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Related Experiment Video

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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Published on: August 5, 2020

End-to-End Notifications and Interactivity in Standard Based EHR Networks.

Patrick Mangesius¹, Dmytro Rud², Samrend Saboor³

¹ITH icoserve GmbH, Innsbruck, Austria.

Studies in Health Technology and Informatics

|June 4, 2019

Summary

Electronic Health Record (EHR) systems need better alerting and notification features for professionals and patients. This study proposes workflow extensions using IHE standards to improve EHR system usability and information delivery.

Keywords:

Access to Information Alert Fatigue Electronic Health Records Health Personnel

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Area of Science:

Health Informatics
Information Systems Engineering

Background:

Electronic Health Record (EHR) systems face challenges in delivering timely and adequate information to users, including healthcare professionals and patients.
Alerting and notification functionalities are crucial for enhancing EHR system acceptance and usage but are often inadequately addressed in current interoperability and EHR standards.

Purpose of the Study:

To identify essential workflows and propose extensions for standard-based EHR systems to implement effective alerting and notification functionalities.
To address the gap in EHR interoperability standards concerning event-driven notifications for diverse user groups.

Main Methods:

Employed requirements engineering techniques and a three-tier analysis phase to define system requirements.
Developed an architecture based on Integrating the Healthcare Enterprise (IHE) standards to support notification features.
Identified key user groups (patients, professionals, administrators) and categorized notification events by type and transport channel.

Main Results:

Defined requirements and an IHE-based architecture for EHR alerting and notification systems.
Categorized notification events based on user groups, type, and transport channel.
Identified specific workflows within the IHE infrastructure that trigger notification events.

Conclusions:

The proposed IHE-based architecture and workflow extensions can enhance EHR system functionality by providing crucial alerting and notification capabilities.
A significant challenge identified is differentiating between system-generated events and events caused by the notification system itself, requiring further investigation.