Integrated Electronic Medical Record Systems: Critical Success Factors for Implementation

MacKinnon, W.; Wasserman, Mark

doi:10.1109/hicss.2009.264

Cited by 8 publications

(2 citation statements)

References 42 publications

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“…The free dictionary defines an electronic medical record (EMR) as a repository for active notations about a patient’s health; it is a computerized database that typically includes demographic, medical, laboratory, radiographic, drug, and other information about a patient [1]. EMR systems have evolved from pure record keeping to integrated enterprise-wide systems that hold the promise of accurate, real-time access to patient health care data while providing information necessary to improve patient care and lower costs [2]. Many institutions are developing integrated clinical workstations, which provide a single point of entry for access to patient-related, administrative, and research information.…”

Section: Introductionmentioning

confidence: 99%

The Usability of Electronic Medical Record Systems Implemented in Sub-Saharan Africa: A Literature Review of the Evidence

Kavuma¹

2019

JMIR Hum Factors

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BackgroundElectronic medical record (EMR) systems hold the exciting promise of accurate, real-time access to patient health care data and great potential to improve the quality of patient care through decision support to clinicians. This review evaluated the usability of EMR systems implemented in sub-Saharan Africa based on a usability evaluation criterion developed by the Healthcare Information and Management Systems Society (HIMSS).ObjectiveThis review aimed to evaluate EMR system implementations in sub-Saharan Africa against a well-defined evaluation methodology and assess their usability based on a defined set of metrics. In addition, the review aimed to identify the extent to which usability has been an enabling or hindering factor in the implementation of EMR systems in sub-Saharan Africa.MethodsFive key metrics for evaluating EMR system usability were developed based on the methodology proposed by HIMSS. These were efficiency, effectiveness, ease of learning, cognitive load, and user satisfaction. A 5-point rating system was developed for the review. EMR systems in 19 reviewed publications were scored based on this rating system. It awarded 5 points per metric to any EMR system that was identified as excellent, 4 points for good, 3 points for fair, 2 points for poor, and 1 point for bad. In addition, each of the 5 key metrics carried a maximum weighted score of 20. The percentage scores for each metric were then computed from the weighted scores from which the final overall usability score was derived.ResultsIn possibly contributing to the usability of implemented EMR systems, ease of learning obtained the highest percentage score of 71% (SD 1.09) followed by cognitive load in second place with a score of 68% (SD 1.62). Effectiveness followed closely in third place at 67% (SD 1.47) and efficiency was in fourth place at 64% (SD 1.04). User satisfaction came in last at 63% (SD 1.70). The overall usability score for all systems was calculated to be 66%.ConclusionsThe usability of EMR systems implemented in sub-Saharan Africa has been good with ease of learning possibly being the biggest positive contributor to this rating. Cognitive load and effectiveness have also possibly positively influenced the usability of EMR systems, whereas efficiency and user satisfaction have perhaps contributed least to positively influencing EMR system usability.

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Section: Introductionmentioning

confidence: 99%

The Usability of Electronic Medical Record Systems Implemented in Sub-Saharan Africa: A Literature Review of the Evidence

Kavuma¹

2019

JMIR Hum Factors

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“…A HIS has several characteristics in common with enterprise systems (ES) in general (cf. MacKinnon and Wasserman, 2009). An ES is, like a HIS, an answer to several problems with "ordinary" information systems (IS), such as low level of integration, disparate data formats and separated databases (cf.…”

Section: Introductionmentioning

confidence: 99%

Implementing healthcare information systems – Mirroring a wide spectrum of images of an IT project

Melin

Axelsson

2014

Health Policy and Technology

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An XML based middleware for ECG format conversion

Vojisavljevic

Fang

2009

2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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With the rapid development of information and communication technologies, various e-health solutions have been proposed. The digitized medical images as well as the mono-dimension medical signals are two major forms of medical information that are stored and manipulated within an electronic medical environment. Though a variety of industrial and international standards such as DICOM and HL7 have been proposed, many proprietary formats are still pervasively used by many Hospital Information System (HIS) and Picture Archiving and Communication System (PACS) vendors. Those proprietary formats are the big hurdle to form a nationwide or even worldwide e-health network. Thus there is an imperative need to solve the medical data integration problem. Moreover, many small clinics, many hospitals in developing countries and some regional hospitals in developed countries, which have limited budget, have been shunned from embracing the latest medical information technologies due to their high costs. In this paper, we propose an XML based middleware which acts as a translation engine to seamlessly integrate clinical ECG data from a variety of proprietary data formats. Furthermore, this ECG translation engine is designed in a way that it can be integrated into an existing PACS to provide a low cost medical information integration and storage solution.

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Integrated Electronic Medical Record Systems: Critical Success Factors for Implementation

Cited by 8 publications

References 42 publications

The Usability of Electronic Medical Record Systems Implemented in Sub-Saharan Africa: A Literature Review of the Evidence

The Usability of Electronic Medical Record Systems Implemented in Sub-Saharan Africa: A Literature Review of the Evidence

Implementing healthcare information systems – Mirroring a wide spectrum of images of an IT project

An XML based middleware for ECG format conversion

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