An Electronic Health Record ( Ehr )

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“An Electronic Health Record (EHR) is an electronic version of a patient’s medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports” (CMS, 2011). Paper charting can no longer support the needs of our healthcare industry, and EHR is replacing it throughout healthcare settings in a rapid way. Also, once the patient is discharged from the healthcare setting, paper charts are stored in medical records and a new chard would open if the patient comes back later, allowing key information to be missed and put the patient safety in jeopardy. Use of EHR in the healthcare is improving the care delivered to our patients by increasing quality, safety, and cost reduction. Other benefits would include: easy and multiple access to the medical records at the same time, increased efficiency and productivity, less paperwork and storage issues. On the other hand, risk factors and errors can be associated with EHR, if the system is not user friendly, is missing proper staff training, and does not have adequate maintenance plan. According to Hebda & Czar 2012, the EHR must provide secure, real-time, point-of-care (POC), patient-centric information for clinicians at the time and place that clinicians need it (pg. 278.) EHR

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