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Design and Implementation of Web-Based Mobile Electronic Medication Administration Record

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Abstract

Patients’ safety is the most essential, critical issue, however, errors can hardly prevent, especially for human faults. In order to reduce the errors caused by human, we construct Electronic Health Records (EHR) in the Health Information System (HIS) to facilitate patients’ safety and to improve the quality of medical care. During the medical care processing, all the tasks are based upon physicians’ orders. In National Taiwan University Hospital (NTUH), the Electronic Health Record committee proposed a standard of order flows. There are objectives of the standard: first, to enhance medical procedures and enforce hospital policies; secondly, to improve the quality of medical care; third, to collect sufficient, adequate data for EHR in the near future. Among the proposed procedures, NTUH decides to establish a web-based mobile electronic medication administration record (ME-MAR) system. The system, build based on the service-oriented architecture (SOA) as well as embedded the HL7/XML standard, is installed in the Mobile Nursing Carts. It also implement accompany with the advanced techniques like Asynchronous JavaScript and XML (Ajax) or Web services to enhance the system usability. According to researches, it indicates that medication errors are highly proportion to total medical faults. Therefore, we expect the ME-MAR system can reduce medication errors. In addition, we evaluate ME-MAR can assist nurses or healthcare practitioners to administer, manage medication properly. This successful experience of developing the NTUH ME-MAR system can be easily applied to other related system. Meanwhile, the SOA architecture of the system can also be seamless integrated to NTUH or other HIS system.

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Authors and Affiliations

  1. Information Systems Office, National Taiwan University Hospital, Taipei, Taiwan

    Sung-Huai Hsieh, Ching-Ting Tan, Sheau-Ling Hsieh & Feipei Lai

  2. Department of Computer Science and Information Engineering, National Taiwan University, Taipei, Taiwan

    Sung-Huai Hsieh, Po-Chao Shen, Kai-Ping Hsu & Feipei Lai

  3. Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan

    Feipei Lai

  4. Network and Computer Centre, National Chiao Tung University, Hsin Chu, Taiwan

    Sheau-Ling Hsieh

  5. Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan

    Feipei Lai

  6. Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan

    I-Ching Hou

  7. Software Engineering Department, National Kaohsiung Normal University, Kaohsiung, Taiwan

    Po-Hsun Cheng

  8. Information Department, National Taiwan University Hospital No.7, Chung-San South Road, Taipei, Taiwan

    Sung-Huai Hsieh

Authors
  1. Sung-Huai Hsieh
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  2. I-Ching Hou
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  3. Po-Hsun Cheng
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  4. Ching-Ting Tan
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  5. Po-Chao Shen
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  6. Kai-Ping Hsu
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  7. Sheau-Ling Hsieh
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  8. Feipei Lai
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Correspondence to Sung-Huai Hsieh.

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Hsieh, SH., Hou, IC., Cheng, PH. et al. Design and Implementation of Web-Based Mobile Electronic Medication Administration Record. J Med Syst 34, 947–958 (2010). https://doi.org/10.1007/s10916-009-9310-9

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  • DOI: https://doi.org/10.1007/s10916-009-9310-9

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