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23
August, 2014
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ehr sweden

Electronic Health Records: An International Perspective on “Meaningful Use”

Gray BH et al, The Commonwealth Fund, Volume 28

Research has shown that the United States lags many other countries in the adoption of electronic health records (EHRs). The U.S. has now embarked on a major effort to achieve “meaningful use” of health information technology by clinicians and hospitals. This issue brief describes the extent of meaningful use in three countries with very high levels of health information technology adoption—Denmark, New Zealand, and Sweden.
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24 November 2011 | No Comments »
Categories: Science| Country: Denmark, New Zealand, Sweden, United States| EHR: EHR, EHR Denmark, EHR New Zealand, EHR Sweden, EHR USA| Tag(s): Meaningful Use

Implementation of electronic medical records in hospitals: two case studies

Øvretveit J et al, Health Policy, 84(2-3)

There is evidence that health information technology can improve quality, safety and reduce costs but that health care providers needed more information about how to implement these technologies to realise its potential. This paper summarises the research and proposes a theory of implementation based on the research evidence.
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30 September 2011 | No Comments »
Categories: Science| Country: Sweden, United States| EHR: EHR, EHR Sweden, EHR USA| Tag(s): Hospitals, Implementation

Electronic patient records in action

Winman T, Rystedt H. Health Informatics Journal, 17(1)

The implementation of generic models for organizing information in complex institutions like those in healthcare creates a gap between standardization and the need for locally relevant knowledge. The present study addresses how this gap can be bridged by focusing on the practical work of healthcare staff in transforming information in EPRs into knowledge that is useful for everyday work. Video recording of shift handovers on a rehabilitation ward serves as the empirical case.
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10 April 2011 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Knowledge

Views on health information and perceptions of standardized electronic records among staff in Child and School Health Services

Ståhl Y et al, Journal of Nursing Management, 19(2)

Aim 
To investigate how nurses and physicians in the Child and School Health Services view the documentation and transfer of health information. Another aim concerns their perceptions of a nationally standardized electronic health record.

Background 
Problems of mental health among children and adolescents currently pose one of the greatest challenges facing all European countries. The continuity of health work demands that all health information follow the child’s development, disregarding the organizational arrangement.
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13 March 2011 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Children, Documentation, Health Information Exchange

Data extraction from a semi-structured electronic medical record system for outpatients: a model to facilitate the access and use of data for quality control and research

Kristianson KJ et al, Health Informatics Journal, 15(4)

The use of clinical data from electronic medical records (EMRs) for clinical research and for evaluation of quality of care requires an extraction process. Many efforts have failed because the extracted data seemed to be unstructured, incomplete and ridden by errors. We have developed and tested a concept of extracting semi-structured EMRs (Journal III, Profdoc) data from 776 diabetes patients in a general practice clinic over a 5 year period. We used standard database management techniques commonly applied in clinical research in the pharmaceutical industry to clean up the data and make the data available for statistical analysis.
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1 August 2010 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Data Mining, Diabetes, emr, GP, Quality, Research

Swedish NPO ‘complete by 2012′

Sarah Bruce, e-Health Europe

“The National Patient Overview that is being rolled out across Sweden will be completed by spring 2012, according to one of the project leads.
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17 March 2010 | No Comments »
Categories: News| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Implementation, summary-care-records

U.S. lags the world’s top adopters of electronic health records systems

Bob Brewin, NextGov

“The United States is far behind countries that lead the world in using electronic health records, and the nation should borrow some of their policies to increase the adoption rate of e-health records here, according to a report a technology advocacy group released on Wednesday.
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23 September 2009 | No Comments »
Categories: News| Country: Denmark, Finland, Sweden, United States| EHR: EHR, EHR Denmark, EHR Finland, EHR Sweden, EHR USA| Tag(s): e-prescribing, Health Information Technology

Tieto’s National Patient Summary Solution for Sweden

eHealthServer

‘The Swedish National Patient Summary solution (known as NPÖ), one of the first of its kind in the world, has received formal acceptance and has been in full production since 1 September, 2009 in Örebro County Council and the Municipality of Örebro.
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17 September 2009 | No Comments »
Categories: News| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Industry, summary-care-records

Physicians’ attitudes towards ePrescribing – evaluation of a Swedish full-scale implementation

Hellstrom, Lina et al, BMC Medical Informatics and Decision Making, 9(1)

Background
The penetration rate of Electronic Health Record (EHR) systems in health care is increasing. However, many different EHR-systems are used with varying ePrescription designs and functionalities. The aim of the present study was to evaluate experienced ePrescribers’ attitudes towards ePrescribing for suggesting improvements.
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8 August 2009 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): e-prescribing

The incidence of adverse events in Swedish hospitals: a retrospective medical record review study

Soop, Michael et al, International Journal for Quality in Health Care, 21(4)

Objectives.
To estimate the incidence, nature and consequences of adverse events and preventable adverse events in Swedish hospitals.

