Ghazisaeedi Marjan, Mohammadzadeh Niloofar, Safdari Reza
Health Information Management, Tehran University of Medical Sciences. Tehran, Iran.
Med Arch. 2014 Dec;68(6):419-421. doi: 10.5455/medarh.2014.68.419-421. Epub 2014 Dec 16.
application of EHR in journey toward the development and adaptation of best practice approach in health care has particular importance. The aim of this review article is survey of successful best practice through EHR.
In this literature review articles were searched with keywords like Electronic Health Record, Best Practice in Science Direct, Google Scholar and Pub Med databases since 1999.
best practice in health care through some services like utilization management, case management, and information technology tools can perform. Utilization management in combination with evidence based medicine facilitate determine best decision. Health records are based on evidence medicine and be the richest source of health information. Definitely use of EHR has play pivotal role in journey toward the development and adaptation of best practice approach.
Because of potential capabilities, EHR can be regarded as a main core and fundamental element in best practice approach. Success implementation of EHR relies on many factors that should be considered. Some critical success factors for EHR implementation that should be noted are change management, Physicians, nurses and key stakeholders involvement, leadership, provide reliable information technology infrastructure, system design, privacy and security, right budget, support high level management, clear communicate, determine goals and user needs, and define roles and responsibilities, interoperability standards.
电子健康记录（EHR）在朝着医疗保健最佳实践方法的发展和适应过程中的应用具有特殊重要性。这篇综述文章的目的是通过EHR对成功的最佳实践进行调查。
在这篇文献综述中，自1999年以来，在科学Direct、谷歌学术和Pub Med数据库中使用诸如电子健康记录、最佳实践等关键词搜索文章。
通过利用管理、病例管理和信息技术工具等一些服务，可以实现医疗保健中的最佳实践。利用管理与循证医学相结合有助于做出最佳决策。健康记录基于循证医学，是最丰富的健康信息来源。当然，EHR的使用在朝着最佳实践方法的发展和适应过程中发挥了关键作用。
由于其潜在能力，EHR可被视为最佳实践方法的主要核心和基本要素。EHR的成功实施依赖于许多应考虑的因素。应注意的EHR实施的一些关键成功因素包括变更管理、医生、护士和关键利益相关者的参与、领导力、提供可靠的信息技术基础设施、系统设计、隐私和安全、合理预算、高层管理支持、清晰沟通、确定目标和用户需求以及定义角色和职责、互操作性标准。
