IT Artefacts

Point of care patient management and monitoring in a HIV/AIDS clinic is aimed at providing quality of services to patients free from errors(Tierney et al., 2007; Wells, Higgins and Baumann, 2010). AimsAssess experts experience in using point of care patient management and patient’s satisfaction to the new method of in a low resourced country(Al-Mujaini et al., 2011; O’Donnell et al., 2018)Objectives:To assess caregivers and patients’ satisfaction using the point of care electronic medical record system(O’Donnell et al., 2018).To improve efficiency and reduce or eliminate errors due to manual model of patient management (Duffy, Kharasch and Du, 2010)To increase retention in new patients eligibility to treatment at the appropriate time based on patient flags (Wynberg et al., 2014)To evaluated quality of service either from caregivers or patients stand points(Yager, Domingo and Gerdes, 2008; Gauglitz, 2014) To improve patient turn-around time by improving clinical services (Drain et al., 2014)To reduce the turn-around time on report generation as opposed to the previous model(Jawhari et al., 2016)IT ArtefactThe artefact for this dissertation is a set of guidelines that both caregivers and patients’ satisfaction through services being rendered and they will build more confidence on the new technology base on its outcome(O’Donnell et al., 2018). A survey to showcase that point of care electronic medical records system will improves patients turn-around time and retention in care for patients. One of the dissertation artefacts is to have an improved system were quality of services(Murray et al., 2011). IT Artefact EvaluationCaregivers and patients’ satisfaction to an improved process gives both parties a sense of belonging as information required by a particular caregiver is already provided based on clinic flow(Bates et al., 2003; Elder et al., 2010). It is clear that a medical doctor cannot prescribe or recommend a particular treatment without him/her obtaining re laboratory investigation results. Likewise, the pharmacy cannot prescribe a drug without obtaining a prescription from a clinician. Prior to this advancement in technology, a paper-based used to move around in a folder that has series of challenges amongst them are:• Delay or mission lab investigation result which affects patient management• Wrong prescription of drugs due to delay and error from the laboratory results• Patient waiting time is longer that when the electronic systems was introduced.• Errors as a result of unclear handwriting from caregivers to data clerks.• Delay in placing patients into care and that affects patients’ retention in care• Delay in generating weekly, monthly and annual reports to funders due to manual processes.Adoption of the electronic medical record system eliminated most of challenges listed above as a result of automation of the prosses. Survey method will be conducted on participants where an evaluation of the dissertation will be conducted by experts in the field of study (Gruengard, 2009). ReferencesAl-Mujaini, A. et al. (2011) ‘Satisfaction and perceived quality of an electronic medical record system in a tertiary hospital in Oman’, Oman Medical Journal, 26(5), pp. 324–328.Bates, D. W. et al. (2003) ‘A Proposal for Electronic Medical Records in U.S. Primary Care’, Journal of the American Medical Informatics Association. The Oxford University Press, 10(1), pp. 1–10. doi: 10.1197/jamia.M1097.Drain, P. K. et al. (2014) ‘Diagnostic point-of-care tests in resource-limited settings’, The Lancet Infectious Diseases. doi: 10.1016/S1473-3099(13)70250-0.Duffy, W. J., Kharasch, M. S. and Du, H. (2010) ‘Point of care documentation impact on the nurse‐patient interaction’, Nursing Administration Quarterly. doi: 10.1097/NAQ.0b013e3181c95ec4.Elder, K. T. et al. (2010) ‘Health information technology and physician career satisfaction.’, Perspectives in health information management / AHIMA, American Health Information Management Association, 7.Gauglitz, G. (2014) ‘Point-of-Care Platforms’, Annual Review of Analytical Chemistry. doi: 10.1146/annurev-anchem-071213-020332.Gruengard, E. (2009) ‘The Final Project and Dissertation Guidelines ( DSG ) And The Research Methods Training for the Computing MSc’.Jawhari, B. et al. (2016) ‘Benefits and challenges of EMR implementations in low resource settings: a state-of-the-art review’, BMC Medical Informatics and Decision Making. BMC Medical Informatics and Decision Making, 16(1), p. 116. doi: 10.1186/s12911-016-0354-8.Murray, E. et al. (2011) ‘Why is it difficult to implement e-health initiatives? A qualitative study.’, Implementation science : IS, 6, p. 6.O’Donnell, A. et al. (2018) ‘Primary care physicians’ attitudes to the adoption of electronic medical records: A systematic review and evidence synthesis using the clinical adoption framework 11 Medical and Health Sciences 1117 Public Health and Health Services’, BMC Medical Informatics and Decision Making, 18(1). doi: 10.1186/s12911-018-0703-x.Tierney, W. M. et al. (2007) ‘Experience implementing a point-of-care electronic medical record system for primary care in Malawi.’, Studies In Health Technology And Informatics. Partners In Health, Boston, MA, USA. [email protected], 160(Pt 1), pp. 372–376. Available at: http://www.ncbi.nlm.nih.gov/pubmed/17911742.Wells, H. J., Higgins, G. L. and Baumann, M. R. (2010) ‘Implementing an electronic point-of-care medical record at an organized athletic event: challenges, pitfalls, and lessons learned.’, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 20(5), pp. 377–378.Wynberg, E. et al. (2014) ‘Impact of point-of-care CD4 testing on linkage to HIV care: A systematic review’, Journal of the International AIDS Society. doi: 10.7448/IAS.17.1.18809.Yager, P., Domingo, G. J. and Gerdes, J. (2008) ‘Point-of-Care Diagnostics for Global Health’, Annual Review of Biomedical Engineering. doi: 10.1146/annurev.bioeng.10.061807.160524.

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