula, Tomas, and Rune Hylsberg Jacobsen. "Identity and Access Management with Blockchain in Electronic Healthcare Records." In 2018 21st Euromicro Conference on Digital System Design (DSD). IEEE, 2018. http://dx.doi.org/10.1109/dsd.2018.00008.

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Diaz, Alvaro, and Hector Kaschel. "Scalable Management Architecture for Electronic Health Records Based on Blockchain." In 2022 IEEE International Conference on Automation/XXV Congress of the Chilean Association of Automatic Control (ICA-ACCA). IEEE, 2022. http://dx.doi.org/10.1109/ica-acca56767.2022.10005960.

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Reports on the topic "Electronic Records Management"

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Kelly, Kristine L., Alan Kowlowitz, Theresa A. Pardo, and Darryl E. Green. Models for Action: Practical Approaches to Electronic Records Management and Preservation. Fort Belvoir, VA: Defense Technical Information Center, July 1998. http://dx.doi.org/10.21236/ada362862.

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Archuleta, Yvonne C. Guide to Handle Electronic and Physical Records Requests for Service Innovation-Records Management Services (SI-RMS) Staff. Office of Scientific and Technical Information (OSTI), May 2019. http://dx.doi.org/10.2172/1512725.

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Humpage, Sarah D. Benefits and Costs of Electronic Medical Records: The Experience of Mexico's Social Security Institute. Inter-American Development Bank, June 2010. http://dx.doi.org/10.18235/0008829.

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Electronic medical record (EMR) systems are increasingly used in developing countries to improve quality of care while increasing efficiency. There is little systematic evidence, however, regarding EMRs' benefits and costs. This case study documents the implementation and use of an EMR system at the Mexican Social Security Institute (IMSS). Three EMR systems are now in operation for primary care, outpatient and inpatient hospital care. The evidence suggests that the primary care system has improved efficiency of care delivery and human resources management, and may have decreased incidence of fraud. The hospital systems, however, have lower coverage and are less popular among staff. The greater success of the primary care system may be due to greater investment, a participatory development process, an open workplace culture, and software appropriately tailored to the workflow. Moving forward, efforts should be made to exploit data housed in EMRs for medical and policy research.

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Marques, Isabel C. P., Fernanda Nogueira, and Carvalho Alba. Communication and Sustainability in Public Health: Bibliometric Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2023. http://dx.doi.org/10.37766/inplasy2023.3.0038.

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Review question / Objective: Research Question: How is health information management carried out and how have electronic health records, interoperability and information exchange, and public information sharing developed? The scope review aims to (1) provide an overview, bibliometric, on Health communication and sustainability, (2) pointing out the thematic trends, research topics, theories, methods presented in the studies, countries and authors, (3) contribute to the development of emerging issues and opportunities in global social public relations in order to identify gaps in the literature and guide future research directions. Condition being studied: A scoping review of how academia identifies relevant topics in Health communication and public relations contributes to better decision making in ways that are relevant at the national, organizational, and workforce levels. It also provides new insights for policy makers and a better sustainable global understanding of the topic.

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Waldfogel, Julie M., Michael Rosen, Ritu Sharma, Allen Zhang, Eric B. Bass, and Sydney M. Dy. Making Healthcare Safer IV: Opioid Stewardship. Agency for Healthcare Research and Quality (AHRQ), December 2023. http://dx.doi.org/10.23970/ahrqepc_mhs4opioid.

