Hospitals and clinics in Afghanistan have medical record system with poor accuracy, in which errors of clinicians are not captured. Since, surveillance and research in hospitals are heavily reliant on collecting accurate data on processes and outcomes of care, substantial improvement is needed in medical record accuracy.
Dozens of consultations are carried our each month in these clinics and hospitals, however, patient data is recorded manually, then stored by the medical record section in physical folders. Often times the medical record department loses the physical records or in some cases the patients take original physical files without a copy handed over to medical record department of the clinic or hospital . Based on JS Consultancy Services visits of hospitals and clinics in Parwan and Kabul provinces, it’s found that patients’ data within clinics and hospitals is not used for decision making, research and learning purposes. The main reasons identified for such lack of usability of patients’s data are difficulty in retrieval, due to huge number of physical records, and improper recording of data.
In this article I am going to introduce three open source Electronic Medical Record (EMR) systems with their pros and cons. These systems can help clinics and hospitals save resources, have a centralized EMR system, improve services by modifying processes and make future decisions based on data available at their computer screens. (more…)