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Rozprawy doktorskie na temat „EHR”

Autor: Grafiati

Data publikacji: 4 czerwca 2021

Data aktualizacji: 25 lipca 2025

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Granada, Liezel. "Nursing Education Workflows in EHR Training." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6757.

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A need for improvement in nursing education regarding inpatient workflows and informatics skills was identified at this project site. Upon hire, nurses were required to complete a 4-hour basic class on the electronic health record (EHR) system, but this class did not include inpatient-nursing workflows needed to provide and facilitate care for patients. This project addressed the lack of EHR education on inpatient nursing workflows. The focus of this staff education project was an education class on inpatient nursing workflow provided to a nurse residency class. Sources of evidence were obtain

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Li, Junhua Information Systems Technology &amp Management Australian School of Business UNSW. "E-health readiness assessment from EHR perspective." Publisher:University of New South Wales. Information Systems, Technology & Management, 2008. http://handle.unsw.edu.au/1959.4/42930.

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Many countries (especially developing countries) are plagued with critical healthcare issues such as chronic, infectious and pandemic diseases, a lack of basic healthcare programmes and facilities and a shortage of skilled healthcare workers. E-Health (healthcare based on the Internet technologies) promises to overcome some problems related to the reach of healthcare in remote communities. Electronic Health Record (EHR) (consisting of all diagnostic information related to a patient) forms the core of any E-Health system. Hence the success of an E-Health system is very much dependent on the suc

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Christensen, Tom. "Bringing the GP to the forefront of EHR development." Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for samfunnsmedisin, 2009. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-5491.

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Ifølge denne avhandling var norske allmennleger godt fornøyd med bruk av elektronisk pasientjournal (EPJ) sammenlignet med papirjournaler, men tilgjengeligheten av informasjonen i store elektroniske journaler var ikke tilfredsstillende. Det ble funnet relativt effektiv tidsbruk av EPJ under konsultasjonene. Bruk av EPJ forstyrret ikke konsultasjonene ifølge legene eller pasientene som deltok i undersøkelsene. Det ble funnet at allmennlegene får god støtte fra EPJ til å utføre 21 av 24 oppgitte kliniske oppgaver. Det var ikke utviklet funksjonalitet i systemene til å støtte de resterende tre op

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Barry, Sacha (Sacha M. ). "Critical factors for successful electronic health record (EHR) implementation." Thesis, Massachusetts Institute of Technology, 2016. http://hdl.handle.net/1721.1/104546.

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Thesis: S.M. in Management Studies, Massachusetts Institute of Technology, Sloan School of Management, 2016.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (pages 68-75).<br>Since the 1970s, the healthcare industry has been moving from paper-based documents towards computer information systems in an effort to increase timely access to quality information, with the ultimate objective of wide dissemination and adoption of Electronic Health Records (EHRs). EHRs are electronic collections of patient health information that are recorded by physicians, nurses and pat

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de, Vries Heinca. "The readiness and perceptions of public health dentists on electronic health records: Case of Cape town south Africa." University of Western Cape, 2020. http://hdl.handle.net/11394/7840.

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Magister Commercii - MCom<br>This study aimed to understand the readiness and perceptions of Electronic Health Record (EHR) adoption among dentists in the public service of the Western Cape. A qualitative study design was chosen due to a lack of understanding of the phenomena. Additionally, the research sought to identify the factors that would potentially influence readiness and perceptions in order to identify how these factors could potentially influence EHR adoption among dentists.

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Kilic, Ozgur. "Achieving Electronic Healthcare Record (ehr) Interoperability Across Healthcare Information Systems." Phd thesis, METU, 2008. http://etd.lib.metu.edu.tr/upload/12609665/index.pdf.

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Providing an interoperability infrastructure for Electronic Healthcare Records (EHRs) is on the agenda of many national and regional eHealth initiatives. Two important integration profiles have been specified for this purpose: the &quot<br>IHE Cross-enterprise Document Sharing (XDS)&quot<br>and the &quot<br>IHE Cross Community Access (XCA)&quot<br>. XDS describes how to share EHRs in a community of healthcare enterprises and XCA describes how EHRs are shared across communities. However, currently no solution addresses some of the important challenges of cross community exchange environments.

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Xu, Xuejun. "Study and Implementation of Statistical Information System for EHR System." Thesis, Uppsala universitet, Institutionen för informationsteknologi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-156427.

