Evidence map›Paper›PMID 33752170›Full record

ArticleInternational journal of medical informatics2021

OpenMRS as an emergency EMR-How we used a global good to create an emergency EMR in a week.

Burke W Mamlin, Jennifer E Shivers, Nancy K Glober, Jonathan J Dick

Open access · greenAbstract read
In one paragraph

Article in International journal of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Burke W MamlinDepartment of Medicine, Indiana University School of Medicine, 545 Barnhill Dr #305, Emerson Hall, Indianapolis, IN, 46202, USA; Regenstrief Institute, Inc., 1101 West 10th Street, Indianapolis, IN, 46202, USA. Electronic address: bmamlin@regenstrief.org.
Jennifer E ShiversRegenstrief Institute, Inc., 1101 West 10th Street, Indianapolis, IN, 46202, USA. Electronic address: jeshiver@regenstrief.org.
Nancy K GloberDepartment of Emergency Medicine, Indiana University School of Medicine, 720 Eskenazi Ave, Fifth Third Bank Building 3rd Fl, Indianapolis, IN, 46202, USA. Electronic address: nglober@iu.edu.
Jonathan J DickDepartment of Medicine, Indiana University School of Medicine, 545 Barnhill Dr #305, Emerson Hall, Indianapolis, IN, 46202, USA; Regenstrief Institute, Inc., 1101 West 10th Street, Indianapolis, IN, 46202, USA. Electronic address: dickj@iupui.edu.
Regenstrief Institute · USIndiana University School of Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the coronavirus pandemic progressed through the United States, Indianapolis Emergency Medical Services (IEMS) identified a gap between the health system capacity and the projected need to support an overwhelmed health care system. In addressing emergencies or special cases, each medical institution in a metropolitan area typically has a siloed process for capturing emergency patient records. These approaches vary in technical capabilities and may include use of an electronic medical record system (EMR) or a hybrid paper/EMR process. Given the projected volume of patients for the COVID-19 pandemic and the proposed multi-institutional team approach needed in case of significant provider illness, IEMS sought a simple, efficient, consolidated EMR solution to support planning for the potential capacity gap. IEMS approached Regenstrief Institute (RI), an established partner with experience in supporting OpenMRS, a global good EMR platform that had been deployed in multiple settings globally.

objectiveThe purpose of this project was to determine if OpenMRS, a global good, could be used to quickly stand up a system that would meet the needs for health emergency data collection and reporting. DESIGN AND IMPLEMENTATION

methodsThe team used an "all hands on deck" approach, bringing together technical and subject matter experts, and a human-centered and iterative process to ensure the system met the key needs of IEMS. The OpenMRS Reference Application was adapted to the specific need and deployed as Docker containers to servers within the Indiana Health Information Exchange. PROJECT OUTCOMES AND LESSONS LEARNED: In less than two weeks, the Regenstrief team was able to install, configure and set up a working version of OpenMRS to support the desired electronic record requirements for the IEMS disaster field clinics. Using a human-centered approach, the RI team developed, tested, and released a user-friendly, installation-ready solution complete with an end user manual and a base support plan. IEMS and RI are sharing this approach to demonstrate how a global good can quickly generate a solution for COVID-19 and other disaster responses.

conclusionsOpen source global goods can rapidly be adapted to meet local needs in an emergency. OpenMRS can be adapted to meet the needs of basic emergency medical services registration, triage, and basic data collection.

Indexed as

COVID-19EmergenciesElectronic Health RecordsHumansPandemicsSARS-CoV-2COVID-19Electronic medical record systemsEMRGlobal goodsOpen source

Identifiers

PMID33752170
PMCPMC9760786
OpenAlexW3131476061

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.