Accepted for/Published in: JMIR Medical Informatics
Date Submitted: Sep 21, 2023
Date Accepted: Dec 5, 2023
:Application of Failure Mode and Effects Analysis (FMEA) to Improve the Quality of the Front Page of Electronic Medical Records (EMR)
ABSTRACT
Background:
The completeness and accuracy of the front page of electronic health records (EHR) is greatly important in the hospital performance evaluation and in patient health insurance payment. However, the quality of the front page of EMR is not satisfy which is necessary to find out the shortages and propose improvement measures.
Objective:
The purpose of this study is to explore the fragility of the front page of EMR by using FMEA and propose specific improvement measures.
Methods:
Failure mode and effect analysis (FMEA) is implemented by an expert panel during January 1, 2020 to May 31, 2022 in Zhejiang people’s hospital to manage the FMEA for the quality control of the front page of EMR system. The completeness and accuracy of the front page were compared to the former system with the implementation of improvement measures. In addition, risk priority index values (RPN) were also compared.
Results:
There are two main process steps and six sub processes when carrying out the system that include transmission of HIS- physicians system, front page filled by physicians, front page quality control by physicians, transmission of physicians-EMR system, coder's proofreading and coding, and front page quality control by EMR management.
Conclusions:
The system of the front page of EMR has been improved after making corresponding improvement measures based on the potential failure modes found by the FMEA method.
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