The effect of electronic medical record-based clinical decision support on HIV care in resource-constrained settings: A systematic review

Oluoch, Tom; Santas, Xenophon; Kwaro, Daniel; Were, Martin Chieng; Biondich, Paul G.; Bailey, Christopher; Abu‐Hanna, Ameen; Keizer, Nicolette de

doi:10.1016/j.ijmedinf.2012.07.010

Cited by 98 publications

(93 citation statements)

References 22 publications

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“…In addition, a 2012 literature review by Oluoch et al concluded that limited computer literacy and health informatics training, especially for the extraction and analysis of data for research and clinical decision-making, remain major implementation challenges for EMR [1]. This study contributes to the literature on EMR implementation by providing a quantitative comparison of the length and locations of EMR trainings for healthcare workers.…”

Section: Discussionmentioning

confidence: 94%

“…There is substantial evidence that use of electronic medical records (EMR) in low-resource settings can improve the quality of health services by supporting improvements in diagnoses and reductions in wait times, data errors, missed appointments, and medication errors [1,2,3]. EMR systems can also improve patient safety and clinical decision-making, especially in the context of rapidly changing clinical guidelines [2].…”

Section: Introductionmentioning

confidence: 99%

“…EMR systems can also improve patient safety and clinical decision-making, especially in the context of rapidly changing clinical guidelines [2]. For HIV patients, EMR is associated with increased odds of initiating antiretroviral therapy (ART) [4] and reductions in missing CD4 results [1,2].…”

Section: Introductionmentioning

confidence: 99%

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Training Healthcare Workers on the Use of Electronic Medical Records in HIV clinics in Kenya: An Evaluation of Three Training Models

O'Brien-Carelli

2017

Annals of Global Health

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Training healthcare workers on the use of electronic medical records in HIV clinics in Kenya:An evaluation of three training models The study is a quantitative program evaluation of the three training models comparing cost, geographic coverage, and quality of training, as measured by pre-and post-tests. Paired ttests were conducted to examine the changes in score from pre-test to post-test within training periods, and multiple linear regression was used to examine the associations between mean posttest scores variable by the training model and adjusted for pre-test score, age, sex, province, and cadre. The three-day, on-site model was the least expensive and had the largest geographic range, and quality of training did not differ substantially by the training model. Shorter trainings were associated with learning loss in computer literacy. The trainings were particularly effective for nurses, who had the highest mean change scores (p<0.001) in comparison to other cadres.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Training Healthcare Workers on the Use of Electronic Medical Records in HIV clinics in Kenya: An Evaluation of Three Training Models

O'Brien-Carelli

2017

Annals of Global Health

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“…Many studies on defaulter tracing systems have shown that EMR offer potential for retention of clients since they provide automatic identification of defaulters and other benefits obtained through electronic management of data (Fraser et al, 2007;Forster et al, 2008;Nglazi et al, 2010;Thomson et al, 2011;Oluoch et al, 2012;Derenzi et al, 2012). Ghadrshenas et al (2013) argue that databases linking information between facilities and laboratories would facilitate follow-up of clients.…”

Section: Recommendations and Implications For His Design And Implemenmentioning

confidence: 99%

Challenges in Implementing Patient‐centred Information Systems in Tanzania: An Activity Theory Perspective

Shidende

2014

E J Info Sys Dev Countries

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Defaulter tracing systems are patient centred information systems which are used to enhance monitoring of patients who have dropped out of health programs. The aim of this study is to explore the operation of defaulter tracing systems in practice. The study has been undertaken in Tanzanian health facilities by using qualitative data collection methods. Activity theory is employed as a conceptual framework to analyze the findings. Findings show that the implementation of defaulter tracing system is challenged by issues of the existing information systems, such as absence of clear guidelines and tools, and information recording incompleteness, as well as contextual issues. The paper contributes to Healthcare Information System literature (HIS) which has elaborated how patient centred information systems are utilized in practice at the level of primary health care. This study concludes by providing implications for policy, practice, design and implementation.

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“…The GEP-HI guideline has been introduced in the IMIA Yearbook 2012 and applied already in many papers and publications, such as [29,30,31,32,33]. The systematic approach of GEP-HI will contribute to a scientific approach on evaluation and further to evidence-based health informatics.…”

Section: Guidelines For Good Evaluation Practicementioning

confidence: 99%

Evidence Based Health Informatics: 10 Years of Efforts to Promote the Principle

Rigby¹,

Ammenwerth²,

Beuscart-Zéphir³

et al. 2013

Yearb Med Inform

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Summary Objectives: To present the importance of Evidence-based Health Informatics (EBHI) and the ethical imperative of this approach; to highlight the work of the IMIA Working Group on Technology Assessment and Quality Improvement and the EFMI Working Group on Assessment of Health Information Systems; and to introduce the further important evaluation and evidence aspects being addressed. Methods: Reviews of IMIA, EFMA and other initiatives, together with literature reviews on evaluation methods and on published systematic reviews. Results: Presentation of the rationale for the health informatics domain to adopt a scientific approach by assessing impact, avoiding harm, and empirically demonstrating benefit and best use; reporting of the origins and rationale of the IMIA- and EQUATOR-endorsed Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI) and of the IMIA WG's Guideline for Good Evaluation Practice in Health Informatics (GEP-HI); presentation of other initiatives for objective evaluation; and outlining of further work in hand on usability and indicators; together with the case for development of relevant evaluation methods in newer applications such as telemedicine. The focus is on scientific evaluation as a reliable source of evidence, and on structured presentation of results to enable easy retrieval of evidence. Conclusions: EBHI is feasible, necessary for efficiency and safety, and ethically essential. Given the significant impact of health informatics on health systems, care delivery and personal health, it is vital that cultures change to insist on evidence-based policies and investment, and that emergent global moves for this are supported.

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The effect of electronic medical record-based clinical decision support on HIV care in resource-constrained settings: A systematic review

Cited by 98 publications

References 22 publications

Training Healthcare Workers on the Use of Electronic Medical Records in HIV clinics in Kenya: An Evaluation of Three Training Models

Training Healthcare Workers on the Use of Electronic Medical Records in HIV clinics in Kenya: An Evaluation of Three Training Models

Challenges in Implementing Patient‐centred Information Systems in Tanzania: An Activity Theory Perspective

Evidence Based Health Informatics: 10 Years of Efforts to Promote the Principle

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