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Objectives. Opioid stewardship interventions promote the appropriate use of prescribed and ordered opioids to reduce the risk of opioid adverse events. Our main objectives were to determine the effectiveness of these interventions in healthcare settings on opioid prescribing and clinical outcomes (e.g., number of opioid prescriptions, opioid dosage, overdose, emergency department visits, and hospitalizations) including unintended consequences (e.g., changes in patient-reported pain intensity), and ways these interventions can be effectively implemented. Methods. We followed rapid review processes of the Agency for Healthcare Research and Quality Evidence-based Practice Center Program. We searched PubMed and the Cochrane Library to identify eligible systematic reviews from January 2019 to April 2023 and primary studies published from January 2016 to April 2023, supplemented by targeted gray literature searches. We included systematic reviews and studies that addressed opioid stewardship interventions implemented in healthcare settings in the United States and that reported on opioid prescribing and clinical outcomes. Findings. Our search retrieved 6,431 citations, of which 34 articles were eligible (including 1 overview of systematic reviews, 13 additional systematic reviews, 13 randomized controlled trials (RCTs) [reported in 14 articles] and 6 nonrandomized studies). Systematic reviews, mostly summarizing pre-post studies, included a wide variety of opioid stewardship practices that focused on patient and family engagement, healthcare organization policy, or clinician knowledge and behavior interventions, in inpatient, perioperative, emergency department, and ambulatory settings. RCTs addressed multicomponent interventions (typically a combination of prescriber education, care management and facilitated access to resources), and patient education and engagement, mainly in ambulatory chronic pain. Opioid stewardship practices involving clinical decision support or electronic health records, or multicomponent interventions (including for chronic pain) were associated with decreases in opioid prescribing or reduced doses and no increases in pain, emergency department visits, or hospitalizations (low strength of evidence for all outcomes). Patient engagement and education interventions had mixed results for opioid prescribing outcomes (insufficient strength of evidence) and no increases in pain, emergency department visits, or hospitalizations (low strength of evidence). The evidence was insufficient on other types of interventions and on outcomes of opioid refill requests and refills, patient satisfaction, or overdose. Barriers included lack of training, workload, gaps in communication, and inadequate access to nonpharmacological resources. Facilitators included clinician and patient acceptance of intervention components. Conclusions. Selected opioid stewardship interventions may be effective for reducing opioid prescribing and dosing without adversely affecting clinical outcomes overall, although strength of evidence was low. Unintended consequences were often not measured or not measured rigorously. Interventions to reduce opioid use should monitor unintended consequences and include access to nonpharmacological pain management resources with appropriate patient education and engagement.

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Jung, Seyoung, Ho-young Lee, Haeun Lee, Ilha Yune, Da Som Me Park, Luis Tejerina, and Donghyun Kang. The Digital Transformation of Seoul National University Bundang Hospital. Inter-American Development Bank, March 2024. http://dx.doi.org/10.18235/0005682.

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This case study underscores the significance of digitalization in healthcare, exemplified by Korea's successful integration of electronic health record (EHR) systems, which has markedly enhanced clinical services quality and efficiency. Focusing on the Seoul National University Bundang Hospital (SNUBH), a leading national multispecialty academic medical center in Korea, the case study details the hospital's journey towards digitalization through the implementation of its interoperable EHR system, BESTCare. Through focus group interviews with field-deployed staff, the study reveals the critical factors for successful digital transformation in hospital management, including leadership investment decisions and the engagement of end-users from the outset. The gradual yet significant benefits of digital transformation, such as cost efficiency and clinical quality improvements, are highlighted, along with the adaptability of digital tools in crisis situations like the COVID-19 pandemic. The study concludes with the documented impacts of BESTCare and other digital tools on care quality and efficiency, suggesting that similar digital transformation efforts in Latin America and the Caribbean could lead to significant health outcomes improvements while maintaining current healthcare spending levels.

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Wang, Zhen, Colin P. West, Brianna E. Vaa Stelling, Bashar Hasan, Suvyaktha Simha, Samer Saadi, Mohammed Firwana, et al. Measuring Documentation Burden in Healthcare. Agency for Healthcare Research and Quality (AHRQ), May 2024. http://dx.doi.org/10.23970/ahrqepctb47.

