scholarly journals User Manuals for a Primary Care Electronic Medical Record System: A Mixed-Methods Study of User- and Vendor-Generated Documents

2013 ◽  
Vol 56 (3) ◽  
pp. 194-209 ◽  
Author(s):  
Aviv Shachak ◽  
Rustam Dow ◽  
Jan Barnsley ◽  
Karen Tu ◽  
Sharon Domb ◽  
...  
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record System ◽  
Mixed Methods Study ◽  
Record System ◽  
System A ◽  
Medical Record System

scholarly journals Nurse Motivation, Engagement and Well-Being before an Electronic Medical Record System Implementation: A Mixed Methods Study

2021 ◽  
Vol 18 (5) ◽  
pp. 2726
Author(s):  
Rebecca M. Jedwab ◽  
Alison M. Hutchinson ◽  
Elizabeth Manias ◽  
Rafael A. Calvo ◽  
Naomi Dobroff ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Well Being ◽  
Electronic Medical Record System ◽  
Mixed Methods Study ◽  
Healthcare Organisation ◽  
Negative Consequences ◽  
Record System ◽  
Medical Record System

Implementation of an electronic medical record (EMR) is a significant workplace event for nurses in hospitals. Understanding nurses’ key concerns can inform EMR implementation and ongoing optimisation strategies to increase the likelihood of nurses remaining in the nursing workforce. This concurrent mixed-methods study included surveys from 540 nurses (response rate 15.5%), and interviews with 63 nurses to examine their perceptions of using a new EMR prior to implementation at a single healthcare organisation. Survey findings revealed 32.2% (n = 174) of nurses reported low well-being scores and 28.7% (n = 155) were experiencing burnout symptoms. In contrast, 40.3% (n = 216) of nurses reported high work satisfaction, 62.3% (n = 334) had high intentions of staying in their role, and 34.3% (n = 185) were engaged in their work. Nearly half (n = 250, 46.3%) reported intrinsic motivation towards EMR use. Thematic analysis of focus group interviews revealed two themes, each with three subthemes: (1) Us and Them, detailed the juxtaposition between nurses’ professional role and anticipated changes imposed on them and their work with the EMR implementation; and (2) Stuck in the middle, revealed nurses’ expectations and anticipations about how the EMR may affect the quality of nurse-patient relationships. In conclusion, anticipation of the EMR implementation emerged as a stressor for nursing staff, with some groups of nurses particularly vulnerable to negative consequences to their well-being.

scholarly journals Cohort profile: protocol and baseline survey for the Shanghai Suburban Adult Cohort and Biobank (SSACB) study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e035430 ◽  
Author(s):  
Qi Zhao ◽  
Bo Chen ◽  
Ruiping Wang ◽  
Meiying Zhu ◽  
Yueqin Shao ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record System ◽  
Baseline Data ◽  
Local Health ◽  
Record System ◽  
Face To Face ◽  
System A ◽  
Registry System ◽  
Medical Record System

PurposeThe Shanghai Suburban Adult Cohort and Biobank (SSACB) was established to identify environmental, lifestyle and genetic risk factors for non-communicable chronic diseases (NCDs) in adults (20–74 years old) living in a suburban area of Shanghai with rapid urbanisation.ParticipantsTwo of eight suburban district were purposely selected according to participant willingness, health service facilities, population, geographic region and electronic medical record system. From these suburban districts, four communities were selected based on economic level and population size. At stage three, one-third of the committees/villages were randomly selected from each community. All residents aged 20–74 years old were invited as study participants.Findings to dateThe baseline data on demographics, lifestyle and physical health-related factors were collected using a face-to-face questionnaire interview. All participants completed physical examinations and had blood and urine tests. Blood and urine samples from these tests were stored in a biobank. From 6 April 2016 through 31 October 2017, we conducted face-to-face interviews and clinical examinations in 44 887 participants: 35 727 from Songjiang District and 9160 from Jiading District. The average age of participants was 56.4±11.2 years in Songjiang and 56.6±10.5 years in Jiading. The prevalence of hypertension, diabetes and dyslipidaemia was 34.0%, 8.2% and 11.1%, respectively.Future plansIn-person surveys will be conducted every 5 years. For annual tracking, baseline data was linked to the local health information system, which was composed of an electronic medical record system, a chronic disease management system, a cancer registry system, an infectious disease report system and a death registry system. The data of the SSACB cohort is located in the School of Public Health, Fudan University. International and domestic collaborative research projects are encouraged and inherent in the project.

Use of an Electronic Medical Record System to Support Primary Care Recommendations to Prevent, Identify, and Manage Childhood Obesity

PEDIATRICS ◽  
2008 ◽  
Vol 123 (Supplement 2) ◽  
pp. S100-S107 ◽  
Author(s):  
Karyl Thomas Rattay ◽  
Meena Ramakrishnan ◽  
Aguida Atkinson ◽  
Megan Gilson ◽  
Vonna Drayton
Keyword(s):  
Primary Care ◽  
Childhood Obesity ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record System ◽  
Record System ◽  
Medical Record System

scholarly journals Integrating third-party telehealth records with the general practice electronic medical record system: a solution.