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Uganda is accentuating a lot of efforts to strengthen its healthcare services and provide National Electronic Health Record System. One of the core components of Electronic Health Record System is Statistical Information System. The Statistical Information System locates in the application logic in the technical architecture of the whole project. Exsiting tool, DHIS 2 is evaluated and found not proper to be used as the project's Statistical Information System. Based on the discussions above, the system is divided into 3 parts: Static Statistics, Dynamic Statistics and HMIS Reports. The static

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Faria, Danilo Alves Martins de. "Operador de recombinação EHR aplicado ao problema da árvore máxima." Universidade Federal de Goiás, 2013. http://repositorio.bc.ufg.br/tede/handle/tede/3655.

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Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2014-11-20T11:31:40Z No. of bitstreams: 2 Dissertação - Danilo Alves Martins de Faria - 2013.pdf: 1188393 bytes, checksum: c56b169690f22bbbeaa2ee6fa46ade1c (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)<br>Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2014-11-20T14:17:45Z (GMT) No. of bitstreams: 2 Dissertação - Danilo Alves Martins de Faria - 2013.pdf: 1188393 bytes, checksum: c56b169690f22bbbeaa2ee6fa46ade1c (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714

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Adams, Sharon L. "Nurses Knowledge, Skills, and Attitude Toward Electronic Health Records (EHR)." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/875.

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Information technology (IT) has been rapidly integrated into the healthcare industry, including nursing, and has the ability to reduce errors, cut cost, and enhance patient care. However, approximately 45% of the current nurse workforce lacks adequate training in computer skills, which may hinder the adoption of health-related IT in the workplace. Characteristics of Rogers's diffusion of innovation (relative advantage, compatibility, complexity, trialability, and observability) guided this project. This project was conducted to address the problem of IT adoption on a local level and was design

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Lexima, Marie Mirna. "Underserved Patients' Perspectives on How the EHR Impacts Their Health." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1902.

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Our modern health care system requires technology that can deal with multidisciplinary and complex processes, operations, and situations. The EHR, by far, is one of the greatest health information technology innovations that satisfy these requirements because of its efficiency and the effectiveness of its features. This study sought to develop an in-depth understanding of how underserved patients' perspectives about their health and illness, can contribute to greater use of the EHR. It also sought to improve their health outcomes and maintain sustainable change in the lives of the underserved.

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Huang, Qian, and Qin Yin. "Study on Electronic Health Record and its Implementation." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-9464.

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This degree project deals with electronic health record (EHR). The report is divided into two main sections; literature study on electronic health record and an EHR system implementation. In the literature study section, EHR background, development history and service condition are introduced. The paper focuses on the sharing of medical information in different users, data safety and privacy. The adjunctions of computer science, technologies are used to solve the medical informatics’ problems. In the implementation section, based on the study of the current EHR systems, the design and implemen

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Rhodes, Harry B. "Factors influencing the quality of EHR performance| An exploratory qualitative study." Thesis, Capella University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10252643.

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<p> A significant amount of evidence existed in support of the positive effect on the quality of healthcare that resulted from transitioning to electronic health information systems, equally compelling evidence suggests that the development process for electronic health information systems falls short of achieving its potential. The objective of this research was to assess the existing HIT standards and health information management (HIM) principles to determine if they are robust enough to inform the development of national and international interoperability standards. The research question a

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Mukwaya, Jovia Namugerwa. "An Investigation of Semantic Interoperability with EHR systems for Precision Dosing." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279143.

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In healthcare, vulnerable populations that are using medications with a narrow therapeutic index and wide interpatient PK/PD (pharmacokinetic/pharmacodynamic modelling) variability are increasing. As such, variable dosage regimens may result in severe therapeutic failures or adverse drug reactions (ADR). Improved monitoring of patient response to medication and personalization of treatment is therefore warranted. Precision dosing aims to individualize drug regimens for each patient based on independent factors obtained from a patient’s clinical records. Personalization of dosing increases the

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Singh, Anima Ph D. Massachusetts Institute of Technology. "Exploiting hierarchical and temporal information in building predictive models from EHR data." Thesis, Massachusetts Institute of Technology, 2015. http://hdl.handle.net/1721.1/99783.

