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Journal articles on the topic 'Management of medical records'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Md Zali, Mastura, Saiful Farik Mat Yatin, Mohd Razilan Abdul Kadir, Siti Noraini Mohd Tobi, Nurul Hanis Kamarudin, and Nik Nurul Emyliana Nik Ramlee. "Managing Medical Records in Specialist Medical Centres." International Journal of Engineering & Technology 7, no. 3.7 (July 4, 2018): 232. http://dx.doi.org/10.14419/ijet.v7i3.7.16358.

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A collection of facts about a patient’s life and health history of past and present illnesses and treatments is known as medical records. The health professionals were contributing to record the patient’s care. The responsibility in managing daily records that produced by each of department is by the Medical Records Department. It is a department under clinical support services with activities including managing of patient records, patient information production, management of medical reports, and hospital statistics. This article aims to discuss the challenge associated with managing medical records in the organization and how to handle and manage it with the records management as a tool to mitigate risk. Therefore, it is likely to prompt further research by addressing existing gaps towards improving service delivery that can contribute to the body of knowledge in the field of records management and archives generally.

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Jorwekar, Harshal. "Medical Records Management with Decentralized Framework." International Journal for Research in Applied Science and Engineering Technology 9, no. VII (July 10, 2021): 193–200. http://dx.doi.org/10.22214/ijraset.2021.35703.

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The mystery between the emotional improvement of medical information protection interest and long periods of administrative guideline has eased back advancement for electronic medical records (EMRs). In this paper, we propose a efficient, secure and decentralized Blockchain system for data privacy preserving and sharing. This manages confidentiality, authentication, data preserving and data sharing when handling sensitive information. We exploit consortium Blockchain and smart contracts to accomplish secure information storage and sharing, which forestalls information sharing without consent. The patient’s historical data, medical record, patient’s private information is very critical and needs to be stored and maintained securely. The proposed framework builds information security and eliminates the cost, time, and assets needed to deal with the medical care information records.

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3

Michael, Robin. "Paperless Medical Records." Australian Medical Record Journal 19, no. 4 (December 1989): 149–54. http://dx.doi.org/10.1177/183335838901900404.

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Flinders Medical Centre (FMC) in South Australia has a storage problem. The space available for filing existing medical records is full, while the demand for additional storage continues its linear growth. The hospital plans to use this “crisis” as an opportunity to review the entire basis for the management of the medical record and pilot an optical disk system as a precursor to paperless medical records. There are many constraints to this objective, but many advantages if the scheme proves successful. Michael describes the events which precipitated this project and outlines the steps in FMC's planned progression to a paperless record. (AMRJ, 1989, 19(4), 149–154).

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Серегина, Ирина, Irina Seregina, Антон Колоколов, and Anton Kolokolov. "Medical records management in electronic format." Vestnik Roszdravnadzora 2019, no. 4 (August 22, 2019): 77–80. http://dx.doi.org/10.35576/article_5d651dbc7aa259.48167277.

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The article deals with the legal significance of medical records management in the form of electronic document flow. Proper medical records management, which is necessary for the registration of the diagnostic and treatment process at all stages and for control of the quality of medical care delivery, is basis for evaluating of the organization of medical care and quality of its delivery.

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5

Chang, Chih-Yuan, Shyh-Meng Huang, and Sy-Jye Guo. "Medical Records for Building Health Management." Journal of Architectural Engineering 13, no. 3 (September 2007): 162–71. http://dx.doi.org/10.1061/(asce)1076-0431(2007)13:3(162).

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6

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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Chishima, Kayako, Yoshiki Toyokuni, Kondo Hisayoshi, Yuichi Koido, and Tatsuhiko Kubo. "Current Status of the Japanese Disaster Medical Record." Prehospital and Disaster Medicine 34, s1 (May 2019): s114. http://dx.doi.org/10.1017/s1049023x19002425.

