Electronic health records to facilitate clinical research

Electronic health records (EHRs) provide opportunities to enhance patient care, embed performance measures in clinical practice, and facilitate clinical research. Concerns have been raised about the increasing recruitment challenges in trials, burdensome and obtrusive data collection, and uncertain generalizability of the results. Leveraging electronic health records to counterbalance these trends is an area of intense interest. The initial applications of electronic health records, as the primary data source is envisioned for observational studies, embedded pragmatic or post-marketing registry-based randomized studies, or comparative effectiveness studies. Advancing this approach to randomized clinical trials, electronic health records may potentially be used to assess study feasibility, to facilitate patient recruitment, and streamline data collection at baseline and follow-up. Ensuring data security and privacy, overcoming the challenges associated with linking diverse systems and maintaining infrastructure for repeat use of high quality data, are some of the challenges associated with using electronic health records in clinical research. Collaboration between academia, industry, regulatory bodies, policy makers, patients, and electronic health record vendors is critical for the greater use of electronic health records in clinical research. This manuscript identifies the key steps required to advance the role of electronic health records in cardiovascular clinical research

A modular multipurpose, parameter centered electronic health record architecture

Health Information Technology is playing a key role in healthcare. Specifically, the use of electronic health records has been found to bring about most significant improvements in healthcare quality, mainly as relates to patient management, healthcare delivery and research support. Health record systems adoption has been promoted in many countries to support efficient, high quality integrated healthcare. The objective of this work is the implementation of an Electronic Health Record system based on a relational database. The system architecture is modular and based on the concentration of specific pathology related parameters in one module, therefore the system can be easily applied to different pathologies. Several examples of its application are described. It is intended to extend the system integrating genomic data

Improvement of patient safety through implementation of electronic medical records

Introduction: Today, with the complexity of the process of conducting activities, the increase in diversity and the number of hospital services, and the increase in the expectations of clients - consistent with the fast technological advances - most of the hospitals in Iran have turned to mechanized systems to organize their daily activities and to register the patients' information and the care provided. One of these technologies is electronic medical records, which is known as a valuable system to evaluate patients' information in hospitals. The purpose of this paper was to examine the advantages of running electronic medical records in patient safety. Methods: This study is a review paper based on a structured review of papers published in the Google Scholar, SID, Magiran, Pubmed, and Science Direct databases (from 2007 to 2015) and the books on the benefits of implementing electronic medical records in patient safety and the related keywords. Results: Clinical information systems can have a significant effect on the quality of the outputs and patient safety. Various studies have indicated that the physicians with access to clinical guidelines and features such as computer reminders, doctors who did not have these features, presented more appropriate preventive care. Studies show that electronic medical records play a crucial role in improving the quality of patient health and safety services. Moreover, electronic medical record system is usually in connection with other technological tools: electronic drug management records,  electronic record of time and date of drug management are usually associated with bar code technology. Among the benefits of this system is the possibility to record clinical care by the treatment team, which would be especially beneficial for patient's bedside record. If the treatment personnel forgets to ask the patient a particular question, system reminds him/her. Furthermore, electronic medical record is able to remind the nurses of the patient's allergic reactions and medical history without the need for the patient to remind, which improves patient safety. Conclusion: Implementation of electronic medical records boosts up the quality of health services, patient safety, people's access to health care services, and the speed of patients treatment, leading to lower healthcare costs. Thus, considering the benefits mentioned and some other benefits of this kind, one can use this technology in clinical care provided to patients to come up with a safe and effective clinical care

Electronic health records to facilitate clinical research

Electronic health records (EHRs) provide opportunities to enhance patient care, embed performance measures in clinical practice, and facilitate clinical research. Concerns have been raised about the increasing recruitment challenges in trials, burdensome and obtrusive data collection, and uncertain generalizability of the results. Leveraging electronic health records to counterbalance these trends is an area of intense interest. The initial applications of electronic health records, as the primary data source is envisioned for observational studies, embedded pragmatic or post-marketing registry-based randomized studies, or comparative effectiveness studies. Advancing this approach to randomized clinical trials, electronic health records may potentially be used to assess study feasibility, to facilitate patient recruitment, and streamline data collection at baseline and follow-up. Ensuring data security and privacy, overcoming the challenges associated with linking diverse systems and maintaining infrastructure for repeat use of high quality data, are some of the challenges associated with using electronic health records in clinical research. Collaboration between academia, industry, regulatory bodies, policy makers, patients, and electronic health record vendors is critical for the greater use of electronic health records in clinical research. This manuscript identifies the key steps required to advance the role of electronic health records in cardiovascular clinical research

Federalism and Health Care in Canada: A Troubled Romance?

Canadian federalism fragments health system governance Although the Constitution has been interpreted as providing shared jurisdiction over health generally with respect to health care specifically the courts have interpreted the Constitution as giving direct jurisdiction to the provinces The Federal role in health care is therefore indirect but nevertheless potentially powerful For example the Federal government has used its spending powers to establish the Canada Health Act CHA which commits funding to provinces on condition they provide firstdollar public coverage of hospital and physician services However in recent times as federal contributions have declined the CHA has been weakly enforced Further the failure to broaden the CHA to include prescription drugs dentistry and other important aspects of health care have contributed to Canada\u27s abysmal record on aboriginal health and its increasingly poor rankings in international comparisons Progress requires enforcement of an adequately funded CHA national pharmacare and concerted action on aboriginal health It requires bolder federal action and a panCanadian approach to governance in which federalism again becomes a laboratory of experimentation including on health human resource planning drug utilization and safety health emergency readiness health technology assessment electronic health information systems and systemlevel quality assuranc

Analisis dan Perancangan Interoperabilitas Data Pemonitoran SPM (Standar Pelayanan Minimal) Bidang Kesehatan dengan Web Services

