The Role of Electronic Health Record in The Effective And Efficient Health Record Keeping at St. Lukes Hospital, Anua Akwa Ibom State
Keywords:
Electronic Health Record, Efficient Health Record Keeping, Electronic Health equipment, Patient Care Management, EHR systemsAbstract
This investigative study, titled "The Role of Electronic Health Records (EHR) in Effective and Efficient Record Keeping at St. Luke’s Hospital, Anua, Akwa Ibom State," aims to assess the impact of electronic health records on the hospital's record-keeping processes, focusing on their effectiveness and efficiency in preserving health records. EHR is a systematic collection of patient electronically stored information in a digital format. The problem under investigation were inadequate training for staff on the use of EHR systems, inadequate funding from the management to maintain and create room for smooth running of the EHR system, threats to confidentiality of patient health information can occur and lead to loss of information in using EHR system. The objectives of this study was to create an overview on the benefit of using EHR in record keeping and patient care management at St. Luke’s Hospital, find out the developmental process towards the implementation of EHR in the hospital, access the current challenges of the health system in the use of EHR, examine the ways of maintaining the EHR system. Some related literature were reviewed. Data were collected using self-administered questionnaires to 110 staff members and 96 responses were retrieved for the analysis. Data was analyzed with simple frequencies and percentages chi square was used for the analysis. Findings revealed that inadequate Electronic Health equipment, inadequate IT personnel and epileptic power supply are the major issues in the smooth preservation of EHR. Despite the issues, benefits of EHR such as improved accuracy, faster access to patient information and enhanced care coordination were recognized. The study provided recommendations for hospital management, government and policy making to enhance EHR adoption and utilization, invest in adequate EHR equipment and ensure a reliable power supply to support the seamless operation of the EHR system.
References
[1] Makam, A. N., Lanham, H. J., Batchelor, K., Samal, L., Moran, B., & Howell-Stampley, T. (2013). Use and satisfaction with key functions of a common commercial electronic health record: a survey of primary care providers. BMC medical informatics and decision making, 13, 1–7. https://doi.org/10.1186/1472-6947-13-86
[2] Cohen, G. R., Friedman, C. P., Ryan, A. M., Richardson, C. R., & Adler-Milstein, J. (2019). Variation in physicians’ electronic health record documentation and potential patient harm from that variation. Journal of general internal medicine, 34, 2355–2367. https://doi.org/10.1007/s11606-019-05025-3
[3] Ye, J. (2021). The impact of electronic health record-integrated patient-generated health data on clinician burnout. Journal of the American medical informatics association, 28(5), 1051–1056. https://doi.org/10.1093/jamia/ocab017
[4] Keller, M. E., Kelling, S. E., Cornelius, D. C., Oni, H. A., & Bright, D. R. (2015). Enhancing practice efficiency and patient care by sharing electronic health records. Perspectives in health information management, 12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632871/
[5] Lauffenburger, J. C., Stults, C. D., Mudiganti, S., Yan, X., Dean-Gilley, L. M., He, M., …& Fischer, M. A. (2021). Impact of implementing electronic prior authorization on medication filling in an electronic health record system in a large healthcare system. Journal of the american medical informatics association, 28(10), 2233–2240. https://doi.org/10.1093/jamia/ocab119
[6] Dziorny, A. C., Orenstein, E. W., Lindell, R. B., Hames, N. A., Washington, N., & Desai, B. (2019). Automatic detection of front-line clinician hospital shifts: a novel use of electronic health record timestamp data. Applied clinical informatics, 10(01), 28–37. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0038-1676819
[7] Schumaker, R. P., & Reganti, K. P. (2014). Implementation of electronic health record (EHR) system in the healthcare industry. International journal of privacy and health information management (IJPHIM), 2(2), 57–71. http://doi.org/10.4018/ijphim.2014070104
[8] Cifuentes, M., Davis, M., Fernald, D., Gunn, R., Dickinson, P., & Cohen, D. J. (2015). Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care. The journal of the american board of family medicine, 28(1), 63-72. doi: 10.3122/jabfm.2015.S1.150133
[9] Ehrenstein, V., Kharrazi, H., Lehmann, H., & Taylor, C. O. (2019). Obtaining data from electronic health records. In Tools and technologies for registry interoperability, registries for evaluating patient outcomes: a user’s guide (pp. 1-106). Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK551878/
