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Biomedical subjects

Anders Grimsmo

Publications and source records attributed to Anders Grimsmo.

7 recordsLinked to original sources
PubMed2006

[Electronic medical handbooks--are they suitable for implementation of guidelines in health care?].

BACKGROUND: The Directorate for Health and Social Affairs commissioned a project to evaluate the distribution and use of a Norwegian electronic medical handbook (NEL). MATERIAL AND METHODS: NEL uses multimedia techniques and is distributed on a CD twice a year. A questionnaire about the use of NEL was given to 91 medical students. Health professionals at two hospitals and 12 health centres were interviewed. RESULTS: The use of the electronic handbook differed more within than between groups of professionals. NEL is applied for three main purposes: decision support, quality assurance and as a source for information pamphlets designed for patients. The professionals believed that NEL has contributed to patients' receiving more information and more uniform treatment. Criticism was made about the price and for the lack of integration with the electronic patient record. INTERPRETATION: The study has revealed some barriers to implementation and use of electronic information sources. Under certain circumstances an electronic handbook might be suitable way for authorities and others to distribute professional guidelines.

CD-ROM↗
PubMed2006

[Electronic prescriptions--without side-effects?].

BACKGROUND: In a government document published in 2005, electronic information systems were held up as important tools for reducing unintended adverse drug events. The Norwegian Social and Health Directorate has now initiated a large national project introducing electronic prescribing. MATERIAL AND METHODS: We have analysed recent international literature about electronic prescribing and computerised physician order entry. RESULTS: Electronic information systems may cause both a reduction and an increase in adverse drug events. Certain known errors disappear, but new risks for errors are introduced. A new system might change or unintentionally put aside well-established safety routines in manual systems of today. INTERPRETATION: Introduction of electronic treatment of drug information can give many benefits, but if the risks for introducing new errors are underestimated, patient safety might be threatened. A strategy for avoiding possible mistakes should therefore be developed simultaneously with introduction of systems for electronic prescribing and order entry. New systems have to be thoroughly tested and evaluated as closely as other new technology and drugs when implemented.

Cost Savings↗
PubMed2006

[Should patients in general practice be offered a copy of their medical record?].

BACKGROUND: Is it useful for patients in general practice to have a copy of their medical record, and will this increase the quality of the record? What do patients and their doctors think about such a practice? MATERIAL AND METHODS: Eight general practitioners participated in a study where they should ask their patients if they wanted at copy of their medical record after the consultation. The doctors were asked about what they felt about such a practice. 181 patients participated. RESULTS: 126 patients (70%) wanted to read their medical record. Among these, 118 (94%) reported that the record covered the problem they came for, 104 (83%) that it was useful to read what the doctor had written, and 96 (76%) that this practice should be more common. The doctors answered that the records became somewhat changed and longer and were more time-consuming. Most of the doctors thought that the quality of the medical record improved and that the procedure could well be standardised. INTERPRETATION: The results indicate that many patients in general practice will find it useful to read their medical record. The study may indicate a better quality of the record when doctors are aware that the patients will have a copy.

Adult↗
PubMed2006

Parent-held child health records do not improve care: a randomized controlled trial in Norway.

OBJECTIVE: To study the effects of a parent-held child health record (PHCHR) that was created by the Norwegian Board of Health with the purpose of introducing this to the whole country. DESIGN: Randomized controlled trial. SETTING: Maternal and child health centres in 10 municipalities in Norway. SUBJECTS: Parents of 309 children attending the National Preschool Health Surveillance Programme. INTERVENTION: Half of the parents were given a PHCHR and short instructions on how it was expected to be used. MAIN OUTCOME MEASURES: Parent-professional collaboration, healthcare utilization, and parents' knowledge about child health matters and illness. RESULTS: Some 73% of the intervention group used the PHCHR regularly when visiting the health centres, 79% reported that their own writing in the record was helpful, and 92% favoured the PHCHR being permanently adopted. Use of the record did not influence the utilization of healthcare services, parents' knowledge of their child's health, or parents' satisfaction with information or communication with professionals. CONCLUSIONS: The PHCHR was well accepted by parents and professionals but it had no effects on collaboration, healthcare utilization, or other measures that could justify the costs of introducing the record into common use. Therefore, the introduction of a parent-held child health record in Norway is being postponed.

Child Health Services↗
PubMed2005

Development of functional requirements for electronic health communication: preliminary results from the ELIN project.

BACKGROUND: User participation is important for developing a functional requirements specification for electronic communication. General practitioners and practising specialists, however, often work in small practices without the resources to develop and present their requirements. It was necessary to find a method that could engage practising doctors in order to promote their needs related to electronic communication. MATERIALS AND METHODS: Qualitative research methods were used, starting a process to develop and study documents and collect data from meetings in project groups. Triangulation was used, in that the participants were organised into a panel of experts, a user group, a supplier group and an editorial committee. RESULTS: The panel of experts created a list of functional requirements for electronic communication in health care, consisting of 197 requirements, in addition to 67 requirements selected from an existing Norwegian standard for electronic patient records (EPRs). Elimination of paper copies sent in parallel with electronic messages, optimal workflow, a common electronic 'envelope' with directory services for units and end-users, and defined requirements for content with the possibility of decision support were the most important requirements. CONCLUSIONS: The results indicate that we have found a method of developing functional requirements which provides valid results both for practising doctors and for suppliers of EPR systems.

Attitude of Health Personnel↗
PubMed2002

[Ultrasonography in primary health care--experiences within obstetrics 1983-99].

BACKGROUND: In 1983 ultrasound for obstetric purposes was introduced in a rural general practice in south-eastern Norway. We wanted to evaluate its systematic use in terms of pregnancy management and birth outcome. MATERIAL AND METHODS: Four sets of data were analysed: All obstetric ultrasound examinations done at the Sel Municipality Health Centre from 1 January 1998 to 28 February 1999; the database at the county hospital covering all obstetric patients and births in its catchment area, including those from the Sel community; all Medical Birth Registry reports on women from Sel from 1983 to 2000; a local register of pregnancy management and events in Sel from 1983 to 2000, organised by the local general practitioner. RESULTS: We found no difference in the accuracy of assessment of date of birth between the general practitioner in Sel and the Lillehammer outpatient obstetric department. The average number of ultrasound scans of individual women was also the same. Obstetric ultrasound in general practice successfully selected out patients who could be managed locally and those who needed referral. INTERPRETATION: Our results indicate true benefits and no definite hazards of obstetric ultrasound in rural general practice. As we have evaluated only one single practice, these results should be confirmed or negated in future studies.

Databases, Factual↗