Personal Information On Electronic Patient Record

Even though I am an advocate for the electronic health record there are drawbacks to the system. Each individual physician will have to determine if the drawbacks are worth the advantages of the system. One of the drawbacks to the system is privacy. Privacy will always be a big factor. Some patients may not like the idea of having their medical information easily accessible by almost anybody. (The HWN Team, 2009) Electronic health records

However, changing perceptions of prescribers and consumers will be necessary to launch the initiative. The education of providers regarding the therapeutic equivalent and efficacy of generic medications are therapeutic substitutes is very important—prescribers will be the driving force behind adoption of generics over brand-name drugs. The use of e-prescribing provides information regarding cost, formularies and available generics at the fingertips of providers (United States Department of Health and Human Services, 2010).

The stage 1 of the meaningful use includes thirteen core criteria and ten menu set objectives. The first core criteria is the computerized provider order entry (CPOE). CPOE entails the provider’s use of computer assistance to directly enter medication orders from a computer or mobile device. The use of CPOE and the electronic prescription process is a technology that has been found to be helpful in preventing medication prescribing errors in several ways (Mominah & Househ, 2013). Having an accurate electronic patient medication profile will help prescribers and pharmacists review the medication history easily and consequently alert the pharmacist to communicate with the prescriber in case any unexplained change in the prescribed medication to the patient and then conforming the change with the prescriber. Applying CPOE technology reduces medication errors.

These systems will also help cut down on medication errors by comparing the patient’s to medications or interventions so that it is given to the correct patient. Also documents the care given so there would be no human error in the case of questioning whether care had been given as long as the caregiver documents in the record. These features of the electronic health record are in place to promote patient safety by reducing errors.

There are so many ways e-prescribing is beneficial to physicians, I am going to discuss my top 5 reasons.

This paper will review the implementation of the Electronic Medication Administration Record (eMAR) at Clayton Memorial Hospital, a 420-bed hospital, with a regional cancer center, cardiovascular services, ambulatory services and 24 physician practices in West Palm Beach, Florida. Through implementation of the eMAR, the 5 rights of medication administration are maintained (right patient, right medication, right dose, right route and right time), notifications are at the nurse’s fingertips, errors and warnings are readily available, allergy checking is automatically done, dose checking and other applicable clinical data are accessible. This paper will discuss one hospital’s journey on the path to medication safety.

As a result of implementing e-Rx for inbound prescriptions, patients would not need to carry prescriptions to get them filled back at the VA. Pharmacist would not have to enter the inbound prescriptions manually into the VistA, which can potentially present danger of medication errors, as reviewed in the secondary research in Chapter 2 above. Based on the qualitative

Electronic Health Records (EHR) are changing the way health care is delivered to patients, not just how patient medical information is stored. In the recent past, patient-doctor visits consisted of handwritten multiple medical forms to be completed, and most times duplicated. There were several areas of concern with past patient record keeping, omission of important care information, medical interventions and prescribed medication were missed in certain cases, erroneously prescribed or duplicated and records were lost or misplaced. EHR facilities and improves the quality of care by refining access to patient record by multiple health care providers and the patient; better decision support; reporting occurs in real time and is legible which

In the process of investigating the research topic, many relevant and current research articles were discovered. Cumulative Index to Nursing and Allied Health Literature (CINAHL) was the database in which 4 out of the 5 articles were discovered. The keywords used were medication administration and electronic medication administration record entered in separate searches. Limitations applied to each search were the publication dates between 2010 and 2014 and full text. Both searches combined yielded a total of 42 articles and relevance was determined by reading first the title and then the abstract. For 1 out of 5 articles the database OvidSP was used. The key words electronic medication administration was used and applied limitations were a publication date between 2010 and 2014 and original articles. The search yielded 134 results and relevance was determined by reading the title and then the abstract. All of the discussed articles are current and published between the years 2010 and 2014 and

In order to analyze different aspects of e-prescribing, five key areas were reviewed in depth. The five areas consist of return on investment for implementing an e-Rx, current landscape of e-Rx systems, barriers to e-Rx’s across the board, necessary steps in ensuring successful implementation of e-Rx systems among providers, and current situation at the VA. Understanding the five elements can better equip and engage stakeholders as they prepare for implementation of an e-Rx system. Without establishing a solid understanding and weighing all the pros and cons, the pursuit of an e-Rx system may not guarantee a buy-in from its stakeholders, resulting in a set-back or even a failed

Clinical outcomes includes improvement in quality care, decrease in medication errors and other improvements in patient level measures that defines the appropriateness of care. Organization outcome measures financial and operational performance and satisfaction among clinicians and patients who use EHRs. Finally, societal outcomes includes improvement in research and achieving population health. EHR improves clinical outcome by providing quality and safest care to the patients. EHR with CDS tool allow the increased use of evidence based clinical guidelines and effective care. EHR use can improve patient care, a study was conducted to assess the clinical benefits of physician reported EHR. The study resulted that, most physicians using EHR enhanced overall patient care (78%), helped them to access the patients chart remotely (81%) and gave potential medication error alert (65%) and critical lab values (62%)(King, Patel, Jamoom, & Furukawa, 2013). Organizational and societal outcome includes increased revenue, improved regulatory compliance, averted costs, better capability to conduct research, and improved job satisfaction among physicians (Menachemi & Collum,

security and confidentiality of the patients. To includes measures to limit access to electronic information, to

There are 7 levels that are currently attempting to define the minimum functions an EHR should perform to help physicians practice better medicine and improve the bottom line. They are the following, Identify and maintain a patient record, Manage patient demographics, Manage problem lists, Manage medication lists, Manage patient history, Manage clinical documents and notes, Capture external clinical documents, Present care plans, guidelines, and protocols, Manage guidelines, protocols and patient-specific care plans, Generate and record patient-specific instructions. On the other hand we have the E-prescribe that is better then faxing. For example, E-prescribing allows a physician to write a prescription that is electronically transmitted to

Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread

In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.