IVF Data Management: From Clipboards to Smart Apps
It is estimated that doctors and other healthcare professionals spend close to 50% of their time shuffling through paper charts, forms, messages, and reports. Improved scrutiny and oversight through nongovernmental and governmental inspections and audits
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IVF Data Management: From Clipboards to Smart Apps Jacques Cohen, Stephen Fiser, and Giles Tomkin 64.1
Introduction – 782
64.2
Complexity of ART and Streams of Paperwork – 782
64.3
The EMR System – 782
64.3.1 64.3.2 64.3.3
eneral Characteristics – 782 G Safety and Privacy – 783 EMR Objectives and Limitations – 783
64.4
Enterprise Software – 783
64.5
Laboratory and Program Quality Management – 784
64.6
ew Opportunities: Big Data and Cloud-Based N Applications – 784
64.7
An Example of a QC App – 784
Review Points – 785 References – 785
© Springer Nature Switzerland AG 2019 Z. P. Nagy et al. (eds.), In Vitro Fertilization, https://doi.org/10.1007/978-3-319-43011-9_64
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Learning Objectives 55 To evaluate different facets of data management in clinical medicine and assisted reproduction in particular 55 To examine shortcomings of current electronic medical recordkeeping systems for clinical medicine and assisted reproduction and approaches how to address them 55 To discuss the sparsity of cloud-based applications in assisted reproduction 55 To present the first QC app for laboratories and compare its structure to generic utility apps
64.1
Introduction
There is a tremendous amount of data handling and paperwork in clinical medicine [1]. When only paper is used, the task of organizing, controlling, and safekeeping patient records is demanding and subject to varying degrees of error. Transcription inaccuracies are very common, even when prescribing drugs [2]. A significant body of evidence points to such medical paperwork errors as a leading cause of iatrogenic death and injury [3, 4]. The inaccuracy of information technology is also blamed for other adverse clinical events. This is largely due to the absence of “interoperability,” rather than a shortage of time spent by professionals on collection and recording of information. The Healthcare Information and Management Systems Society (HiMSS) defines interoperability in healthcare as “the ability of different information technology systems and software applications to communicate, exchange data, and use the information that has been exchanged” (7 http://www.himss.org/library/interoperability- standards/what-is?). The outdated and inefficient paper-based bureaucracy simply does not allow interconnectivity or interoperability. It is estimated that doctors and other healthcare professionals spend close to 50% of their time shuffling through paper charts, forms, messages, and reports [5]. Improved scrutiny and oversight through nongovernmental and governmental inspections and audits are clearly increasing this burden. This is especially true in assisted reproduction where laboratory staff may spend even more time on paperwork than other team members. It is estimated that only 50% of IVF clinics have implemented an electronic medical record (EMR) system, although this figure is difficult to confirm since no studies have been published on the topic.
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omplexity of ART and Streams C of Paperwo
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