[10] Krist, A. H., Beasley, J. W., Crosson, J. C., Kibbe, D. C., Klinkman, M. S., & Lehmann, C. U. (2014). Electronic health record functionality needed to better support primary care. Journal of the american medical informatics association, 21(5), 764–771. https://doi.org/10.1136/amiajnl-2013-002229
[11] Jang, Y., Lortie, M. A., & Sanche, S. (2014). Return on investment in electronic health records in primary care practices: a mixed-methods study. JMIR medical informatics, 2(2), e3631. https://doi.org/10.2196/medinform.3631
[12] Zhou, L., Soran, C. S., Jenter, C. A., Volk, L. A., Orav, E. J., Bates, D. W., & Simon, S. R. (2009). The relationship between electronic health record use and quality of care over time. Journal of the american medical informatics association, 16(4), 457–464. https://doi.org/10.1197/jamia.M3128
[13] Plantier, M., Havet, N., Durand, T., Caquot, N., Amaz, C., Biron, P., … & Perrier, L. (2017). Does adoption of electronic health records improve the quality of care management in France? Results from the French e-SI (PREPS-SIPS) study. International journal of medical informatics, 102, 156–165. https://doi.org/10.1016/j.ijmedinf.2017.04.002
[14] Chao, W. C., Hu, H., Ung, C. O. L., & Cai, Y. (2013). Benefits and challenges of electronic health record system on stakeholders: a qualitative study of outpatient physicians. Journal of medical systems, 37, 1–6. https://doi.org/10.1007/s10916-013-9960-5
[15] Jawhari, B., Ludwick, D., Keenan, L., Zakus, D., & Hayward, R. (2016). Benefits and challenges of EMR implementations in low resource settings: a state-of-the-art review. BMC medical informatics and decision making, 16, 1–12. https://doi.org/10.1186/s12911-016-0354-8
[16] Fernández-Alemán, J. L., Señor, I. C., Lozoya, P. Á. O., & Toval, A. (2013). Security and privacy in electronic health records: a systematic literature review. Journal of biomedical informatics, 46(3), 541–562. https://doi.org/10.1016/j.jbi.2012.12.003
[17] Flores Zuniga, A. E., Win, K. T., & Susilo, W. (2010). Biometrics for electronic health records. Journal of medical systems, 34, 975–983. https://doi.org/10.1007/s10916-009-9313-6
[18] Ganiga, R., Pai, R. M., & Sinha, R. K. (2020). Security framework for cloud based electronic health record (EHR) system. International journal of electrical and computer engineering, 10(1), 455. doi:10.11591/IJECE.V10I1.PP455-466
[19] Franks, P. C. (2013). Records and information management. American Library Association. https://books.google.com/books?id
[20] Asih, H. A., & Indrayadi, I. (2024). Transformation from manual medical records to electronic medical records: a phenomenological study. Contagion: scientific periodical journal of public health and coastal health, 6(1), 25–34. http://dx.doi.org/10.30829/contagion.v6i1.19188
[21] Marutha, N. S. (2016). A framework to embed medical records management into the healthcare service delivery in Limpopo Province of South Africa. Pretoria: university of south Africa. https://core.ac.uk/download/pdf/83637263.pdf
[22] Balogun, T., & Adjei, E. (2019). Challenges of digitization of the national archives of Nigeria. Information development, 35(4), 612–623. https://doi.org/10.1177/0266666918778099
[23] JOLSELT, J. (2019). The role of technology in the preservation of records in the digital age. Journal of library, science education and learning technology, 1(2), 49–61. https://www.alhikmah.edu.ng/jolselt/index.php/ajemc/article/view/47/27
[24] Asogwa, B. E. (2012). The challenge of managing electronic records in developing countries: Implications for records managers in sub Saharan Africa. Records management journal, 22(3), 198–211. https://doi.org/10.1108/09565691211283156
[25] Olatokun, W. M. (2008). A survey of preservation and conservation practices and techniques in Nigerian university libraries. Library and information science research e-journal. https://doi.org/10.32655%2FLIBRES.2008.2.3
[26] Shiloba Gbaje, E., & Mohammed, Z. (2013). Digital preservation policy in national information centres in Nigeria. The electronic library, 31(4), 483–492. https://doi.org/10.1108/EL-01-2012-0011
[27] Yaya, J. A., Asunmo, A. A., Abolarinwa, S. T., & Onyenekwe, N. L. (2015). Challenges of record management in two health institutions in Lagos State, Nigeria. International journal of research, 1. https://www.ijrhss.org/pdf/v2-i12/1.pdf
[28] Usman, A. S., Abdussalam, T. A. B., & Adesina, O. F. (2018). Digitization of library collection in Nigerian University libraries: University of Ilorin Library experience.
https://d1wqtxts1xzle7.cloudfront.net/79339009/viewcontent-libre.pdf
[29] Asogwa, B. E., & Ezema, I. J. (2012). The challenges of preservation of archives and records in the electronic age. PNLA quarterly, 76(3). https://openurl.ebsco.com/EPDB%3Agcd%3A12%3A2914844
[30] Matlala, M. E., & Maphoto, A. R. (2022). Management of electronic records in the South African public sector. ESARBICA journal: journal of the eastern and southern africa regional branch of the international council on archives, 41, 69–88. https://www.ajol.info/index.php/esarjo/article/view/240059
Metrics
