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Published in: Journal of Medical Systems 4/2012

01-08-2012 | ORIGINAL PAPER

Performance Assessment of EMR Systems Based on Post-Relational Database

Authors: Hai-Yan Yu, Jing-Song Li, Xiao-Guang Zhang, Yu Tian, Muneou Suzuki, Kenji Araki

Published in: Journal of Medical Systems | Issue 4/2012

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Abstract

Post-relational databases provide high performance and are currently widely used in American hospitals. As few hospital information systems (HIS) in either China or Japan are based on post-relational databases, here we introduce a new-generation electronic medical records (EMR) system called Hygeia, which was developed with the post-relational database Caché and the latest platform Ensemble. Utilizing the benefits of a post-relational database, Hygeia is equipped with an “integration” feature that allows all the system users to access data—with a fast response time—anywhere and at anytime. Performance tests of databases in EMR systems were implemented in both China and Japan. First, a comparison test was conducted between a post-relational database, Caché, and a relational database, Oracle, embedded in the EMR systems of a medium-sized first-class hospital in China. Second, a user terminal test was done on the EMR system Izanami, which is based on the identical database Caché and operates efficiently at the Miyazaki University Hospital in Japan. The results proved that the post-relational database Caché works faster than the relational database Oracle and showed perfect performance in the real-time EMR system.
Literature
1.
go back to reference Philippi, S., Model driven generation and testing of object-relational mappings. J Syst Softw 77:193–207, 2005.CrossRef Philippi, S., Model driven generation and testing of object-relational mappings. J Syst Softw 77:193–207, 2005.CrossRef
6.
go back to reference Li, J.S., Zhang, X.G., Chu, J., Suzuki, M.,and Araki, K., Design and Development of EMR Supporting Medical Process Management, J Med Syst, 2010-09-02, Online. Li, J.S., Zhang, X.G., Chu, J., Suzuki, M.,and Araki, K., Design and Development of EMR Supporting Medical Process Management, J Med Syst, 2010-09-02, Online.
7.
go back to reference Rahimi, B., and Vimarlund, V., Methods to evaluate health information systems in healthcare settings: a literature review. J Med Syst 31:397–432, 2007.CrossRef Rahimi, B., and Vimarlund, V., Methods to evaluate health information systems in healthcare settings: a literature review. J Med Syst 31:397–432, 2007.CrossRef
8.
go back to reference Pangalos, G. J., Performance evaluation of hospital relational database systems. Inform Health Soc Care 12(2):115–123, 1987.CrossRef Pangalos, G. J., Performance evaluation of hospital relational database systems. Inform Health Soc Care 12(2):115–123, 1987.CrossRef
9.
go back to reference Kirigia, J. M., Emrouznejad, A., Cassoma, B., Asbu, E. Z., and Barry, S., A performance assessment method for hospitals: the case of municipal hospitals in Angola. J Med Syst 32:509–519, 2008.CrossRef Kirigia, J. M., Emrouznejad, A., Cassoma, B., Asbu, E. Z., and Barry, S., A performance assessment method for hospitals: the case of municipal hospitals in Angola. J Med Syst 32:509–519, 2008.CrossRef
10.
go back to reference England, I., and Stewart, D., Health: IT leader or laggard? A comparative assessment of IT maturity. Health Rev 26(2):114–120, 2003.CrossRef England, I., and Stewart, D., Health: IT leader or laggard? A comparative assessment of IT maturity. Health Rev 26(2):114–120, 2003.CrossRef
11.
go back to reference Sortliffe, E. H., and Cimino J. J., Biomedical Informatics: Computer Applications in Health Care and Biomedicine, 3rd edition, 447–475, Springer, 2006. Sortliffe, E. H., and Cimino J. J., Biomedical Informatics: Computer Applications in Health Care and Biomedicine, 3rd edition, 447–475, Springer, 2006.
12.
go back to reference Bleich, H. L., and Slack, W. V., Reflections on electronic medical records: when doctors will use them and when they will not. Int J Med Inform 79:1–4, 2010.CrossRef Bleich, H. L., and Slack, W. V., Reflections on electronic medical records: when doctors will use them and when they will not. Int J Med Inform 79:1–4, 2010.CrossRef
13.
go back to reference Blumenthal, D., and Glaser, J. P., Information technology comes to medicine. N Engl J Med 356:2527–2534, 2007.CrossRef Blumenthal, D., and Glaser, J. P., Information technology comes to medicine. N Engl J Med 356:2527–2534, 2007.CrossRef
14.
go back to reference Uslu, A. M., and Stausberg, J., Value of the electronic patient record: an analysis of the literature. J Biomed Inform 41:675–682, 2008.CrossRef Uslu, A. M., and Stausberg, J., Value of the electronic patient record: an analysis of the literature. J Biomed Inform 41:675–682, 2008.CrossRef
15.
go back to reference Iedema, R., New approaches to researching patient safety. Soc Sci Med 69:1701–1704, 2009.CrossRef Iedema, R., New approaches to researching patient safety. Soc Sci Med 69:1701–1704, 2009.CrossRef
16.
go back to reference Delpierre, C., Cuzin, L., Fillaux, J., Alvarez, M., Massip, P., and Lang, T., A systematic review of computer-based patient record systems and quality of care: more randomized clinical trials or a broader approach? Int J Qual Health Care 16(5):407–416, 2004.CrossRef Delpierre, C., Cuzin, L., Fillaux, J., Alvarez, M., Massip, P., and Lang, T., A systematic review of computer-based patient record systems and quality of care: more randomized clinical trials or a broader approach? Int J Qual Health Care 16(5):407–416, 2004.CrossRef
