Challenges of EHR implementation and related guidelines in Isfahan

Jahanbakhsh, Maryam; Tavakoli, Nahid; Mokhtari, Habibollah

doi:10.1016/j.procs.2010.12.194

Cited by 17 publications

(13 citation statements)

References 4 publications

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“…In that study, the challenges of implementing the electronic health record and related guidelines are classi ed in two categories; super structural (such as information technology, lack of uniform de nition, cultural problems and needs assessment) and structural (such as lack of stability, privacy breaches, and lawsuits legal cases (20).…”

Section: Discussionmentioning

confidence: 99%

Challenges of Clinical Practice Guidelines Adaptation in Iran: Lesson Learned for Developing Countries

Sayarifard

Nazari

Bahmanziari

et al. 2021

Preprint

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Background: Transfer of a process, technology or method from one setting to another is often challenging and clinical practice guideline adaptation is not an exception. The aim of this study was to identify the challenges of clinical practice guideline adaptation in Iran and provide lessons for developing countries.Methods: In this qualitative study, purposeful interviews were conducted with 17 participants from guideline adaptation groups in research centers , knowledge management and health department of Tehran University of Medical Sciences and experts in ministry of health. Data was analyzed using qualitative content analysis. Results: The identified challenges were classified into two basic and operational categories. Basic challenges include believing in need to guideline adaptation, position of adaptation in evaluation and reward systems, access to financial resources and supervision of adaptation process. Also operational challenges were adaptation methodology, forming adaptation team, consensus on interdisciplinary issues, changing programs and priorities and external barriers in the work progress path. Conclusions: Having a comprehensive list of problems will help health system managers and policymakers to control the quality of clinical practice guidelines and could eventually lead to corrective actions. From the most important proposed interventions for removing the current obstacles and problems are holding new training courses and programs for these guides users at different headquarters’ and environmental levels, establishing an appropriate motivating system, designing an integrated system with a focus on organizing related stewardship affairs including planning, policy making and supervision at the treatment deputy of ministry of health and universities levels.

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Section: Discussionmentioning

confidence: 99%

Challenges of Clinical Practice Guidelines Adaptation in Iran: Lesson Learned for Developing Countries

Sayarifard

Nazari

Bahmanziari

et al. 2021

Preprint

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“…Saat ini, telah berkembang sebuah konsep penerapan teknologi informasi yaitu rekam medis elektronik yang telah mengubah pola pikir dan pola tindak dari para perekam medis. Rekam medis elektronik dipercaya dapat meningkatkan kualitas keseluruhan dalam perawatan kepada pasien [12]. Rekam medis elektronik adalah sebuah sistem yang khusus dibuat untuk mempermudah kinerja petugas karena terdapat berbagai macam fitur didalamnya yang ditawarkan untuk kelengkapan dan keakuratan data, memberi tanda waspada, peringatan, sistm pendukung keputusan klinik, dan menghubungkan data dengan pengetahuan medis serta alat lainnya [7].…”

Section: Pendahuluanunclassified

Penerapan Teknologi Informasi Dalam Penyelenggaraan Rekam Medis di RSUD Ngudi Waluyo Wlingi Blitar

Suryanto

Subekti

2020

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Rumah sakit merupakan institusi pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan secara paripurna. Salah satu pelayanan yang ada di rumah sakit adalah rekam medis. Kemajuan zaman menuntut rumah sakit untuk terus mengembangkan teknologi informasi, khususnya rekam medis. Selain kemajuan zaman, setiap tahun jumlah kunjungan pasien terus meningkat, sehingga volume pekerjaan akan semakin padat. Oleh karena itu dibutuhkan penerapan teknologi informasi berupa rekam medis elektronik yang keberadaannya sangat membantu petugas rekam medis. Tujuan penelitian ini adalah mengetahui penerapan teknologi informasi di unit rekam medis RSUD Ngudi Waluyo Wlingi. Metode penelitian yaitu kualitatif dengan pendekatan case study. Objek penelitian adalah pelaksanaan penyelenggaraan rekam medis dengan informan yaitu petugas rekam medis. Hasil penelitian yaitu penerapan teknologi informasi di unit rekam medis RSUD Ngudi Waluyo berupa layanan mesin fingerprint, medical online service berupa SMS gateway, dan sistem informasi manajemen. Penerapan teknologi tersebut telah mampu membantu petugas rekam medis dalam melaksanakan tugas dan meningkatkan pelayanan kepada pasien. Kesimpulan dari penelitian ini yaitu RSUD Ngudi Waluyo Wlingi telah menerapkan teknologi informasi dalam penyelenggaraan rekam medis walaupun tidak secara keseluruhan. Penerapan teknologi informasi mampu mempercepat kerja petugas dan antrian pasien lebih efisien.

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“…Seiring dengan kemajuan jaman, pemanfaatan teknologi dan informasi kesehatan seperti penerapan RME banyak diterapkan di Indonesia dan dipercaya dapat meningkatkan kualitas keseluruhan perawatan, meskipun berdampak negatif pada penurunan kualitas interakasi antar petugas medis (Jahanbakhsh et al, 2011).…”

Section: Pendahuluanunclassified

Keakuratan Kode Diagnosis Dengan Icd-10 Di Puskesmas Pengasih I Dan Pengasih Ii

Ilmi

2018

JurnalMIKI

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Background: The implementation of Electronic Medical Record (EMR) in Puskesmas Kulon Progo as a tool to communicate and coordinate between health practitioner related with patient's status. On the other hand, it as a monitoring and evaluating morbidity surveillance. The accurateness of Code Diagnosis by using ICD-10 can improve the quality of it. Objective: to evaluate the accurateness of code diagnosis to improve the quality of EMR data. Methode: descriptive study with a qualitative approach by using secondary data from EMR system with using cross sectional desaign. The object that is used of 234 code diagonosis from Pengasih I and Pengasih II health centres, the participants as an interviewee which is they divided from nurse, a midewife as the oficer who illed directly into the EMR diagnosis code in SIMPUS. Data collection techniques used were interview, observation and study document by using EMR data from SIMPUS. Result: 234 code diagnosis from EMR data between Pengasih I and Pengasih II are analysed based on ICD-10, there are code diagnosis from EMR in Pengasih I accurateness 30 (26%), not accurateness 87 (74%). In Pengasih II accurateness 35 (30%) and not accuratness 82 (70%). The factors that lead to coding diagnosis inaccuracies are element man, method and machine. Conclusion: The results suggest that although they already used the EMR, the quality of the data especially related to the coding diagnosis still low

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Challenges of EHR implementation and related guidelines in Isfahan

Cited by 17 publications

References 4 publications

Challenges of Clinical Practice Guidelines Adaptation in Iran: Lesson Learned for Developing Countries

Challenges of Clinical Practice Guidelines Adaptation in Iran: Lesson Learned for Developing Countries

Penerapan Teknologi Informasi Dalam Penyelenggaraan Rekam Medis di RSUD Ngudi Waluyo Wlingi Blitar

Keakuratan Kode Diagnosis Dengan Icd-10 Di Puskesmas Pengasih I Dan Pengasih Ii

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