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Thesis: Ph. D., Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science, 2015.<br>This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.<br>Cataloged from student-submitted PDF version of thesis.<br>Includes bibliographical references (pages 123-126).<br>Clinical predictive modeling has the potential to revolutionize healthcare by allowing caregivers to allocate resources effectively, resulting not only in lower costs but also in better patient outcomes. Electron

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Jernigan, Ursula Renee. "Development and Content Validation of an Emergency Department EHR Safety Educational Program." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2292.

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Emergency Department (ED) providers and staff experience challenges with using electronic health record (EHR) software to document and communicate about patient care. These difficulties are often caused by inadequate training in the use of the organization's EHR system. Challenges with EHR use have been linked to increased ED patient wait times, which impacts patient safety by delaying care and increasing the potential for medication errors. Providing education that addresses EHR software; EHR usability; and collaboration among staff, providers, and EHR system managers has been shown to reduce

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Perumal, Palani. "Business model and strategy analysis for radiologists to use electronic health records (EHR)." Thesis, Massachusetts Institute of Technology, 2012. http://hdl.handle.net/1721.1/76928.

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Thesis (S.M. in Engineering and Management)--Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, 2012.<br>Cataloged from PDF version of thesis.<br>Includes bibliographical references (p. 90-94).<br>Radiology is a medical specialty that employs imaging to diagnose and treat disease. It has long been an advance user of technology to capture, store, share, and use images electronically. In 2009, President Obama signed into law a measure, the HITECH Act (part of the stimulus package), that incentivizes healthcare providers to use electronic he

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Johnson, Robyn. "Predicting clinicians’ intentions towards the electronic health record (EHR) : an extended UTAUT model." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/75255.

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The Electronic Health Record (EHR) has the potential to promote understanding or awareness of healthcare knowledge among patients and healthcare providers to facilitate collaboration between various key stakeholders to improve the quality of healthcare. The technology is also expected to provide global health communities with benefits, from improved health outcomes, reduced medical errors, and a reduction in healthcare expenditure. These benefits will not be realised unless the key stakeholders and consumers of the technology are willing to accept, adopt, and use the EHR. The purpose of this s

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Scott, Jessica. "Perceived Barriers to the use of Electronic Health Records for Infectious Disease Surveillance in Canada." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32000.

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This thesis examines the potential interface that exists between health information, specifically electronic health record (EHR) systems, and notifiable disease surveillance in Canada. It aims to highlight the benefits and barriers experienced by the current national notifiable disease surveillance strategy, as well as to highlight the successes and roadblocks to the successful implementation and adoption of EHR technologies in Canada. Qualitative methodologies, which include the 16 semi-structured interviews conducted with four key stakeholder groups, including public health experts, physicia

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Boonen, Dries. "The impact of bias on the predictive value of EHR driven machine learning models." Thesis, Högskolan i Halmstad, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-39960.

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The rapid digitization in the health care sector leads to an increaseof data. This routine collected data in the form of electronic healthrecords (EHR) is not only used by medical professionals but also hasa secondary purpose: health care research. It can be opportune touse this EHR data for predictive modeling in order to support medi-cal professionals in their decisions. However, using routine collecteddata (RCD) often comes with subtle biases that might risk efficientlearning of predictive models. In this thesis the effects of RCD on theprediction p

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Lozano, Rubí Raimundo. "A metamodel for clinical data integration. Basis for a new EHR model driven by ontologies." Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/399855.

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Durante las últimas décadas se ha extendido la implantación de sistemas de información en las organizaciones sanitarias, proporcionando un adecuado soporte a los principales procesos de las mismas. Sin embargo, a pesar de los avances producidos durante los últimos años en las tecnologías de la información y la comunicación, los sistemas actuales no son capaces de proporcionar un verdadero soporte a los profesionales sanitarios en su práctica diaria y sus actividades de investigación. Como consecuencia de la variedad de organizaciones sanitarias existentes y la heterogeneidad de los sistemas de

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Soares, Stephanie Elaine. "An integrated informatics approach to institutional biobanking| EHR utilization in the procurement of research biospecimens." Thesis, University of California, Davis, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1539704.

