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An experimental electronic patient record for stroke patients. Part 2: system description
M J van der Meijden1, H J Tange, J Boiten
1Department of Medical Informatics, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands. m.vandermeijden@mi.unimaas.de
International Journal of Medical Informatics
|September 9, 2000
Summary
This study introduces an electronic patient record (EPR) designed for stroke care, enhancing multidisciplinary team communication and daily routines. Intensive user involvement proved crucial for developing this integrated medical and nursing record system.
Area of Science:
- Neurology
- Medical Informatics
Background:
- Effective communication and coordination are vital for multidisciplinary stroke care.
- Existing paper-based records present challenges in data accessibility and integration.
Purpose of the Study:
- To develop and implement an electronic patient record (EPR) system tailored for stroke patients.
- To enhance the coordination and communication within the multidisciplinary stroke team.
Main Methods:
- Development of an EPR based on existing structured paper nursing and medical records.
- Close collaboration with future users to adapt database structure and user interface for stroke domain.
- Integration of medical and nursing record functionalities into a single system.
Main Results:
- A combined electronic medical and nursing record system was successfully developed.
- The EPR has the potential to improve record-keeping efficiency and support daily clinical routines.
- Key challenges included maintaining user involvement and resolving differing views on clinical data relevance.
Conclusions:
- Intensive user participation significantly improved the electronic patient record (EPR) system.
- Coupling the EPR with existing hospital information systems offers advantages.
- Prior structuring of paper records facilitated the transition to the new electronic system.