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Background. The 2009 enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act and the wide adoption of electronic health record systems (EHR) have ushered an increasing documentation burden, frequently cited as a key factor affecting the work experience of healthcare professionals and a contributor to burnout. Purpose. This Technical Brief aims to identify: (1) measures of documentation burden, including evaluation of validity evidence, strengths, and weaknesses; (2) different perspectives on the appropriateness of different measures of documentation burden; and (3) perceptions of documentation burden from people in different clinical roles including patients/caregivers. The targeted audiences of this Technical Brief are clinicians, researchers, healthcare system leaders, policymakers, and electronic health record (EHR) vendors. Methods. We integrated discussions with Key Informants and synthesis of evidence from a comprehensive search of the literature, including Embase®, Epub Ahead of Print, In-Process & Other Non-Indexed Citations, MEDLINE® Daily, MEDLINE®, Cochrane Central Registrar of Controlled Trials, Ovid® Cochrane Database of Systematic Reviews, Scopus®, and select gray literature from January 2010 to December 2023. Findings. We identified 135 articles about measuring documentation burden. We identified 11 categories of measures for documentation burden: overall time spent in EHR, activities related to clinical documentation, inbox management, time spent in clinical review, time spent in orders, work outside work/after hours, administrative tasks (billing and insurance related), fragmentation of workflow, measures of efficiency, EHR activity rate, and usability. The most common source of data for most measures was EHR usage logs. Direct tracking such as through time–motion analysis was fairly uncommon. We found that measures have been developed and applied across a diverse range of settings, populations, and uses, with physicians and nurses in the United States being the most frequently represented groups. Evidence of validity of these measures was limited and incomplete. Published information on the appropriateness of measures in terms of scalability, feasibility, or equity across various contexts was limited. Physician perspective on documentation burden was the most robustly captured in the literature than other stakeholders and focused on increased stress and burnout due to documentation burden, satisfaction with EHR and its usability, EHR-associated workload, and impact on teaching. Conclusion. The current literature on documentation burden measures offers a wide range of measures, yet with serious limitations that must be remedied to further inform practical solutions. Greater diversity of settings and perspectives is needed for future development of valid measures. Identifying measurement gaps of documentation burden should serve as the basis for developing interventions and solutions, and benchmarking progression of mitigating documentation burden.

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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.

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Rankin, Nicole, Deborah McGregor, Candice Donnelly, Bethany Van Dort, Richard De Abreu Lourenco, Anne Cust, and Emily Stone. Lung cancer screening using low-dose computed tomography for high risk populations: Investigating effectiveness and screening program implementation considerations: An Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the Cancer Institute NSW. The Sax Institute, October 2019. http://dx.doi.org/10.57022/clzt5093.

