Improving integrated care in chronic kidney failure patients with a standard-based interoperability framework.
Stud Health Technol Inform
; 205: 617-21, 2014.
Article
em En
| MEDLINE
| ID: mdl-25160260
ABSTRACT
This paper introduces the evaluation report after fostering a Standard-based Interoperability Framework (SIF) between the Virgen del Rocío University Hospital (VRUH) Haemodialysis (HD) Unit and 5 outsourced HD centres in order to improve integrated care by automatically sharing patients' Electronic Health Record (EHR) and lab test reports. A pre-post study was conducted during fourteen months. The number of lab test reports of both emergency and routine nature regarding to 379 outpatients was computed before and after the integration of the SIF. Before fostering SIF, 19.38 lab tests per patient were shared between VRUH and HD centres, 5.52 of them were of emergency nature while 13.85 were routine. After integrating SIF, 17.98 lab tests per patient were shared, 3.82 of them were of emergency nature while 14.16 were routine. The inclusion of a SIF in the HD Integrated Care Process has led to an average reduction of 1.39 (p=0.775) lab test requests per patient, including a reduction of 1.70 (p=0.084) in those of emergency nature, whereas an increase of 0.31 (p=0.062) was observed in routine lab tests. Fostering this strategy has led to the reduction in emergency lab test requests, which implies a potential improvement of the integrated care.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Registro Médico Coordenado
/
Sistemas de Informação em Laboratório Clínico
/
Diálise Renal
/
Prestação Integrada de Cuidados de Saúde
/
Registros Eletrônicos de Saúde
/
Melhoria de Qualidade
/
Falência Renal Crônica
Tipo de estudo:
Guideline
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Stud Health Technol Inform
Assunto da revista:
INFORMATICA MEDICA
/
PESQUISA EM SERVICOS DE SAUDE
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Espanha