While we can be pleased with many benefits that the electronic charting system and patient records keeping system have to offer, don’t you
Electronic health record (EHR) system transformed the health care system from a paper based industry to one that uses clinical information to provide higher quality of care to the patients by providers. Electronic medical records have many benefits in clinical, organizational and societal outcomes. Clinical outcomes includes improvements in the quality of care and reduction of medical errors. Organizational outcomes include, financial and operational performance as well as higher satisfaction among patients and clinicians. Societal outcomes include, conduct research and attain improved population health.
The health care providers are able to quickly finish the patient charting. The Electronic Medical Records allows you to have flexibility to schedule more patients
Para. 2) The Omaha System remains statistically superior to other interface terminologies of the electronic health record. The efficacy of the Omaha system has been heavily researched and covers numerous types of patients in various types of settings. The authors, well credentialed and academic, thoroughly describe the Omaha system and its benefits for meaningful use achievement.
#1- Compare and contrast the clinical uses of a health record with the secondary purposes of a health record. The use of Health Records are used by both, clinicians and non-clinicians (secondary purposes). Reasons to why clinicians may use a patient records are for confidential data such as patient care (diagnosis and treatment), chronological documentation of clinical care, method of cross discipline education, research activities, public health monitoring and for quality improvement activities. In contrast, non-clinicians may use is for non-confidential informational data such as billing and reimbursement, verifying disabilities, and legal documentation of care.
A well-organized system will save time when a doctor is in talking with a patient because all the pertinent information will be easy and quick to find. No patient wants to sit there and wait for the doctor to find the information or ask, "why are you here again?" Being able to easily navigate the system and have things well-organized will be in the best interests of the facility, to better care for their patients. Resources: The American Health Information Management Association.
The expansion of MEDITECH is vast as well as technology advancement. At Chilton Memorial Hospital the implementation of MEDITECH aided in quicker access to results and information that helped support better decision-making and decreased the amount of medication errors by using the system correctly. MEDITECH increase safety to both the patient and nurse. Errors in systems are inevitable but it is important that nurses use technology as and aid to their job and remember not to fully rely on technology. Fairmont General Hospital was able to reduce documentation time after setbacks with repetitive charting and system issues.
As stated by Ajami & Bagheri-Tadi electronic health record (EHR) are a computerized medical information system that collects, store and display patient information (2013). Included in this information system are medications, appointments, vital signs, immunizations, past medical history and others. In 2009 NYU Langone Medical Center launched the electronic health record system where it provides a single platform that patients, physicians, staff can access and manage their medical information. As an employee of NYU Langone Medical Center, I do have access to the electronic health record system. Both my doctors are also part of the NYU electronic health record system and this makes it very easy for me to access my medical information at my job, from my cell phones and even from home.
My charting is all done on a computer now. The financial aspect has changed also. Reimbursement for patients is closely looked at. Medicine and pediatrics are a business, and businesses need to make sure that they do not lose money. 8.
Documenting the patient's medical information, reduces medical errors that can become a life or death
The advancement in information systems have changed and improved the methods we use to record the health information of patients. This system is highly effective as it promote interaction and collaboration between physicians, clinicians, administration, nurses; health insurance companies in essence, the entire healthcare team. This ultimately improves the efficiency and quality of care for the patient. Wilkerson, Henricks, Castellani, Whitsitt, & Sinard pointed out that: “In the era of electronic health record, the success of laboratories and pathologists will depend on effective presentation and management of laboratory information, including test orders and results, and effective exchange of data between the laboratory information system and the electronic record” (p.319).
The ROI of EHRs article breaks down the importance of Electronic health records. Healthcare leaders need to have an open-mind about electronic health records to gain a better organized system. Health organizations spend billions trying to find a working system instead of changing to the electronic health records system. Most organizations are making their IT department play bigger role working along with physicians to make electronic health records a key component of healthcare facilities making EHRs an effective program. Electronic Health Records are important to improving the quality of care provided, being able to find a patients history of care at a click of a button.
My experience with electronic medical record (EMR) is great. As a nurse it helps me access relevant patient information with a click of a button and guarded me from making medical errors. According Mason, Leavitt and Chaffee (2014), electronic medical record (EMR) has shown to improve patient safety, enhance quality, reduce workloads, and improve care coordination. Moreover, it captures information from laboratory, pharmacy, radiology, and equipment, such as EKG, smart pumps and etc.
Moreover, it provides easy method to look up in patient's data if they ask for it. In addition, it has a chance to patient for contact and call the hospital and doctor's office to ask important questions instead of going to the emergency
The first of our concern is the indistinguishable charts. They are vital in patients care, and we can not visibly read them correctly. Presented on each chart is unclear notes for eating habits, bathroom assistance, ect. It
