A5021783109- Electronic Health Records Systems
- Mobile Health and mHealth Applications
- Primary Care and Health Outcomes
- ICT in Developing Communities
- Healthcare Systems and Technology
- Pharmaceutical Practices and Patient Outcomes
- Global Maternal and Child Health
- Artificial Intelligence in Healthcare
- Health Policy Implementation Science
- Machine Learning in Healthcare
- Child Nutrition and Water Access
- Health Sciences Research and Education
- Medication Adherence and Compliance
- HIV/AIDS Research and Interventions
- Tuberculosis Research and Epidemiology
- Data-Driven Disease Surveillance
- Clinical Laboratory Practices and Quality Control
- Medical Coding and Health Information
- Pneumocystis jirovecii pneumonia detection and treatment
- Chronic Disease Management Strategies
- Innovative Approaches in Technology and Social Development
- Patient Safety and Medication Errors
- Delphi Technique in Research
- Climate Change Communication and Perception
- Pharmaceutical Quality and Counterfeiting
University of Pittsburgh
2012-2025
Global Policy Institute
2023
Kamuzu Central Hospital
2016
University of Malawi
2016
Research for Equity And Community Health Trust
2010-2011
Baobab Health Trust
2010-2011
Public Health Institute of Malawi
2008
Pittsburg State University
2003
University of California, Santa Barbara
1973
The Health in Action section is a forum for individuals or organizations to highlight their innovative approaches particular health problem.
The global burden of diabetes mellitus (DM) is immense and predicted to reach 438 million by 2030, with 80% the cases being in developing world. management chronic non-communicable diseases like DM poor most resource-limited settings, 'directly observed therapy, short course' (DOTS) framework for tuberculosis control has been proposed as a feasible way improve this situation. In late 2009, aspects DOTS model were applied persons clinic Queen Elizabeth Central Hospital, Blantyre, Malawi,...
Patients with chronic non-communicable diseases attending a primary health care centre, Lilongwe, Malawi.Using an electronic medical record monitoring system, to describe the quarterly and cumulative disease burden, management outcomes of patients registered between March 2014 June 2015.A cross-sectional study.Of 1135 patients, new registrations increasing each quarter, 66% were female, 21% aged ⩾65 years, 20% obese, 53% had hypertension alone, 18% diabetes 12% asthma, 10% epilepsy 7% both...
Evidence shows that clinical audit and feedback can significantly improve compliance with desired practice, but it is unclear when how effective. Audit likely to be more effective messages influence barriers behavior change, change differ across individual health-care providers, stemming from differences in providers' characteristics.The purpose of this article invite debate direct research attention towards a novel component could enable interventions adapt for providers: computer-supported...
Due to the fact that health care professionals in Malawi are often overstretched, use and quality of data can be compromised. The Health Management Information System (HMIS) has streamlined collection reporting increased improve care. Obstacles remain, including incomplete low staff morale. With Baobab Trust Ministry Health, Partners In piloted an innovative point-of-care system for primary functions alongside OpenMRS, open source medical record platform. given access a patient-level dataset...
Objective To model the financial effects of implementing a hospital-wide electronic medical record (EMR) system in tertiary facility Malawi. Materials and Methods We evaluated three areas impact: length stay, transcription time, laboratory use. collected data on expenditures these categories under paper-based (pre-EMR) system, then estimated reductions each category based findings from EMR systems USA backed by ambulatory low-income settings. compared potential savings accrued over period 5...
Free and charitable clinics are a critical part of America's healthcare safety net. Although informatics tools have the potential to mitigate many organizational service-related challenges facing these clinics, little research attention has been paid workflows impact electronic systems in settings. In previous work, we performed qualitative investigation at free clinic dispensary identify workflow that may be alleviated through introduction interventions. However, this earlier study did not...
Chalasa village, Traditional Authority Mtema, Lilongwe District, Malawi.To report on the deployment of an electronic register in a rural village with no electricity. Specific objectives were to document 1) challenges setting up (EVR); 2) demographics residents, along births and deaths over three quarters; 3) costs system.A descriptive study.The main slow adoption EVR by headman, lack health passports for double counting some residents difficult connectivity. These overcome. In terms data,...
