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Introduction to electronic health records
Impacts of electronic health records on patients
Importance of electronic medical records in health information system
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Your post was informative and I agree the benefits of e-prescribing are both a decrease in prescriptions errors. While e-prescribing does present current positive features, and is being mandated, there are risk and the potential for negative outcomes related to its use. Fischer and Rose (2017) reports the benefits of e-prescribing as a decrease in medication errors, illegible prescriptions, and tools to prevent drug and allergy reactions. The negative aspects of the use of the electronic system are also outlined. Health care providers have experienced frustration and found the electronic systems cumbersome as well as pharmacist. The system cannot eliminate all contact with providers and may still require interaction between providers and pharmacies
During the 1980’s and 90’s there were many studies done that showed that medical errors were occurring in inpatient and outpatient settings at a very high rate. Computer Provider Order Entry (CPOE) systems were designed to reduce or eliminate mistakes made by using hand written orders. The CPOE system allows users to directly enter their orders into the system on computers which are then sent directly to the healthcare providers that will be implementing the orders. Previously orders were placed by writing on order sheets on patient charts. This was sometimes done by the doctor or by a nurse acting on behalf of the doctor. Order sheets were then signed by the doctor and then the information was input into the patient’s record. This left room for error due to misreading bad handwriting, confusing medications with similar names, etc.
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
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
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
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.
Electronic prescribing or known as e-prescribing is the transmission, using electronic media, of prescriptions or prescription-related information from a prescriber (physician, nurse practitioner, etc.) to a pharmacy (Fincham, 2009). The information may flow to a number of parties in addition to the pharmacy, such as a pharmacy benefit manager, health plan, or an intermediary, such as an e-prescribing network (a large centralized system to process electronic prescriptions)(Bloche, 2011). In its simplest form, e-prescribing involves two-way transmissions between the point of care and the pharmacy. E-prescribing is intended to replace writing out, faxing, or calling in prescriptions, and its many proposed benefits include safer, more efficient, and more cost-effective care (Fincham,2009). Because of potential benefits, the federal government has put in place major incentives for providers to adopt e-prescribing and to adopt electronic health records through the meaningful use incentives (Sanders & Buchanan, 2012). But in today’s world where technology is growing rapidly in the healthcare, medication errors through e-prescribing is not getting any better. Medication errors are one of the most common types of medical errors and one of the most common and preventable caus...
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.
The use of electronic medical records has both positive and negative impacts on our struggling healthcare system. The positive effects are improved communication among healthcare providers, decrease cost to patient and insurance companies by eliminating repeat diagnostic tests and unnecessary procedures, and improve the health conditions throughout the country by collecting data information. Immunization registries, bio surveillance, and public health can be monitored to improve the “fiscal an...
For my on-line pharmacy I chose 1-800-PetMeds. After some research I have found exactly what you need to order medicines through them. I have also found their policy on things and what they will do if expectations are not reached. The first thing I notice is that you do not have to have an account with them to order stuff through them. You just pick a medicine and click on it, and then it will be added to your cart for you to continue shopping or for you to proceed to check out.
Implementing technology in a clinical setting is not easy and cannot be successful without a well-organized system. It is important that healthcare providers understand the electronic medication administration record (eMAR) and its role in improving patient safety. One of the most significant aspects of healthcare is the safety of our patients. Medication errors account for 44,000-98,000 deaths per year, more deaths than those caused by highway accidents or breast cancer. Several health information technologies help to reduce the number of medication errors that occur. Once of these technologies is bar-code-assisted medication administration (BCMA). These systems are designed to ensure that the right drug is being administered via the right
Administration of medication is a vital part of the clinical nursing practice however in turn has great potential in producing medication errors (Athanasakis 2012). It has been reported that over 7,000 deaths have occur per year related to medications errors within the US (Flynn, Liang, Dickson, Xie, & Suh, 2012). A patient in the hospital may be exposed to at least one error a day that could have been prevented (Flynn, Liang, Dickson, Xie, & Suh, 2012). Working in a professional nursing practice setting, the primary goal is the nurse and staff places the patient first and provides the upmost quality care with significance on safety. There are several different types of technology that can be used to improve the medication process and will aid staff in reaching a higher level of care involving patient safety. One tool that can and should be utilized in preventing medication errors is barcode technology. The purpose of this paper is to demonstrate how implementing technology can aid patient safety during the medication administration process.
Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread publicity has helped build awareness of e-prescribing’s role in enhancing patient safety. Although it has not been in practice for very long, e-prescribing has already made a positive impact in the field of health care.
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,
You are right Tran that we are so used to scanning our medications that sometimes nurses don’t check to see if there is a duplicate order. We are not perfect, and we are liable to make a mistake which can be detrimental to the patient. We do need to take accountability for what we are doing. EHR and other technology are there to help us and make our workflow easier, but it should not replace our critical thinking ability. Nurses as the end-users must “take ownership” for working with the EHR system to deliver safe care to patients (Middleton et al.,
In a study by Jacalyn Rogers, Sonya Sebastian, William Cotton, Cheryl Pippin and Jenna Merandi they showed that the number of immunization errors were greatly reduced with the addition of age specific alerts into the electronic prescribing system, With the electronic prescribing system they were able to put age restrictions on different immunizations as well as restrictions on different medications to avoid errors in prescribing a medication to a patient that they either might be allergic to or that might interfere with their current medication. After their seven-month research period they found that with this education on how to properly use this system that prescribing errors decreased from 57% to 25%. They concluded