Design.
A three-stage structured retrospective medical record review based on the use of 18 screening criteria.
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17 July 2009 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Hospitals, Patient Safety

Archetype-based conversion of EHR content models: pilot experience with a regional EHR system

Chen, Rong et al, BMC Medical Informatics and Decision Making, 9(1)

Background
Exchange of Electronic Health Record (EHR) data between systems from different suppliers is a major challenge. EHR communication based on archetype methodology has been developed by openEHR and CEN/ISO. The experience of using archetypes in deployed EHR systems is quite limited today. Currently deployed EHR systems with large user bases have their own proprietary way of representing clinical content using various models. This study was designed to investigate the feasibility of representing EHR content models from a regional EHR system as openEHR archetypes and inversely to convert archetypes to the proprietary format.
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1 July 2009 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Archetypes, openEHR

Qui va piano va sano, le NPÖ démarre à Örebro !

Jean-Jacques Fraslin, i-Med

“Illustration moderne de la fable du lièvre et de la tortue, alors que les deux chantiers nationaux de dossiers médicaux électroniques ont été lancés en même temps en France et en Suède, le NPÖ a commencé seulement en mai 2009 son déploiement dans le län central de Örebro, mais les 20 autres comtés suédois pourraient être connectés en 2011.
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14 June 2009 | No Comments »
Categories: News| Country: France, Sweden| EHR: EHR, EHR France, EHR Sweden| Tag(s): Implementation

Dossier médical électronique (EMR) Pourquoi / comment la Suède vient-elle de lancer une étape nationale ?

Denise Silber's Blog

“Comment la Suède vient-elle de lancer une étape nationale importante qui s’appelle NPÖ, permettant aux professionnels de santé suédois de partager l’information (autorisée par les patients) où qu’il se soit, par l’intermédiaire du Web?
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9 June 2009 | No Comments »
Categories: News| Country: France, Sweden| EHR: EHR, EHR France, EHR Sweden| Tag(s):

Tieto’s national patient overview solution takes further steps in Sweden

Tieto

“The Örebro County Council and the Municipality of Örebro have started to use the Swedish National Patient Summary solution (known as NPÖ), supplied by Tieto. The national roll-out plan is being worked on in parallel with further development and evaluation of the NPÖ service.
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4 June 2009 | No Comments »
Categories: News| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Implementation

Sweden launches national electronic health record

Chip Means, Healthcare IT News EU

“The first stage of the Swedish National Patient Summary project was successfully deployed last month, according to the project’s partnering IT vendors, InterSystems and Tieto. It’s the first national EHR for Sweden, and is billed as one of the first of its kind in the world.
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4 June 2009 | No Comments »
Categories: News| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Implementation

Developing a standard for de-identifying electronic patient records written in Swedish: Precision, recall and F-measure in a manual and computerized annotation trial

Velupillai, Sumithra et al, International Journal of Medical Informatics, 78(12)

Background
Electronic patient records (EPRs) contain a large amount of information written in free text. This information is considered very valuable for research but is also very sensitive since the free text parts may contain information that could reveal the identity of a patient. Therefore, methods for de-identifying EPRs are needed. The work presented here aims to perform a manual and automatic Protected Health Information (PHI)-annotation trial for EPRs written in Swedish.
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1 June 2009 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Applications, De-identification, Ethics, Medical Informatics, NLP

Individuals Appreciate Having Their Medication Record on the Web: A Survey of Attitudes to a National Pharmacy Register

Montelius E et al, J Med Internet Res, 10(4)

Background:
Many patients receive health care in different settings. Thus, a limitation of clinical care may be inaccurate medication lists, since data exchange between settings is often lacking and patients do not regularly self-report on changes in their medication. Health care professionals and patients are both interested in utilizing electronic health information. However, opinion is divided as to who should take responsibility for maintaining personal health records. In Sweden, the government has passed a law to enforce and fund a national register of dispensed medications. The register comprises all individuals with dispensed medications (6.4 million individuals, September 2006) and can be accessed by the individual online via “My dispensed medications”. The individual has the right to restrict the accessibility of the information in health care settings.
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12 November 2008 | No Comments »
Categories: Patients, RA News, RA Research, Record Access, Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Access, Consent, Drugs, pharmacist, Web

Organizational effects of information and communication technology (ICT) in elderly homecare: a case study

Vimarlund V et al, Health Informatics Journal, 14(3)

The use of information and communication technology (ICT) to support integrated healthcare services in elderly homecare is becoming more established. In particular, ICT can enable information exchange, knowledge sharing and documentation at the point-of-care (POC). The aim of this study was to explore these effects using the Old@Home prototype. Old@Home was perceived to contribute in developing horizontal links for communication between individuals who work together, independent of geographical distance or organizational affiliation, and to contribute to increased work efficiency.
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21 August 2008 | No Comments »
Categories: Science| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Digital Homecare, Elderly, Information Technology

Swedish centre mines drug reaction data

“A Swedish monitoring centre is using data mining techniques to help identify adverse drug reactions based on Yellow Card patient records.
The Yellow Card is the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) scheme, which has been used for over 40 years to collect information on suspected side effects from all types of medicines.”
Article
eHealth Europe, 23 April 2008

23 April 2008 | No Comments »
Categories: News| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s): Adverse Drug Reactions, Data Mining, De-identification

InterSystems lands $19 M contract for Sweden’s national EHR

“InterSystems has landed a $19 million, five-year contract to provide a platform for Sweden’s national electronic health record.”
Article
Bernie Monegain, Healthcare IT News, 19 March 2008

19 March 2008 | No Comments »
Categories: News| Country: Sweden| EHR: EHR, EHR Sweden| Tag(s):

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