Evaluating electronic health record systems: a system dynamics simulation

Kasiri, Narges; Sharda, Ramesh; Asamoah, Daniel Adomako

doi:10.1177/0037549711416244

Cited by 10 publications

(12 citation statements)

References 34 publications

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“…Benefits of internet use to patients include; more informed patients, ability of patients to seek second opinions, patients joining online communities for support, patients being able to communicate online with health care providers, supplementing information provided by health care providers and improving conceptualization of information gained, patients enjoy more privacy than face to face consultations [11,14-17]. The health care providers would benefit from decision making tools, time efficiency and cost containment [18]. Investment in e-health may result in overwhelming technological, financial and informational demands on the clients.…”

Section: Introductionmentioning

confidence: 99%

“…Even though many websites containing cancer information are available, much of the information contained in these websites may lack quality [16]. Lack of information on the other hand may increase anxiety among patients as well as hinder their health seeking behaviours [18,19]. It is important to study the characteristics of patients who use internet as a source of health information.…”

Section: Introductionmentioning

confidence: 99%

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Self-reported use of internet by cervical cancer clients in two National Referral Hospitals in Kenya

Kivuti-Bitok

McDonnell²,

Pokhariyal

et al. 2012

BMC Res Notes

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BackgroundCervical cancer remains a devastating disease in Kenya accounting for more than 2000 deaths each year. Lack of information on cervical cancer prevention and management has been attributed to the apathy among women in seeking health interventions. Use of internet-based and mobile e-health tools could increase information access among cervical cancer patients. The objective of the study was; to establish the extent of use of mobile phones and internet by cervical cancer patients in accessing information related to cancer treatment and management.; find out the characteristics of patients associated with internet use and identify barriers faced by the patients in internet use. A cross sectional descriptive survey of 199 cervical patients visiting the two main referral hospitals in Kenya was done. A structured questionnaire was used to collect data.FindingsThe average length of illness was 2.43 years (SD ± 3.0). Only 7.5 %( n=15) reported to having used the internet as a source of information. 92.5 %( n=184) did not use internet. With Multiple options, 70.9% did not know how to use a computer, 29.2% did not have access to a computer, 14.6% lacked the money to use computers at the local cyber cafe while other barriers identified accounted for 11.1%. Patients reported that the internet had an important role in the management of cancer of the cervix in health education (17.6%), online consultation (14.6%), booking of patients (13.6%), referrals (8.5%) and collecting data (7%). The 96.5% of the respondents who had access to a mobile phone, recommended mobile phones for health education messages (31.7%), reminder alerts for medication (29.7%) and booking appointments (21.6%). There was a statistically significant association between income of the patients and internet use (p = 0.026) in this study.ConclusionsThere is low level use of the internet by cervical cancer clients attended in Public referral facilities in Kenya. This was attributed to; lack of knowledge on how to use computers and lack of access to a computer. High level of access to mobile phones was reported. This is an indicator of great potential for use of mobile phones in the management of cervical cancer through short messaging services (sms), without internet connectivity. There is even greater potential to internet use through web access via mobile phones.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-reported use of internet by cervical cancer clients in two National Referral Hospitals in Kenya

Kivuti-Bitok

McDonnell²,

Pokhariyal

et al. 2012

BMC Res Notes

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“…This is also in confirmation of the work of McCullough, et al, Hydari et al, and Furukawa et al among others. [3,12,13] Overwhelming number of medical practitioners confirmed that EHR promotes quality of medical care as well as reduces the rate of medical errors and PSEs in the hospital. [4,12,13] This is in concord with Hydari et al study with the result of a 27% overall decline in PSEs in hospitals that adopted and implemented EHR.…”

Section: Discussionmentioning

confidence: 99%

“…[3,12,13] Overwhelming number of medical practitioners confirmed that EHR promotes quality of medical care as well as reduces the rate of medical errors and PSEs in the hospital. [4,12,13] This is in concord with Hydari et al study with the result of a 27% overall decline in PSEs in hospitals that adopted and implemented EHR. [3] This feat was achieved by EHR through improved communication, better labeling, clear writing, bridging of knowledge gaps, and timely provision of patients' medical records as well as improved physician's confidence.…”

Section: Discussionmentioning

confidence: 99%

The Significance of Electronic Health Records to Reduction of Patient Safety Events in Hospitals

Akindele¹

2019

Anatol JFM

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The alarming rate of occurrence of Patients Safety Events (PSEs) with all its ugly consequences is fast becoming a global emergency requiring well-coordinated and resolute intervention strategy to mitigate. PSEs are a daily occurrence in hospitals worldwide and it affects several of millions of patients yearly. This Research Project was aimed at examining and determining 'The Significance of Electronic Health Records to Reduction of Patients Safety Events in Hospitals'. Methods: The relationship between Electronic Heath Records (EHR) and PSEs was determined through a positivist epistemology using the Survey methodology and quantitative method of research. Results: The researcher hypothesis was confirmed with the majority 48.6% respondents agreeing and 41.8% strongly agreeing to assumption. The majority 52.4% respondents also strongly agree that the adoption of EHR in hospitals will guarantee an improved quality of care, improved population's health and improved efficiency of the health care system generally. Conclusion: The study affirmed that adoption of EHR will significantly reduce PSEs in the hospital. This however can only be achieved with a 'good' EHR system and a stable power supply. A 'good' EHR system is that which contains all the EHR elements i.e. (Clinical Data Repository (CDR), Clinical Decision Support System (CDSS), Computerized Physician Order Entry (CPOE), and the Physician Documentation (PD). This is the sure pathway to the much-desired safety in our hospitals.

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“…They developed an economic justification for investment in laboratories, diagnostic facilities, and physicians and suggested additional equipment for an emergency department. Kasiri and colleagues () studied the dynamics of an electronic health record system to reduce the time spent by the staff, showing that their conceptual record system balanced staff time and resulted in greater cost efficiency for hospitals. SD has also been used by modelers to create forecasts for future resource problems.…”

Section: Literature Reviewmentioning

confidence: 99%

A system dynamics model for the analysis of clinical laboratory productivity

Gönül‐Sezer

Ocak

2018

Int Trans Operational Res

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This study describes the initial stages of the development of a system dynamics (SD) model that will be used to simulate the dynamics of various factors that impact the productivity of clinical laboratories. Facing a staff capacity constraint, a clinical laboratory can undertake a number of strategies: (a) hiring new staff, (b) working overtime, or (c) doing both. In this preliminary research, we use a dynamic model to (a) study the impact of these strategies on laboratory productivity, including cost control, and (b) simulate the laboratory human resource utilization process. An SD approach is used for model development because it enables modelers to understand and discuss complex problems by illuminating the relationships among the variables involved. We use a laboratory's test backlog and the test turnaround time as main productivity parameters for this preliminary study. We run the simulation for six months and study laboratory productivity performance behavior over this time period.

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Evaluating electronic health record systems: a system dynamics simulation

Cited by 10 publications

References 34 publications

Self-reported use of internet by cervical cancer clients in two National Referral Hospitals in Kenya

Self-reported use of internet by cervical cancer clients in two National Referral Hospitals in Kenya

The Significance of Electronic Health Records to Reduction of Patient Safety Events in Hospitals

A system dynamics model for the analysis of clinical laboratory productivity

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