J Med Syst - Experiences sharing of implementing Template-based Electronic Medical Record System (TEMRS) in a Hong Kong medical organization.

Tópicos

{ implement(1333) system(1263) develop(1122) }
{ design(1359) user(1324) use(1319) }
{ patient(1821) servic(1111) care(1106) }
{ record(1888) medic(1808) patient(1693) }
{ use(2086) technolog(871) perceiv(783) }
{ drug(1928) target(777) effect(648) }
{ assess(1506) score(1403) qualiti(1306) }
{ care(1570) inform(1187) nurs(1089) }
{ studi(1119) effect(1106) posit(819) }
{ data(2317) use(1299) case(1017) }
{ first(2504) two(1366) second(1323) }
{ process(1125) use(805) approach(778) }
{ take(945) account(800) differ(722) }
{ treatment(1704) effect(941) patient(846) }
{ algorithm(1844) comput(1787) effici(935) }
{ case(1353) use(1143) diagnosi(1136) }
{ system(1050) medic(1026) inform(1018) }
{ visual(1396) interact(850) tool(830) }
{ cost(1906) reduc(1198) effect(832) }
{ activ(1452) weight(1219) physic(1104) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ featur(3375) classif(2383) classifi(1994) }
{ studi(2440) review(1878) systemat(933) }
{ search(2224) databas(1162) retriev(909) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ monitor(1329) mobil(1314) devic(1160) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ health(1844) social(1437) communiti(874) }
{ use(1733) differ(960) four(931) }
{ survey(1388) particip(1329) question(1065) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ intervent(3218) particip(2042) group(1664) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

This paper aims to investigate the efficacy and feasibility of Template-based Electronic Medical Record System (TEMRS) and factors for its successful implementation. A TEMRS was designed and implemented in one core clinic of a Hong Kong professional multi-disciplinary medical services provider with four core clinics located in different parts of Hong Kong. Eight doctors participated in the study. Surveys and interviews were conducted to acquire the users' feedback and satisfaction level. The design, development, and the factors related to the success of the implementation of TEMRS were analyzed. In the study period, 3,032 cases were collected. The most encountered diagnosis were upper respiratory tract infection (50.59%), gastroenteritis (10.19%), dermatitis (5.87%), dyspepsia (5.28%) and rhinitis (4.82%). The system gained an overall satisfaction by the users and the most satisfied areas were rapid retrieving the necessary information of patient (75%) and fasten the diagnostic selection (75%). TEMRS is an enabling system which can reduce the user resistance in new technology with its flexibility. The consideration of cost, security, human, technical, data migration and standardization issues are essential in the implementation of the TEMRS and further research should be conducted to expand the TEMRS's implementation in health care system.

Resumo Limpo

paper aim investig efficaci feasibl templatebas electron medic record system temr factor success implement temr design implement one core clinic hong kong profession multidisciplinari medic servic provid four core clinic locat differ part hong kong eight doctor particip studi survey interview conduct acquir user feedback satisfact level design develop factor relat success implement temr analyz studi period case collect encount diagnosi upper respiratori tract infect gastroenter dermat dyspepsia rhiniti system gain overal satisfact user satisfi area rapid retriev necessari inform patient fasten diagnost select temr enabl system can reduc user resist new technolog flexibl consider cost secur human technic data migrat standard issu essenti implement temr research conduct expand temrss implement health care system

