Design and Implementation of Automated Patient Medical Records System (a Case Study of Delhatu Specialist Hospital, Lafia)
Chapter One
OBJECTIVE OF STUDY
Several possible advantages to automated patient medical records over paper record have been proposed. But there is a debate about the degree to which these are achieved in practice. Because of the relevance of project to Dalhatu Specialist Hospital later the following are the objective of this project.
- Improve quality of care:- The implementation of patient medical record can help lessen the patient sufferance due to medical error and the inability to analysis to access quality. The automated medical records are claim to help reduce medical by providing the health care workers with decision support.
- Record keeping and mobility:- Automated patient record has the advantage of being able to connect too many electronics medical records system.
- Promote evidence based medicine:- Automated patient medical records provide access to unprecedented amount of hospital and clinical date for research that can accelerate the level of knowledge of effective medical practices. These benefit may be realistic sense only of the automated medical records are interoperable and wide spread so that various system can easily share information.
- To provide useful and flexible program that will add value existing system in Dalhatu Specialist Hospital Lafia.
- To automate the processes and report base on information entered that can reduce the work load you can expect to run the medical processes in a non-computerized environment.
CHAPTER TWO
LITERATURE REVIEW
This Chapter provides a review of literature that address the design and implementation of an electronic patient record. Then explore the current Health Care in Nigeria, following by the current scenario of the Manual-base medical record and the benefit of an automated patient record. It also throws the light on factor in the design of an automated patient medical record.
According to Karm in (2008), that different term are used in literature to explain electronics health care data, such as electronic health record (ERH) , electronic patient record (EPR), electronic medical record (EMR), computer patient record (CPR), and computerized medical record (CMR). These names are given from time to time in different nations and in different health care environment.
According to Abdul in (2008) argued that Health electronic record (HER) is different from an Electronic patient record or electronic medical record (EPR/EMP). That is longitudinal and not site specification in Short Health electronic record (HER) is patient care software while electronic patient record or electronic medical record are health providers center.
According to Murphy in (1999), he defines an automated medical record as any information relating to the past, present or future of physical health of any individual existing in an electronic system which is use to capture, transmit, retrieve, receive, store and manipulate data for the main purpose of providing health care and health related services.
Electronic patients record/electronic medical record (EPR/EMR) can be define as the record of patient, providing care design mainly for a particular health sector.
According to Harman in (1999), he described an electronic patient record (EPR) as an essential tool for collecting an integrating medical information in order to improve clinical decision making.
CONTEXTUAL ASSESSEMNT
According to Swarfout and Moare (1993), from University of Olio, stressed the need for hospital; for prescription of drugs and diagnosis measures but does not state how programmable computer should be to carry the work of prescribing the detecting diseases in humans.
CHAPTER THREE
METHODOLOGY AND ANALYSIS OF THE PRESENT SYSTEM
This is a description of method chosen to achieve the objective of the proposed system. It will go on to describe the technique of data collection that will be employed in the research study of the proposed system. The methods that will be applied to achieve the specific objectives are namely; Literature review, oral interviews, system analysis, system design, data modelling and black box testing. The tools that will be used to implement the system are wamp server, MySQL, HTMLs, CSS and PHP.
USE OF THE FOLLOWING METHODOLOGY
The methodology that is used is structured system analysis design method (SAADM) which proposed in actually an automated system where data are collected and store in the program design for this purpose, the automated patient record is intended to replace the existing system of computing in Dalhatu Specialist Hospital Lafia. In the proposed system computer system and well trained employees are required for effective implementation of the automated system.
ANALYSIS OF THE PRESENT SYSTEM
Dalhatu Specialist Hospital Lafia has its own way of study analysis, design, strength and weakness of the present system, context level diagnosis, entity relationship diagrams, Architecture design. Its uses computerized method of processing patient record, but still there are some challenges encountered by the system at the hospital, the speed of recording and retrieval of patient information is made very fast and easy.
This project will be achieved by gathering materials from difference source, one of the valuable source of data was oral interview, which I conducted with staff of Dalhatu Specialist Hospital Lafia, and also the Doctors and Nurses who assisted us by providing some key technical facts, especially on issues that border around the hospital.
