Development of electronic medical records for clinical and research purposes: the breast cancer module using an implementation framework in a middle income country- Malaysia

Nor, N A M; Taib, Nur Aishah Mohd; Saad, Marniza; Zaini, Hana Salwani; Ahmad, Zahir; Ahmad, Yamin; Dhillon, Sarinder Kaur

doi:10.1186/s12859-018-2406-9

Cited by 13 publications

(8 citation statements)

References 35 publications

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“…To ensure data quality, cost efficiency, and time-saving, electronic medical record–enabled hospitals can be designed to digitalize the timepoints. 64 Our study illustrates that these timepoints data have been tested and are available in all hospitals. The prospective collection of these dates is also feasible.…”

Section: Discussionmentioning

confidence: 92%

Breast Cancer Care Timeliness Framework: A Quality Framework for Cancer Control

Mujar

Dahlui

Emran

et al. 2022

JCO Global Oncology

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PURPOSE The aim of this study is to determine the pathway that women follow for Breast Cancer Care (BCC) and the time intervals from symptom discovery to treatment initiation and to develop a quality matrix framework. METHODS A retrospective cohort study was conducted at six tertiary centers in Malaysia. All women with newly diagnosed breast cancer were interviewed, and a medical records review was conducted using a structured questionnaire. The BCC timeliness framework showed that the total time between a woman discovering their first breast changes and the date of initial treatment was divided into three distinct intervals: presentation interval, diagnostic interval, and treatment interval. Four diagnosis subintervals, referral, biopsy, report, and diagnosis resolution intervals, were also looked into. RESULTS The BCC timeliness framework was used to capture important time points. The median total time, presentation interval, diagnostic interval, and treatment interval were 4.9 months (range, 1 month to 10 years), 2.4 months (range, 7 days to 10 years), 26 days (range, 4 days to 9.3 months), and 21 days (range, 1 day to 7.2 months), respectively. Meanwhile, the median time for the diagnosis subinterval of referral, biopsy, report, and diagnosis resolution was 8 days (range, 0 day to 8 months), 0 day (range, 0 day to 20 days), 7 days (range, 3 days to 3.5 months), and 4 days (range, 1 day to 1.8 months), respectively. CONCLUSION The BCC timeliness framework is based on the current sequenced trajectory of the BCC journey. Clarity in the measurement of timeliness provides a standardized language for monitoring and outcome research. It can serve as a quality indicator for community and hospital-based breast cancer programs.

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Section: Discussionmentioning

confidence: 92%

Breast Cancer Care Timeliness Framework: A Quality Framework for Cancer Control

Mujar

Dahlui

Emran

et al. 2022

JCO Global Oncology

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“…The economic benefits of implementing Electronic Medical Records include cost savings, cost efficiency, and cost-effectiveness. 14,16,17,19,20 The application of Electronic Medical Records can reduce the use of paper that is usually used in Conventional Medical Records. 14 Furthermore, the use of EMR is a reduction in the cost of services or maintenance that is not needed.…”

Section: Economic Benefitsmentioning

confidence: 99%

“…The application of Electronic Medical Records can improve the accessibility of patient history information. 19,20,22,37 The use of electronic medical records called My Kanta is useful for managing prescriptions and viewing examination results as well as medical records. 34 So that doctors can more easily understand the patient's medical history, make early diagnoses, and reduce treatment errors.…”

Section: Benefits Of Access To Clinical Informationmentioning

confidence: 99%

The Benefits of Electronic Medical Records Reviewed from Economic, Clinical, and Clinical Information Benefits in Hospitals

2023

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The development and progress of information technology are advancing very rapidly, electronic medical records are one form of these developments and advances in the health sector. A hospital is a place of service in the health sector that performs services related to medical records. Medical records can be made in full and clearly in electronic (digital) form. The implementation of medical record technology can solve many problems in the economic field, clinical, and information of clinical in the hospital system. The high cost of operational and complicated procedures is a crucial problem in the hospital system. So, the advance of medical technology can press high costs, cutting off the manual process to faster and more effective system and efficiency costs of operational. The study uses Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), with many articles on the same issue. The same issues that can be found at the same topics of articles are probably more than fifty topics of articles. Articles were taken from various sources and database references, including Scopus 2 journals, Science Direct 16 journals, ProQuest 10 journals, Springer Link 3 journals, Google Scholar 36 journals, Research Gate 21 journals, PubMed 31 journals, and Emerald Insight 31 journals. So the total journal database is 133 journals. Then filtering was carried out by identifying the suitability of the journal until it was narrow and 27 articles were selected to be used as a reference in this research.. The purpose of this study is to determine the benefits of applying Electronic Medical Records in terms of economic, clinical, and access to clinical information. Some of the economic benefits include cost savings, effectiveness, and cost efficiency. Clinical benefits include reducing medical errors, improving data readability, improving the quality of care services, and increasing the productivity of medical personnel. And the benefits of accessing clinical information include improving the accessibility of patient history information, improving patient confidentiality, and assisting the decision-making process.

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“…In Malaysia, studies related to EMR systems have focused on their implementation in hospitals [ 11 , 12 , 13 ]. Exhaustive studies in similar settings have been performed abroad [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Digitalisation Medical Records: Improving Efficiency and Reducing Burnout in Healthcare

Shaharul

Zamzuri

Ariffin

et al. 2023

IJERPH

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(1) Background: electronic medical record (EMR) systems remain a significant priority for the improvement of healthcare services. However, their implementation may have resulted in a burden on healthcare workers (HCWs). This study aimed to determine the prevalence of burnout symptoms among HCWs who use EMRs at their workplace, as well as burnout-associated factors. (2) Methods: an analytical cross-sectional study was conducted at six public health clinics equipped with an electronic medical record system. The respondents were from a heterogeneity of job descriptions. Consent was obtained before enrolment into the study. A questionnaire was distributed through an online platform. Ethical approval was secured. (3) Results: a total of 161 respondents were included in the final analysis, accounting for a 90.0% response rate. The prevalence of burnout symptoms was 10.7% (n = 17). Three significant predictors were obtained in the final model: experiencing ineffective screen layouts and navigation systems, experiencing physical or verbal abuse by patients, and having a poor relationship with colleagues. (4) Conclusions: the prevalence of burnout symptoms among healthcare workers working with electronic medical record systems was low. Despite several limitations and barriers to implementation, a paradigm shift is needed to equip all health sectors with electronic medical record systems to improve healthcare service delivery. Continuous technical support and financial resources are important to ensure a smooth transition and integration.

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Development of electronic medical records for clinical and research purposes: the breast cancer module using an implementation framework in a middle income country- Malaysia

Cited by 13 publications

References 35 publications

Breast Cancer Care Timeliness Framework: A Quality Framework for Cancer Control

Breast Cancer Care Timeliness Framework: A Quality Framework for Cancer Control

The Benefits of Electronic Medical Records Reviewed from Economic, Clinical, and Clinical Information Benefits in Hospitals

Digitalisation Medical Records: Improving Efficiency and Reducing Burnout in Healthcare

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