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Background Lung cancer is the number one cause of cancer death worldwide.(1) It is the fifth most commonly diagnosed cancer in Australia (12,741 cases diagnosed in 2018) and the leading cause of cancer death.(2) The number of years of potential life lost to lung cancer in Australia is estimated to be 58,450, similar to that of colorectal and breast cancer combined.(3) While tobacco control strategies are most effective for disease prevention in the general population, early detection via low dose computed tomography (LDCT) screening in high-risk populations is a viable option for detecting asymptomatic disease in current (13%) and former (24%) Australian smokers.(4) The purpose of this Evidence Check review is to identify and analyse existing and emerging evidence for LDCT lung cancer screening in high-risk individuals to guide future program and policy planning. Evidence Check questions This review aimed to address the following questions: 1. What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? 2. What is the evidence of potential harms from lung cancer screening for higher-risk individuals? 3. What are the main components of recent major lung cancer screening programs or trials? 4. What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Summary of methods The authors searched the peer-reviewed literature across three databases (MEDLINE, PsycINFO and Embase) for existing systematic reviews and original studies published between 1 January 2009 and 8 August 2019. Fifteen systematic reviews (of which 8 were contemporary) and 64 original publications met the inclusion criteria set across the four questions. Key findings Question 1: What is the evidence for the effectiveness of lung cancer screening for higher-risk individuals? There is sufficient evidence from systematic reviews and meta-analyses of combined (pooled) data from screening trials (of high-risk individuals) to indicate that LDCT examination is clinically effective in reducing lung cancer mortality. In 2011, the landmark National Lung Cancer Screening Trial (NLST, a large-scale randomised controlled trial [RCT] conducted in the US) reported a 20% (95% CI 6.8% – 26.7%; P=0.004) relative reduction in mortality among long-term heavy smokers over three rounds of annual screening. High-risk eligibility criteria was defined as people aged 55–74 years with a smoking history of ≥30 pack-years (years in which a smoker has consumed 20-plus cigarettes each day) and, for former smokers, ≥30 pack-years and have quit within the past 15 years.(5) All-cause mortality was reduced by 6.7% (95% CI, 1.2% – 13.6%; P=0.02). Initial data from the second landmark RCT, the NEderlands-Leuvens Longkanker Screenings ONderzoek (known as the NELSON trial), have found an even greater reduction of 26% (95% CI, 9% – 41%) in lung cancer mortality, with full trial results yet to be published.(6, 7) Pooled analyses, including several smaller-scale European LDCT screening trials insufficiently powered in their own right, collectively demonstrate a statistically significant reduction in lung cancer mortality (RR 0.82, 95% CI 0.73–0.91).(8) Despite the reduction in all-cause mortality found in the NLST, pooled analyses of seven trials found no statistically significant difference in all-cause mortality (RR 0.95, 95% CI 0.90–1.00).(8) However, cancer-specific mortality is currently the most relevant outcome in cancer screening trials. These seven trials demonstrated a significantly greater proportion of early stage cancers in LDCT groups compared with controls (RR 2.08, 95% CI 1.43–3.03). Thus, when considering results across mortality outcomes and early stage cancers diagnosed, LDCT screening is considered to be clinically effective. Question 2: What is the evidence of potential harms from lung cancer screening for higher-risk individuals? The harms of LDCT lung cancer screening include false positive tests and the consequences of unnecessary invasive follow-up procedures for conditions that are eventually diagnosed as benign. While LDCT screening leads to an increased frequency of invasive procedures, it does not result in greater mortality soon after an invasive procedure (in trial settings when compared with the control arm).(8) Overdiagnosis, exposure to radiation, psychological distress and an impact on quality of life are other known harms. Systematic review evidence indicates the benefits of LDCT screening are likely to outweigh the harms. The potential harms are likely to be reduced as refinements are made to LDCT screening protocols through: i) the application of risk predication models (e.g. the PLCOm2012), which enable a more accurate selection of the high-risk population through the use of specific criteria (beyond age and smoking history); ii) the use of nodule management algorithms (e.g. Lung-RADS, PanCan), which assist in the diagnostic evaluation of screen-detected nodules and cancers (e.g. more precise volumetric assessment of nodules); and, iii) more judicious selection of patients for invasive procedures. Recent evidence suggests a positive LDCT result may transiently increase psychological distress but does not have long-term adverse effects on psychological distress or health-related quality of life (HRQoL). With regards to smoking cessation, there is no evidence to suggest screening participation invokes a false sense of assurance in smokers, nor a reduction in motivation to quit. The NELSON and Danish trials found no difference in smoking cessation rates between LDCT screening and control groups. Higher net cessation rates, compared with general population, suggest those who participate in screening trials may already be motivated to quit. Question 3: What are the main components of recent major lung cancer screening programs or trials? There are no systematic reviews that capture the main components of recent major lung cancer screening trials and programs. We extracted