Patient-Doctor Communication Analysis

Implementing a new documentation system while still providing adequate nursing care was not without its drawbacks. Human Resources was instrumental in acknowledging that there were difficulties with staff in getting used to the new system. Motivational techniques such as rewarding staff with the distribution of buttons and pens helped enforce the attitudes of the employees. Each time there was an upgrade and change implemented to the system, a care cart would come around. Headed by administration, their support was influential in keeping the process as smooth as possible. IT was always on hand to assist with any problems and Super users were selected and trained to be able to better assist clinical staff. The system went Live in April 2012

Of the studies conducted, most show a negative impact on patient centeredness, emotional and psychological communication and establishing therapeutic communication between patient and physician ( Shachak A & Reis S, 2009). However, there was a positive influence on information that was shared between physician and patient. EMR errors can occur at any time. From a system malfunction, to lost data, EMR related errors are complex and the roots of these errors are often multifaceted. While its rapid input of predefined protocol sets has been a point of strength, computerized provider order entry (CPOE) is one that creates a big risk to patients. Drop down boxes that are meant to be user friendly run the risk of juxtaposition and inadvertently creating harm to the patient. Unintended adverse consequences have been documented. For example in 2006 the CPOE manner of handling data caused a serious prescription error. Medications are given based on weight entered manually into the system. A wrong entry caused sub-therapeutic doses of an anti-epileptic dug which in turn lowered the levels in the blood of the infant. This led to a convulsive crisis. If safer guidelines were implemented the error could have been prevented. With the use of alarms or flagging of data entry into the system, clinicians will become aware of potentially hazardous problems. (M.L. Ventura et al.) Some of the problems arise from less than optimal programs to handle the workflow. Therefore proactive risk assessments should be activated. . The goal of The Safety Assurance Factors for EMR guide is used to identify areas of weakness, and devise solutions to the problems it may face. Its goal is to help health care organizations and clinicians self-assess the safety and effectiveness of their EMR implementation. (Sittig D, 2014) One of the main difficulties is the lack of protocols and standards. Standards for