Department of Health Informatics, College of Public Health & Health Informatics, King Saud Bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia.
Comput Biol Med. 2017 Oct 1;89:190-196. doi: 10.1016/j.compbiomed.2017.08.012. Epub 2017 Aug 12.
Electronic health record (EHR) is a data management system used in healthcare services. The stored medical information in EHR can be accessed and utilized by authorized users, which helps clinicians in making clinical decisions. Therefore, this study aims at comparing the embedded clinical guidelines or the supportive pathway functions as well as their compliance level in the two EMR systems, i.e. QuadraMed (QCPR) and BestCare.
A test vignette was used to evaluate the features, functions, performance, and output to assess the EHR clinical path way functionality of the QCPR and BestCare. The study was based on interview and discussion, followed by actual system testing.
The results of the evaluation showed that the overall total score of QuadraMed and BESTCare systems supportive care pathway functions were 44.4% and 68.9%, respectively. BestCare is set to replace QCPR in all King Abdulaziz Medical City (KAMCS) hospitals.
Embedding clinical decision support system into EMRs improved clinician performance and facilitated quality of care. However, further investigation of the BESTCare is highly recommended to utilize and fulfill the basic demands of the supportive care pathway functions in King Abdulaziz Medical City (KAMC) hospitals.
电子健康记录（EHR）是医疗保健服务中使用的数据管理系统。EHR 中存储的医疗信息可被授权用户访问和使用，这有助于临床医生做出临床决策。因此，本研究旨在比较两个电子病历系统（即 QuadraMed [QCPR] 和 BestCare）中的嵌入式临床指南或支持路径功能及其合规水平。
使用测试病例来评估 QCPR 和 BestCare 的 EHR 临床路径功能的特征、功能、性能和输出。该研究基于访谈和讨论，随后进行实际系统测试。
评估结果表明，QuadraMed 和 BESTCare 系统支持性护理路径功能的总得分分别为 44.4%和 68.9%。BestCare 计划在阿卜杜勒阿齐兹国王医疗城（KAMCS）的所有医院取代 QCPR。
将临床决策支持系统嵌入到 EMR 中可以提高临床医生的绩效，并促进医疗质量。然而，强烈建议对 BESTCare 进行进一步调查，以满足阿卜杜勒阿齐兹国王医疗城（KAMC）医院支持性护理路径功能的基本需求。
