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Electronic health record introduction
Electronic health record introduction
Annotated bibliography Advantages and disadvantages of the electronic health record
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Today, most healthcare industries have advance to the Electronic Health Record (EHR) system to communicate all health information in a digital format. In the Health IT News, this modern technology’s communication system is said to be the most brilliant way to connect with other healthcare professionals because it is faster, easier, and neater to use. Without a doubt, the healthcare system would benefit from the widespread transition by decreasing amount of paper records that can be very confusing or easily misplaced. In fact, the EHR system is considered to be a faster way to communicate is because all the information is digitally written and connected easier. Unlike paper chart, some vocabulary words already implemented into the system, so providers doesn’t have to put extra time to write notes or messages for the patients’ records. Another reason EHR is faster way to communicate, is because fast access, for healthcare providers are able to access most health information at better rate. For instance, Practice Fusion Company said, “With an EHR, lab results can be retrieved much more rapidly, thus saving time and money”. Therefore, if a nurse wanted to view a patient’s blood pressure result, he or she will access the patient’s chart and click on Flowsheet to view that information faster than flipping …show more content…
Therefore, it allows an easy navigation through the entire medical history of patients. In the Practice Fusion, the company said, “Instead of pulling paper chart volume 1 of 3 to search for a lab result, it is simply a matter of a few mouse clicks”. As a result, EHR is well organized and doesn’t require health professionals to search a pile of information. Most information in the EHR is in a certain category, such as Consents, that is located in the Clinical Notes’ tab. This helps all health professional locate important documentation when it is necessary. With the paper chart, it will be a lot more difficult because it is
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.
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.
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.
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
There are a number of ways in which patient care can be improved with a facility that utilizes multiple charting systems. The simplest way to provide effective quality care is to implement the EHR. A EHR is an electronic system consisting of a complete patient medical health history of past and current conditions (Keller, 2016; Menachemi & Collum, 2011). In addition, to the patient’s demographic, diagnoses, medications, treatment plans, allergies, laboratory data, immunizations, and test results. EHR decreases medical errors such as misinterpretation of clinical notes, doctors orders, not having access to paper chart that have yet to be filed or has been missed file (Keller, 2016). EHR also allows for quick and easy access to diagnostic test results and patient notes that are needed for patient care. EHR will significantly enhance patient care by reducing the amount of time it takes the healthcare team to retrieve the needed health information to deliver patient care. It will also dramatically reduce medical errors that are associated with the nursing staff manually entering doctors’
An electronic health record (EHR), or electronic medical record (EMR), refers to the systematized collection of patient and population electronically-stored health information in a digital format. It details medical problems, medications, vital signs, patient history, immunizations, laboratory data and radiology reports, progress notes .These records can be shared across different health care settings. It resides on an enterprise information systems and is exchanged via electronic networks.EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.why is it needed? It seeks to be a complete record of a patient that can follow him/her from setting to setting increasing knowledge and consistency. It allows providers to obtain a complete picture of a patient and allows firms to automate and streamline workflows. It could improve patient and financial outcomes via evidence-based decisions, quality management, data mining, tracking, and reporting.
The information seeking behavior of the clinicians serves to meet the need for relevant and quality information and provides answers to various questions arising in the course of patient care. The introduction of EHR has enabled ubiquitous access to electronic health information. With the advancement in technology, most medical institutions and libraries provide health care providers with access to a wide virtual collection of knowledge-based resources, irrespective of time and location. The authors stress the need for collaborative efforts from academic and industry sectors along with the application of expertise in electronic health/medical records (EHR/EMR) to achieve efficacy in patient care and minimize costs.
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...
Over the years, healthcare facilities have acted like a storehouse for patients’ medical records, uninterested and unable to distribute clinical data to anyone beyond their organization. The EHR, started in the 1960s under the name of "computerized-based patient record" (CPR), became known as "electronic medical records" (EMR) in the 1990s and today it is known as electronic health record (EHR).The target of the Department of Health and Human Services (HHS) is to incorporate the EHR and use it in a "meaningful" way to improve the quality, efficiency, and safety of patient care delivery; to engage patients in their personal health record; and to improve care coordination. Equally important, the "meaningful use" of the EHR system intends to build a bridge to other systems by creating an interoperability of health information while implementing quality care throughout. However, this interoperability can only be accomplished when the receiving system and the user fully understand how to apply these exchanges.
The use of computer technology plays a vital role in society. The use of it alone has made different task easier, by reducing time management, effort, and overall cost in completing a particular task. With the widely vast growth of computer technology in every field of life; the health care services are experiencing an immerse digital progression by the adoption of electronic health record systems through the Health Information Technology for Economic and Clinical Health Act (Hitech Act).
Electronic health records is medical information recorded on computers, the data consists of a variety of data, medical history, medication, allergies, diagnoses, immunizations, labs, radiology, vital signs, billing information, and personal statistics weight and age. The EHR is designed to help with medical errors. It helps reduce errors with allergies to a medication. Also help with reading legibility and eliminate the lost forms and paperwork. It allows for the patients history to be viewed by several doctors. Doctors or nurses can update information on your record.
The access to information can be very beneficial in an EHR system. With all the patient medical files being integrated within the EHR, the physician will find it convenient when seeing numerous patients. They will access to these files whenever and wherever they are needed to make effective decisions for the patient. Better access to information also allows better communication amongst the providers.
The new healthcare technology that is spreading nationwide it the EHR programs that are being implemented and updated in healthcare organizations. Government policies are in place for societies protection and privacy, it also helps to create a place where healthcare information can be utilized to its fullest potential. ONC authors’ regulations that set the standards and certification criteria EHRs must meet to assure health care professionals and hospitals that the systems they adopt are capable of performing certain functions (HealtIt, 2015).
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,
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.