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Brief summary of implementation of electronic health records
Introduction to electronic health records
Impacts of electronic health records on patients
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According to the Journal of Patient Safety more than 300,000 people yearly will enter the hospital never leaving due to preventable medical errors, making medical errors the third leading cause of death (James, 2013). Ineffective communication tools such as written medical records and written prescriptions could be the leading causes of these medical errors. The Institute of Medicine (IOM) estimates that medical errors alone cost the United States over $37 billion each year (2008). The implementation of Electronic health records (EHRs) could greatly reduce the number of medical errors seen in hospitals today as well as decrease the hospitals’ cost for such mistakes.
There is an international consensus that approximately 10% of hospitalized patients suffer from the damages brought about by medical interventions, around half of which are preventable (Flotta, Rizza, Bianco, Pileggi,&Pavia, 2012). ABC News reported that Tesome Sampson was admitted to the hospital. Her doctor ordered strict bed rest and progesterone suppositories to prevent premature later. Mistakenly she administered the drug, Prostin, which is commonly given to expel a fetus due to miscarriage from the womb. Sampson went into labor following the administration of the drug. After four hours of abdominal cramping she gave birth to her daughter in the hospital commode after nurses insisted she only “needed to have a bowel movement.” Sampson was just 5 ½ months pregnant. Unfortunately staff wasn’t able to catch this mistake even though a similar incident happened just a few hours earlier when the same drug was mistakenly given to another pregnant mother who later gave birth to unborn twins (Patel, 2009). Sadly, this type of medical error is too common and...
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2014, from http://cms.hhs.gov/Medicare/E-Health/EHealthRecords/index.html
James, J. (2013, September). A new, evidence-based estimate of patient harms associated with hospital care. Journal of Patient Safety, 9, 122-128. Retrieved May 17, 2014 from http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_ based_Estimate_of_Patient_Harms.2.aspx
Patel, A. (2009). Tragic medication error results in accidental abortions and premature birth. ABC
News. Retrieved May 19, 2014, from http://abcnewsgo.com/Blotter/story?id=8383062
Valiee, S., Peyrovi ,H., Nasrabadi, A. (2014). Critical care nurses’ perception of nursing error and its causes: A qualitative study. Contemporary Nurse: A Journal For The Australian
Nursing Profession, 46(2), 206-213. doi:10.571/conu.2014.46.2.206
Electronic health information systems prevent errors by involving everyone in a primary health care setting which mainly includes specialists office, emergency department to access the same
Berti. D., Ferdinande. P., Moons. P., (2007). Beliefs and attitudes of intensive care nurses toward
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
Woo, A., Ranji, U., & Salganicoff, A. (2008). Reducing medical errors with technology. Retrieved March, 2012, from http://kaiseredu.org
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
JB McKenzie, et al. "STRATEGIES USED BY CRITICAL CARE NURSES TO IDENTIFY, INTERRUPT, AND CORRECT MEDICAL ERRORS." American Journal of Critical Care 19.6 (2010): 500-509. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Advances in technology have influences our society at home, work and in our health care. It all started with online banking, atm cards, and availability of children’s grades online, and buying tickets for social outings. There was nothing electronic about going the doctor’s office. Health care cost has been rising and medical errors resulting in loss of life cried for change. As technologies advanced, the process to reduce medical errors and protect important health care information was evolving. In January 2004, President Bush announced in the State of the Union address the plan to launch an electronic health record (EHR) within the next ten years (American Healthtech, 2012).
The purpose of this paper is to discuss how Electronic Medical Records (EMR), affects healthcare delivery. I will discuss the positives and negatives this issue has on healthcare and how it effects the cost and quality for healthcare services. In addition, I will identify any potential trade-offs to cost or quality. Lastly, I will discuss how the EMR affects my job as well as any challenges or opportunities this issue presents.
The many concepts are very complex and have many dimensions. Concepts developed by Leininger, Watson, Gaut, Benner and Wrubel, Ihde, and many more were discussed and how they relate to ICU nurses and their caring practices. It is stressed in this article that ICU nurses have an important role of making sure they have insight into their specific behaviors so that nursing practices can be developed. Once these nursing practices are developed, ICU nurses can successfully care for their critically ill patients. Wilkin (2003) claims that caring is a, “dual component of attitudes/values and activities, which create an ongoing challenge for the ICU nurses” (p.
Boaden, R., & Joyce, P. (2006). Developing the electronic health record: What about patient safety? Health Services Management Research, 19 (2), 94-104. Retrieved from http://search.proquest.com/docview/236465771?accountid=32521
Fetter, M. S. Nursing mistakes: a Call for unity. MedSurg Nursing June 2011: 111. Nursing and Allied Health Collection. 12 Mar. 2014. Retrieved from http://go.galegroup.com/
Journal Title: Impact of Health Information Technology on the Quality of Patient Care. Introduction: Our clinical knowledge is expanding. The researchers have first proposed the concept of electronic health records (EHR) to gather and analyze every clinical outcome. By the late 1990s, computer-based patient records (CPR) were replaced with the term EHR (Wager et al., 2009).
Ragavan, V. (2012, August 27). Medical Records Pals Malaysia : 17 Posibble Reasons How Electronic Medical Records (EMR) Might Support Day-to-Day Patient Care. Retrieved from Medical Records Pals Malaysia: http://mrpalsmy.wordpress.com/category/emr/