ABSTRACT
The aging of the population and the increase in chronic diseases generated the need for care at home for pluripathological patients, who can no longer access outpatient care due to functional and social problems. The use of Electronic Medical Records (EMR) improves continuity of care, simplifies data collection, decreases overhead costs, and reduces mortality in chronically ill patients. The use of an App to check and record data in the EMR during the home visit saves time for professionals and helps to avoid transcription errors. This article shares our experience with the design and implementation of a Mobile Application with EMR functionalities for the Homecare setting of the Hospital Italiano de Buenos Aires network.
Subject(s)
Home Care Services , Mobile Applications , Physicians , Delivery of Health Care , Electronic Health Records , Humans , MotivationABSTRACT
Since 2017, the Hospital Italiano de Buenos Aires, has a "Workstation on Wheels" project were nurses can access to a mobile application in order to register the drug's administration, vital signs and complete an early warning assessment scale of the hemodynamic state of the patient. Although the overall objective was to achieve at least 95% drug registration through this system, their use did not remain stable over time. Therefore, it was necessary to create an interdisciplinary team to make a diagnosis of the project situation and reasons for the low use rate. In this process, a re-implementation of the barcoding administration system was carried out, focusing on the nursing staff maintaining the use of the system over time. The aim of this paper is to describe the experience and lessons learned in the process of re-implementing the drug barcoding system at the patient's bedside.
Subject(s)
Mobile Applications , Electronic Data Processing , Humans , Nursing Staff , Vital SignsABSTRACT
When a critical blood glucose value is detected, then it is necessary to inform, advice, communicate, act and document it in the patient's medical record. We sought to describe the development of an alert system for glycemia values at the point of care integrated with an EHR, both in desktop and mobile devices.
