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The emergency medicine department system: a study of the effects of computerization on the quality of medical records.
- Source :
-
European journal of emergency medicine : official journal of the European Society for Emergency Medicine [Eur J Emerg Med] 2001 Jun; Vol. 8 (2), pp. 107-15. - Publication Year :
- 2001
-
Abstract
- A template based computerized medical record system known as the Emergency Medicine Department System (EMDS) was installed in the emergency department of the National University Hospital, Singapore, replacing handwritten records. A study was carried out to show how the implementation of the EMDS improved the quality of medical records. A retrospective review of old manual records and the ones generated by the EMDS was done by means of a scoring system. The raw scores represent the amount of information captured. The calculated means of scores were then used to compare the records. It was found that EMDS improves the quantity of data capture over the old records in all sections compared. This was seen regardless of the experience of the user. The use of a non-structured generic template results in less data captured compared with a structured symptom-specific template. The design of questions has a great influence in that a double-choice question captures more data than single-choice questions. Building in 'locking' or enforcement mechanisms in the EMDS also helped achieve almost full capture of critical information, such as examination time.
- Subjects :
- Chest Pain epidemiology
Computer Literacy
Humans
Medical Records Systems, Computerized statistics & numerical data
Medical Staff, Hospital education
Quality Control
Retrospective Studies
Singapore
Surveys and Questionnaires
Time Factors
Triage
User-Computer Interface
Emergency Service, Hospital organization & administration
Hospital Information Systems
Medical Records Systems, Computerized standards
Subjects
Details
- Language :
- English
- ISSN :
- 0969-9546
- Volume :
- 8
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- European journal of emergency medicine : official journal of the European Society for Emergency Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 11436906
- Full Text :
- https://doi.org/10.1097/00063110-200106000-00006