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<p> <b>Introduction:</b> Human biospecimens such as surgical tissue and blood are essential for some types of biomedical research because they contain genetic material (genes contained in living organisms). Because of their genetic content, biospecimens are able to add great value to fields of study such as genomics, molecular biology and biological chemistry. Increasing knowledge in these fields holds promise for improving healthcare for individual patients (precision medicine), as well as the broader healthcare community. These genetic materials obtained from patient donors are procured, sto

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Pelletier, Lori Rebecca. "Information-Enabled Decision-Making in Health Care: EHR-Enabled Standardization, Physician Profiling and Medical Home." Digital WPI, 2010. https://digitalcommons.wpi.edu/etd-dissertations/166.

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Health care today harms too frequently and routinely fails to deliver its potential benefits. Significant evidence suggests that high quality primary care can positively affect health outcomes. I explored three related topics mentioned frequently in current United States health reform €“ Electronic Health Records (EHR), physician profiling and Medical Home. An investment in these areas is expected to significantly improve quality of care and efficiency; however, there is only a patchwork of evidence supporting such claims. To achieve EHR promises, my research employed a standardization len

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

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<p>Electronic medical records (EMRs) or electronic health records have been in use for years in hospitals around the world as a time-saving system for patient record keeping. Despite its widespread use, some physicians disagree with the assertion that EMRs save time. The purpose of this study was to explore whether any time saved with the use of the EMR system was actually devoted by doctors to patient-care and thereby to improved patient-care efficiency. The conceptual support for this study was predicated employing the task-technology fit theory. Task-technology theorists argue that informa

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Hopes, Scott L. "Healthcare IT in Skilled Nursing and Post-Acute Care Facilities: Reducing Hospital Admissions and Re-Admissions, Improving Reimbursement and Improving Clinical Operations." Scholar Commons, 2017. https://scholarcommons.usf.edu/etd/7409.

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Health information technology (HIT), which includes electronic health record (EHR) systems and clinical data analytics, has become a major component of all health care delivery and care management. The adoption of HIT by physicians, hospitals, post-acute care organizations, pharmacies and other health care providers has been accepted as a necessary (and recently, a government required) step toward improved quality, care coordination and reduced costs: “Better coordination of care provides a path to improving communication, improving quality of care, and reducing unnecessary emergency room use

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Malhan, Amit Sundeep. "Exploring EHR Adoption and Implementation: The Impact of Resource Advantage Theory on Healthcare Organization's Competitive Position." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1538677/.

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The hospitals and their healthcare providers need to optimize simultaneously three outcomes: healthcare costs, healthcare options offered to customers, and information utilization efficiency. The adoption of electronic healthcare record (EHR) technologies is a potential managerial mechanism for balancing these outcomes. EHR offers patient management and decision support capabilities that can ameliorate health delivery outcomes for patients, doctors, and hospitals through better-informed business and care decisions. The analysis of data collected in an EHR system may lower costs and improve hea

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Windust, Anthony James. "The physiological ecology of diarrhetic shellfish poisoning (DSP) toxin production by the dinoflagellate Exuviaella lima (Ehr.) Bütschli." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ36593.pdf.

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Nanouris, Elizabeth. "The ethical and legal complications surrounding the implementation of a pan-Canadian electronic health record (EHR) system." Thesis, McGill University, 2011. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=104728.

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Canada lags behind other countries in the development of electronic health records. If Canada develops a pan-Canadian electronic health record (EHR) system, the quality of patient care can improve. A review of the literature lists potential benefits of EHRs such as improvements in medical research, a reduction in emergency room and diagnostic test wait times. Such a system will make medical records readily available to health care providers which will help them make informed critical decisions. Regardless of the benefits of such a system, there are legal and ethical implications hindering its

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Lima, Josimar de Souza. "Uma arquitetura de software para implementação de um EHR utilizando SOA considerando a interoperabilidade entre sistemas legados." Universidade Federal de Sergipe, 2016. https://ri.ufs.br/handle/riufs/3374.

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In today’s world, information systems are increasingly necessary for organizations to continue to provide their services with quality. These systems have become increasingly heterogeneous and complex. Executing them in an integrated manner with other systems has become a prerequisite. Due to the existence of legacy systems with stored data that needs to be maintained, the integration between systems is impaired. This situation is aggravated when it comes to health information systems because there are specific laws that require that data need to kept for decades. One well-known health in

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Bozan, Karoly. "Essays on Electronic Health Records (EHR) Process Framework and Design-Theoretic Model in a Multi-Stakeholder Context." Kent State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=kent1416865146.

