Document Detail

Optimising workflow in andrology: a new electronic patient record and database.
MedLine Citation:
PMID:  16491277     Owner:  NLM     Status:  MEDLINE    
AIM: To improve workflow and usability by introduction of a new electronic patient record (EPR) and database. METHODS: Establishment of an EPR based on open source technology (MySQL database and PHP scripting language) in a tertiary care andrology center at a university clinic. Workflow analysis, a benchmark comparing the two systems and a survey for usability and ergonomics were carried out. RESULTS: Workflow optimizations (electronic ordering of laboratory analysis, elimination of transcription steps and automated referral letters) and the decrease in time required for data entry per patient to 71%+/-27%, P<0.05, lead to a workload reduction. The benchmark showed a significant performance increase (highest with starting the respective system: 1.3+/-0.2 s vs. 11.1+/-0.2 s, mean+/-SD). In the survey, users rated the new system at least two ranks higher over its predecessor (P<0.01) in all sub-areas. CONCLUSION: With further improvements, today's EPR can evolve to substitute paper records, saving time (and possibly costs), supporting user satisfaction and expanding the basis for scientific evaluation when more data is electronically available. Newly introduced systems should be versatile, adaptable for users, and workflow-oriented to yield the highest benefit. If ready-made software is purchased, customization should be implemented during rollout.
Frank Tüttelmann; C Marc Luetjens; Eberhard Nieschlag
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian journal of andrology     Volume:  8     ISSN:  1008-682X     ISO Abbreviation:  Asian J. Androl.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-21     Completed Date:  2006-05-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100942132     Medline TA:  Asian J Androl     Country:  China    
Other Details:
Languages:  eng     Pagination:  235-41     Citation Subset:  IM    
Institute of Reproductive Medicine of the University, Domagkstrasse 11, D-48129 Munster, Germany.
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MeSH Terms
Andrology / organization & administration*
Databases as Topic / standards*
Hospitals, University
Human Engineering
Medical Records Systems, Computerized / standards*
Outpatient Clinics, Hospital / organization & administration*
Systems Analysis*
User-Computer Interface
Work Simplification*
Workload / statistics & numerical data

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