17.
go back to reference Davis, K., Doty, M. M., Shea, K., and Stremikis, K., Health information technology and physician perceptions of quality of care and satisfaction. Health Policy 90:239–246, 2009.CrossRef Davis, K., Doty, M. M., Shea, K., and Stremikis, K., Health information technology and physician perceptions of quality of care and satisfaction. Health Policy 90:239–246, 2009.CrossRef
18.
go back to reference Tange, H., How to approach the structuring of the medical record? Towards a model for flexible access to free text medical data. Int J Biomed Comput 42:27–34, 1996.CrossRef Tange, H., How to approach the structuring of the medical record? Towards a model for flexible access to free text medical data. Int J Biomed Comput 42:27–34, 1996.CrossRef
21.
go back to reference Mohd, H., and Mohamad, S. M. D., Acceptance model of electronic medical record. J Adv Inform Manage Studies 2(1):75–92, 2005. Mohd, H., and Mohamad, S. M. D., Acceptance model of electronic medical record. J Adv Inform Manage Studies 2(1):75–92, 2005.
22.
go back to reference Takemura, T., and Ashida, N., A study of the medical record interface to natural language processing. J Med Syst 26(2):79–87, 2002.CrossRef Takemura, T., and Ashida, N., A study of the medical record interface to natural language processing. J Med Syst 26(2):79–87, 2002.CrossRef
23.
go back to reference Krisch, M., Vogg, I., Hosten, N., and Flessa, S., Quality management in a radiological practice Experiences with a certification for DIN EN ISO 9001:2000. Eur J Radiol 75:e1–e8, 2010.CrossRef Krisch, M., Vogg, I., Hosten, N., and Flessa, S., Quality management in a radiological practice Experiences with a certification for DIN EN ISO 9001:2000. Eur J Radiol 75:e1–e8, 2010.CrossRef
24.
go back to reference Eijk, I. V. D., Verheggen, F. W., and Russel, M. G., “Best practice” in inflammatory bowel disease: an international survey and audit. Eur J Intern Med 15:113–120, 2004.CrossRef Eijk, I. V. D., Verheggen, F. W., and Russel, M. G., “Best practice” in inflammatory bowel disease: an international survey and audit. Eur J Intern Med 15:113–120, 2004.CrossRef
25.
go back to reference Thornlow, D. K., and McGuinn, K., A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs 26(2):71–81, 2010.CrossRef Thornlow, D. K., and McGuinn, K., A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs 26(2):71–81, 2010.CrossRef
26.
go back to reference Scott, B. S., Wilcock, A. E., and Kanetkar, V., A survey of structured continuous improvement programs in the Canadian food sector. Food Control 20:209–217, 2009.CrossRef Scott, B. S., Wilcock, A. E., and Kanetkar, V., A survey of structured continuous improvement programs in the Canadian food sector. Food Control 20:209–217, 2009.CrossRef
27.
go back to reference Takeda, H., Mastsumura, Y., Nakajima, K., and Kuwata, S., Health care quality management by means of an incident report system and an electronic patient record system. Int J Med Inform 69:285–293, 2003.CrossRef Takeda, H., Mastsumura, Y., Nakajima, K., and Kuwata, S., Health care quality management by means of an incident report system and an electronic patient record system. Int J Med Inform 69:285–293, 2003.CrossRef
28.
go back to reference Poissant, L., Pereira, J., Tamblyn, R., and Kawasumi, Y., The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc 12(5):505–516, 2005.CrossRef Poissant, L., Pereira, J., Tamblyn, R., and Kawasumi, Y., The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. J Am Med Inform Assoc 12(5):505–516, 2005.CrossRef
29.
go back to reference Eslami, S., de Keizer, N. F., and Abu-Hanna, A., The impact of computerized physician medication order entry in hospitalized patients—a systematic review. Int J Med Inform 77:365–376, 2008.CrossRef Eslami, S., de Keizer, N. F., and Abu-Hanna, A., The impact of computerized physician medication order entry in hospitalized patients—a systematic review. Int J Med Inform 77:365–376, 2008.CrossRef
30.
go back to reference Wang, T. T. H., Healthcare informatics research: from data to evidence-based management. J Med Syst 30(1):3–7, 2006.CrossRef Wang, T. T. H., Healthcare informatics research: from data to evidence-based management. J Med Syst 30(1):3–7, 2006.CrossRef
31.
go back to reference Schiffman, R.N., Brandt, C.A., Liaw, Y., and C.G.J., A design model for computer based guideline implementation based on information management services. Journal of the American Medical Informatiics Association, 6(2): 99-103. 1999. Schiffman, R.N., Brandt, C.A., Liaw, Y., and C.G.J., A design model for computer based guideline implementation based on information management services. Journal of the American Medical Informatiics Association, 6(2): 99-103. 1999.
32.
go back to reference Williams, F., and Boren, S. A., The role of electronic medical record in care delivery in developing countries. Int J Inf Manage 28:503–507, 2008.CrossRef Williams, F., and Boren, S. A., The role of electronic medical record in care delivery in developing countries. Int J Inf Manage 28:503–507, 2008.CrossRef
Metadata
Title
Performance Assessment of EMR Systems Based on Post-Relational Database
Authors
Hai-Yan Yu
Jing-Song Li
Xiao-Guang Zhang
Yu Tian
Muneou Suzuki
Kenji Araki
Publication date
01-08-2012
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 4/2012
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-011-9709-y

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