Related Concept Videos
01:30Methods of Documentation VII: EMR
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:26Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
01:11Purpose of Health Records I
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
01:25Assessment of apical radial pulse
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
01:05Data Collection III
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
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Performance assessment of EMR systems based on post-relational database.
Hai-Yan Yu1, Jing-Song Li, Xiao-Guang Zhang
1Healthcare Informatics Engineering Research Center, Zhejiang University, Hangzhou, China.
Journal of Medical Systems
|April 20, 2011
Summary
Post-relational databases enhance electronic medical record (EMR) system performance. Hygeia, an EMR system using Caché, demonstrated faster data access compared to traditional relational databases in real-world hospital tests.
Area of Science:
- Health Informatics
- Database Management Systems
- Medical Information Technology
Background:
- Post-relational databases offer high performance and are prevalent in US hospitals.
- Existing hospital information systems (HIS) in China and Japan rarely utilize post-relational databases.
- Electronic Medical Record (EMR) systems require efficient and accessible data management.
Purpose of the Study:
- Introduce Hygeia, a next-generation EMR system built on the post-relational database Caché and Ensemble platform.
- Evaluate the performance of post-relational databases within EMR systems in China and Japan.
- Compare the speed and efficiency of Caché against traditional relational databases like Oracle in a clinical setting.
Main Methods:
- Conducted a comparative performance test between Caché and Oracle databases within EMR systems at a Chinese hospital.
- Performed a user terminal test on the Izanami EMR system, utilizing Caché at Miyazaki University Hospital in Japan.
- Focused on database response times and overall system efficiency for real-time data access.
Main Results:
- The post-relational database Caché significantly outperformed the relational database Oracle in EMR system performance tests.
- Hygeia's integration feature enabled fast, anytime, anywhere data access for system users.
- The Izanami EMR system, based on Caché, exhibited perfect performance in a live Japanese hospital environment.
Conclusions:
- Post-relational databases, specifically Caché, offer superior performance for EMR systems compared to traditional relational databases.
- The Hygeia system demonstrates the potential of post-relational databases to improve HIS efficiency and data accessibility in China and Japan.
- Implementing advanced database technologies like Caché is crucial for optimizing real-time EMR system operations.