System developed for Ebola can now be adapted for future medical crises
, in partnership with , has developed an open-sourceand adaptable electronic medical record (EMR) system to facilitate the rapid collection of high-qualitypatient data under stressful and potentially dangerous conditions, thereby replacing often dangerouspaper-based systems.
First implemented at Save the Children’s Ebola Treatment Centre (ETC) in Kerry Town, Sierra Leone– where rigorous decontamination measures mean that paper medical records cannot be brought fromthe Red Zone (wards for suspected and confirmed Ebola patients) to the Green Zone (where non-patient activities are set up, such as the pharmacy and meeting rooms) – this efficient and user-friendly system is the most comprehensive clinical EMR built for a medical emergency in a resource-limited environment, and can be adapted for use in a range of future medical crises, including diseaseoutbreaks and natural disasters.
“The complexity of the current West African Ebola epidemic – which is the largest and mostwidespread Ebola outbreak ever recorded – has created enormous barriers for patient care,” says, Global Health Technical Principal, . “Even seemingly straightforwardtasks like collecting and accessing quality patient clinical records have been nearly impossible usingconventional methods. The patient data collected using our electronic medical record platform allowsSave the Children not only to collect invaluable patient data to be used for immediate care, but alsoallows us to better understand a disease about which so little is still known.”
Developed by volunteers and staff from , Save the Children, the London School ofHygiene and Tropical Medicine, the University of Leeds, Elsevier, and the OpenMRS community – andled from Kampala, Uganda, with contributions from teams spanning Sierra Leone, Brazil, China,Canada, Australia, the USA, and the UK – this innovative EMR is built using OpenMRS 2.1, a modularopen-source electronic medical record platform used in more than 60 low- and middle-incomecountries.
The system runs on laptops in the Green Zone and waterproof sterilizable Android tablets in the RedZone, with different User Interfaces (UIs) for each. While the Red Zone UI is optimized for readability,speed, and ease of use while wearing personal protective equipment (including high-contrast colorschemes, large buttons and text, and careful selection of limited information per page), the GreenZone UI presents detailed information that clinicians can review in a less-constrained environment.
The EMR supports patient registration, bed allocation, discharge of patients, recording of vital signsand symptoms, ordering and administration of medications and IV fluids, laboratory results, cliniciannotes, and data export for analysis. Tablets and laptops communicate securely with a server on a localwireless network, which, together with uninterruptible power supplies, means the system can continuerunning even when power or external network connections go down. This level of reliability allows forthe replacement of paper-based systems even in settings with poor infrastructure. The data can alsobe easily backed up.
“Save the Children is proud of its partnership with , which has allowed us tosuccessfully employ electronic medical records at our Kerry Town ETC,” says Michael von Bertele,Humanitarian Director at Save the Children. “This software, which is easier, faster and safer to usethan a paper system, allows us to collect information in the Red Zone and share it in real time, whichhas helped improve efficiencies and, more importantly, has the potential to help save lives – includingthose of patients and clinicians.”
About Save the Children
Save the Children is the world's leading independent organization for children, delivering programsand improving children's lives in more than 120 countries worldwide. We save children’s lives. We fightfor their rights. We help them fulfil their potential. Learn more at www.savethechildren.net.