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Electronic medical records and it's important
Electronic medical records and it's important
Electronic medical records and it's important
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Electronic health record (EHR) is a health history of an individual or a patient which is documented in specific formation into a database so that it is easily identified and tracked for a specific patient. EHRs are designed to collect and compile the information so that physician or other healthcare providers can access or share results such as laboratories and specialists, within a scope of patient’s care and abiding HIPAA policies. It also contains information such as identity details, demographics, medical and family history, history of hospitalizations, possible allergies, results of diagnostic imaging, laboratory tests as well as the identity of health professionals and medical units that have already provided healthcare in the past. Paper records are written and are often kept charts in special holders and easily accessible by any individuals or other authorized staff to quickly find the patient 's charts. Just as in …show more content…
However, differences are enormous when using both types of health records. Electronic health records assist in easily identifying a patient with demographic and other information provided. It not only assesses individuals in regards to certain parameters such as blood pressure, vaccinations, diabetic levels but alerts clinicians if the parameters fluctuate or missing of a diagnostic testing. It also allows patients to have immediate access to their own health records and provides online education to prevent any diseases ( Davis, N., & LaCour, M., 2014). EHR also contains link to send reminders and improves legibility. In a pharmaceutical industry, it also improves being able to read the doctors hand writing so prescriptions are given with the correct dose and the correct medication. Whereas in paper records pharmacists and other clinicians can easily misinterpret information which can lead to very costly mistake for patient and an
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
Zhang, Yu, and Shen (2012) cited “three categories of benefits as perceived by the care staff members” (p. 690). All the following gained benefits from EHR, e.g., the care staff members, the patients, and the institutions (Zhang et al., 2012). The most cited benefit from the EHR pertains to the “convenience and efficiency in data entry, distribution, storage, and retrieval of the patient’s record” (Zhang et al., 2012, p. 690). In addition, McGonigle and Mastrian (2015) summarized “the four most common benefits… for the EHR are (1) increased delivery of guidelines-based care, (2) enhanced capacity to perform surveillance and monitoring (3) reduction in medication errors, and (4) decreased use of care” (p. 255). The nurses, in particular, perceived an improvement in the quality of patient care, communication, patient safety, and better care outcomes (McGonigle & Mastrian,
Did you ever think about how much time is spent on computers and the internet? It is estimated that the average adult will spend over five hours per day online or with digital media according to Emarketer.com. This is a significant amount; taking into consideration the internet has not always been this easily accessible. The world that we live in is slowly or quickly however you look at it: becoming technology based and it is shifting the way we live. With each day more and more people use social media, shop online, run businesses, take online classes, play games, the list is endless. The internet serves billions of people daily and it doesn’t stop there. Without technology and the internet, there would be no electronic health record. Therefore, is it important for hospitals and other institutions to adopt the electronic health record (EHR) system? Whichever happens, there are many debates about EHR’s and their purpose, and this paper is going to explain both the benefits and disadvantages of the EHR. Global users of the internet can then decide whether the EHR is beneficial or detrimental to our ever changing healthcare system and technology based living.
The main purpose of EHRs is to mainly exchange health information electronically to help improve quality and safety for patients. Four pros of EHRs is to provide accurate and recent information of the patients, allow for quick access to the patient records, share the health information securely, and make patient records and notes legible. These four points are important and necessary because the goal overall is to improve public health. Patient information should always be updated and current. Health professionals need to easily have access to patient records to either update them or verify the information. Also, health professionals can now avoid any discrepancies with electronic records verses when records were completely on paper.
Electronic Health Record (EHR) is a digital collection of patient health information instead of paper chart that captures data at the point of collection, supports clinical decision-making and integrates data from multiple sources in any care delivery settings. The health record includes patient’s demographics, progress notes, past medical history, vital signs, medications, immunizations, laboratory data and radiology reports. National Alliance for the Health Information Technology defines EHR as, “ an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more
The EHR is a computerized health record that will take place of the paper chart. The health care information will be available to all health care providers at anytime, anywhere. The record will contain medical history, diagnosis, medications, immunization, allergies, diagnostics and lab results; from past doctors, emergency department visits, school, pharmacies, and out patient laboratories and facilities (Department of health and human services, 2014). Health care providers will be able to access evidence-based tools to aid in decision-making. EHR will also streamline workflow, and support changes in payer requirements and consumer expectations. In 2004, “the HHS secretary, Tommy Thompson appointed David Brailer as the national health information coordinator to provide: leadership for the development and nationwide implementation of a interoperable HIT infrastructure, with the goal of establishing electronic health records...