Resumos Similares

J Med Syst - Closing the feedback loop: an interactive voice response system to provide follow-up and feedback in primary care settings. ( 0,779518299339877 )
Telemed J E Health - The use of deployable telehealth centers by military beneficiaries to access behavioral healthcare: an exploratory evaluation in American Samoa. ( 0,701758991435735 )
Telemed J E Health - An integrated telehealth system for remote administration of an adult autism assessment. ( 0,678294935853236 )
Comput Methods Programs Biomed - SAPPHIRE: a toolkit for building efficient stream programs for medical video analysis. ( 0,665176452602109 )
J Am Med Inform Assoc - WHO guidance on electronic systems to manage data for tuberculosis care and control. ( 0,662495094660355 )
Int J Med Inform - Development of a prototype continuity of care record with context-specific links to meet the information needs of case managers for persons living with HIV. ( 0,646751238884051 )
Telemed J E Health - Ten steps to establishing an e-consultation service to improve access to specialist care. ( 0,644784731678329 )
AMIA Annu Symp Proc - Implementation of an electronic referral system for outpatient specialty care. ( 0,631392492735445 )
BMC Med Inform Decis Mak - Designing a multifaceted survivorship care plan to meet the information and communication needs of breast cancer patients and their family physicians: results of a qualitative pilot study. ( 0,628565377373373 )
Telemed J E Health - PsychVACS: a system for asynchronous telepsychiatry. ( 0,621201301940722 )
BMC Med Inform Decis Mak - In eHealth in India today, the nature of work, the challenges and the finances: an interview-based study. ( 0,616127526075496 )
Int J Med Inform - Setting up a telemedicine service for remote real-time video-EEG consultation in La Rioja (Spain). ( 0,611696379286601 )
J Biomed Inform - Using electronic health records for clinical research: the case of the EHR4CR project. ( 0,608119433360858 )
BMC Med Inform Decis Mak - Motivating medical information system performance by system quality, service quality, and job satisfaction for evidence-based practice. ( 0,607768476205413 )
J Biomed Inform - The Taiwanese method for providing patients data from multiple hospital EHR systems. ( 0,606704820292143 )
J Biomed Inform - Usability of a novel clinician interface for genetic results. ( 0,603185333598528 )
Inform Health Soc Care - Older adults' acceptance of a community-based telehealth wellness system. ( 0,601155985254699 )
Telemed J E Health - VISYTER: versatile and integrated system for telerehabilitation. ( 0,600703573078246 )
J. Med. Internet Res. - Purple: a modular system for developing and deploying behavioral intervention technologies. ( 0,600587329047329 )
Int J Med Inform - Infrastructures in healthcare: the interplay between generativity and standardization. ( 0,59891652213981 )
BMC Med Inform Decis Mak - How do medical doctors use a web-based oncology protocol system? A comparison of Australian doctors at different levels of medical training using logfile analysis and an online survey. ( 0,59739700153318 )
Telemed J E Health - An independent investigation into the deployment of the federal communications commissions' rural health care pilot program. ( 0,594959530107092 )
BMC Med Inform Decis Mak - Integration of a nationally procured electronic health record system into user work practices. ( 0,594092195887633 )
AMIA Annu Symp Proc - Implementation of Emergency Medical Text Classifier for syndromic surveillance. ( 0,591982185047953 )
Telemed J E Health - Telehealth practice recommendations for diabetic retinopathy, second edition. ( 0,590500362696589 )
J Med Syst - Evaluating acceptance and user experience of a guideline-based clinical decision support system execution platform. ( 0,586955988717537 )
Int J Med Inform - Flexibility in interaction: sociotechnical design of an operating room scheduler. ( 0,586764388643907 )
J Telemed Telecare - Readiness of health-care institutions in KwaZulu-Natal to implement telepsychiatry. ( 0,586684009507673 )
Int J Med Inform - Key factors influencing the implementation success of a home telecare application. ( 0,585274744565429 )
BMC Med Inform Decis Mak - Does electronic clinical microbiology results reporting influence medical decision making: a pre- and post-interview study of medical specialists. ( 0,584750328729367 )
Methods Inf Med - Potential and requirements of IT for ambient assisted living technologies. Results of a Delphi study. ( 0,583327954595183 )
AMIA Annu Symp Proc - Usability evaluation of a personal health record. ( 0,582080511966828 )
Int J Med Inform - Development and alarm threshold evaluation of a side rail integrated sensor technology for the prevention of falls. ( 0,58151028858374 )
