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Advantages Of Implementing Electronic Medical Records
Importance of the electronic medical records
Importance of the electronic medical records
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With populations and costs increasing every year, the medical field has taken on more challenges than ever before. Through time, technology has blossomed, education has been improved and hospitals have transformed into team establishments. However, with all great advances come struggle. More people have gotten sick, more diseases have been discovered and more errors have been made. The Institute of Medicine (IOM) reports approximately 7,000 deaths occur from hospital medication errors and almost 3 billion dollars a year goes toward fixing problems that could have been prevented. Mistakes are an inevitable part of life, yet in health care error can lead to death.
Medication errors are mainly caused by a series of problems within the system.
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It has allowed life to adapt to an easier, faster and diverse environment. Therefore, using technology to create electronic medical records only makes sense to help organize the health care community, which is a separate world itself. Electronic medical record (EMR) software isn't a cure-all that will eliminate errors, but it can help reduce the odds of mistake. EMR’s are a digital version of patient charts which contain the medical and treatment history of the patient. They track data over time, identify which patients are due for preventive screenings or checkups, check how their patients are doing on certain boundaries as well as monitor and improve overall quality of care within the practice. An EMR serves as an assistant in providing some of the fastest, user friendly and error preventing tools to make both patient and staff happy. Doctors can use the computerized physician order entry (CPOE) to order tests, medications, procedures etc. into the system without forgetting any detail specified to dose, route, and frequency. By using this type of order entry, abbreviations and decimal points that are dangerous can now properly be recognized and not confused. Most systems also offer computerized decision support systems (CDSS) which aid in reviewing orders as they appear, comparing orders both past and present, checking for possible drug interactions, as well as alerting physicians to
The Institute of Medicine (IOM) reported in 1999 that between 44,000 and 98,000 people die each year in the United States due to a preventable medical error. A report written by the National Quality Forum (NQF) found that over a decade after the IOM report the prevalence of medical errors remains very high (2010). In fact a study done by the Hearst Corporation found that the number of deaths due to medical error and post surgical infections has increased since the IOM first highlighted the problem and recommended actions to reduce the number of events (Dyess, 2009).
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
Hospital medical errors can involve medicines (e.g., wrong drug, wrong dose, bad combination), an inaccurate or incomplete diagnosis, equipment malfunction, surgical mistakes, or laboratory errors. High medical error rates with serious consequences occurs in intensive care units, operating rooms, and emergency departments; but, serious errors that harmed patients may have prevented or minimized. Understand the nature of the error
Milani, Oleck and Lavie reported that Medical errors are the eighth leading cause of death in the hospitals. About 44,000 to 98,000 people die each year from adverse effects from medication errors, 1 million annually die in
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.
Medication errors made by medical staff bring about consequences of epidemic proportions. Medical staff includes everyone from providers (medical doctors, nurse practitioners and physician assistants) to pharmacists to nurses (registered and practical). Medication errors account for almost 98,000 deaths in the United States yearly (Tzeng, Yin, & Schneider, 2013). This number only reflects the United States, a small percentage in actuality when looking at the whole world. Medical personnel must take responsibility for their actions and with this responsibility comes accountability in their duties of medication administration. Nurses play a major role in medication error prevention and education and this role distinguishes them as reporters of errors.
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.
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
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.
It can be very challenging for health care organizations to choose a Health Information System (HIS) that best fit their needs and adequately assist their workflow and standards which can result in lowered clinical mistakes and enhanced safe patient care. This paper will focus on the following features of HIS: the electronic medical records (EMRs), clinical decision support systems (CDSS), medication administration records (MARs), and the computerized provider order entry (CPOE). The EMR, also known as the electronic health records (EHRs), are data processing machines that serves as a warehouse of patient information that can be retrieved by the clinicians, patients, insurance parties, drug companies, research registries, and the government.
As use of medical care is increasing day by day. Also the medical care is getting more complex and use of new information has become very strong to physician‘s capacity to treat patients with the latest information with old one, as doctors need new technologies to help them to face with. There is need for digital records to allow capturing of patients data that can then be processed and mined for better treatment for patients. The Electronic Medical Record (EMR) is the tool that allows providing the way for which new functionality or new services can be provided to doctors [1].
The health care is extremely important to society because without health care it would not be possible for individuals to remain healthy. The health care administers care, treats, and diagnoses millions of individual’s everyday from newborn to fatal illness patients. The health care consists of hospitals, outpatient care, doctors, employees, and nurses. Within the health care there are always changes occurring because of advance technology and without advance technology the health care would not be as successful as it is today. Technology has played a big role in the health care and will continue in the coming years with new methods and procedures of diagnosis and treatment to help safe lives of the American people. However, with plenty of advance technology the health care still manages to make an excessive amount of medical errors. Health care organizations face many issues and these issues have a negative impact on the health care system. There are different ways medical errors can occur within the health care. Medical errors are mistakes that are made by health care providers with no intention of harming patients. These errors rang from communication error, surgical error, manufacture error, diagnostic error, and wrong medication error. There are hundreds of thousands of patients that die every year due to medical error. With medical errors on the rise it has caused the United States to be the third leading cause of death. (Allen.M, 2013) Throughout the United States there are many issues the he...
Medicine has entered a new era of information technology (EMR) Electronic medical records has been influenced in the last twenty years and now a growth in the medical profession with a Required certification and Degree level to work in medical records (HIT). Electronic medical records has made a safer and more efficient way to access patient information. This electronic system has created a benefit to all medical staff including Physicians. Allowing Doctors to view currently administered meds, blood test results, x-rays and prescribe electronically.