Creation and evaluation of EMR-based paper clinical summaries to support HIV-care in Uganda, Africa.
Creation and evaluation of EMR-based paper clinical summaries to support HIV-care in Uganda, Africa.
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DOI：
10.1016/j.ijmedinf.2009.11.006
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发表时间：
2010-02
影响因子：
4.9
通讯作者：
Tierney, William M.
中科院分区：
文献类型：
--
作者：
Were, Martin C.;Shen, Changyu;Bwana, Mwebesa;Emenyonu, Nneka;Musinguzi, Nicholas;Nkuyahaga, Frank;Kembabazi, Annet;Tierney, William M.
关键词：
向提供者提供正确的信息可以提高护理质量。我们着手为乌干达姆巴拉拉资源有限的环境中照顾 HIV 阳性成年患者的医疗服务提供者提供基于患者特定电子病历 (EMR) 的临床摘要。我们使用时间运动技术和提供者调查评估了实施这些临床总结的影响。实施基于 EMR 的临床总结后，提供者花费更多时间直接护理患者（2.9 分钟 vs 2.3 分钟，p<0.001），患者就诊时间减少了 11.5 分钟。调查受访者表示，临床总结改善了护理，减少了错误，而且总体上是准确的。当前的抗逆转录病毒药物治疗、患者识别信息、依从性信息、当前的药物治疗和当前的医疗问题是摘要中评分最高的元素。通过利用电子病历中存储的数据，即使在资源有限的环境中，也可以通过临床总结来提高护理效率和质量。
Getting the right information to providers can improve quality of care. We set out to provide patient-specific Electronic Medical Record (EMR)-based clinical summaries for providers taking care of HIV-positive adult patients in the resource-limited setting of Mbarara, Uganda. We evaluated the impact of implementing these clinical summaries using time-motion techniques and provider surveys. After implementation of EMR-based clinical summaries, providers spent more time in direct care of patients (2.9 vs 2.3 minutes, p<0.001), and the length of patient visits was reduced by 11.5 minutes. Survey respondents indicated that clinical summaries improved care, reduced mistakes, and were generally accurate. Current antiretroviral medication, patient identifying information, adherence information, current medication, and current medical problems were among the highest-rated elements of the summary. By taking advantage of data stored in EMRs, efficiency and quality of care can be improved through clinical summaries, even in settings with limited resources.
DOI：
10.1136/jamia.2001.0080361
发表时间：
2001-07-01
影响因子：
6.4
作者：
Overhage, JM;Perkins, S;McDonald, CJ
通讯作者：
McDonald, CJ
影响因子：
5.7
作者：
Leu, Michael G.;Cheung, Ming;Burstin, Helen
通讯作者：
Burstin, Helen
DOI：
10.1197/jamia.m1301
发表时间：
2003-07-01
影响因子：
6.4
作者：
Rotich, JK;Hannan, TJ;Tierney, WM
通讯作者：
Tierney, WM