BMC Med Inform Decis Mak - Development and formative evaluation of the e-Health Implementation Toolkit (e-HIT). ( 0,58093516169104 )
AMIA Annu Symp Proc - Developing national eHealth infrastructures--results and lessons from Europe. ( 0,579205119496107 )
Telemed J E Health - Telemedicine as an innovative model for rebuilding medical systems in developing countries through multipartnership collaboration: the case of Albania. ( 0,577505712638829 )
Int J Med Inform - Key IT management issues in hospitals: Results of a Delphi study in Canada. ( 0,575176092778681 )
Int J Med Inform - Implementation and expansion of an electronic medical record for HIV care and treatment in Haiti: an assessment of system use and the impact of large-scale disruptions. ( 0,574960213079151 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective. ( 0,574455244670254 )
J Telemed Telecare - Integrating telemedicine instruction into the curriculum: expanding student perspectives of the scope of clinical practice. ( 0,57258384897167 )
J Med Syst - Design and development of a Telephone-Linked Care (TLC) system to reduce impulsivity among violent forensic outpatients and probationers. ( 0,567343485728095 )
Int J Med Inform - Employing the FITT framework to explore HIV case managers' perceptions of two electronic clinical data (ECD) summary systems. ( 0,564293447855605 )
BMC Med Inform Decis Mak - Improving access to clinical practice guidelines with an interactive graphical interface using an iconic language. ( 0,562810554754932 )
Health Informatics J - Fitness for purpose when there are many different purposes: who are electronic patient records for? ( 0,562699857885148 )
Telemed J E Health - Post-disaster Gulf Coast recovery using telehealth. ( 0,562283104613667 )
Int J Med Inform - Addressing critical issues in the development of an Oncology Information System. ( 0,559665902253551 )
Appl Clin Inform - User-centered design and usability testing of an innovative health-related quality of life module. ( 0,559573633049893 )
J Med Syst - A cloud system for mobile medical services of traditional Chinese medicine. ( 0,558722527909369 )
Telemed J E Health - Real-time tele-echocardiography: diagnosis and management of a pericardial effusion secondary to pericarditis at an Antarctic research station. ( 0,557347479473101 )
Int J Med Inform - The changes in caregivers' perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home. ( 0,556120750861214 )
Int J Comput Assist Radiol Surg - Design and evaluation of a multimedia electronic patient record oncoflow with clinical workflow assistance for head and neck tumor therapy. ( 0,554323978854176 )
Telemed J E Health - International telepharmacy education: another venue to improve cancer care in the developing world. ( 0,553981474707616 )
J Med Syst - Towards the systematic development of medical networking technology. ( 0,553682921387527 )
Int J Med Inform - Promoting ICT innovations for the ageing population in Japan. ( 0,5535602733903 )
Comput Methods Programs Biomed - Managing urinary incontinence through hand-held real-time decision support aid. ( 0,550610244902004 )
Health Info Libr J - Developing a long-term condition's information service in collaboration with third sector organisations. ( 0,550014954349447 )
Telemed J E Health - Primary care provider and imaging technician satisfaction with a teledermatology project in rural Veterans Health Administration clinics. ( 0,546028662533639 )
J Am Med Inform Assoc - Explaining physicians' use of EMR systems and performance in the shakedown phase. ( 0,545618379497395 )
J. Med. Internet Res. - Development of an interactive, Web-delivered system to increase provider-patient engagement in smoking cessation. ( 0,545283558538052 )
J Telemed Telecare - Pharmaceutical review using telemedicine--a before and after feasibility study. ( 0,544767671535415 )
Telemed J E Health - E-health implementation challenges in Iranian medical centers: a qualitative study in Iran. ( 0,544486298242264 )
Telemed J E Health - Usability and feasibility of smartphone video capabilities for telehealth care in the U.S. military. ( 0,543645436517742 )
BMC Med Inform Decis Mak - The value of usability testing for Internet-based adolescent self-management interventions: Managing Hemophilia Online. ( 0,543180630741324 )
Comput Methods Programs Biomed - An interactive 3-D application for pain management: Results from a pilot study in spinal cord injury rehabilitation. ( 0,542806428565976 )
AMIA Annu Symp Proc - Sustaining compliance with pediatric asthma inpatient quality measures. ( 0,542259250598791 )