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Introduction:There was no common medical record used in disasters in Japan. At the 2011 Great East Japan Earthquake, medical teams used their own medical records instead of a unified format and operational rules. As a result, confusion occurred at the clinical practice site. The Joint Committee on Medical Records proposed a standard format of disaster medical records in February 2015. The Ministry of Health, Labor, and Welfare has issued the notification of states’ use of a standardized medical record for disaster in 2017. It was confirmed that standardized disaster medical records were used by each organization in the 2018 Western Japan torrential rain disaster and the Hokkaido Iburi Eastern Earthquake, but the actual condition of those records was not clarified.Methods:We sent a questionnaire to the local governments where the medical team worked in 2018 Western Japan torrential rain disaster and the Hokkaido Iburi Eastern Earthquake. In the questionnaire, we asked about the operation and management of standardized disaster medical records at the time of the disaster and also questioned future management methods.Results:There was no use of other medical records. Standardized medical records were used in all records. All records were managed and operated by the disaster medical headquarters responsible for health care and welfare. Standardized disaster medical records were recorded on paper. Evacuees included patients who moved from shelter to shelter or to temporary housing to get better living conditions. That created difficulties transferring records since it was recorded on paper and stored in medical headquarters. Some returning patients were checked by several medical teams, resulting in the creation of several medical records of the same patient’s condition. Future improvements and management of the recording process and record-keeping are required.

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Trimmer, Ken, Leigh W. Cellucci, Carla Wiggins, and William Woodhouse. "Electronic Medical Records." International Journal of Healthcare Information Systems and Informatics 4, no. 3 (July 2009): 55–68. http://dx.doi.org/10.4018/jhisi.2009070104.

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Bertsimas, Dimitris, Nathan Kallus, Alexander M. Weinstein, and Ying Daisy Zhuo. "Personalized Diabetes Management Using Electronic Medical Records." Diabetes Care 40, no. 2 (December 5, 2016): 210–17. http://dx.doi.org/10.2337/dc16-0826.

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Li, Wenfeng, and Muhui Cao. "Quality Management of Homepages of Medical Records." Chinese Medical Record English Edition 2, no. 1 (March 2014): 27–29. http://dx.doi.org/10.3109/23256176.2014.897489.

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Varroud-Vial, M. "Improving diabetes management with electronic medical records." Diabetes & Metabolism 37 (December 2011): S48—S52. http://dx.doi.org/10.1016/s1262-3636(11)70965-x.

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Edmund, Lim Chee Siang, Chennupati K. Ramaiah, and Surya Prakash Gulla. "Electronic Medical Records Management Systems: An Overview." DESIDOC Journal of Library & Information Technology 29, no. 6 (November 1, 2009): 3–12. http://dx.doi.org/10.14429/djlit.29.273.

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Lian, Ping, Kangmei Chong, Xinhai Zhai, and Yi Ning. "The quality of medical records in teleconsultation." Journal of Telemedicine and Telecare 9, no. 1 (February 1, 2003): 35–41. http://dx.doi.org/10.1258/135763303321159675.

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We collected and examined the medical records from telemedicine cases dealt with by the telemedicine centre of Shanghai Hospital No. 85. This centre handles the second largest number of teleconsultations in the entire network. There were 658 telemedicine cases in total. The medical records included the patient record in 599 cases (91%), transmitted images in 392 cases (60%), the consultant's opinion in 595 cases (90%) and a video-recording of the teleconsultation in 203 cases (31%). The quality of patient records was reviewed and found to be acceptable in 58% of cases. In total, 1794 radiology images (85% of all images) were transmitted via the telemedicine network. The consultant considered 352 of them (20%) to be unreadable on the screen (i.e. 80% of radiology images were considered to be acceptable). For optimum performance of telemedicine, the patient record and associated images should be delivered in advance and the relevant parts of the patient record should be available during a teleconsultation. Three aspects of the management of the medical records for teleconsultations are particularly important: multimedia collection, standardization of patient/record identification and classification, and information management.

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Onyancha, Omwoyo Bosire. "Which way records management research?" ESARBICA Journal: Journal of the Eastern and Southern Africa Regional Branch of the International Council on Archives 39, no. 1 (December 24, 2020): 29–45. http://dx.doi.org/10.4314/esarjo.v39i1.3.

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This paper evaluates the keywords and subject areas in records management (RM) publications, as indexed in the Scopus database, with a view to mapping RM research from 1971 to 2018 so as to determine the direction of research in the field. A total of 4 762 documents were obtained from the Scopus database using the term records management and searching within the title, abstract and keywords fields. The data was analysed using VOSviewer software. The findings reveal that interest in RM research has grown as the volume of publications has continued to increase. Whereas there was no dominant area of research in the 1980s, as far as RM research is concerned, the main focus in the 2010s was the management of electronic health records, thereby signalling a shift in RM research from being just an information management exercise to being used for the management of records in the medical and health sector. Other popular research areas in the 2010s were health care, electronic medical record/s, information management, medical computing, information systems, and electronic document exchange. A classification of the RM publications according to Scopus’s broad subject fields revealed that RM research is mainly conducted in computer science, engineering, medicine, and the social sciences. The study predicts a slow growth in the number of RM publications in the next ten years (2019-2028), greater focus on RM in the health sector, and continued dominance of computer-based systems and electronic records as topics of RM research.

