ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2016
Electronic Medical Records in low to middle income countries: The case of Khayelitsha Hospital, South Africa.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Electronic Medical Record Attitudes and Predictors of Adoption Among Ethiopian Health Professionals: Cross-Sectional Study.JMIR formative research · 2026Article
- Scoping Review of the Models for Case-Based Health Programs in Africa: Towards Case-Based Surveillance for HIV in Lesotho.International journal of environmental research and public health · 2026Article
- Vehicle extrication in road traffic crashes: a descriptive analysis of an advanced medical rescue service in South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025Article
- Assessment of implementation challenges of electronic medical record in Yekatit 12 hospital medical college.PloS one · 2025Article
- A systematic review on how primary care electronic medical record data have been used for antimicrobial stewardship.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Review
- Computer vision digitization of smartphone images of anesthesia paper health records from low-middle income countries.BMC bioinformatics · 2024Article
- Report on the Joint Workshop on the Relations between Health Inequalities, Ageing and Multimorbidity, Iceland, May 3-4, 2023.Clinical epidemiology · 2024Article
- Optimizing Patient Record Linkage in a Master Patient Index Using Machine Learning: Algorithm Development and Validation.JMIR formative research · 2023Article
- Assessing the cost and utilization of SMS printers by primary health care facilities: lessons learned from South Africa.Journal of public health in Africa · 2023Article
- EMR adoption in Dhaka, Bangladesh: a template to index pediatric central nervous system tumor care and a review of preliminary neuro-oncologic observations.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Review
- The Interplay Between Technology Performativity and Health Care Professionals in Hospital Settings: Service Design Approach.JMIR formative research · 2022Article
- Evaluation of kidney function among people living with HIV initiating antiretroviral therapy in Zambia.PLOS global public health · 2022Article
- Implementation challenges and perception of care providers on Electronic Medical Records at St. Paul's and Ayder Hospitals, Ethiopia.BMC medical informatics and decision making · 2021Article
- Medical Documentation in Low- and Middle-income Countries: Lessons Learned from Implementing Specialized Charting Software.Plastic and reconstructive surgery. Global open · 2021Article
- Adult medical emergency unit presentations due to adverse drug reactions in a setting of high HIV prevalence.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Advantages and Limitations of 16S rRNA Next-Generation Sequencing for Pathogen Identification in the Diagnostic Microbiology Laboratory: Perspectives from a Middle-Income Country.Diagnostics (Basel, Switzerland) · 2020Review
- Electronic Health Information Systems to Improve Disease Diagnosis and Management at Point-of-Care in Low and Middle Income Countries: A Narrative Review.Diagnostics (Basel, Switzerland) · 2020Review
- Implementation of electronic medical records at an Emergency Medicine Department in Tanzania: The information technology perspective.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- Chart review of acute myocardial infarction at a district hospital in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2016Article
- Generating unique IDs from patient identification data using security models.Journal of pathology informatics · 2016Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionElectronic Medical Records (EMRs) have shown benefit for clinical, organisational, and societal outcomes. In low-to-middle-income countries, the desire for EMRs will continue to rise as increasing trauma and infectious disease rates necessitate adequate record keeping for effective follow-up. 114 nations are currently working on national EMRs, with some using both a full EMR (Clinicom) and a paper-based system scanned to an online Enterprise Content Management (ECM) database.
methodsThe authors sought to evaluate the ability and completeness of the EMR at Khayelitsha Hospital (KH) to capture all Emergency Centre (EC) encounters classified as trauma. Based on the high trauma rates in the Khayelitsha area and equally high referral rates from KH to higher-level trauma centres, an assumption was made that its rates would mirror nationwide estimates of 40% of EC visits. Records from July 2012 to June 2013 were examined.
results3488 patients visited the EC in the month of July 2012. 10% were noted as trauma on Clinicom and within their records were multiple sections with missing information. The remaining months of Aug 2012-June 2013 had an average trauma load of 8%. On further investigation, stacks of un-scanned patient folders were identified in the records department, contributing to the unavailability of records from January 2013 to the time of study (June 2013) on ECM.
conclusionThe results highlight difficulties with implementing a dual record system, as neither the full EMR nor ECM was able to accurately capture the estimated trauma load. Hospitals looking to employ such a system should ensure that sufficient funds are in place for adequate support, from supervision and training of staff to investment in infrastructure for efficient transfer of information. In the long run, efforts should be made to convert to a complete EMR to avoid the many pitfalls associated with handling paper records.
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