evidence from original studies and clinical guidance documents and organised this into key groups to form a concise set of components for potential implementation of a national lung cancer screening program in Australia: 1. Identifying the high-risk population: recruitment, eligibility, selection and referral 2. Educating the public, people at high risk and healthcare providers; this includes creating awareness of lung cancer, the benefits and harms of LDCT screening, and shared decision-making 3. Components necessary for health services to deliver a screening program: a. Planning phase: e.g. human resources to coordinate the program, electronic data systems that integrate medical records information and link to an established national registry b. Implementation phase: e.g. human and technological resources required to conduct LDCT examinations, interpretation of reports and communication of results to participants c. Monitoring and evaluation phase: e.g. monitoring outcomes across patients, radiological reporting, compliance with established standards and a quality assurance program 4. Data reporting and research, e.g. audit and feedback to multidisciplinary teams, reporting outcomes to enhance international research into LDCT screening 5. Incorporation of smoking cessation interventions, e.g. specific programs designed for LDCT screening or referral to existing community or hospital-based services that deliver cessation interventions. Most original studies are single-institution evaluations that contain descriptive data about the processes required to establish and implement a high-risk population-based screening program. Across all studies there is a consistent message as to the challenges and complexities of establishing LDCT screening programs to attract people at high risk who will receive the greatest benefits from participation. With regards to smoking cessation, evidence from one systematic review indicates the optimal strategy for incorporating smoking cessation interventions into a LDCT screening program is unclear. There is widespread agreement that LDCT screening attendance presents a ‘teachable moment’ for cessation advice, especially among those people who receive a positive scan result. Smoking cessation is an area of significant research investment; for instance, eight US-based clinical trials are now underway that aim to address how best to design and deliver cessation programs within large-scale LDCT screening programs.(9) Question 4: What is the cost-effectiveness of lung cancer screening programs (include studies of cost–utility)? Assessing the value or cost-effectiveness of LDCT screening involves a complex interplay of factors including data on effectiveness and costs, and institutional context. A key input is data about the effectiveness of potential and current screening programs with respect to case detection, and the likely outcomes of treating those cases sooner (in the presence of LDCT screening) as opposed to later (in the absence of LDCT screening). Evidence about the cost-effectiveness of LDCT screening programs has been summarised in two systematic reviews. We identified a further 13 studies—five modelling studies, one discrete choice experiment and seven articles—that used a variety of methods to assess cost-effectiveness. Three modelling studies indicated LDCT screening was cost-effective in the settings of the US and Europe. Two studies—one from Australia and one from New Zealand—reported LDCT screening would not be cost-effective using NLST-like protocols. We anticipate that, following the full publication of the NELSON trial, cost-effectiveness studies will likely be updated with new data that reduce uncertainty about factors that influence modelling outcomes, including the findings of indeterminate nodules. Gaps in the evidence There is a large and accessible body of evidence as to the effectiveness (Q1) and harms (Q2) of LDCT screening for lung cancer. Nevertheless, there are significant gaps in the evidence about the program components that are required to implement an effective LDCT screening program (Q3). Questions about LDCT screening acceptability and feasibility were not explicitly included in the scope. However, as the evidence is based primarily on US programs and UK pilot studies, the relevance to the local setting requires careful consideration. The Queensland Lung Cancer Screening Study provides feasibility data about clinical aspects of LDCT screening but little about program design. The International Lung Screening Trial is still in the recruitment phase and findings are not yet available for inclusion in this Evidence Check. The Australian Population Based Screening Framework was developed to “inform decision-makers on the key issues to be considered when assessing potential screening programs in Australia”.(10) As the Framework is specific to population-based, rather than high-risk, screening programs, there is a lack of clarity about transferability of criteria. However, the Framework criteria do stipulate that a screening program must be acceptable to “important subgroups such as target participants who are from culturally and linguistically diverse backgrounds, Aboriginal and Torres Strait Islander people, people from disadvantaged groups and people with a disability”.(10) An extensive search of the literature highlighted that there is very little information about the acceptability of LDCT screening to these population groups in Australia. Yet they are part of the high-risk population.(10) There are also considerable gaps in the evidence about the cost-effectiveness of LDCT screening in different settings, including Australia. The evidence base in this area is rapidly evolving and is likely to include new data from the NELSON trial and incorporate data about the costs of targeted- and immuno-therapies as these treatments become more widely available in Australia.

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