Why The Cis ' Know ' That An Mri Of The Brain Is And Appropriate Intervention?

This case is extremely relevant to what is known as the four D’s of negligence; duty, dereliction, direct cause and damages. Duty is when a doctor and a patient have formed a relationship and said doctor has taken on the responsibility of taking care of the patient. Dereliction or failure to perform a duty, there must be some kind of proof that the doctor somehow neglected the doctor neglected the patient. Direct cause, there must be some kind of proof that what happened to the patient was a direct cause of how the doctor conducted himself or his failure to act which resulted in injury. Damages a patient must prove that harm was incurred by the direct result of the physicians actions.

Although handwritten records are still the mainstay of clinical record keeping, many medical professionals believe that the increased use of information technologies has the potential to effect healthcare for the better. For example, Dr. Daniel R. Masys said, “Against a background of an explosively growing body of knowledge in the health sciences, current models of clinical decision making by autonomous practitioners, relying upon their memory and personal experience, will be inadequate for effective twenty-first-century health care delivery.” While keeping in mind how far manual records have gotten us, we need to realize that information technologies result in better data correlation and management.

Doctors need a sure way to diagnose the disease before treatment or studies can be done. The diagnosis is an autopsy of brain tissue examined under a microscope. In addition, medical history,

The hospital and physician were both found to be negligent. Elements of negligence are (injuryclaimcoach, 2017):

Health care providers as well as nurses must keep track of all pertinent patient information and failure to do so leads to detrimental effect on the patient's life. CIS clinical information systems are "large, computerized database management systems that support several types of activities that include physician order entry, result retrieval, documentation and decision support". CIS is intended to replace medical records department of a hospital or any other medical institution. Physicians and clinicians can safely and quickly access information, order medication and treatments and implement appropriate care. CIS will hopefully improve productivity, increase quality care and reduce costs across the organization.

Alert fatigue and using a clinical decision support system (CDS) in an electronic health record is a growing concern in health care. Although alerts and warnings in an EHR are well intended, the volume of alerts EHR end-users receive is surprising. The Agency for Healthcare Research and Quality (AHRQ) estimates that in some EHR end-users have the potential to receive over 100 CDS alerts per day (Agency for Healthcare Research and Quality [AHRQ], 2015, p. 1). This cause’s alert fatigue when the end-users become desentized to the alerts and even the most important alerts become meaningless.

Electronic Health Systems are equipped with many features that are designed to reduce medical errors and help navigate patients through the healthcare system. One system that is worth looking at is the MedicsDocAssistant™ (MDA™). MDA™ supports many features such as alerts (“MedicsDocAssistant,”). Alerts will pop up on a provider’s screen letting them know that there is something wrong with the patient’s care. Alerts can range from prescription alerts, warning physicians of potential adverse drug effects or allergy complications, to alerts pertaining to clinical decisions regarding patient examinations, procedures and screenings that may be crucial. For example, the system will alert to the physician to remind female patients of a certain age to schedule a mammogram screening. The objectives of these alerts are to aid in properly diagnosing patients, identifying gaps in care, running appropriate tests as well as improving patient outcomes (“How EHR Alerts,” 2012).

We live in a digital age where everything from photos to important documents is saved or stored online. This includes the use of electronic medical records. The electronic medical record (EMR) is useful in assisting physicians to have a complete and thorough health history of the patient. The EMR serves as a continuity of care from one hospital to another within the same organization (Hsieh, 2014). Consulting physicians also have quick access to recent diagnostic imaging, progress notes, and lab results. EMRs can help manage patients with chronic disease states, aid in data collection for use in research, and prevent adverse drug events (Hsieh, 2014).

In the modern world technology is everywhere and it affects everyone’s daily life. People are constantly attached to cell phones, laptops, and other electronics, which all have affected how people live their lives. Technology is also a large part of the healthcare system today. There are many electronics and technologies that are used in health care, such as electronic health record, medication bar code scanning, electronic documentation, telenursing, and there are many more forms of technology that impact nursing. One technology that stands out is the electronic health record. The electronic health record, also referred to as EHR, is an electronic version of a patient’s chart, and it contains is a list of the patient’s current medications, allergies, laboratory results, diagnoses, immunization dates, images, treatments, and medical history (“Learn EHR Basics,” 2014). The purpose of the electronic health record is to have a patient’s health care record available to health care providers nationwide, but the patient can decide who has access to their record (Edwards, Chiweda, Oyinka, McKay, & Wiles, 2011). The electronic health record is a very important technology in health care and it impacts nurses, nursing care, and has a significant impact on patient outcomes.

Yes, I agree, the supervisor should have contacted another provider immediately after she did not hear from Dr. Spalding. It was a negligence that she waited for three hours for the doctor to arrive. I believe that every hospital has a protocol in placed for a situation like this. It seems like the supervisor did not care about that either.

The task support field has been revolutionized through the implementation of the electronic medical record in conjunction with EPIC. The universalization of the electronic medical record will increase the accessibility of patient information to clinicians as well as increase the amount of data available for clinical use, reducing medical error significantly. However, the greatest tool to increase the standardization of care, reduction of practice pattern variation, successful and effective diagnosis, and correct care path choice will result from the development of Information system facilitating true interdisciplinary care. Clinical Information specialists offer the possibility to improve the quality and reduce the cost of care by influencing medical decisions at the time and place that these decisions are made. Our clinical Nurse Information specialist would alert physicians and Nurses when outlier results are returned from data entry of laboratory testing. The data attained for a specific patient can then be compared to the general population to indicate whether the data is within the normal fit or is an outlier that may require further analysis. Such a practice would induce the physician and Nurses to notice certain data that may otherwise go unnoticed, and therefore, alter the diagnosis of the patient. A physician may enter a possible diagnosis into the system and then receive feedback from

“To do no Harm” is a part of the Hippocratic Oath taken by Healthcare professionals. In this instance, harm was done to the patient. It is not argued that harm was intentional or maliciously carried out, but the lack of proper and timely communication is and would fall under the category of malpractice.

The value of Clinical Decision Support Systems is having additional avenues monitoring patient’s data input. The Clinical Decision Support Systems are offering notifications of patient’s record data to specified department or medical personal.

Clinical decision-support systems (CDSS) apply best-known medical knowledge to patient data for the purpose of generating case-specific decision-support advice. CDSS forms the cornerstone of health informatics research and practice. It is an embedded concept in almost all major clinical information systems and plays an instrumental role in helping health care achieve its ultimate goal: providing high quality patient care while, at the same time, assuring patient safety and reducing costs. This computer based systems designed to impact clinician decision making about individual patients at the point in time that these decisions are made. If used properly, CDSS have the potential to change the way medicine has been taught and

Electronic medical records had a great impact in the ushering in of the age of Nursing Informatics. (Himss, 2010)EMRS present healthcare professionals with the ability to retrieve and organize data in a quick and efficient approach. With information so readily available, patient safety increases and we know that patient cost goes down. This happens because patient medications, allergies, history, demographic, and treatment information is more collectively available.