Peranan Electronic Health Record System terhadap Keselamatan Pasien di Perawatan Anak

Yayah Yayah, La Ode Abdul Rahman

Abstract


EHRs merupakan bentuk perkembangan teknologi informasi berupa sistem dokumentasi kesehatan dalam format digital yang dapat memberikan tampilan data otomatis yang mendukung dalam kelengkapan dan keakuratan data yang diharapkan dapat  meningkatkan keselamatan pasien termasuk di perawatan anak. Karena anak merupakan populasi yang rentan dalam isu keselamatan pasien. Tujuan penelitian ini adalah untuk mengetahui peranan EHRs terkait keselamatan pasien di perawatan anak. Penelitian ini menggunakan studi literatur dengan melakukan kajian artikel dan jurnal penelitian yang dicari melalui penelusuran database online yang terbit tahun 2014-2019 dengan kata kunci “electronic health record” OR “electronic medical record” AND “pediatric” AND “patient safety” sebanyak 10 artikel dijadikan bahan analisis utama ditambahkan artikel lainnya sebagai sebagai pendukung pembahasan. Hasil penelitian ini menunjukan bahwa EHRs yang sudah dimodifikasi dengan menampilkan umpan balik tanda waspada berupa sistem peringatan dengan tampilan visual dapat meningkatkan komunikasi yang efektif antar tim kesehatan, memberikan peringatan dalam keamanan dan kewaspadaan obat, serta deteksi dini sepsis pada anak sehingga mendukung pengambilan keputusan untuk melakukan tindakan yang tepat untuk meningkatkan keselamatan pasien. EHRs yang sudah dimodifikasi dengan sistem pendukung berupa sistem peringatan memiliki peranan positif dan efektif dalam meningkatkan keselamatan pasien di perawatan anak.

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References


Daftar Pustaka

Bagattini, F., Karlsson, I., Rebane, J., & Papapetrou, P. (2019). A classification framework for exploiting sparse multi-variate temporal features with application to adverse drug event detection in medical records. BMC Medical Informatics and Decision Making, 19(1), 1–20. https://doi.org/10.1186/s12911-018-0717-4

Bakken, S. (2019). Need for innovation in electronic health record-based medication alerts. 26(10), 901–902. https://doi.org/10.1093/jamia/ocz155

Boggs, W. (September, 17 2019). Sepsis-Alert System in the ED May Cut Racial Disparity in Pediatric Sepsis Recognition. Medscape. Diakses dari https://www.medscape.com/viewarticle/918372 pada hari Jumat. 11 Oktober 2019, pukul 21.25 WIB.

Chaparro, J. D., Classen, D. C., Danforth, M., Stockwell, D. C., & Longhurst, C. A. (2017). National trends in safety performance of electronic health record systems in children’s hospitals. Journal of the American Medical Informatics Association, 24(2), 268–274. https://doi.org/10.1093/jamia/ocw134

Eisenberg, M., Madden, K., Christianson, J. R., Melendez, E., & Harper, M. B. (2019). Performance of an Automated Screening Algorithm for Early Detection of Pediatric Severe Sepsis. Pediatric Critical Care Medicine, 1. https://doi.org/10.1097/pcc.0000000000002101

Emmanuel, J., & Torres, A. (2018). The Impact of Automated Electronic Surveillance of Electronic Medical Records on Pediatric Inpatient Care. Cureus, 10(10), 1–11. https://doi.org/10.7759/cureus.3395

Field, M., Fong, K., & Shade, C. (2018). Use of Electronic Visibility Boards to Improve Patient Care Quality, Safety, and Flow on Inpatient Pediatric Acute Care Units. Journal of Pediatric Nursing, 41, 69–76. https://doi.org/10.1016/j.pedn.2018.01.015

Hackethal, V. (Desember 11, 2018). EHR Alert Reduces Excess Cardiac Telemetry in Hospital. – Medscape diakses dari https://www.medscape.com/viewarticle/906384 pada hari Jumat, 11 Oktober 2019 Pukul 21.30 WIB.

Harper, M. B., Longhurst, C. A., McGuire, T. L., Tarrago, R., Desai, B. R., & Patterson, A. (2014). Core drug-drug interaction alerts for inclusion in pediatric electronic health records with computerized prescriber order entry. Journal of Patient Safety, 10(1), 59–63. https://doi.org/10.1097/PTS.0000000000000050

Hoover, R. (2017). Benefits of using an electronic health record. Nursing Critical Care, 12(1), 9–10. https://doi.org/10.1097/01.CCN.0000508631.93151.8d

Jamshed, N., Ozair, F., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: A general overview. Perspectives in Clinical Research, 6(2), 73. https://doi.org/10.4103/2229-3485.153997

King, J., Patel, V., Jamoom, E. W., & Furukawa, M. F. (2014). Clinical benefits of electronic health record use: National findings. Health Services Research, 49(1 PART 2), 392–404. https://doi.org/10.1111/1475-6773.12135

Kirkendall, E. S., Kouril, M., Dexheimer, J. W., Courter, J. D., Hagedorn, P., Szczesniak, R., … Spooner, S. A. (2017). Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Journal of the American Medical Informatics Association, 24(2), 295–302. https://doi.org/10.1093/jamia/ocw086

