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EMR Database Upgrade from MUMPS to CACHE: Lessons Learned.

Abduallah Alotaibi1, Mshary Emshary1, Mowafa Househ1

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Upgrading Saudi hospital databases from MUMPS to Caché ensured secure electronic data transfer and improved patient care. Key lessons involved management support, market research, and robust implementation planning for successful system upgrades.

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Area of Science:

  • Health Informatics
  • Database Management Systems
  • Healthcare Information Technology

Background:

  • Saudi hospitals are actively implementing and upgrading Electronic Medical Record Systems (EMRs).
  • Secure data transfer and exchange are critical for effective EMR functionality.
  • Database integrity is essential for reliable electronic health data.

Purpose of the Study:

  • To document the process and lessons learned from upgrading a MUMPS database to Caché.
  • To ensure the integrity of electronic data transfer within a Saudi hospital.
  • To evaluate the impact of database upgrades on system performance and patient care.

Main Methods:

  • Examined the steps and action plans of relevant departments during the upgrade.
  • Managed the change process associated with the database migration.
  • Assessed system stability, performance, and user satisfaction post-upgrade.

Main Results:

  • User satisfaction was achieved following the database upgrade.
  • The upgraded system demonstrated improved stability and enhanced healthcare quality through data exchange.
  • Hardware infrastructure and Caché software upgrades led to better scalability and stability.
  • Overall system performance was enhanced, with the addition of new functions like Computerized Provider Order Entry (CPOE).

Conclusions:

  • Successful EMR database upgrades require strong higher management involvement.
  • Thorough research into available market solutions is crucial for optimal system selection.
  • Comprehensive planning for diverse implementation scenarios is vital for managing change effectively.