By Dr. Sreenivasan Narayana
The response to the pandemic has required real-time and steady innovation that ensures high quality care. In the final 15 months, whereas treating the rising tide of sufferers with COVID-19, many medical doctors discovered themselves working in an unfamiliar setting, treating an unknown illness. With little recognized concerning the coronavirus and proof altering every day, there was an insufficient authoritative info to assist scientific selections. This posed a problem for the medical doctors, which was to match signs with therapy suggestions and elevated the necessity of having up to date and dependable info on the level of care. And that is how, in the course of the unsure instances of the pandemic, the role of digital technologies got here to fore. From synthetic intelligence assisted healthcare providers like predictive healthcare analysis and automatic evaluation of medical checks to cellular purposes corresponding to Aarogya Setu reserving vaccine slots, digital technologies are revolutionizing medical therapy processes in India at an unprecedented charge.
Rising to the problem of offering exact info to the medical doctors on the time of therapy, we even have Electronic Medical Records (EMR) that with the assistance of superior technologies, seize, retailer, distribute and analyse large quantities of well being information. To outline EMR, it’s the digitised model of paper information at a medical facility that entail info corresponding to therapy historical past of the sufferers, laboratory outcomes, particulars of immunisation, amongst others. As we transfer in direction of a paper-less and digitised India, to streamline workflows and supply healthcare professionals with one of the best proof, superior digital platforms corresponding to scientific determination assist (CDS) programs are sometimes built-in into EMR.
Digital technologies corresponding to CDS embody a number of actions. For occasion, whereas carrying a scientific take a look at in a laboratory, if the worth of the take a look at exceeds or is lower than the traditional one, CDS system can ship scientific worth alerts to the physician. Based on the alert, the physician can recommend the suitable plan of motion.
Reducing Clinical Errors and Unnecessary Testing
Moreover, digital technologies are bettering patient outcomes by eliminating scientific errors at level of care. The potential purpose behind this might be the seriousness and complication of sure ailments, administration of fallacious dose and therapeutic route and when the patient doesn’t comply with the prescribed therapy. CDS programs together with EMR deal with such points as they supply info concerning the hurt related to a selected remedy and medical historical past of the patient, lowering scientific errors.
Let us perceive this with an instance. A patient with deafness in a single ear, visited an ENT surgeon. Certain medication, if used with out correct medical historical past, can have an effect on the nerves of the opposite ear of the patient. Therefore, the surgeon after the therapy, supplied the therapy abstract on a sheet of paper with the identify of medication that ought to be administered with care or ought to be prevented utterly. Now, if the patient loses or misplaces the prescription, particularly on the time of emergencies, these paper information won’t be useful. That is when EMR and CDS programs come to the rescue.
Clinical determination making is a tedious process that entails remembering large quantities of medical information of a number of illness profiles. Even although medical doctors know the therapy route, they could get confused on the time of prescribing remedy. Therefore, offering them with the proper instruments, info, and sources is crucial as it can assist them in making knowledgeable selections. A well-maintained database is essential, which is able to embody a proper comparability of medicines earlier than and after care. Digital technologies are essential particularly once we are battling COVID-19 and steady mapping is the necessity of the hour. CDS programs have up to date details about any new medication that comes available in the market which assists within the scientific evaluation. For occasion, at Narayana Health, we’ve been utilizing UpToDate for previous a number of months and it has been an awesome assist system for our clinicians, residents and nurses in offering proof primarily based medication and therapy, As totally different sufferers have totally different wants, the platform additionally supplies info if the drug is appropriate for an individual with sure comorbidities or different medical historical past. This information on CDS programs are up to date recurrently by specialists who’ve years of expertise.
Rethinking Digital Technologies for Post COVID Times
As the pandemic has highlighted the significance of digital information in treating the lethal virus, it has additionally unveiled its potential for predicting future outbreaks of each, the virus and others which will comply with.
Today, in keeping with authorities’s objectives of healthcare for all, India is increasing its digital outreach. As per a report 15-country Future Health Index (FHI) 2019 by Royal Phillips, India is main within the adoption of digital well being expertise with 76 p.c of healthcare professionals within the nation already utilizing digital well being information of their observe.
Albeit all efforts, the key hindrance within the adoption of cutting-edge technologies is lack of consciousness. Therefore, there’s a dire want for accreditation our bodies corresponding to National Accreditation Board for Hospitals and Healthcare Providers (NABH) and medical doctors to advocate CDS programs and different digital instruments as nicely.
Dr. Sreenivasan Narayana, Group Vice President – Electronic Medical Records Implementation at Narayana Health
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