Motivations and barriers to implementing electronic health records and ED information systems in Japan.
Am J Emerg Med
; 32(7): 725-30, 2014 Jul.
Article
em En
| MEDLINE
| ID: mdl-24792932
ABSTRACT
BACKGROUND:
Although electronic health record systems (EHRs) and emergency department information systems (EDISs) enable safe, efficient, and high-quality care, these systems have not yet been studied well. Here, we assessed (1) the prevalence of EHRs and EDISs, (2) changes in efficiency in emergency medical practices after introducing EHR and EDIS, and (3) barriers to and expectations from the EHR-EDIS transition in EDs of medical facilities with EHRs in Japan. MATERIALS ANDMETHODS:
A survey regarding EHR (basic or comprehensive) and EDIS implementation was mailed to 466 hospitals. We examined the efficiency after EHR implementation and perceived barriers and expectations regarding the use of EDIS with existing EHRs. The survey was completed anonymously.RESULTS:
Totally, 215 hospitals completed the survey (response rate, 46.1%), of which, 76.3% had basic EHRs, 4.2% had comprehensive EHRs, and 1.9% had EDISs. After introducing EHRs and EDISs, a reduction in the time required to access previous patient information and share patient information was noted, but no change was observed in the time required to produce medical records and the overall time for each medical care. For hospitals with EHRs, the most commonly cited barriers to EDIS implementation were inadequate funding for adoption and maintenance and potential adverse effects on workflow. The most desired function in the EHR-EDIS transition was establishing appropriate clinical guidelines for residents within their system.CONCLUSION:
To attract EDs to EDIS from EHR, systems focusing on decreasing the time required to produce medical records and establishing appropriate clinical guidelines for residents are required.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sistemas de Informação Hospitalar
/
Sistemas de Apoio a Decisões Clínicas
/
Serviço Hospitalar de Emergência
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Sistemas de Registro de Ordens Médicas
/
Registros Eletrônicos de Saúde
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Am J Emerg Med
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Japão