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Jatin Pahuja and Dr. Neha Agrawal. "Record Storage and Management System Using Blockchain." November 2020 6, no. 11 (November 23, 2020): 72–78. http://dx.doi.org/10.46501/ijmtst061113.

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On a daily basis we deal with documents like educational records, health records, certificates etc. Medical records are still being stored on legacy systems which carries the risk of losing important documents. There are security and privacy concerns regarding the safety of documents on centralized server. To overcome these difficulties, we made a blockchain based record storage web app through which anyone upload their medical records on the blockchain and can access them with a private key. The patient or the user can download and access reports from anywhere and can also manage to share them with his doctor etc. Blockchain is a decentralized, distributed, peer to peer ledger on the internet. Blockchain technology helps to maintain security and reliability without placing any trust in a third party. The use of smart contracts in blockchain helps in making things much easier. This paper examines the record storage system including the technologies involved and the methodologies. The approach used for making an electronic health record storage web app through which we can implement a more broader record storage system that can store and manage numerous types of records.

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Frénot, S., and F. Laforest. "Medical Record Management Systems: Criticisms and New Perspectives." Methods of Information in Medicine 38, no. 02 (1999): 89–95. http://dx.doi.org/10.1055/s-0038-1634179.

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AbstractThe first generation of computerized medical records stored the data as text, but these records did not bring any improvement in information manipulation. The use of a relational database management system (DBMS) has largely solved this problem as it allows for data requests by using SQL. However, this requires data structuring which is not very appropriate to medicine. Moreover, the use of templates and icon user interfaces has introduced a deviation from the paper-based record (still existing). The arrival of hypertext user interfaces has proven to be of interest to fill the gap between the paper-based medical record and its electronic version. We think that further improvement can be accomplished by using a fully document-based system. We present the architecture, advantages and disadvantages of classical DBMS-based and Web/DBMS-based solutions. We also present a document-based solution and explain its advantages, which include communication, security, flexibility and genericity.

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Wardhina, Faizah, and Ermas Estiyana. "Management of Medical Record Unit to Preparing Accreditation at Primary Health Care." Jurnal Peduli Masyarakat 2, no. 4 (December 28, 2020): 227–36. http://dx.doi.org/10.37287/jpm.v2i4.309.

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Puskesmas as the spearhead of public health services are required to always improve the quality of service delivery, both in the administration of primary health care management, clinical services, and primary health care program services. Accreditation is one of the efforts to ensure the quality improvement of primary health care services. Primary health care must compile medical records in accordance with the standards and criteria set by the first level health facility accreditation commission. It becomes a problem if the Puskesmas does not yet have human resources in the field of medical records, included the Karang Intan 2 primary health care. For this reason, primary health care need to increase the knowledge of its officers about managing medical record units and health information. The purpose of this community service activity is to increase the knowledge and skills of officers in managing the medical record unit at the Karang Intan 2 primary health care. This method of community service activities is carried out by provided learning about medical records to three medical record officers, then continued with guidance and consultation as well as monitored and evaluation to ensure a change for the better in the management of the medical record unit at the Karang Intan 2 primary health care. The result of this activity was an increased in the knowledge and skills of the medical record unit officers.

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Santoso, Dian Budi, Anis Fuad, Guntur Budi Herwanto, and Ahmad Watsiq Maula. "BLOCKCHAIN TECHNOLOGY IMPLEMENTATION ON MEDICAL RECORDS DATA MANAGEMENT: A REVIEW OF RECENT STUDIES." Jurnal Riset Kesehatan 9, no. 2 (November 19, 2020): 107–12. http://dx.doi.org/10.31983/jrk.v9i2.5742.

