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A descriptive study to assess the need for the new Image based Electronic MLC Programme
 

A descriptive study to assess the need for the new Image based Electronic MLC Programme

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    A descriptive study to assess the need for the new Image based Electronic MLC Programme A descriptive study to assess the need for the new Image based Electronic MLC Programme Presentation Transcript

    • A descriptive study to assess the need for the new Image based Electronic MLC Programme MS.SHINY THOMAS Dr Deepak Agarwal JPNATC, AIIMS
    • Background  A medico-legal case is a case of injury/ illness where the attending doctor, after eliciting history and examining the patient, thinks that some investigation by law enforcement agencies is essential to establish and fix responsibility for the case in accordance with the law of the land.
    • Background  eMLC is a simple IT implementation with potential to bring much needed transparency in medico legal system in India.
    • Background  There is an involvement of 'Medico Legal Case sheet' (MLC) for all trauma & suspected poisoning cases in India.  Manual entry in this form of judicial importance is both time consuming and prone to tampering.  Even if it is filled by time constrained doctor in the Trauma center, more than often it is illegible thereby becoming a major road block in resolving cases.
    • Material and Methods  To come out of this dilemna, AIIMS implemented an electronic medical record system with the objective of creating a tamper-proof eMLC that could be printed in a format mandated by law thereby satisfying all legal requirements
    • Material and Methods The implementation was carried out in four phases Phase I (13/10/11 to 31/3/13) •The manual format was replicated electronically in the software.
    • Material and Methods Phase II (1/4/13 to 15/7/13) • Intervention based changes were made in the existing template to give a more accurate information about the management of airway, breathing and circulation
    • Material and Methods Phase III (16/7/13 onwards) • Integration of patient photograph into the eMLC for authentic patient identification.
    • Material and Methods Phase IV •the images of patient wounds can also be integrated into the MLC
    • WORKFLOW After registration, photo of the patient is captured with the registration slip. Patient photo is then uploaded by the NIS in the software. The doctor makes the MLC and uploads photo of patient.
    • WORKFLOW The printout of the MLC is obtained by NIS. NIS gets the MLC duly signed by the concerned doctor after verification. 2 copies of signed MLC is handed over to the duty constable by NIS.
    • Results  The total number of MLCs made in Phase I is 34,324 and in Phase II and III, it is 8043 and 2426(till 2/8/13) respectively. All the MLCs are electronically made from 13/10/11 onwards while patient images are uploaded in all MLCs from 16/7/13.
    • Conclusion  NIS has played an active role in the implementation of the MLC Programme. This system has been successful due to the efforts put by NIS.  NIS is involved in  Providing training to SR, JR.  Ensure 24*7 computers and network are functioning well.  Upload photos in MLC programme.  Ensure MLC record are duly printed and signatures are put by concerned SR, JR and handed over to Duty Constable.
    • Conclusion  The implementation of this system has simplified the work of doctors, police and the judiciary. Doctors no longer have to waste time entering demographics of the patient because all medical details in eMLC are easy to enter as they are template driven.  It also prevents duplication of work. The software enables the police and judiciary to procure tamperproof (authentication can be done online), legible and fully filled documents.
    • Conclusion  There are occasions when there is a doubt on the authenticity of the MLC and by virtue of eMLC, one could easily check the scanned record and verify the authenticity immediately.  PDF Link is also available in CPRS to view MLC from any system.