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Implementierung einer elektronischen Patientenakte an einer deutschen Augenklinik der Maximalversorgung

Implementation of electronic health records at a tertiary care eye hospital

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Zusammenfassung

Hintergrund

Während in den Praxen niedergelassener Augenärzte eine elektronische Patientenakte (EPA) schon vor vielen Jahren eingeführt wurde, ist die herkömmliche Krankenakte auf Papier in fast allen Universitäts-Augenkliniken noch immer Standard.

Methodik

Wir berichten über die Implementierung einer EPA an der Universitäts-Augenklinik Münster (UAM) im Zeitraum Januar bis Dezember 2013.

Ergebnisse

Vorteile einer EPA im Setting einer Universitäts-Augenklinik sind die ubiquitäre Verfügbarkeit der Patientendaten, die Strukturierbarkeit der Befunde sowie die wissenschaftliche Auswertbarkeit. Herausforderungen stellen die Themen Datensicherheit, der anfangs hohe Zeit- und Investitionsbedarf und die Integration in vorhandene Kliniksysteme dar.

Diskussion

Die elektronische Führung einer Patientenakte sollte mittelfristig alle bisherigen papierbasierten Aktensysteme ablösen. Angesichts des hohen Visualisierungsbedarfes in der Ophthalmologie kann besonders dieses Fachgebiet von einer integrierten elektronischen Datenverarbeitung profitieren.

Abstract

Background

Although electronic health records (EHR) were introduced into ophthalmology practices many years ago, paper-based medical records are still common in most tertiary care eye hospitals.

Material and methods

We report on the implementation of an EHR system at the university eye hospital in Münster in the time period between January and December 2013.

Results

Advantages of an EHR system in the setting of a university eye hospital include ubiquitous access to patient data, structurability as well as scientific interpretability. Data safety, personnel and financial investment and integration into existing hospital software systems represent the main challenges.

Conclusion

The EHR system will replace paper-based records in the future. In view of the high need for visualization and recording of medical findings, EHR software solutions seem promising particularly in ophthalmology.

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Literatur

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Alnawaiseh, F. Alten, G. Huelsken, G. Rentmeister, M. Lange, T. Claes, S. Wente, D. Kreuznacht, N. Eter und N. Roeder geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Augenheilkunde, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude D15, 48149, Münster, Deutschland

    M. Alnawaiseh, F. Alten & N. Eter

  2. Geschäftsbereich Informationstechnologie, Universitätsklinikum Münster, Münster, Deutschland

    G. Huelsken, G. Rentmeister & M. Lange

  3. Datenschutzbeauftragter, Universitätsklinikum Münster, Münster, Deutschland

    T. Claes

  4. Fidus Arztservice Wente GmbH, Darmstadt, Deutschland

    S. Wente

  5. Stabsstelle Justiziariat, Universitätsklinikum Münster, Münster, Deutschland

    D. Kreuznacht

  6. Universitätsklinikum Münster, Vorstand Universitätsklinikum Münster, Münster, Deutschland

    N. Roeder

Authors
  1. M. Alnawaiseh
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  2. F. Alten
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  3. G. Huelsken
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  4. G. Rentmeister
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  5. M. Lange
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  6. T. Claes
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  7. S. Wente
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  8. D. Kreuznacht
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  9. N. Eter
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  10. N. Roeder
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Corresponding author

Correspondence to M. Alnawaiseh.

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Alnawaiseh, M., Alten, F., Huelsken, G. et al. Implementierung einer elektronischen Patientenakte an einer deutschen Augenklinik der Maximalversorgung. Ophthalmologe 112, 337–345 (2015). https://doi.org/10.1007/s00347-014-3124-y

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  • DOI: https://doi.org/10.1007/s00347-014-3124-y

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