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Blockchain first introduced and implemented in digital currency management and transactions. Its application to medical records data management is a novelty. This paper described the implementation of blockchain technology in the healthcare industry, especially in medical records data management A literature review was conducted on three popular databases, ScienceDirect, SpringerLink, and IEEE Xplore with the keywords "health", "medical record" and "blockchain" with "research article" and "conference proceeding" filters. There are a few articles that meet the criteria to review indicated that the implementation of blockchain technology in medical records data management is a novelty and still in the early phase. Blockchain is a potential technology in supporting the implementation of electronic medical records, especially related to data integration and privacy. Several scientific publications related to the implementation of blockchain for medical records data management shown that the implementation of this technology will make the patient have full control over their health data. Yet there are still many challenges in the implementation both from the user side and the technology infrastructure.

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Hong, Yajun, Jiwei Wang, and Xinli Jiang. "Management and Utilization of Digitally Archived Medical Records." Chinese Medical Record English Edition 1, no. 9 (September 2013): 388–91. http://dx.doi.org/10.3109/23256176.2013.857482.

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Rutherford, Rick. "Medical Records Management—Steps Toward a Paperless Environment." Urologic Clinics of North America 32, no. 3 (August 2005): 275–84. http://dx.doi.org/10.1016/j.ucl.2005.03.009.

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Gabrieli, Elmer R. "Automated medical office records." Journal of Medical Systems 11, no. 1 (February 1987): 59–68. http://dx.doi.org/10.1007/bf00992600.

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Lee, Eun-Mi, Myeong Kim, and Jin Hee Yim. "A Study on the Importance of the Assessment of Records Management Metadata Elements Related to the Electronic Medical Records Management System for Medical Records Managers." Journal of Korean Society of Archives and Records Management 13, no. 3 (December 30, 2013): 151–71. http://dx.doi.org/10.14404/jksarm.2013.13.3.151.

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Mardyantari, Etik, Sandu Siyoto, and Sentot Imam Suprapto. "Analysis of Internal Customer Satisfaction Related to the Service of the Medical Record at Muhammadiyah Public Hospital Ponorogo." Journal for Quality in Public Health 4, no. 2 (April 30, 2021): 181–87. http://dx.doi.org/10.30994/jqph.v4i2.206.

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The medical record department is one of the most important parts in the hospital's effort to provide excellent service to patients. The medical records section is indeed a part that is not directly involved in patient care, but other health workers need a medical record section in order to serve patients. The purpose of this study was to analyze internal customer satisfaction related to the service of the medical records department at Muhammadiyah Hospital Ponorogo. The research design used a descriptive quantitative research design. The sampling technique used was snowball sampling. The results showed that several obstacles were found, namely the speed of providing medical records, the accuracy of providing medical records, the management of KLPCM (Incomplete Filling Of Medical Records) and medical record officers who had medical record competence were still very limited. Improved services provided by the medical record department can increase internal customer satisfaction, and of course will have a direct impact on service to patients. nurses and hospital BPJS healthcare officers.

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Sridhar, G. R., Allam Appa Rao, M. V. Muraleedharan, R. V. Jaya Kumar, and Venkat Yarabati. "Electronic medical records and hospital management systems for management of diabetes." Diabetes & Metabolic Syndrome: Clinical Research & Reviews 3, no. 1 (January 2009): 55–59. http://dx.doi.org/10.1016/j.dsx.2008.10.008.

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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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Серегина, Ирина, Irina Seregina, Антон Колоколов, Anton Kolokolov, Ирина Сон, Irina Son, Людмила Руголь, and Lyudmila Rugol'. "About the legal value of medical records in medical organizations." Vestnik Roszdravnadzora 2019, no. 5 (October 23, 2019): 88–94. http://dx.doi.org/10.35576/article_5db03843660953.69594693.

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The article deals with the legal value of medical records management in organizations engaged in medical activities. An understanding of the legal status of medical documentation in court proceedings, both in civil and criminal proceedings, is given. Attention is focused on bringing to criminal responsibility of medical workers for inadequate management of medical documentation.

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Cahyaharnita, Rezky Ami. "Synchronization of Electronic Medical Record Implementation Guidelines in National E-Health Strategies." SOEPRA 5, no. 2 (April 2, 2020): 209. http://dx.doi.org/10.24167/shk.v5i2.2430.

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Medical records are made in writing, complete and clear or electronically. Medical records are the basis of medical services to patients. Paper medical records increase the amount of paper waste in Indonesia. A national e-health strategy is a comprehensive approach to efforts in the national health sector. Electronic medical records are more effective because of better time management. The formulation of the problem in this article covers the reasons, criteria, and implementation of electronic medical records. The research method used is descriptive qualitative research with a statute approach. The criteria for a good electronic medical record are integrated data from various sources, data collected at the service point, and supporting service providers in decision making. The expected electronic medical record is to be integrated with the health service facility information system program without neglecting the confidentiality aspect. Therefore, the government needs to make regulations on the technical implementation of electronic medical records.