AMIA Annu Symp Proc - Using a unified usability framework to dramatically improve the usability of an EMR Module. ( 0,541279734009389 )
BMC Med Inform Decis Mak - Adoption of telemedicine: from pilot stage to routine delivery. ( 0,54001463326544 )
Telemed J E Health - Online remote monitoring of patients with differentiated thyroid carcinomas and neuroendocrine tumors treated with high doses of radionuclides. ( 0,539820068478968 )
J Am Med Inform Assoc - Evaluation of computer-based medical histories taken by patients at home. ( 0,53917012673026 )
Telemed J E Health - Assessing swallowing disorders online: a pilot telerehabilitation study. ( 0,538059634339155 )
Telemed J E Health - Testing a top-down strategy for establishing a sustainable telemedicine program in a developing country: the Arizona telemedicine program-US Army-Republic of Panama Initiative. ( 0,537924880022519 )
J Biomed Inform - A case study of an EMR system at a large hospital in India: challenges and strategies for successful adoption. ( 0,536438430736137 )
Int J Med Inform - Pilot implementation of health information systems: issues and challenges. ( 0,53489008913547 )
J Med Syst - Applying ontology techniques to develop a medication history search and alert system in department of nuclear medicine. ( 0,534609492963019 )
Telemed J E Health - Telemedicine--a complement to traditional referrals in oral medicine. ( 0,534063670407596 )
J Telemed Telecare - The role of the champion in telehealth service development: a qualitative analysis. ( 0,532965955222136 )
Comput Methods Programs Biomed - Development of online diary and self-management system on e-Healthcare for asthmatic children in Taiwan. ( 0,532673269361374 )
BMC Med Inform Decis Mak - Comparing virtual consults to traditional consults using an electronic health record: an observational case-control study. ( 0,531991645697621 )
IEEE J Biomed Health Inform - Improving brain injury cognitive rehabilitation by personalized telerehabilitation services: Guttmann neuropersonal trainer. ( 0,531953190178806 )
Int J Med Inform - Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations. ( 0,531557849797579 )
J Am Med Inform Assoc - The patient and the computer in the primary care consultation. ( 0,531024040874358 )
BMC Med Inform Decis Mak - Decision support at home (DS@HOME)--system architectures and requirements. ( 0,53081746814299 )
Int J Med Inform - Socio-technical considerations in epilepsy electronic patient record implementation. ( 0,529767228751796 )
Health Informatics J - Mobile phone-based clinical guidance for rural health providers in India. ( 0,528432736356385 )
Telemed J E Health - Transnational comparison: A retrospective study on e-health in sparsely populated areas of the northern periphery. ( 0,528310500234783 )
Health Informatics J - Tuberculosis-Diagnostic Expert System: an architecture for translating patients information from the web for use in tuberculosis diagnosis. ( 0,52794851971936 )
Telemed J E Health - A web-based tutorial for parents of young children with autism: results from a pilot study. ( 0,527466157916035 )
J Med Syst - Radio frequency identification (RFID) in health care: privacy and security concerns limiting adoption. ( 0,527458702632519 )
AMIA Annu Symp Proc - Design Considerations for Post-Acute Care mHealth: Patient Perspectives. ( 0,52713852842628 )
Telemed J E Health - A pilot trial of telephone-based collaborative care management for PTSD among Iraq/Afghanistan war veterans. ( 0,527106783701036 )
J Biomed Inform - A survey of SNOMED CT implementations. ( 0,52628124398735 )
AMIA Annu Symp Proc - MindTrial: An Intelligent System for Clinical Trials. ( 0,52603549632642 )
J Am Med Inform Assoc - Understanding the acceptability of a computer decision support system in pediatric primary care. ( 0,525560403357758 )
Inform Health Soc Care - Young carers as co-designers of a web-based support system: the views of two publics. ( 0,525337143231201 )
Telemed J E Health - Telemedicine for children with developmental disabilities: a more effective clinical process than office-based care. ( 0,525018178731382 )
Int J Med Inform - Social care informatics as an essential part of holistic health care: a call for action. ( 0,52419133880624 )
Telemed J E Health - Electronic prescriptions are slowly spreading in the European Union. ( 0,524173683566147 )
J Am Med Inform Assoc - Implementation of the Department of Veterans Affairs' first point-of-care clinical trial. ( 0,523914172612952 )
BMC Med Inform Decis Mak - Ancillary study management systems: a review of needs. ( 0,523913702823549 )
J Telemed Telecare - Use of telemedicine for the identification and treatment of sulfamethoxazole-induced methaemoglobinemia. ( 0,52379717136882 )