Article

The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview

eHealth Unit, Department of Primary Care and Public Health, Imperial College London, London, United Kingdom.
PLoS Medicine (Impact Factor: 14.43). 01/2011; 8(1):e1000387. DOI: 10.1371/journal.pmed.1000387
Source: PubMed

ABSTRACT

There is considerable international interest in exploiting the potential of digital solutions to enhance the quality and safety of health care. Implementations of transformative eHealth technologies are underway globally, often at very considerable cost. In order to assess the impact of eHealth solutions on the quality and safety of health care, and to inform policy decisions on eHealth deployments, we undertook a systematic review of systematic reviews assessing the effectiveness and consequences of various eHealth technologies on the quality and safety of care.

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    • "The true potential of health application system lies in providing real time physical information to individual. Moreover, the system can collect data from monitored individual person and accumulated data can be used to establish a 24/7 information bridge between health service consumers and service providers such as: doctors, consulting centers, diagnostic centers, clinics, hospitals, therapists, pharmacists etc. Patient monitoring , medication, diagnosis and health related various services can be improved enormously [2]. This paper proposing such a system that will have a linkup between smartphone and real time health monitoring. "

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    • "A review of the literature reveals that mHealth initiatives in developing countries range from disease surveillance and control, emergency response systems, human resource coordination, management and supervision , m-learning to health services monitoring and reporting (Mechael, 2010). Yet, the impact of mHealth has yet to be fully realised (Black et al., 2011; Payton et al., 2011), primarily in LMIC (Avergou, 2008; Varshney 2011) and more specifically in the area of Wearable Vital Sign Sensor systems (Yetisen, 2014). "

    Full-text · Dataset · Aug 2015
    • "Electronic prescription technologies are used in different ways. By definition, eRx refers to any computerized system used to enter, modify, review and communicate information on medication prescriptions [4]. The technology may be used on its own or linked to an electronic health record. "
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    ABSTRACT: The objective of this study was to identify physicians' and pharmacists' perceptions of the challenges and benefits to implementing a nationwide electronic prescribing network linking medical clinics and community pharmacies in Quebec, Canada. Forty-nine people (12 general practitioners, 2 managers, 33 community pharmacists, and 2 pharmacy staff members) from 40 points of care (10 primary care clinics (42% of all the connected sites) and 30 community pharmacies (44%)) were interviewed in 2013. Verbatim transcripts were analyzed using thematic analysis. A low level of network use was observed. Most pharmacists processed e-prescriptions by manual entry instead of importing electronically. They reported concerns about potential errors generated by importing e-prescriptions, mainly due to the instruction field. Paper prescriptions were still perceived as the best means for safe and effective processing of prescriptions in pharmacies. Speed issues when validating e-prescription messages were seen as an irritant by physicians, and resulted in several of them abandoning transmission. Displaying the medications based on the dispensing data was identified as the main obstacle to meaningful use of medication histories. Numerous challenges impeded realization of the benefits of this network. Standards for e-prescription messages, as well as rules for message validation, need to be improved to increase the potential benefits of e-prescriptions. Standard drug terminology including the concept of clinical medication should be developed, and the implementation of rules in local applications to allow for the classification and reconciliation of medication lists from dispensing data should be made a priority. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
    No preview · Article · Apr 2015 · Journal of the American Medical Informatics Association
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