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Dansky, Kathryn H., Larry D. Gamm, Joseph J. Vasey, and Camille K. Barsukiewicz. "Electronic Medical Records: Are Physicians Ready?" Journal of Healthcare Management 44, no. 6 (November 1999): 440–54. http://dx.doi.org/10.1097/00115514-199911000-00007.

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Dansky, Larry. "Electronic Medical Records: Are Physicians Ready?" Journal of Healthcare Management 44, no. 6 (November 1999): 454–55. http://dx.doi.org/10.1097/00115514-199911000-00008.

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Maisa Putra, Deni, Oktamianiza Oktamianiza, Mega Yuniar, and Washi Fadhila. "Study Literature Review On Returning Medical Record Documents Using HOT-FIT Method." International Journal of Engineering, Science and Information Technology 1, no. 1 (January 3, 2021): 61–65. http://dx.doi.org/10.52088/ijesty.v1i1.102.

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The return of medical record files is a system that is quite important in medical records, because the return of medical records starts from the file in the inpatient room until it returns to the medical record section in accordance with the return policy, which is 2x24 hours. The method used is a literature study with descriptive analysis which is done by describing the facts that exist then being analyzed, described, looking for similarities, views, and summaries of several studies. The results of the literature study show that humans are not responsible for returning medical record files, the organization lacks supervision from the management of returning files, technology (technology) with technology can assist in returning medical record files. So it is necessary to pay attention to the 3 components, so that it can produce a benefit (Net Benefit) from returning the medical record document. Based on the results of the study, it can be concluded that the factors that influence the return of medical record documents are in terms of the HOT-FIT method, (human) where the officers lack a sense of responsibility for medical record documents, and doctors and nurses do not pay attention to the form of filling out record documents medical records, so that it becomes an obstacle in returning medical record documents. It's good to have good supervision from the management.

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Samsir and Syaiful Zuhri Harahap. "Application Design Resume Medical By Using Microsoft Visual Basic.Net 2010 At The Health Center Appointments." International Journal of Science, Technology & Management 1, no. 1 (May 27, 2020): 14–20. http://dx.doi.org/10.46729/ijstm.v1i1.5.

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In implementing health services, puskesmas must document all actions and treatments that are given to patients in a document called Medical Records. According to Minister of Health Regulation No.269 / MENKES / PER / III / 2008 article 1 (1), medical records are files containing notes and documents about patient identities. Medical records are of good quality if the medical record is accurate, complete, trustworthy, valid and timely. One form of management in Medical Records is reporting. According to Minister of Health Regulation No.269 / MENKES / PER / III / 2008 article 1 (1), Medical Record is a file that contains notes and documents about patient identity, examinations, actions, and other services that have been given to patients. In the statement, all information about a patient has been reflected which will be made the basis for determining further actions in services and other medical actions given to a patient who comes to the community health center. The Medical Record is said to be of high quality if the Medical Record is accurate, complete, trustworthy, valid and timely. The Medical Record Installation has activities such as registration, data processing, and storage. One form of processing data in medical records is the existence of assembling activities. Assembling is an assembling activity compiling empty Medical Record forms and storing them into Medical Records, ready to use neatly arranged both in terms of quality and quality.

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S. Ellouze, A., A. Jmal, and R. Bouaziz. "Service Oriented Tools for Medical Records Management and Versioning." American Journal of Bioinformatics Research 2, no. 4 (August 9, 2012): 33–39. http://dx.doi.org/10.5923/j.bioinformatics.20120204.01.

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Zhang, Jufen, Jing Du, Jian Li, Jian Gao, and Ai'min Chen. "Recovery Management of Medical Records Based on Client Browser." Chinese Medical Record English Edition 2, no. 1 (March 2014): 4–6. http://dx.doi.org/10.3109/23256176.2014.896630.

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Sato, Tomoaki, Kazuhisa Yao, Yasuhiro Kawakami, Noriaki Sadakane, Satoru Miyake, Toshiaki Sendo, and Yutaka Gomita. "Establishment of Narcotics Management System Using Electronic Medical Records." Iryo Yakugaku (Japanese Journal of Pharmaceutical Health Care and Sciences) 32, no. 7 (2006): 686–92. http://dx.doi.org/10.5649/jjphcs.32.686.

