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Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system

Digitization of health records is still struggling to take hold in the Italian healthcare context, where medical records are still largely kept manually on paper. Besides being anachronistic, this practice is particularly critical if applied to the drug chart. Poor handwriting and transcription erro...

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Autores principales: Pesel, Giuliano, Ricci, Giovanna, Gibelli, Filippo, Sirignano, Ascanio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9381968/
https://www.ncbi.nlm.nih.gov/pubmed/35991051
http://dx.doi.org/10.3389/fpubh.2022.919543
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author Pesel, Giuliano
Ricci, Giovanna
Gibelli, Filippo
Sirignano, Ascanio
author_facet Pesel, Giuliano
Ricci, Giovanna
Gibelli, Filippo
Sirignano, Ascanio
author_sort Pesel, Giuliano
collection PubMed
description Digitization of health records is still struggling to take hold in the Italian healthcare context, where medical records are still largely kept manually on paper. Besides being anachronistic, this practice is particularly critical if applied to the drug chart. Poor handwriting and transcription errors can generate medication errors and thus represent a potential source of adverse events. In the present study, we attempt to test the hypothesis that the application of a computerized medical record model may represent a useful tool for managing clinical risk and medical expenditure. We shall do so through the analysis of the preliminary results of the application of such a model in two private hospitals in Northern Italy. The results, although preliminary, are encouraging. Among the benefits of digitizing drug records, we recorded a greater accuracy and adequacy of prescriptions, a reduction in the overall workload for nurses (no longer required to manually transcribe the list of drugs from one chart to another), as well as an optimization of the management of drug stocks by hospital pharmacies. The results in terms of clinical risk reduction will be monitored through a prospective cohort study that will take place in the coming months.
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spelling pubmed-93819682022-08-18 Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system Pesel, Giuliano Ricci, Giovanna Gibelli, Filippo Sirignano, Ascanio Front Public Health Public Health Digitization of health records is still struggling to take hold in the Italian healthcare context, where medical records are still largely kept manually on paper. Besides being anachronistic, this practice is particularly critical if applied to the drug chart. Poor handwriting and transcription errors can generate medication errors and thus represent a potential source of adverse events. In the present study, we attempt to test the hypothesis that the application of a computerized medical record model may represent a useful tool for managing clinical risk and medical expenditure. We shall do so through the analysis of the preliminary results of the application of such a model in two private hospitals in Northern Italy. The results, although preliminary, are encouraging. Among the benefits of digitizing drug records, we recorded a greater accuracy and adequacy of prescriptions, a reduction in the overall workload for nurses (no longer required to manually transcribe the list of drugs from one chart to another), as well as an optimization of the management of drug stocks by hospital pharmacies. The results in terms of clinical risk reduction will be monitored through a prospective cohort study that will take place in the coming months. Frontiers Media S.A. 2022-08-03 /pmc/articles/PMC9381968/ /pubmed/35991051 http://dx.doi.org/10.3389/fpubh.2022.919543 Text en Copyright © 2022 Pesel, Ricci, Gibelli and Sirignano. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Pesel, Giuliano
Ricci, Giovanna
Gibelli, Filippo
Sirignano, Ascanio
Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system
title Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system
title_full Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system
title_fullStr Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system
title_full_unstemmed Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system
title_short Electronic unified therapy record as a clinical risk management tool in the Italian healthcare system
title_sort electronic unified therapy record as a clinical risk management tool in the italian healthcare system
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9381968/
https://www.ncbi.nlm.nih.gov/pubmed/35991051
http://dx.doi.org/10.3389/fpubh.2022.919543
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