Navegando por Palavras-chave "Electronic Medical Record"
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- ItemSomente MetadadadosAvaliação do perfil do usuário e sua satisfação com o sistema de prontuário eletrônico do paciente implementado no Ambulatório de Climatério do Hospital São Paulo(Universidade Federal de São Paulo (UNIFESP), 2019-09-26) Cavalieri, Talissa Antonio [UNIFESP]; Silva, Ivaldo Da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: The use of computer tools in patient care assists health professionals in the exercise of their profession. Despite these potential benefits, changing paper-based medical records to electronic medical record is complex and may be troublesome since this transition demands effort and engagement from all professionals involved in healthcare. Few studies in the literature have evaluated the user satisfaction with electronic medical records. The Electronic Patient Record, already used in other sectors of Sao Paulo Hospital, was implemented in the Ambulatory of Climaterio in April 2017, and currently it is undergoing an adaptation and training phase. Objective: To evaluate user's profile, general satisfaction level of medical staff and other professionals involved in the use of the Electronic Patient Record implemented at Ambulatory of Climaterio. And to identify the factors associated with satisfaction and dissatisfaction in order to compare the relevance of this change among professionals. Material and Methods: Descriptive and analytical cross-sectional observational study conducted between July 2017 and February 2018 with 40 users of PEP through the application of an adapted satisfaction questionnaire. The Pearson Chi-Square test and the Kruskall-Wallis test were used to verify intragroup frequency associations and comparisons. In order to verify the correlation and the form of correlation between the variables, the Kendall (thau-τ) and Spearman (rho-ρ) Correlation Coefficients and Cohen Standard Correlation were calculated: Values of p≤0.05 were considered statistically significant. Results: A total of 42 participants have completed the questionnaire, most of whom were residents. The profession of PEP users as well as their previous experience with technologies and the availability of computers or system failures did not influence PEP users satisfaction. All participants have considered that although the operation of the system takes time and effort it is valid because it has improved the quality of work at the ambulatory. Conclusion: PEP users have believed that replacing paper-based to electronic medical records has been beneficial and they have been satisfied with the system affirming that its implementation has improved the quality of work at Ambulatory of Climaterio.
- ItemAcesso aberto (Open Access)Uso de rotinas de aprendizado de máquina em prontuário eletrônico para apoio a diagnósticos de pacientes oftalmológicos(Universidade Federal de São Paulo (UNIFESP), 2021) Alves, Lucas De Oliveira Batista [UNIFESP]; Santos, Vagner Rogerio Dos [UNIFESP]; Universidade Federal de São PauloObjective: To implement artificial intelligence routines through machine learning to construct diagnostic prediction models with data from electronic medical records of patients from the Department of Ophthalmology of Hospital São Paulo. Method: Preparation of a literature review of the main techniques and solutions of machine learning to use in electronic medical records, 1. extraction, treatment and analysis of data from medical records of the Department; 2. construction and analysis of vectorization models of related words in the context of the Database of Hospital São Paulo; 3. construction and validation of diagnostic prediction models. Results: The word vectorization models were able to capture the semantics of medical terms and enabled the construction of diagnostic prediction models, making the prediction model a great tool to assist health professionals. Conclusion: The machine learning models showed potential results to assist as diagnostic support tools of ophthalmologic patients.