2017 ◽  
Vol 24 (4) ◽  
pp. 317 ◽  
Author(s):  
Mary Paterson ◽  
Alison McAulay ◽  
Brian McKinstry
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record System ◽  
Third Party ◽  
Patient Record ◽  
Record System ◽  
System A ◽  
Medical Record System ◽  
General Practices

Background: The implementation of telemonitoring at scale has been less successful than anticipated, often hindered by clinicians’ perceived increase in workload. One important factor has been the lack of integration of patient generated data (PGD) with the electronic medical record (EMR). Clinicians have had problems accessing PGD on telehealth systems especially in patient consultations in primary care.Objective: To design a method to produce a report of PGD that is available to clinicians through their routine EMR system.Method: We modelled a system with a use case approach using Unified Modelling Language to enable us to design a method of producing the required report. Anonymised PGD are downloaded from a third-party telehealth system to National Health Service (NHS) systems and linked to the patient record available in the hospital recording system using the patient NHS ID through an interface accessed by healthcare professionals. The telehealth data are then processed into a report using the patient record. This report summarises the readings in graphical and tabular form with an average calculated and with a recommended follow-up suggested if required. The report is then disseminated to general practitioner practices through routine document distribution pathways.Results: This addition to the telehealth system is viewed positively by clinicians. It has helped to greatly increase the number of general practices using telemonitoring to manage blood pressure in NHS Lothian.

scholarly journals Personalized Information Service for Clinicians: Users Like It

2008 ◽  
Vol 3 (3) ◽  
pp. 83 ◽  
Author(s):  
Gale G. Hannigan
Keyword(s):  
Primary Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Communication Strategies ◽  
Electronic Medical Record System ◽  
Record System ◽  
Medical Record System ◽  
Attending Physicians ◽  
E Mail ◽  
Request Service

A Review of: Jerome, Rebecca N., Nunzia Bettinsoli Giuse, S. Trent Rosenbloom, and Patrick G. Arbogast. “Exploring Clinician Adoption of a Novel Evidence Request Feature in an Electronic Medical Record System.” Journal of the Medical Library Association 96.1 (Jan. 2008): 34-41, with online appendices. Abstract Objective – To examine physician use of an Evidence-Based Medicine (EBM) literature request service available to clinicians through the institution’s electronic medical record system (EMR). Specifically, the authors posed the following questions: 1) Did newly implemented marketing and communication strategies increase physicians’ use of the service? 2) How did clinicians rate the relevance of the information provided? 3) How was the information provided used and shared? Design – Ten-month, prospective, observational study employing a questionnaire, statistics, a focus group, and a “before and after marketing intervention” analysis. Setting – Adult primary care outpatient clinic in an academic medical centre. Subjects – Forty-eight attending and 89 resident physicians. Methods – In 2003, a new service was introduced that allowed physicians in the Adult Primary Care Center clinic to request evidence summaries from the library regarding complex clinical questions. Contact with the library was through the secure messaging feature of the institution’s electronic medical record (EMR). From March through July 2005, the librarian employed “standard” publicity methods (e-mail, flyers, posters, demonstrations) to promote the service. A focus group in July 2005 provided feedback about the service as well as recommendations about communicating its availability and utility. New communication methods were implemented, including a monthly electronic “current awareness” newsletter, more frequent visits by the librarian during resident clinic hours, and collaborations between the librarian and residents preparing for morning report presentations. At the end of the study period, a 25-item Web-based questionnaire was sent to the 137 physicians with access to the service. Main Results – During the 10-month study period, 23 unique users submitted a total of 45 questions to the EBM Literature Request Service. More questions were from attending physicians than residents: 36 (80%) vs. 9 (20%). At least one of the 23 users asked 12 (26%) of the questions. Utilization did not significantly change after the mid-study intervention. At the end of the study, 48 physicians (35%) completed the survey (32 attending physicians and 16 residents). While 94% of the respondents indicated awareness of the service, only 40% indicated using it. The 19 who used the service, on average, agreed that the information provided was relevant and “sometimes leads to a change in my clinical practice” (p.37). Those who indicated that they shared the information (n=15) mostly did so with other attending physicians and residents, but also mentioned sharing with fellows, patients, and nurses. Information was typically shared verbally but also by distributing a printout, forwarding by e-mail, and forwarding within the EMR message system. The information was used primarily for general self-education, instruction of trainees, and confirmation of a current plan. Conclusion – The newly implemented marketing and communication strategies did not significantly increase the use of the EBM Literature Request Service. Those who used the service found it relevant and often shared the information with others. Based on a small number of respondents and survey information, the librarian-provided EBM Literature Request Service was “well-received” (39).

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