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Patient Engagement in Safety
Published in Richard J. Holden, Rupa S. Valdez, The Patient Factor, 2021
Opportunities are growing for patients to engage with their personal health information through patient-facing health information technologies such as patient portals (also known as personal health record and patient-accessible health records) (see Chapter 5 in this volume). The patient portal is the patient-facing side of the EHR, and it is intended to aid remote communication through messaging, deliver test results, and track appointments, among other features. As inpatient care settings are vulnerable to a higher risk of medical errors, Kelly et al. conducted a systematic review of inpatient portal use (2018). Authors found that patients, caregivers, and clinicians perceive patient portals as an opportunity to improve patient safety through patient and caregiver identification and interception of medical errors, particularly for pediatric populations. In addition, clinicians see patient portals as a medium to provide patients with information regarding medication safety, as well as other safety and precaution topics. A recent study was implemented in six acute care units of an academic medical center—a patient portal with safety features including safety education and reminders, fall prevention, and safety concern reporting (Schnock et al., 2019). They found patient portal users had higher levels of patient activation. As of 2020, patient portals at University of California San Francisco Hospitals provide access to radiographic study images (X-rays, magnetic resonance images, computed tomography scans, and some ultrasounds).
Researcher Reflections on Human Factors and Health Equity
Published in Rod D. Roscoe, Erin K. Chiou, Abigail R. Wooldridge, Advancing Diversity, Inclusion, and Social Justice Through Human Systems Engineering, 2019
Richard J. Holden, Tammy Toscos, Carly N. Daley
For example, online patient portals or personal health records systems allow patients to pay bills, request medication refills, make appointments, exchange messages with clinicians, read educational materials, and access personal data such as vaccination and laboratory test records. However, only people who have the time, training, and technology to access these systems can reap these benefits. Indeed, studies show individuals who are disadvantaged benefit less from these systems compared to their healthier, wealthier, and more educated counterparts. Even after issues of access to the technology are addressed, a person may not adopt, adhere to, or see an effect of technological interventions (Veinot et al., 2018).
Green Healthcare for Smart Cities
Published in Pradeep Tomar, Gurjit Kaur, Green and Smart Technologies for Smart Cities, 2019
Prabhjot Singh, Varun Dixit, Jaspreet Kaur
CIS is a secure healthcare information technology that enables patients convenient, 24-hour access to their healthcare information and allows them to view information like after visit summary, test results, prescriptions, medications, immunizations and so on (Frequently Asked Questions 2019). Some patient portals also allow sending an email to a doctor, scheduling appointments, making prescription refill requests and so on.
Health Care 4.0: A vision for smart and connected health care
Published in IISE Transactions on Healthcare Systems Engineering, 2021
Since last decade, in conjunction with the development of information systems, electronic health or medical records (EHR or EMR) have been implemented to manage care of patients across units and departments of health care organizations; these health information technologies have had major impact on clinical and operational processes. Numerous activities are time-stamped and recorded in the EHR, and many manual processes have been computerized (e.g. order entry in CPOE or computerized provider order entry) and digitalized (e.g. electronic AVS or after visit summary). In addition, using available computer networks, remote care and telehealth have become possible, and electronic visits (e.g. communication between a patient and their physician through a patient portal) are beginning to replace some face-to-face encounters. The current COVID-19 pandemic has increased demand for telehealth and virtual visits. All of these have led to multifarious revolutionary changes in health care delivery. We categorize this revolution as Health Care 3.0.
A Service-Oriented Model for Personal Health Records
Published in Journal of Computer Information Systems, 2020
My HealtheVet is a secure and private patient portal that provide the veteran with full control over his/her PHR. For example, the veteran could give permission to a non-VA physician to access the results of some procedure into the My HealtheVet system. It makes veteran-defined role-based and user-based access available both inside and outside the VA system. Doctors or others can only view or edit the veteran’s PHR with an explicit permission. Furthermore, it can securely handle all logistical items including prescription ordering, appointment scheduling, and health monitoring and providing decision analytics to particular aspects of the veteran’s health.28
Applying time-constraint access control of personal health record in cloud computing
Published in Enterprise Information Systems, 2020
Dai-Lun Chiang, Yin-Tzu Huang, Tzer-Shyong Chen, Fei-Pei Lai
Complete personal health records can be established when medical records are delivered across hospitals. In this case, agreements must be followed to meet the established standards. For instance, Health Level Seven (HL7) definitely describes the statement, format, code on clinical, administrative data and clarifies the meaning of data (Kabachinski 2006). The standards, HL7 2.3, with the agreement of National Bureau of Standards, were followed by several countries. It aims to standardize and structurize medical information for transmitting to different units through networks. HL7 standards are currently promoted in Taiwan, various activities and conferences are held under the guidance of Ministry of Health and Welfare. Recently, Apple announced that it is launching a PHR feature with iOS 11.3. The feature, called Health Records, will aggregate existing patient-generated data in the Health app with data from a user’s electronic medical record – if the user is a patient at a participating hospital (Updated Apple Health app). At launch, Apple is working with 12 hospitals across the country, including Penn Medicine, Cedars-Sinai in Los Angeles, Johns Hopkins, and Geisinger Health System. By empowering customers to see their overall health, they hope to help consumers better understand their health and help them lead healthier lives. The feature will use HL7’s FHIR (Fast Healthcare Interoperability Resources) specification. Users will be able to see things like allergies, medications, conditions, and immunizations, as well as the sort of things they might check an EHR patient portal for, such as lab results. They can be notified when the hospital updates their data. The data will be encrypted, and users will need to enter a password to view it.