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Davids, Kaashiefah. "The role of electronic healthcare systems (EHS) for patient recordkeeping in the Western Cape." University of Western Cape, 2019. http://hdl.handle.net/11394/7829.

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Magister Commercii - MCom<br>Information and communication technologies (ICT) have changed the way healthcare processes are being documented. This results in better quality and ethical vigilance to ensure a more accurate form of data recordkeeping (Stevenson, Nilsson, Petersson & Johansson, 2010). Health care in South Africa, is facing major issues relating to patient care, such as delays in patients receiving medical care. According to the national Department of Health, the improvement of public healthcare facilities is crucial (McIntyre & Ataguba, 2017). Information and communication technol

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Germain, Michael. "Design Requirements of Educational EHR for use in Case Based Instruction of First and Second Year Medical Students." Thesis, The University of Arizona, 2012. http://hdl.handle.net/10150/221244.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.<br>Case based instruction (CBI) in medical education is a well established alternative to lecture format in the training of first and second year medical students. There have been previous documented attempts to include technology in CBI that have received positive feedback from students. Electronic health records are now being mandated by 2014 and historically there have been many barriers to adoption including lack of EHR technical ski

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Kruse, Clemens. "An Analysis of the External Environmental and Internal Organizational Factors Associated With Adoption of the Electronic Health Record." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3006.

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Despite a Presidential Order in 2004 that launched national incentives for the use of health information technology, specifically the Electronic Health Record (EHR), adoption of the EHR has been slow. This study attempts to quantify factors associated with adoption of the EHR and Computerized Provider Order Entry (CPOE) by combining multiple organizational theories and empirical studies. The study is conducted in two phases. The primary phase of this study identifies and evaluates the effects of external environmental and internal organizational factors on healthcare organizations to adopt

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Shams, Amiri Nader. "Emerge and deploying electronic health records in developing countries." Thesis, Högskolan i Borås, Institutionen Handels- och IT-högskolan, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-16639.

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Nowadays, the main concern for any service provider organization is to improve their services with reducing the time of service accompanying with increase in their efficiency and effectiveness. In healthcare systems, specially, these concerns are much more important where the information is the core material of providng services to patients. Electronic health record (EHR) systems are designed to address these concerns and using them is becoming more and more important for many countries. EHR systems provide many capabilities to hospitals with collecting, sharing and manipulating information in

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Koppal, Ketaki. "Data Integration in Reporting Systems using Enterprise Service Bus." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1259727870.

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Mejia, Susan. "Strategies Rural Hospital Leaders Use to Implement Electronic Health Record." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5225.

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The Centers for Medicare and Medicaid Services issued over 144,000 payments totaling $7.1 billion to medical facilities that have adopted and successfully demonstrated meaningful use of certified electronic health record (EHR). Hospital organizations can increase cost savings by using the electronic components of EHRs to improve medical coding and reduce medical errors and transcription costs. Despite the incentives, some rural health care facilities are failing to progress. The purpose of this multiple case study was to explore the strategies rural hospital leaders used to implement an EHR. T

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Smith, Amber Rose. "Communication Strategies Used During Organizational Change in a Health Care Organization." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4561.

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More than 4.9 million businesses exist in the United States, and leaders within these businesses have to acclimate to change. Clear and effective communication is vital to the success of an organization. According to scholars and health care leaders focusing on strategies to communicate change during organizational change is a critical aspect of sustainability and profitability. The conceptual framework of this study was communication theory. The purpose of this single case study was to explore successful strategies that some health care leaders used to communicate during organizational change

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Tse, Pui-yin Fiona, and 謝佩妍. "Systematic review : the return on investment of EHR implementation and associated key factors leading to positive return-on-investment." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193818.

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Background: Implementations of national electronic health record (EHR) were currently underway worldwide as a core objective of eHealth strategies. It was widely believed that implementation of EHR might lead to considerable financial savings. This paper aimed to conduct a systematic review to assess return-on-investment (ROI) of HER implementation and to identify areas with greatest potential to positive ROI for ongoing deliberation on continuous development of EHR. Methodology: An inclusive string was developed to search English paper published between January 2003 and June 2013. This pap

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Huffaker, Luke Gregor, and Luke Gregor Huffaker. "Assessment of School Nurse-Provider Communication of Changes in Student Condition." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626690.