To determine the feasibility of using electronic medical record (EMR) data to provide audit and feedback antiretroviral therapy (ART) clinical guideline adherence healthcare workers (HCWs) in Malawi.
eHealth—the proficient application of information and communication technology to support healthcare delivery—has been touted as one the best solutions address quality accessibility challenges in healthcare. Although eHealth could be more value health systems low- middle-income countries (LMICs) where resources are limited, identification a competent workforce which can develop maintain is key barrier adoption. Very little known about actual or optimal states needs LMICs. The objective this...
To address challenges related to medication management in underserved settings, we developed a system for Prescription Management And General Inventory Control, or RxMAGIC, collaboration with the Birmingham Free Clinic Pittsburgh, Pennsylvania. RxMAGIC is an interoperable, web-based designed standardize and streamline dispensing practice improve inventory control free clinic setting. This manuscript describes processes used design, develop, deploy RxMAGIC.We transformed data from previously...
Antiretroviral treatment (ART) clinics at one central hospital, three district hospitals and mission hospital in the southern regions of Malawi.To measure extent inaccuracies transcription case registration recorded deaths between electronic medical data (EMR) paper registers. This was done to inform Ministry Health on reliability paper-based system as backup EMR failure.Retrospective analysis routine programme data.A total 31 763 registrations 2922 were compared with those In up 24% overall...
Background: Reducing laboratory errors presents a significant opportunity for both cost reduction and healthcare quality improvement. This is particularly true in low-resource settings where are further exacerbated by poor infrastructure shortages trained workforce. Informatics interventions can be used to address some of the sources errors. Objectives: article describes development process clinical information system (LIS) that leverages informatics problems testing at hospital setting....
Adequate laboratory infrastructure in sub-Saharan Africa is vital for tackling the burden of infectious diseases such as human immunodeficiency virus and acquired immune deficiency syndrome, malaria, tuberculosis, yet laboratories are ill-integrated into diagnostic care delivery process low-resource settings. Although much literature focuses on disease-specific challenges around testing, we sought to identify horizontal testing through interviews with clinicians involved process. Based 22...
research-article Share on Simplicity and usability: lessons from a touchscreen electronic medical record system in Malawi Authors: Gerald P. Douglas University of Pittsburgh | Baobab Health Trust TrustView Profile , Zach Landis-Lewis PittsburghView Harry Hochheiser Authors Info & Claims InteractionsVolume 18Issue 6November + December 2011 pp 50–53https://doi.org/10.1145/2029976.2029990Online:01 November 2011Publication History 5citation1,328DownloadsMetricsTotal Citations5Total...
Cohort analysis has been the cornerstone of tuberculosis (TB) monitoring and evaluation for nearly two decades; these principles have adapted patients with human immunodeficiency virus/acquired immune-deficiency syndrome on antiretroviral treatment diabetes mellitus hypertension. We now make case using cohort analyses pregnant women during antenatal care, up to including childbirth. believe that this approach would strengthen current systems used in care by providing more precise information...
The Birmingham Free Clinic (BFC) in Pittsburgh, Pennsylvania, USA is a free, walk-in clinic that serves medically uninsured populations through the use of volunteer health care providers and an on-site medication dispensary. introduction electronic medical record (EMR) has improved several aspects workflow. However, pharmacists' tasks involving management dispensing have become more challenging since EMR implementation due to its inability support workflows between pharmaceutical services....
Background: The COVID-19 pandemic highlighted the necessity for a reliable source of medical oxygen. Many low- and middle-income countries (LMIC) use oxygen concentrators as main Concentrators utilize special type zeolite to remove nitrogen from room air. Over time, becomes contaminated with moisture has be replaced. triggered spike in demand resulting global shortage. unavailability led us investigate feasibility regenerating old zeolite. Our goal was develop process, minimum viable product...