I would like to thank the following people and institutions who have helped me undertake this res... more I would like to thank the following people and institutions who have helped me undertake this research: My supervisor Dr. wafaa faisal .M, for her enthusiasm for the study for her, support, encouragement and patience; consistent support and guidance during the works of this study. The bahri educational hospital, federal ministry of health, ahmed gasim hospital, their collaborative effort during data collection. Sudan university of science and technology / graduate studies for They gave me a chance to study with them in this solid educational edifice. Dear friends and family and to my parents, and university who set me off on the road to this MSc a long time ago.
With the push to streamline medical records and the use of electronic medical records system tech... more With the push to streamline medical records and the use of electronic medical records system technology on the rise, successful implementation is important. The push is due in part for the need to reduce unnecessary paperwork, increase reimbursement, increase quality of medical records and increase overall quality of care. Factors to consider are the effects of implementation on quality of care, quality of medical records, physician and staff perceptions, working conditions, patient satisfaction, cost and barriers. Implementation may have a positive, negative or neutral effect on these factors making the need to review literature and report outcomes significant.
Administering and monitoring therapy is crucial to the battle against HIV/AIDS in sub-Saharan Afr... more Administering and monitoring therapy is crucial to the battle against HIV/AIDS in sub-Saharan Africa. Electronic medical records (EMRs) can aid in documenting care, monitoring drug adherence and response to therapy, and providing data for quality improvement and research. Faculty at Moi University in Kenya and Indiana and University in the USA opened adult and pediatric HIV clinics in a national referral hospital, a district hospital, and six rural health centers in western Kenya using a newly developed EMR to support comprehensive outpatient HIV/AIDS care. Demographic, clinical, and HIV risk data, diagnostic test results, and treatment information are recorded on paper encounter forms and hand-entered into a central database that prints summary flowsheets and reminders for appropriate testing and treatment. There are separate modules for monitoring the Antenatal Clinic and Pharmacy. The EMR was designed with input from clinicians who understand the local community and constraints of providing care in resource poor settings. To date, the EMR contains more than 30,000 visit records for more than 4000 patients , almost half taking antiretroviral drugs. We describe the development and structure of this EMR and plans for future development that include wireless connections , tablet computers, and migration to a Web-based platform.
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