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SCHOOL OF PUBLIC HEALTH
COLLEGE OF HEALTH SCIENCES
UNIVERSITY OF GHANA, LEGON
DEVELOPMENTOF A COMPUTERIZED PROVIDER ORDER ENTRY
SYSTEM FOR LABORATORY
BY
GERARD BISAMA MUTSHIPAYI
(10509422)
A PROJECT WORK SUBMITTED TO
THE SCHOOL OF PUBLIC HEALTH, COLLEGE OF HEALTH
SCIENCES, UNIVERSITY OF GHANA, LEGON, IN PARTIAL FULFILLMENT OF THE REQUIREMENT
FOR THE AWARD OF MASTER OF HEALTH INFORMATICS
JULY 2015
DECLARATION
I Gérard Bisama Mutshipayi the author of this
dissertation, do hereby declare that with the exception of references to the
literature and works of other researchers which have been duly cited the work
in this dissertation is the result of my original work.
Gérard Bisama Mutshipayi
........................................
(Student)
(Supervisor)
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Date: ......................... Date:
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DEDICATION
For my family, the reason I wrote this dissertation and the
raison I was able to. Francine Kukamba Kawesi, my lovely wife and Ethan
Mutshipayi Bisama, my son. My parents Alphonse Mutshipayi and Josée
Bakafua, I can barely find the words to express all the wisdom and support you
have given me.
This work is dedicated to you.
ACKNOWLEDGEMENT
I am very grateful to all individuals and groups who
contributed to making this study a successful one.
First and foremost, all my thanks to God. You have given me
the strength to believe in my passion and pursue my dreams. I could never have
done this without the faith I have in you, the Almighty.
A special thanks to my supervisor Mr. Seth K. Afagbedzi, for
his guidance, assistance and counsel. Without his continuous support and
assistance it would not have been possible to finish this dissertation.I also
thank all lecturers for the knowledge imparted to me.
Thanks to all MHI course mates for their contribution and
advices.
I would like to thank all my friends, especially Mary Anita
Quist, for her support in the academic work.Thanks to Patrick Tshibangu, my
friend, roommate and compatriot for listening, offering me advices.
Finally, we are extend our most sincere gratitude to the BEBUC
(Bourse d'Excellence Bringmannaux Universités Congolaise) scholarship
program and The Holger-Poehlmann-Foundation for supporting this master program
financially and morally, particular thanks to Prof. Gerhard Bringmann and Prof.
Mudugo Virima respectively the president and the vice-president of BEBUC. To
all members of the BEBUC panel I express also my gratitude.
1. ABSTRACT
The laboratory services play important role in health care
provision since it provides clinicians and other health care professional
information that will help them to detect disease and to confirm or reject the
diagnostics. (McPherson & Matthew R. Pincus, 2011). Managing the follow up
of radiological as well as diagnostics test is a complex process since it
requires information exchange between different health care practitioners
across different services within the health facilities. (Callen, Georgiou, Li,
& Westbrook, 2011). Error in the management of laboratory result can
carries a risk of harm of patient life and these errors are more present to the
pre and post-analytical steps of the total testing process then during the
chemical analytical phases inside the laboratory. (Plebani, 2009)
In this study, we havedevelopeda Computerized Provider Order
Entry (CPOE) systemto capture and shared laboratory data of the patient across
clinical services in the district hospital by the automation of the main pre
and post analytical process that are main source of errors. We have focused a
particular attention of the modelling of the workflow to identify business
process that involve communication between different services and the
laboratory. Through the analysis of business process we have identify the main
actors and describe the system requirements. A particular attention has been
paid to improve patient communication in the proposed workflow.
The system was designed using C# programming language over
.Net Framework 4.0 and PostgresSQL to capture patient and laboratory order data
from the Out-patient department to patient assignment in clinical services. The
result of lab test also has been captured andShort Message Service (SMS) and
email notification features have been integrated to send information to both
patient and clinician where the lab result was available.
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