{"id":3671,"date":"2021-06-28T10:27:50","date_gmt":"2021-06-28T09:27:50","guid":{"rendered":"https:\/\/med.st-andrews.ac.uk\/staahr\/?page_id=3671"},"modified":"2021-06-28T10:27:50","modified_gmt":"2021-06-28T09:27:50","slug":"amr-medical-records","status":"publish","type":"page","link":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/network-partners\/projects\/amr-medical-records\/","title":{"rendered":"How can Medical Records be Better Used to Tackle AMR?"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.9.10&#8243; custom_margin=&#8221;120px||||false|false&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;3.0.47&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Sub Title&#8221; _builder_version=&#8221;4.9.10&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<h1>How can Medical Records be Better Used to Tackle AMR?<\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3168 alignnone size-full\" src=\"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-content\/uploads\/sites\/49\/2021\/05\/20210520-OrangeLine.png\" alt=\"\" width=\"78\" height=\"9\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Main Text&#8221; _builder_version=&#8221;4.9.10&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<h4>Medical Records Keeping, Information Flows and AMR in Mwanza, Tanzania and Mbarara, Uganda<\/h4>\n<p>This project focuses on clinic-based medical record keeping and the flow\/networks of information about patients and antibiotics. In many high-income settings, electronic health records (EHR) are kept on all patient consultations. These help healthcare professionals understand a patient\u2019s medical and prescription history, and their \u2018pathways to care\u2019. In the context of antibiotic provision, these theoretically allow more effective prescription, avoiding inappropriate provision of ineffective treatments which might promote AMR. The degree to which patient hard copy and digital records facilitate optimal antibiotic treatment in East Africa is relatively unexplored. The degree to which records are used, useful, complete and integrated, and the degree to which information flows between records, patients, doctors, labs and administrators is not well mapped or understood, and it may be there are simple efficiencies which would merit intervention to improve antibiotic stewardship or patient care more generally.\u00a0 In addition, the degree to which the COVID-19 situation has disrupted, facilitated\/improved record-keeping and information flow is an important question.<\/p>\n<p>In order to address these issues, we are using qualitative in-depth methods (in-depth interviews and focus groups) to investigate the scope of patient record keeping, and the issues surrounding this.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text &#8211; Research Q&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<h3><strong>Overall Research Questions: <\/strong><\/h3>\n<ol>\n<li><em>What is the scale and nature of patient record keeping on consultations and prescriptions, and to what extent do they facilitate optimal health care provision and antibiotic stewardship? <\/em><\/li>\n<li><em>Has the COVID-19 pandemic had any impact on record keeping?<\/em><\/li>\n<\/ol>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text &#8211; people&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<p>Joseph Mwanga | <a href=\"https:\/\/medicine.st-andrews.ac.uk\/staahr\/project\/stephen-e-mshana\/\">Stephen Mshana<\/a> |\u00a0<a href=\"https:\/\/medicine.st-andrews.ac.uk\/staahr\/project\/mike-kesby\/\">Mike Kesby<\/a> | Kate Fredricks | <a href=\"https:\/\/medicine.st-andrews.ac.uk\/staahr\/project\/katherine-keenan\/\">Katy Keenan<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.0.47&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-content\/uploads\/sites\/49\/2021\/06\/20210302-makerere.png&#8221; alt=&#8221;Makerere Logo&#8221; align=&#8221;center&#8221; admin_label=&#8221;Image &#8211; Makerere&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-content\/uploads\/sites\/49\/2021\/06\/20210524-StAndrewsUniLogo.png&#8221; alt=&#8221;St Andrews University Logo&#8221; align=&#8221;center&#8221; admin_label=&#8221;Image &#8211; St A Uni&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-content\/uploads\/sites\/49\/2021\/06\/20210315-MMRC.png&#8221; alt=&#8221;National Institute for Medical Research, Mwanza Logo&#8221; align=&#8221;center&#8221; admin_label=&#8221;Image &#8211; Mwanza&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-content\/uploads\/sites\/49\/2021\/06\/20210628-CUoHPS.png&#8221; alt=&#8221;Catholic Institute of Applied Health Science&#8221; title_text=&#8221;20210628-CUoHPS&#8221; align=&#8221;center&#8221; admin_label=&#8221;Image &#8211; Catholic Uni App Heath Science&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.9.10&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.9.10&#8243; _module_preset=&#8221;default&#8221;][et_pb_gallery gallery_ids=&#8221;4520,4523,4524,4525&#8243; show_title_and_caption=&#8221;off&#8221; show_pagination=&#8221;off&#8221; _builder_version=&#8221;4.9.10&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>How can Medical Records be Better Used to Tackle AMR? Medical Records Keeping, Information Flows and AMR in Mwanza, Tanzania and Mbarara, Uganda This project focuses on clinic-based medical record keeping and the flow\/networks of information about patients and antibiotics. In many high-income settings, electronic health records (EHR) are kept on all patient consultations. These [&hellip;]<\/p>\n","protected":false},"author":126,"featured_media":0,"parent":4032,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-3671","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/pages\/3671","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/users\/126"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/comments?post=3671"}],"version-history":[{"count":0,"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/pages\/3671\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/pages\/4032"}],"wp:attachment":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-json\/wp\/v2\/media?parent=3671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}