Model for Medical Records for International Disaster

Koichi Shinchi, Hiroshi Ashida
2002 Prehospital and Disaster Medicine  
organized by Ham-radio enthusiasts, and always is willing to assist during disasters. It is suggested that the league require its members to be designated operators responsible for informing coordination and control centers about available equipment and drugs in the nearest hospital. I would like to Personal radio operators should be incorporated as members engaged in emergency medicine in order to redefine/widen the scope of emergency medicine. Introduction: Electronic medical records (EMRs)
more » ... e developed to support clinical activities by improving efficiency; however, many clinicians are reluctant to use EMRs because of a concern that the use of these records will increase their workload. The purpose of this study was to assess clinician satisfaction with an emergency department (ED) EMR. Methods: This was a cross-sectional study that surveyed all EM physicians and nurses who recently started to use an EMR at a large urban teaching hospital. The 57-item questionnaire assessed: (1) Computer background/experience; (2) Perceptions regarding EMR use; and (3) Concerns about how their use will impact upon quality of patient care. Quantitative and qualitative data analyses were utilized. Results: Twenty three physicians and 21 nurses responded to the survey; a participation rate of 62% and 27%. All received EMR training, and reported frequent use of the system to enter and view patient data. They found the EMR easy to use, and generally were satisfied with the impact of EMRs on their work. However, they did no,t believe the EMRs had a positive impact on patient care. They reported confusion in following the sequence of screens, and were concerned with the amount of time it takes to use the EMR and about the confidentiality of patient information. Although similar results were found for physicians and nurses, the nurses reported that they have been able to finish work much faster than before implementation of the EMRs (/> <0.05). Computer background/experience did not correlate with satisfaction with the use of an EMR. Conclusions: This survey suggests that EM physicians and nurses favor the use of an EMR despite concerns about its impact upon patient care, their workload, and efficiency.
doi:10.1017/s1049023x00010566 fatcat:ge77fcqfxnee3j45zi5o3vdika