Informatics in the Clinical Area
Informatics has affected many areas of the medical field. Informatics has improved the field by “helping people to revisualize and redesign their information management and knowledge management skills and learn new ways of using clinical data to mange clinical practice and patient care” (McLane & Turley, 2011). The purpose for this paper is to explore informatics in streamlining paperwork, provide decision support tools, and review contribution that is made towards patient safety.
Informatics Streamline Paperwork and Communication
Informatics has streamlined paperwork by putting information in a centralized location. Informatics has many avenues for developing improvement to patient care. The introduction of electronic medical records (EMR) is a central source of information to locate and input patient information. The accessibility of information created by informatics makes information easily accessible for the healthcare team.
Electronic Medical Record
EMR has not only streamlined paperwork but has created a social network for all involved in the care of patients. EMR has showed to “improved accuracy, legibility, timeliness and completeness of documentation” (Lyden, 2008, p.14). Having all information centrally located and legible allows the nurses or others in the care of the patient to be able to expedite the services needed to improve patient outcome. As Hedba and Czar (2009) stated, there are six qualities needed to have a successful EMR, “fast, familiar, flexible, enhances workflow, improves documentation, and meets regulatory requirements” (p. 303). Each of these components enhances the accessibility for the healthcare team in overall productivity, patient outcomes and communication....
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Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
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.
Hundreds of thousands of physicians have already seen these benefits in their clinical practice.” This is proof that in Canada we should continue to introduce electronic health records and help smaller practises with policies to help with funding. The benefits of electronic health records can drastically improve the quality of health and health
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.
Kimmel, K. C., & Sensmeier, J. (2002). A Technological Approach to Enhancing Patient Safety. Retrieved from https://blackboard.ohio.edu/bbcswebdav/pid-3906938-dt-content-rid-20290664_1/courses/NRSE_4510_1021_SEM_SPRG_2013-14/EHR_1%281%29.pdf
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.
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.
Health information management involves the practice of maintaining and taking care of health records in hospitals, health insurance companies and other health institutions, by the use of electronic means (McWay 176). Storage of medical information is carried out by health information management and HIT professionals using information systems that suit the needs of these institutions. This paper answers four major questions concerning health information systems.
Retrieved from: Ashford University Library 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.
Electronic medical records not only effect health care professionals, but the patients of those health care providers as well. However, nurses spend the most time directly using electronic medical records to access patient date and chart. Nurses now learn to chart, record data, and interact with other health care providers electronically. Many assume that electronic means efficient, and the stories of many nurses both agree, and disagree. Myra Davis-Alston, a nurse from Las Vegas, NV, says that she “[likes] the immediate access to patient progress notes from all care providers, and the ability to review cumulative lab values and radiology reports” (Eisenberg, 2010, p. 9). This form of record keeping provides health care professionals with convenient access to patient notes, vital signs, and test results from multiple providers comprised into one central location. They also have the ability to make patients more involved in their own care (Ross, 2009). With the advancement in efficiency, also comes the reduction of costs by not printing countless paper records, and in turn, lowers health care
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Electronic medical records (EMRs) is a digital version of a standard medical and patient information gathered in the computer, which goes beyond the traditional information collected replaces manual operation and include a more comprehensive patient
Over the past decade, technological advances have paved the way for nurses to provide, quality, safe, standardized and individualized patient care (Saba & McCormick, 2015). The use of the Electronic Health Records (EHR) to manage patient data is quickly becoming widespread in the healthcare industry. The emerging use of the Electronic Health Record, is transforming how nurses care for patients. By creating and implementing an electronic, comprehensive, standardized method of recording patient data, nurses can facilitate and coordinate patient care with members of the multidisciplinary healthcare team. The use of the Electronic Health Record will promote positive
Yignesh Ramachandran states in an article that health informatics “manages all aspects of the effective and efficient planning, collection, organization, implementation, analysis and use of data to create information within the healthcare system.” It gives easier access of client information to the interprofessional team. This system can improve the quality of health care, lowers paperwork and increase productivity. It also decreases the interpersonal time with clients.