Abstract Title | Electronic Health Information System Simulator as a tool in education


  1. JÅ«rate MacijauskienÄ—
  2. RamunÄ— KalÄ—dienÄ—
  3. Linas Leonas
  4. Aurelija Blaževičienė
  5. Žilvinas Padaiga
  6. Aleksandras Kriščiūnas


Simulation and Simulated Patients




Lithuanian University of Health Sciences


Simulator can be used:

  • Undergraduate studies:
    • Public Health Faculty – management of health care institutions (personnel, administration, quality management, reports etc.), prophylactic and prevention programmes;
    • Faculty of Nursing – flow of patients in hospital and outpatient departments (including registration), nursing and supervision, carrying out physician orders;
    • Faculty of Medicine – electronic health records, clinical decision support and data search systems, health care safety and quality management.
  • Vocational studies for physicians and nurses on various aspects of electronic health information system use.

 The Simulator’ principles (expandability, patient safety, reality elements) will improve practical training and develop profession-oriented creativity.


Before entering health professions, students must have practical skills including management of e-health data.
Aim of the project – to develop a practical learning environment, or electronic “simulator”, that would allow students to acquire important skills of use and management of electronic health systems in different health care settings.
Take-home Messages

Simulator of electronic information system is a useful tool in development of professional skills among nursing, public health, and rehabilitation students.


Summary of Work

The project focused on three study programs:

  • Nursing students benefit from in-patients management processes, including use of international nursing classificators (NANDA etc);
  • Public Health students understand the sources and flows of health information and are able to design preventive programs, develop and analyze institution management schemes and statistical reports;
  • Rehabilitation students use International Classification of Functioning, Disability and Health, other scales aimed at assessment of patient status, development of rehabilitation programs and analysis of outcomes.

 Development of Simulator

  • Development of the simulator (2010 April – 2011 October);
  • Seminars for teachers (2011 October): 60 teachers from Nursing, Public Health, Rehabilitation;
  • Pilot studies’ courses for students in Nursing and Public Health Faculties (2011 November – 2012 March): 180 students from Nursing and Public Health Faculties;
  • The Simulator software was created by a team of professional IT specialists – analytics, programmers, testers, working exceptionally for the project;
  • The tasks for IT specialist team were formulated by members of faculties and departments, involved in student teaching;
  • Supervision of development is performed by Project Coordinating Group, consisting of leaders of project groups, deans of Faculties of Nursing and Public Health;
  • Advanced user rights management allows selecting and assigning relevant functional parts for studies in specific programs, and creating data structures needed for academic assignments.

Different scenarios of clinical situations can be created and managed.

Quality of use ensured by realism (life-like or real depersonalized health data) and safety (isolated from any influence on real patient records) of e-health data.

Summary of Results

Structure of simulator

Simulator consists of 19 modules, covering most aspects of health care institutions:

  • Structure and management:
    •  Administration of institution infrastructure;
    • Analysis of institution processes and management: different types of data and reports.

  • Patient flow:
    • Electronic Patient Health Records;
    • Reception, admission departments, pre-registration;
    • Management of patient flow in Stationary and Out-patient departments.
  • Health care processes:
    • Medicines Information: search, classification, use;
    • Prescribing and Physician Orders in Stationary and Out-patient departments;
    • Physician and nurse work places for Stationary and Out-patient departments'
    • Management of surgery departments and operating theatres;
    • Laboratories and Pathology departments;
    • Management of Nursing and Rehabilitation.

Example of prevention programes

Example of admission department, different priority patients


Project was  funded by European Social Fund and Lithuanian government Human Resources Development Programme’s Priority 2 "Lifelong Learning measure "Improving the quality of studies, increasing internationalization" (Nr. VP1-2.2-SMM-07-K-01-066)

Take-home Messages
Summary of Work
Summary of Results
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