Knowledge Management Infrastructure for the Success of Electronic Health Records

Knowledge Management Infrastructure for the Success of Electronic Health Records

Anjum Razzaque (Ahlia University, Bahrain)
Copyright: © 2020 |Pages: 11
DOI: 10.4018/978-1-7998-0062-0.ch013
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Research emphasizes the barriers in adopting and interoperating of electronic health records (EHRs) as an important research gap needs addressed: limited adaptability negatively affects medical decisions. Though practitioners who use EHR must deal with information overload, they continue to complain that EHR is underutilized. No wonder medical errors and healthcare (HC) costs are rising. Also, there is scant literature evidence on how knowledge management (KM) systems are applied for enhancing the adoptability and interoperability of EHR. On the contrary, researchers focus on adapting electronic patient record (EPR) within KM. HC KM is a very important tool to facilitate interoperability and adaptability of EHR. Its advantages have been proven in other areas. This chapter proposes a solution - a conceptual HC KM infrastructure for EHR interoperability and adaptability. This solution reduces EHR adaptability barriers by improving interoperability and enhancing user interaction using KM tools within an e-health environment.
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2. Literature Review

Reports show that developed countries (USA, UK, Australia, Canada and New Zealand) are focused towards developing national (NEHR) where USA has a theoretical unimplemented plan while Canada is still setting up the network architecture. All these countries intend to take advantage of Internet technology with languages like XML for safe transmission of interoperation data. Standardization is necessary for all these countries to achieve a successful NEHR implementation and data privacy sustenance. The ICT infrastructure is a pre-requisite for NEHR development to facilitate interoperability. Canada intends to deploy a distributed database framework with PKI standard, HCI to improve user-friendly NEHR and a broad bandwidth Internet service. New Zealand looks into knowledge management architecture. UK gives priority to a technical architecture with IT network for reliability and security upon common set of standards towards clinical data transfer within hospitals. Currently architecture lacks the ability to start NEHR but promises to utilize EHR. US report a need for common standards to support interoperability so to connect technology like teleHealth, web services and security technology health information exchange (A Research Center of the University of Sheffield and CITY Liberal Studies 2005).

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