An examination of many hospitals that recently implemented in King Saudi Arabia(KSA) a little electronic health record (EHR) system finds that clinical and administrative leaders built EHR adoption into their strategic plans to integrate inpatient and outpatient care and pro¬vide a continuum of coordinated services. Using Relational Data Base Management (RDM) and eXtend Marker Language (XML) Systems .Successful implementation depended on: strong leadership, full involvement of clinical staff in design and implementation, mandatory staff training, and strict adherence to timeline and budget. The EHR systems facilitate patient safety and quality improvement through: use of checklists, alerts, and predictive tools; embedded clinical guidelines that promote standardized, evidence-based practices; elec¬tronic prescribing and test-ordering that reduces errors and redundancy; and discrete data fields that foster use of performance dashboards and compliance reports. The system will be developed using PHP Hiper Page(PHP) as web based system
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