Koch, V., Kuge, S., Geissbauer, R., & Schrauf, S. (2014). Industry 4.0 - Opportunities and challenges of the industrial internet. Strategy& Formerly Booz & Company, PwC, 13, 1–51. https://doi.org/10.1016/j.futures.2014.12.002

Lehmann, C. U., Weinberg, S. T., Alexander, G. M., Beyer, E. L., Del Beccaro, M. A., Francis, A. B., … Krams, L. (2015). Pediatric aspects of inpatient health information technology systems. Pediatrics, 135(3), e756–e768. https://doi.org/10.1542/peds.2014-4148

Manzi, S. F., Fusaro, V. A., Chadwick, L., Brownstein, C., Clinton, C., Mandl, K. D., … Hawkins, J. B. (2017). Creating a scalable clinical pharmacogenomics service with automated interpretation and medical record result integration - experience from a pediatric tertiary care facility. Journal of the American Medical Informatics Association, 24(1), 74–80. https://doi.org/10.1093/jamia/ocw052

Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Sing, H. (2014). An Analysis of Electronic Health Record-Related patient Safety Concerns. J Am Med Inform Assoc, 21, 1053–1059. https://doi.org/10.1136/amiajnl-2013-002578

Meeks, D. W., Takian, A., Sittig, D. F., Singh, H., & Barber, N. (2014). Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Journal of the American Medical Informatics Association, 21(E2), 10–11. https://doi.org/10.1136/amiajnl-2013-001762

Menkes RI. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 tahun 2017 tentang Keselamatan Pasien. Jakarta.

Mueller, B. U., Neuspiel, D. R., Stucky Fisher, E. R., Franklin, W., Adirim, C. T., Bundy, D. G., … Schwalenstocker, E. (2019). Principles of pediatric patient safety: Reducing harm due to medical care. Pediatrics, 143(2). https://doi.org/10.1542/peds.2018-3649

Nanji, K. C., Slight, S. P., Seger, D. L., Cho, I., Fiskio, J. M., Redden, L. M., … Bates, D. W. (2014). Overrides of medication-related clinical decision support alerts in outpatients. Journal of the American Medical Informatics Association, 21(3), 487–491. https://doi.org/10.1136/amiajnl-2013-001813

Nuryati, & Widayanti, N. A. ( 2015). Evaluasi Implementasi Sistem Electronic Health Record (EHR) Di Rumah Sakit Akademik Universitas Gadjah Mada. Jurnal Manajemen Informasi Kesehatan Indonesia, ISSN:2337-585X, Vol.3, No.1, Maret 2015, 17–30.

Panesar, R. S., Albert, B., Messina, C., & Parker, M. (2016). The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric Intensive Care Unit. American Journal of Medical Quality, 31(1), 64–68. https://doi.org/10.1177/1062860614553263

Paul, R., Macias, C., Elliot, M., Wathen, B., Larsen, G., Chapman, L., … Wake, T. (2019). A Quality Improvement Collaborative Improves Care for Pediatric Septic Shock *. Pediatrics, 141 (1 MeetingAbstract) 336 1–5.. https://doi.org/10.1542/peds.141.1_MeetingAbstract.336

Ratwani, R. M., Savage, E., Will, A., Fong, A., Karavite, D., Muthu, N., … Rising, J. (2018). Identifying electronic health record usability and safety challenges in pediatric settings. Health Affairs, 37(11), 1752–1759. https://doi.org/10.1377/hlthaff.2018.0699

Ruppel, H., & Liu, V. (2019). To catch a killer: Electronic sepsis alert tools reaching a fever pitch? BMJ Quality and Safety, 693–696. https://doi.org/10.1136/bmjqs-2019-009463

Saiyed, S. M., Davis, K. R., & Kaelber, D. C. (2019). Differences, Opportunities, and Strategies in Drug Alert Optimization-Experiences of Two Different Integrated Health Care Systems. Applied Clinical Informatics, 10(5), 777–782. https://doi.org/10.1055/s-0039-1697596

Shelov, E., Muthu, N., Wolfe, H., Traynor, D., Craig, N., Bonafide, C., … Dewan, M. (2018). Design and Implementation of a Pediatric ICU Acuity Scoring Tool as Clinical Decision Support. Applied Clinical Informatics, 9(3), 576–587. https://doi.org/10.1055/s-0038-1667122

Simpao, A. F., Ahumada, L. M., Desai, B. R., Bonafide, C. P., Gávez, J. A., Rehman, M. A., … Shelov, E. D. (2015). Optimization of drug-drug interaction alert rules in a pediatric hospital’s electronic health record system using a visual analytics dashboard. Journal of the American Medical Informatics Association, 22(2), 361–369. https://doi.org/10.1136/amiajnl-2013-002538

Wright, A., McEvoy, D. S., Aaron, S., McCoy, A. B., Amato, M. G., Kim, H., … Sittig, D. F. (2019). Structured override reasons for drug-drug interaction alerts in electronic health records. Journal of the American Medical Informatics Association, 26(April), 934–942. https://doi.org/10.1093/jamia/ocz033




DOI: https://doi.org/10.46749/jiko.v4i1.36

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