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The landscape of the United States public school system was greatly improved upon with the creation of The Individuals with Disabilities Education Act of 2004 (IDEA 2004). This act established a standard that allowed all school aged children living with chronic illnesses to integrate into public school systems. This mandate currently impacts over 12 million children living with chronic illness including and not limited to asthma, seizure disorders, developmental delay, cystic fibrosis, traumatic brain injuries, anxiety and cancer. IDEA 2004 extended healthcare into public school systems and a

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Andersson, Nazzal Lena, and Agneta Ryberg. "Ett vårdinformationssystem i vårdens frontlinje : En fallstudie om Cambio Cosmic på en vårdcentral i Landstinget Kronoberg." Thesis, Växjö University, School of Mathematics and Systems Engineering, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:vxu:diva-1563.

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<p>In healthcare there is a rapid development towards introducing and implementing a wide range of information technology (IT) to aim for higher quality and more effective care. A common health information system (Cambio Cosmic) has been implemented in Landstinget Kronoberg. Clinical microsystems are the frontline units where staff and pa-tient meet. When the conditions in the microsystems are changed, it is interesting to de-scribe and analyse the consequences.</p><p>The purpose of this study is to describe how health care staff uses a health information sys-tem and how they experience its fu

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Håkansson, Ellinor. "A Deep Learning Approach to Predicting Diagnosis Code from Electronic Health Records." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-240599.

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Electronic Health Record (EHR) is an umbrella term encompassing demographics and health information of a patient from many different sources in a digital format. Deep learning has been used on EHRs in many successful studies and there is great potential in future implementations. In this study, diagnosis classification of EHRs with Multi-layer Perceptron models are studied. Two MLPs with different architectures are constructed and run on both a modified version of the EHR dataset and the raw data. A Random Forest is used as baseline for comparison. The MLPs are not successful in beating the ba

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Lütz, Elin. "Unsupervised machine learning to detect patient subgroups in electronic health records." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-251669.

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The use of Electronic Health Records (EHR) for reporting patient data has been widely adopted by healthcare providers. This data can encompass many forms of medical information such as disease symptoms, results from laboratory tests, ICD-10 classes and other information from patients. Structured EHR data is often high-dimensional and contain many missing values, which impose a complication to many computing problems. Detecting meaningful structures in EHR data could provide meaningful insights in diagnose detection and in development of medical decision support systems. In this work, a subset

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Germundsson, Frida, and Nicole Kvist. "MDR 2017/745 - New EU Regulation for Medical Devices: A Process Description for EHR Manufacturers on How to Fulfill the Regulation." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279137.

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On the 26th of May 2021 the new regulation for medical devices, MDR 2017/745, will come into force. The underlying incentives to go from the medical device directive (MDD 93/42/EEC) to MDR are a series of adverse events involving medical devices. The main goal of MDR is to strengthen and improve the already existing legislation and thus will entail large changes for manufactures, one of them being manufacturers of Electronic Health Record (EHR) systems. For medical software, such as EHR systems, the new regulation will imply an upgrade in risk classification. This upgrade will bring additional

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Söderström, Katarina, and Anneli Söderdahl. "Analys av standardiseringsarbeten och utveckling av ett IT-stöd för processorienterad vårddokumentation." Thesis, Linköping University, Department of Biomedical Engineering, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7423.

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<p>I dagens samhälle är det vanligt att patienter söker vård hos olika vårdgivare, vilket resulterar i att vårdinformationen blir splittrad och allt högre krav ställs på de datoriserade journalsystemen. Till exempel ska de stödja ett processorienterat arbetssätt för att samla information från samma vårdprocess. Vårdinformationen måste därför vara tillgänglig över organisationsgränser och olika journalsystem måste kunna kommunicera med varandra, där en ökad tillgänglighet ställer högre krav på informationssäkerhet och behörighetskontroll. Journalsystemen bör, för att uppfylla dessa krav, utveck

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Boscá, Tomás Diego. "DETAILED CLINICAL MODELS AND THEIR RELATION WITH ELECTRONIC HEALTH RECORDS." Doctoral thesis, Universitat Politècnica de València, 2016. http://hdl.handle.net/10251/62174.