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Anderson, Barbara. "Book Review: Medical Records. Management in a Changing Environment." Australian Medical Record Journal 18, no. 3 (September 1988): 123–24. http://dx.doi.org/10.1177/183335838801800315.

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Silva, Cícero A., Gibeon S. Aquino, Sávio R. M. Melo, and Dannylo J. B. Egídio. "A Fog Computing-Based Architecture for Medical Records Management." Wireless Communications and Mobile Computing 2019 (February 27, 2019): 1–16. http://dx.doi.org/10.1155/2019/1968960.

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The aging of the world’s population and the growth in the number of people with chronic diseases have increased expenses with medical care. Thus, the use of technological solutions has been widely adopted in the medical field to improve the patients’ health. In this context, approaches based on Cloud Computing have been used to store and process the information generated in these solutions. However, using Cloud can create delays that are intolerable for medical applications. Thus, the Fog Computing paradigm emerged as an alternative to overcome this problem, bringing computation and storage closer to the data sources. However, managing medical data stored in Fog is still a challenge. Moreover, characteristics of availability, performance, interoperability, and privacy need to be considered in approaches that aim to explore this problem. So, this article shows a software architecture based on Fog Computing and designed to facilitate the management of medical records. This architecture uses Blockchain concepts to provide the necessary privacy features and to allow Fog Nodes to carry out the authorization process in a distributed way. Finally, this paper describes a case study that evaluates the performance, privacy, and interoperability requirements of the proposed architecture in a home-centered healthcare scenario.

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Eberl, Margaret M., Nancy Watroba, Marc Reinhardt, Jay Pomerantz, Joseph Serghany, Gregory Broffman, Chester H. Fox, Martin C. Mahoney, and Stephen B. Edge. "Linked claims and medical records for cancer case management." Cancer 110, no. 3 (2007): 518–24. http://dx.doi.org/10.1002/cncr.22808.

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Shoolin, J. S. "Change Management – Recommendations for Successful Electronic Medical Records Implementation." Applied Clinical Informatics 01, no. 03 (2010): 286–92. http://dx.doi.org/10.4338/aci-2010-01-r-0001.

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SummaryChange is difficult and managing change even more so. With the advent of Electronic Medical Records (EMRs) and the difficulty of its acceptance, understanding physician’s attitudes and the psychology of change management is imperative. While many authors describe change management theories, one comes nearest to describing this particularly difficult transition. In 1969, Elizabeth Kübler-Ross wrote her seminal treatise, On Death and Dying, detailing the psychological changes terminally ill patients undergo. Her grieving model is a template to examine the impact of change. By following a physician through the EMR maze, understanding the difficulties he/she perceives and developing a plan other change agents are able to use, the paper gives practical recommendations to EMR change management.

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Bali, Amit, Deepika Bali, Nageshwar Iyer, and Meenakshi Iyer. "Management of Medical Records: Facts and Figures for Surgeons." Journal of Maxillofacial and Oral Surgery 10, no. 3 (April 20, 2011): 199–202. http://dx.doi.org/10.1007/s12663-011-0219-8.

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Martinez, N. A., and D. A. Paez Martinez. "Effectiveness of a custom web system management medical records." International Journal of Oral and Maxillofacial Surgery 40, no. 10 (October 2011): 1060. http://dx.doi.org/10.1016/j.ijom.2011.07.118.

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., Musriati, Indar ., and Muhammad Tahir Abdullah. "Management of medical record in installation of inpatient regional public hospital Batara Guru Belopa." International Journal Of Community Medicine And Public Health 6, no. 7 (June 28, 2019): 2773. http://dx.doi.org/10.18203/2394-6040.ijcmph20192594.

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Background: This research is motivated by the high number of incompleteness of filling in the patient's medical record file in the inpatient installation, which is 30-35% in Regional Public Hospital Batara Guru Belopa.Methods: The research method is qualitative using the phenomenology approach. Determination of informants using purposive sampling method and obtained as many as eighteen informants. Data collection in the form of in-depth interviews, document review and observation. The validity of the data is done by triangulation and credibility test.Results: Management of medical records completeness seen from human resources who still need additional staffin the central part of the hospitalization by looking at the large number of patients and workload of the officers, doctors rarely fill in the full medical record sheets due to negligence of doctors due to other activities or in a hurry. Management of medical records completeness viewed from the procedure, there are still officers in the inpatient department who do not know the flow of exit and entry of the medical record file to the inpatient installation. The management of medical record completeness is seen from the information, implementation of hospital policy regarding the completeness of filling in medical record is not maximal because medical record file is slowly completed and returned to the medical record section.Conclusions: The hospital should be conducted a routine evaluation related to the completeness of the medical record and activated the hospital management information system (HMIS).

