Comuter uses in Hospital and Community

Patel NehaF.Y M.Sc Nursing

Storage of Patient Data

Computerized Presentation

Teaching Nurses through Simulations

Computerized Self evaluation

Interactive Learning

Advanced health care

Improved Quality

Decreased cost

Advantages of Computer in

Hospitals Precise 'tests' and medical examn

Faster medical alerts, which are more accurate time-wise Enhanced data about a patient‘s medical

history Precision in diagnosis & billing   Automated updating of medical h/o

Electronic Patient Record system

The EMR can be defined as the legal patient record created in hospitals and ambulatory environments that is the data source for the EHR.

Electronic Health Record

is a digital format or documentation of an individual’s medical history that is maintained by health care providers or health institutions.

It includes information on patient’s demographics progress notes, medication problems, vital signs, past history, diagnostic results and vaccination. Definition of EHR

The 2003 Patient Safety Report describes an EMR as encompassing: A longitudinal collection of electronic

health information for and about persons

Immediate electronic access to person- and population-level information by authorized users;

Provision of knowledge and decision-support systems

Support for efficient processes for health care delivery.

Integrated Delivery System

Health information and data Result management Order manageement Decision support Electronic communication and

connectivity Patient support Administrating processes and reporting

Hall mark of Computerised Patient Record Integrated view of patient record

Improving the access of all patient data, whenever and wherever is necessary

Tang et al,(1998) observational studies of physician they noted 81% physician did not find all data of the patient for treatment

Access to knowledge sources: Personal knowledge reference s data

may be useful Physician order entry and clinician data

entry

Physician order initiate the clinical intervention

When its entered by the clinician responsible for care the accuracy and quality of the data are high

Integrated communication support: Clinicians need integrated

communication support for effective functioning of multidisciplinary outpatient health care system

Relying on paper based references become ineffective and fallible

Advantages Can help lessen patient sufferance

due to medical error Reduced medical error by providing

health care workers with decision support.

Promote evidenced- based medcine For research purpose Computerized Physician Order Entry

(CPOE)

Record keeping and Mobility

EHR systems have the advantages of being able to connect too many electronic medical record systems.

In the current global medical environment, patients are shopping for their procedures. Coordinating these appointments via paper records is a time-consuming procedure.  

It is also easier to check in their records whether a patient as been admitted to such a medical center or if they have any allergies since they have been admitted before.

Maintain a data and information trail that can be readily analyzed for medical audit, research and quality assurance, epidemiological monitoring, disease surveillance.

Support for continuing medical education. Improve care coordination Reduce healthcare disparities Engage patients and their families Improve population and public health Ensure adequate privacy and security

Storage of Record Depend on national and state

regulations It can depend on shelf life of paper

record. Ruotsalainen and Manning have

found that typical preservation time of patient data varies between 20 and 100 years.

Synchronization of records When care is provided at two different

facilities, it may be difficult to update records at both locations in a co-ordinated fashion. Two models have been used to satisfy this problem: a centralized data server solution and a peer-to-peer file synchronization program Synchronization programs for distributed storage models, however, are only useful once record standardization has occurred.

Merging of already existing public healthcare databases is a common software challenge. The ability of electronic health record systems to provide this function is a key benefit and can improve healthcare delivery.