Electronic health records the good and the bad essay
The system can provide all the information available at the present moment, but not the one available to the physician at the time the medical act was committed, while only the latter is relevant for assessing the legality and the diligence of his conduct.
Greenberg M, Ridgely MS.
For example, when you have an active "problem list" for a patient e. In fact, one of the most striking effects of the EHR is the imposition of a different, and more demanding, pattern of behaviour [ 13 ].
In what specially concerns the effects of the EHR on medical malpractice litigation, it is plausible to assume that it will significantly increase the standard of care expected from healthcare providers and, in that particular sense, it can indeed become a meaningful risk.
Nonetheless, the clinical condition of the patient may have changed in the meantime, so, decisions based on previous results may become a present hazard.
In addition, the EHR promotes and facilitates teamwork. Therefore, the solution does not lay in the coming back to the old paper clinical file, but, instead, in investing in EHR with better design and performance, better training for the EHR users and the definition of protocols and guidelines to orientate its correct use.
Doctor-patient relationship may become impersonal, since the doctor will spend most of the consultation typing on a keyboard, without even looking at the patient, a behaviour that, in turn, will seriously affect doctor-patient relationship, especially in terms of informed consent.
Electronic medical records essay
It can improve communication with medication safety. Actually, this is a normal consequence, expected each time that science and technology advance. The problem is that information that was valid for a prior date may not be adequate for any other time, and it is a well-known fact that the quality of healthcare largely depends on the integrity, reliability and accuracy of health information. For instance, the requirement of checking both the paper chart and the computerized one, just as can be deduced for the already commented Johnson case. Direct text entry in electronic progress notes. In fact, it is also necessary to have contributions from computer engineers and lawyers, since the correct management of the EHR demands the confluence of different knowledges. As with most systems, however, shortcuts can be built into and customized for the physician to reduce some documentation. For the above-mentioned reasons, the implementation of the EHR in the majority of hospitals and clinics during the last decades caused a massive modification in the way healthcare is delivered. Quite the opposite, it is likely that the generalization of the EHR will turn its use in the best medical practice for healthcare professionals, in such a way that it would be precisely the maintenance of the old paper medical file that would force the doctor to justify why he has not already adopted the EHR. The same populations of people who have trouble navigating a computer fall short of the typical learning curve when it comes to learning this new method of charting. Prevalence of copied information by attendings and residents in critical care progress notes. Hillcrest Health Center, Inc. But sometimes it may be an inadequate instruction, since those guidelines are laid down for the majority of cases, reasoning in the abstract, without taking into account the patient particularities. Either way we view the evolution of medical charts we all know eventually paper products will dissipate so much to the point where they are hardly used in any aspect of our lives; this is just the nature of the beast.
The manner in which information is currently employed in healthcare is highly inefficient, which slows down communication and can, as a result, reduce the emergence and discovery of problems. References Narcisse, M.
Electronic health record implementation essay
Quite the opposite, it is likely that the generalization of the EHR will turn its use in the best medical practice for healthcare professionals, in such a way that it would be precisely the maintenance of the old paper medical file that would force the doctor to justify why he has not already adopted the EHR. It might improve connection with medication safety. Another difficulty to be considered relates with the possible simultaneous existence of two medical records for the same patient, a computerized one and another in paper format, a frequent situation in the beginning of the EHR implementation, so that a patient will have a record on paper referring to past events, and another one in electronic form for future events. Who started it and when? The role of information technology in reducing medical errors. Often, the use of a resource may be overlooked. So, it is recommended the choice of software that does not use extensive alarm lists. In fact, the EHR has become so complete and complex that the technology underneath is, likewise, quite complex. Doctor-patient relationship may become impersonal, since the doctor will spend most of the consultation typing on a keyboard, without even looking at the patient, a behaviour that, in turn, will seriously affect doctor-patient relationship, especially in terms of informed consent. The very way in which the record is done — rectius, can be done — promotes medical error. In fact, one of the most striking effects of the EHR is the imposition of a different, and more demanding, pattern of behaviour [ 13 ].
He manages the best practice advisory committee that may provide a way to deploy.
based on 73 review