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Bassøe, C. F., and J. E. Rasmussen. "Semantic Analysis of Medical Records." Methods of Information in Medicine 32, no. 01 (1993): 66–72. http://dx.doi.org/10.1055/s-0038-1634897.

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Abstract:A program (LogStory) is described that was developed for the automatic semantic analysis of clinical narratives, stored in a computerized problem-oriented medical record (PROMED). The diagnoses were written in a free-text format during consultation, and later collected into diagnostic classes, e.g., diseases. A lexical parser automatically created dictionaries from the clinical narrative associated with each disease. Automatic (fuzzy) set operations were performed on the words associated with each class. The manifestations of 16 diseases were automatically extracted by pairwise operations on the word sets. The correlation between diseases and corresponding signs, symptoms and treatment was highly significant (p <0.001). Applying the difference operation on diseases with disjunct sets of clinical findings allowed the recovery of disease-specific knowledge. The evolution of a disease was accounted for, and the system was able to generalize its findings. The PROMED-LogStory concept enables the processing of natural language and may be a powerful tool for knowledge acquisition and clinical research.

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Cooper, Philip, and Dorsey Butterbaugh. "Health service development for physician/medical records." Health Care Management Review 18, no. 2 (1993): 7–14. http://dx.doi.org/10.1097/00004010-199321000-00002.

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Cericola, Sandra A. "Personnel Records. A Management Responsibility." Plastic Surgical Nursing 17, no. 1 (1997): 39–40. http://dx.doi.org/10.1097/00006527-199717010-00009.

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Belsis, Petros, Christos Skourlas, and Stefanos Gritzalis. "A Wireless System for Secure Electronic Healthcare Records Management." International Journal of Advanced Pervasive and Ubiquitous Computing 5, no. 4 (October 2013): 16–32. http://dx.doi.org/10.4018/ijapuc.2013100102.

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Recent advances in wireless computing and in the hardware of wireless devices has opened new directions in many domains; for example in the medical domain the medical personnel in hospitals is able to use wireless devices to gain ubiquitous access to medical related information. However the sensitivity of medical related data poses many challenges in the effort to securely manage these data. In this paper the authors present an agent based architecture for efficient management of medical data. The authors present the security choices and also provide experimental details about the flexibility of our approach.

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Sheikhtaheri, Abbas, Farid Khorami, and Hedyeh Mohammadzadeh. "Essential Data Elements for Electronic Cardiovascular Medical Record Systems in Iran." Frontiers in Health Informatics 10, no. 1 (January 3, 2021): 54. http://dx.doi.org/10.30699/fhi.v10i1.252.

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Introduction: Electronic medical records play an important role in the management of patients. In order to develop cardiovascular electronic medical record systems, determining minimum data set is necessary. This study aimed to determine the essential data elements for electronic cardiovascular medical record systems.Methods: Medical records of patients with cardiovascular diseases and also the literature were reviewed to develop a questionnaire regarding the data elements. 87 cardiovascular specialists and residents as well as 50 nurses working in cardiovascular departments of hospitals affiliated with Iran University of Medical Sciences participated in the study. The data elements with at least 75% of agreement were considered essential for electronic medical records. Data were analyzed using descriptive statistics in SPSS software.Results: The essential data elements were classified in 29 classes including admission, death, patients’ main complaints, clinical signs, observations, medications, cardiac surgery, risk factors, laboratory and pathology results, consultation, resuscitation, anesthetic, electrocardiography, blood transfusion or blood products, rehabilitation measures, angiography/venography, exercise testing, endoscopy/colonoscopy, medical imaging, echocardiography, nursing interventions, allergies and side effects, therapeutic implantations, cardiac examinations, physical examinations, angina, referrals, social backgrounds and history., Totally, out of 276 data elements, 245 elements were identified as the essential data elements for electronic cardiovascular medical record systems.Conclusion: In this study, essential data elements were defined for electronic cardiovascular medical records. Identifying cardiovascular minimum data set will be an effective step towards integrating and improving the management of these patients' information.

