안과 전자의무기록의 적용과 만족도 조사

The Application of Electronic Medical Record and Users’ Satisfaction in Ophthalmology

Purpose: To introduce the electronic medical record (EMR) system used in the department of ophthalmology and to report improvements to be made and user satisfaction. Methods: The EMR, used since October 15, 2004, was shown in several figures. Some problems were revealed on the figures and improved. The satisfaction results for the EMR`s efficacy and quality of eye description compared to the paper chart were obtained from a questionnaire of twenty-one ophthalmologic residents who had at least 6 months of experience with EMR using 5-point Linkerd scale. Results: The EMR was shown to be useful in ophthalmology. Problems were solved by resizing the pictures automatically, introducing a convenient picture input method using an LCD tablet monitor system, and by minimizing the automatic fill-in system in ocular examination records. Twenty-one ophthalmologic residents replied, and the efficacy of EMR was satisfactory, scoring 2.6 on a 5-point Linkerd scale, whereas the complete and proper description of patients` information was unsatisfactory, scoring 3.6. Conclusions: The standardized ophthalmologic EMR and its easy and fast input device will improve ophthalmologists` satisfaction. EMR should be supplemented to make more proper and complete description of patients information.