Electronic medical record in neonatology. Development and implementation experience

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Abstract

Electronic medical record (EMR) improves the quality of medical services and the speed of transfer of medical information between organizations and the patient.

Purpose. To share the experience of developing a neonatal module and its implementation in a medical organization, and also, to show the advantages and disadvantages of EMR, the problems faced by the authors of the article during the development and implementation of EMR and their solutions.

Methods. The experience of developing and implementing the neonatal module of the automated information system Regional Obstetric Monitoring (AIST ROM) on the basis of the Yekaterinburg Clinical Perinatal Center is presented.

Results. After studying the regulatory framework, an EMR of the patient was developed and implemented. The neonatal module of AIST ROM includes all the necessary documents. The problems we have encountered in the development and implementation process are common. After studying the literature and taking into account the peculiarities of our medical organization, certain ways of solving them are proposed.

Conclusion. EMR in neonatology will improve the quality of care, reduce the number of errors, ensure the availability of information, and reduce the burden on medical personnel.

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About the authors

D. V. Svetlakova

Yekaterinburg Clinical Perinatal Center

Author for correspondence.
Email: bagundaria@yandex.ru
ORCID iD: 0000-0003-0830-9929
Russian Federation, Yekaterinburg

V. Yu. Starkov

Yekaterinburg Clinical Perinatal Center

Email: bagundaria@yandex.ru
Russian Federation, Yekaterinburg

N. О. Ankudinov

Yekaterinburg Clinical Perinatal Center

Email: bagundaria@yandex.ru
ORCID iD: 0000-0002-9935-4372
Russian Federation, Yekaterinburg

E. V. Shestak

Yekaterinburg Clinical Perinatal Center

Email: bagundaria@yandex.ru
ORCID iD: 0000-0003-3445-2956

Candidate of Medical Sciences

Russian Federation, Yekaterinburg

D. S. Dodrov

Yekaterinburg Clinical Perinatal Center

Email: bagundaria@yandex.ru
ORCID iD: 0000-0002-8268-4172
Russian Federation, Yekaterinburg

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