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Lu, Shen, and Richard S. Segall. "Linkage in medical records and bioinformatics data." International Journal of Information and Decision Sciences 5, no. 2 (2013): 169. http://dx.doi.org/10.1504/ijids.2013.053803.

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Tran, Thi Tra Mi, and Thi Hong Tran. "Compliance with regulations on recording inpatient obstetric medical records and its influencing factors at Tra Vinh obstetrics and pediatrics hospital in 2020." Journal of Health and Development Studies 05, no. 03 (May 30, 2021): 125–32. http://dx.doi.org/10.38148/jhds.0503skpt21-002.

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Background: Medical records are one of the important contents to ensure the monitoring, management of medical examination and treatment, storing and searching patient information, and scientific research. Objects and research methods: Cross descriptive research design with actual sample size of 255 HSBA. Results: The content of the general information section reached the lowest rate in the content of the administrative section of 83.9%. Other contents in this section have the rate of 90.9% - 99.8%. The average rate of general information is 92.9%. Contents of the medical history section, the proportion of satisfactory contents such as the reason for admission to the hospital (99.6%), the questioning part (96.3%) and the medical examination were quite high (97.8%), content of monitoring at the delivery chamber was only 73.7%. The average percentage of medical records meeting the requirements of the medical record part is 91.9%. Content inside medical records: The average rate is 91.1%. Conclusion: The medical records which have 85% to <100% of corrected items accounts for 98.1%. There should be specific instructions on how to record medical records at Tra Vinh Obstetrics and Pediatrics hospital Keywords: Medical record, completeness, timeliness

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Bremond-Gignac, Dominique, Elisabeth Lewandowski, and Henri Copin. "Contribution of Electronic Medical Records to the Management of Rare Diseases." BioMed Research International 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/954283.

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Purpose.Electronic health record systems provide great opportunity to study most diseases. Objective of this study was to determine whether electronic medical records (EMR) in ophthalmology contribute to management of rare eye diseases, isolated or in syndromes. Study was designed to identify and collect patients’ data with ophthalmology-specific EMR.Methods.Ophthalmology-specific EMR software (Softalmo software Corilus) was used to acquire ophthalmological ocular consultation data from patients with five rare eye diseases. The rare eye diseases and data were selected and collected regarding expertise of eye center.Results.A total of 135,206 outpatient consultations were performed between 2011 and 2014 in our medical center specialized in rare eye diseases. The search software identified 29 congenital aniridia, 6 Axenfeld/Rieger syndrome, 11 BEPS, 3 Nanophthalmos, and 3 Rubinstein-Taybi syndrome.Discussion.EMR provides advantages for medical care. The use of ophthalmology-specific EMR is reliable and can contribute to a comprehensive ocular visual phenotype useful for clinical research.Conclusion.Routinely EMR acquired with specific software dedicated to ophthalmology provides sufficient detail for rare diseases. These software-collected data appear useful for creating patient cohorts and recording ocular examination, avoiding the time-consuming analysis of paper records and investigation, in a University Hospital linked to a National Reference Rare Center Disease.

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Budiyanti, Helda, and Nyoman Anita Damayanti. "Penilaian Kebutuhan Pelatihan pada Tingkat Individu Petugas Rekam Medis." Jurnal Administrasi Kesehatan Indonesia 3, no. 1 (January 1, 2015): 70. http://dx.doi.org/10.20473/jaki.v3i1.2015.70-79.

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ABSTRACT The increased number of complaint patient indicated performance gap of medical records officer. Training needs assessment was a systematically order of process to discover and identified the existence of a disparity performance caused by a lack of knowledge, attitude and skills in doing the work. Individual analysis identified a disparity between requirements of work to requirement an organization that owned by their respective employee. The purpose of this study was to develop a training needs medical records staff at Undaan Surabaya Eye Hospital, based on the training needs assessment through individual analysis.This was a descriptive study, subject of research were medical record officers who works in Undaan Surabaya Eye Hospital. More that 56,00% was included in good category knowledge. The most medical records officers has 88% excellent working attitude, skilled officers medical records in conducted technical work related duties 77.78% good category, and softkills as a whole into the category of a good 49,5%. This study concluded be taken from this study was the training needs of medical record staff in Undaan Eye Hospital Surabaya generally was training on knowledge and skill of management medical records. Keywords :individual analysis, medical record staff, training need assessment

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