To compare EHR with paper-based records the EHR has more pros than cons. Paper-based records require a lot of storage and requires 7 years of storage. To find records through paper-based records could require a lot of work due to records being lost in boxes packed away for several years. Some places did not have proper storage room so they stored them in different areas. It took sometimes several days to weeks to get documents from doctors. Hand written paper records have poor readability writing and documents are wrote wrong due to legible hand writing.
...will benefit the patient as well as the treating organization of care. The patients benefit with the confidence, comfort and security of competent, continuous care. The treating organization will benefit by not having to worry about missing information to the puzzle of person and their healthcare. Therefore the choice of electronic medical records versus paper medical records becomes evident: electronic medical records make health care more efficient and less expensive while improving the quality of care by making patients’ medical history easily accessible to all who treat them. Electronic medical records ensures patients that they are receiving competent care while establishing and maintaining optimal health and best possible quality of life, living with a medical condition, illness and/or diagnosis, with everyone involved informed of any and all changes in care.
The goal of electronic medical records is to make healthcare safer and increase efficiency by providing patients and providers with information to make informed decisions, encourage preventive care, and reduce errors and duplications. However, since EHRs was made a national priority the implementation has been complex and misunderstood.
“There are two concepts in electronic patient records that are used interchangeably but are different-the electronic medical record (EMR/EHR) and the electronic health record. The National Alliance for Health Information Technology (NAHIT) defines the EHR as the electronic record of health-related information on an individual that is accumulated from one health system and is utilized by the health organization that is providing patient care while the EMR accumulates more patient medical information from many health organizations that have been involved in the patient care. The Institute of Medicine (IOM) has been urging the healthcare industry to adopt the electronic patient record but initially
The EHR is defined as “an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization” (Fahrenholz, C. G. & Russo, R., 2013b). The Office of the National Coordinator for Health Information Technology (ONC) has published a list of required items an EHR must have to satisfy the complete EHR definition. According to the ONC, the EHR must include, for both ambulatory and inpatient systems: computerized provider order entry, demographics, a problem list, a medication list, a medication allergy list, clinical decision support, transitions of care, data portability, clinical quality measures, authentication, access control and authorization, auditable events and tamper resistance, audit reports, amendments, automatic log-off, emergency access, end-user encryption, integrity, drug-drug and drug-allergy interaction checks, vital signs, body mass index and growth charts, electronic notes, drug-formulary checks, smoking status, image results, family health history, patient list creation, patient-specific education resources, electronic prescribing, clinical information reconciliation, incorporation of lab tests and values/results, immunization information, transmission to immunization registries, transmission to public health agencies-syndromic surveillance, automated measure calculation, a safety-enhanced design, a quality management system and be able to view, download and tra...
I am writing to express my gratitude to you for your continued support regarding Electronic Health Records. As you know Electronic Health Records (EHR) is a central key part of the evolution of computerized documentation in the health care field. Kelly, Brandon and Docherty, 2011 informs that “64% of healthcare facilities still use paper-based documentation; these units must convert to electronic health records in the near future or face penalties.”
The purpose of this article is to review, summarize, and outline the key aspects to the Health Information Technology for Economic and Clinical Health Act of 2009. The outcomes discussed in this article are based on clinical, organizational, and societal outcomes based on EHR’s. Included in these outcomes is improvement in the quality of care, increase in financial and operational performance, patient and clinician satisfaction and conduction of research. The author also implicates disadvantages to EHR’s such as financial issues, changes in workflow, loss in productivity due to the learning curve caused by EHR’s and this is just to name a few. This article will use the benefits and drawbacks to further expand on the topic of electronic medical and health
Electronic health records (EHR) is defined as the electronic storage of patient’s clinical health information that includes all patient’s relevant health information such as laboratory results, diagnostic tests, medical histories, medications, allergies, etc. (CMS, 2012). Keeping medical information electronically is vital with the goal of providing patients with exceptional quality care and improved patient’s health outcome.