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[EN] Healthcare domain produces and consumes big quantities of people's health data. Although data exchange is the norm rather than the exception, being able to access to all patient data is still far from achieved. Current developments such as personal health records will introduce even more data and complexity to the Electronic Health Records (EHR). Achieving semantic interoperability is one of the biggest challenges to overcome in order to benefit from all the information contained in the distributed EHR. This requires that the semantics of the information can be understood by all involved

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Martínez, Millana Antonio. "ASSESSMENT OF RISK SCORES FOR THE PREDICTION AND DETECTION OF TYPE 2 DIABETES MELLITUS IN CLINICAL SETTINGS." Doctoral thesis, Universitat Politècnica de València, 2017. http://hdl.handle.net/10251/86209.

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Health and sociological indicators confirm that life expectancy is increasing, and so, the years that patients have to live with chronic diseases and co-morbidities. Type 2 Diabetes is one of the most common chronic diseases, specially linked to overweight and ages over sixty. As a metabolic disease, Type 2 Diabetes affects multiple organs by causing damage in blood vessels and nervous system at micro and macro scale. Mortality of subjects with diabetes is three times higher than the mortality for subjects with other chronic diseases. On the one hand, the management of diabetes is focused on

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Sobin, Jonathan, and Ludvig Jakobsson. "eHealth development in Sweden : A study of prominent aspects and benefits from a multi-user perspective." Thesis, KTH, Industriell ekonomi och organisation (Inst.), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-148795.

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The European health care is facing challenges with an increasing ageing population, with a higher frequency of chronic diseases, which have resulted in rising health care costs. Meanwhile, the trend shows how patients and citizens are becoming more active in their personal health care, with the number of existing doctors and nurses subsiding furthermore entailing problems. The area of eHealth, which involves information and communication technologies with health care, is hence seen as a partial long-term solution and is considered being a rapidly growing market both in Sweden, but also in Euro

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Ådahl, Kerstin. "On Decision Support in Participatory Medicine Supporting Health Care Empowerment." Doctoral thesis, Blekinge Tekniska Högskola, Sektionen för datavetenskap och kommunikation, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00515.

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The task of ensuring Patient Safety is, more than ever, central in Healthcare. The report “To Err is Human” [Kohn et al. 2000], was revealing alarming numbers of incidents, injuries and deaths caused by deficiencies in healthcare activities. The book initiated assessment and change of Healthcare methods and procedures. In addition, numerous reports to Swedish HSAN (Medical Responsibility Board) have shown a high rate of information and communication deficiencies in Healthcare has a direct or indirect cause of incidents, injuries and deaths. Despite numerous of new sophisticated tools for infor

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Eguale, Tewodros. "Novel use of electronic health record (EHR) to estimate the prevalence of off-label prescribing, determinants and its association with adverse drug events (ADE)." Thesis, McGill University, 2013. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=119344.

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Background Adverse drug events (ADE) are leading cause of death. Current pharmacosurveillance methods rely on passive reporting to monitor drug safety, but this is slow and many ADEs are unreported. Moreover, physicians regularly prescribe drugs for indications for which they were never tested (off-label use), despite some highly-publicized associations with ADEs. We urgently need timely pharmacosurveillance methods to monitor drug safety and effectiveness for on- and off-label uses. Electronic health records (EHR) may help fill this void if they document the reasons for drug prescription (tre

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Pollard, Olivia L. "A Delphi Study Analysis of Best Practices for Data Quality and Management in Healthcare Information Systems." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7501.

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Healthcare in the US continues to suffer from the poor data quality practices processes that would ensure accuracy of patient health care records and information. A lack of current scholarly research on best practices in data quality and records management has failed to identify potential flaws within the relatively new electronic health records environment that affect not only patient safety but also cost, reimbursements, services, and most importantly, patient safety. The focus of this study was to current best practices using a panel of 25 health care industry data quality experts. The conc

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Kvastad, Johan. "ICT Security of an Electronic Health Record System: an Empirical Investigation : An in depth investigation of ICT security in a modern healthcare system." Thesis, KTH, Skolan för datavetenskap och kommunikation (CSC), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-194121.

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An empirical investigation of the security flaws and features of an in-use modern electronic health record system is performed. The investigation was carried out using dynamic analysis, manual testing and interviews with developers. The results indicate that in-use electronic health record systems suffer from serious authentication flaws, arising from the interaction of many different proprietary systems. The authentication problems are so severe that gaining access to any user’s computer on the hospital intranet would compromise a large database of patient medical records, including radiologi

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