HISTORY DALHATU SPECIALIST HOSPITAL LAFIA
Dalhatu Arad specialist Hospital formally called Nasarawa state specialist hospital grew from a General hospital to its present status. The General hospital was constructed and commissioned by the Military governor of Benue/Plateau state Late Police Commissioner Joseph Gomwalk in June 1970.
When Nasarawa state was created on 1st October, 1996 by the Military head of state, late General Sani Abacha, the hospital was then reconstructed and upgraded to Specialist Hospital status.
CHAPTER FOUR
SYSTEM DESIGN
OBJECTIVE OF DESIGN
The objective of the design is to make sure that the problems involved in automated patient record system are overcome. This project will also go a long way to solve the problem encountered in using php/html and wamp server which is user friendly that enable the program to run properly.
CONTROL CENTER (MAIN MENU)
The control center tells more about mode of operation of the program and it will help to ensure that the purpose of the program is achieved, they include:
- User Login: The user login enables the user to gain access to the webpage.
- Login: The login webpage enable the user gain access to the main program menu.
- Password: The password helps you to secure your software programs from unauthorized users.
- Lab Test: The lab test menu enables the user to gain access and input the patient’s lab data.
- Treat Patient: This menu enables the user to gain access to patient treatment results and also to add or edit the information.
- Search Patient: The search menu enable the user to locate a patient information in the program data base.
- Patient Information: The patient information webpage enables the user to gain access to any patient information being store in the database.
CHAPTER FIVE
SYSTEM DOCUMENTATION AND IMPLEMENTATION
These chapter emphasizes the patient medical record is a systematics documentation of a patient individual medical history and care. The medical records also server as documenting between the health care professional contributing to the patient care. The system was transformed from the user requirement into a workable product. The purpose system documentation and implementation was to make sure that the correct application is delivered to the end user.
Besides that, this chapter also employees on how the testing is done to confirm to meets the user requirement.
HARDWARE AND GENERAL SYSTEM SPECIFICATION
This section describes the hardware component and software requirement needed for effective and efficient running of the system.
- The hardware requirement include:-
- 125MB RAM and above
- Processor speed of 1GH3and above
- At least 20GB of hard disk drive.
- Software requirement include:-
- Microsoft window XP and above
- Apache web server version 1.3
- Internal explorer or any other web browser
- MySQL server version 3.2
CHAPTER SIX
SUMMARY
Several possible advantage to automated medical record have proposed, but there is a degree to which these are achieved in practice, the information conformed in the medical record allow the health care providers to provide continuity of care of individual patient, the automated patient medical records when fully implemented will serve as the basic for planning patient care, documenting, communication between the health care and other health professional contributing to the patient care in Dalhatu Specialist Hospital Lafia.
CONCLUSION
The use of automated patient medical record should not be over emphasized because the implementation of automated medical record in Dalhatu Specialist Hospital Lafia help less patient suffering due to medical errors and the inability of analysis to access qualify. Electronic health system in Dalhatu Specialist Hospital Lafia help to reduce to medical errors by providing health care workers with decision support, fast access to medical literature and accurate best practice in medicine hypothesized to enable proliferator of ongoing improvement in health care efficiency.
Finally, improve usage of automated medical record achieve if the presentation on screen or on manual record is just not longitudinal, but hierarchically or dered and layered.
RECOMMENDATION
Training of all members of staff in the hospital to get accustomed to the system would be priority. We would recommend that the management system of the hospital educate them on how the system will operate and how it will supplement their effort. The hospital users of the system need to be thoroughly educated about the use of the password and the username, also not to be careless when using them, and they should be kept confidential. The information needed to record while tracing state of patient’s daily health should be properly recorded such as:-
- Body temperature
- Pulse rate (health rate)
- Blood pressure and respiratory rate.
REFERENCE
- Hampo, J.A. (2011). Design and Implementation of Students Verification System for Delta State University Nigeria (DELSU E-VERIFY). An unpublished B.Sc Thesis, Delta State University, Abraka-Delta State.
- Sikiru, O.A. (2009). Implementation of an Online Job recruitment system. An unpublished M.IT Thesis, University of Lagos, Nigeria.
- Stella, C.C. and Franca, A.E (2006). Principles of System Analysis and Design. Rootprint and publisher, Benin city – Nigeria.
- Uzoka. (1998). Human Resources Management an unpublished M. Tech Thesis,