System  interoperability  is  a  key  factor  in  the  transformation  of  the  minimum  service  standards  (SPM)  reporting  system  in  the  health  sector.  This  article  presents  an  in-depth  analysis  to  design  an  Application  Programming  Interface  (API)  model  that  aims  to  increase  the  effectiveness  of  sending  and  reporting  SPM  data  from  primary  health  facilities  under  the  district  health  office.  Through  analytical  studies,  we  identified  system  interoperability  needs  at  the  district  health  department  level,  including  aspects  such  as  electronic  medical  record  (EMR)  data  formats,  minimum  service  standards,  and  patient  identification  systems.  One  of  the  main  challenges  is  the  diversity  of  data  formats  and  sources  that  must  be  integrated. Based  on  this  analysis,  we  designed  an  API  specifically  designed  to  facilitate  the  exchange  of  important  data  related  to  reporting  minimum  service  standards  in  the  health  sector.  The  resulting  API  follows  the  principles  of  RESTful  architecture,  prioritizing  scalability,  flexibility,  and  security.  API  specifications  include  nationally  recognized  data  standards  for  health  reporting  as  well  as  stringent  authentication  and  authorization  systems  to  protect  sensitive  data.  Initial  implementation  and  testing  results  show  that  the  proposed  API  successfully  connects  diverse  health  reporting  systems  with  high  effectiveness.  Evaluation  of  API  performance  through  measuring  response  time  and  resource  usage  indicates  adequate  performance  for  use  in  a  production  environment.  Through  the  design  of  this  API,  it  is  hoped  that  it  can  increase  interoperability  between  minimum  service  standard  reporting  systems  in  the  health  sector,  reduce  data  duplication,  and  speed  up  the  reporting  process. The  conclusions  of  this  study  underscore  the  important  role  of  APIs  in  supporting  healthcare  quality,  data-driven  decision-making,  and  more  efficient  integration  of  medical  systems. 

Electronic health records to facilitate clinical research

Electronic health records (EHRs) provide opportunities to enhance patient care, embed performance measures in clinical practice, and facilitate clinical research. Concerns have been raised about the increasing recruitment challenges in trials, burdensome and obtrusive data collection, and uncertain generalizability of the results. Leveraging electronic health records to counterbalance these trends is an area of intense interest. The initial applications of electronic health records, as the primary data source is envisioned for observational studies, embedded pragmatic or post-marketing registry-based randomized studies, or comparative effectiveness studies. Advancing this approach to randomized clinical trials, electronic health records may potentially be used to assess study feasibility, to facilitate patient recruitment, and streamline data collection at baseline and follow-up. Ensuring data security and privacy, overcoming the challenges associated with linking diverse systems and maintaining infrastructure for repeat use of high quality data, are some of the challenges associated with using electronic health records in clinical research. Collaboration between academia, industry, regulatory bodies, policy makers, patients, and electronic health record vendors is critical for the greater use of electronic health records in clinical research. This manuscript identifies the key steps required to advance the role of electronic health records in cardiovascular clinical research.</p

E-Healthcare Using Block Chain Technology and Cryptographic Techniques: A Review

The potential of information technology has influenced the efficiency and quality of healthcare worldwide. Currently, several republics are incorporating electronic health records (EHRs). Due to reluctance of technological adaptation & implementational complexities, electronic health record systems are not in practice. Due to the emphasis on achieving general compatibility, users may perceive systems as being imposed and providing insufficient customizability, which may exacerbate issues in a setting of national implementation. EHS improves patient safety and confidentiality and ensures operative, effective, well-timed, reasonable, and patient-centred care, all of which substantially impact healthcare quality. Blockchain technology has been used by the EHS system, which supports web-based accessibility and availability. The difficulties of exchanging medical data can now be overcome by consumers using an infrastructure based on cloud computing. A variety of cryptographic approaches have been employed to encrypt and safeguard the data. This review paper aims to highlight the role and impact of blockchain in EHR. The proposed research describes cryptography methods, their classifications, and the challenges associated with EHR to identify gaps and countermeasures

The Electronic Medical Record (EMR)

Abstract The electronic medical record (EMR) comprises a system of recording, processing, storing, recording and transferring health information electronically. Through the use of the EMR, several limitations that are associated with the paper-based medical record system are clearly overcome. For example, in contrast to the paper record, the EMR can play a larger role in medical decision-making, integrating the services of various departments, customizing care to the patients, reducing medical errors, improving quality, reducing costs, etc. In addition, the EMR can effectively help to transfer patient information from one organization to another and in this way help in referrals and improving the access to healthcare. This article examines the problems associated with the implementation of EMR systems, and later discusses the uses of EMRs and its benefits. If EMR system is implemented and used properly, it will help in the improvement of community health

Health Care Leaders\u27 Experiences of Electronic Medical Record Adoption and Use

Adoption of electronic medical record (EMR) technology systems of meaningful use has been slow despite the mandate by the U.S. government. The purpose of this single case study was to explore strategies used by health care leaders to implement EMR technology systems of meaningful use to take advantage of federal incentive payments. Diffusion of innovation theory provided the conceptual framework for the study. Semistructured interviews were conducted with 6 health care leaders from a military installation in the Southeast United States. Data were analyzed using software, coding, and inductive analyses. The 3 prominent themes were patient, provider, and champion. Alerts from an EMR technology system can increase providers\u27 awareness and improve patient safety. Providers\u27 involvement in every phase of an EMR system\u27s implementation can improve the adoption rate. Champions play a critical role in successful adoption and implementation of EMR systems. Results of this study may assist health care leaders in implementing EMR systems to take advantage of federal incentive payments. Implications for positive social change include enhanced delivery of safe, high-quality health care