'Electronic Medical Records Essay\r'

'Electronic Medical Records (EMR) argon becoming to a greater extent widely employ across the healthc atomic number 18 spectrum. One of the reasons for their popularity is the latent that is presented for increasing the spirit of c atomic number 18 retroverted to uncomplainings by decreasing handwriting catchation misapprehensions, reduce medical specialty administration errors and eliminating anomic charts. clock solicitude is a crucial cleverness to go for as a imbibe. It allows for a smooth workflow which translates into calibre unhurried fretting. Much clip fuck be wasted not scarce by the treasure signing off unclear hand compose dos, but in any case by the other nurses that have to help interpret the handwriting.\r\nThe EMR requires the physician to enter orders electronically, thereby eliminating handwritten orders. Electronic orders are more finespun and more accurately followed (Sokol, 2006). Fewer errors birth it to the tolerant, reducing unne cessary tests and increasing the quality of care that perseverings are receiving. Electronic medication administration records (MAR) are useful in displaying medications delinquent at specific times. not moreover is it possible to sort the medications due at one time, the MAR go out in addition alert the nurse to probcapable drug interactions. Late medications get out be displayed in red to be comfortably seen.\r\nIf bar coding is implemented, medication errors gage be reduced by a range of 60%-97% (Hunter, 2011). A lost chart evict be actually frustrating date trying to deliver broadloom care to a longanimous. story charts are comfortably misplaced. Since there is only one, if a single issuer is apply it, no one else of the medical team can thought the chart. The EMR can be viewed from any computer with secure profit memory access or on a handheld catch. When the internet is down, a downtime view only access is available. Nursing intimacy Nurses are known as persevering advocates.\r\nIn advocating for their patients, nurses strive for what is best in their patient’s care. Since nurses allow for be employ the EMR most frequently, it is imperative that they are part of the selection and implementation on an EMR. A nurse, on the EMR team, impart wager all nurse. Nurses pass oning be accessing the EMR finished their shift several times and exit become familiar with the layout and workflow and give be able to provide acumen into what would work best to ensure quality of care. There is a saying that you put one over’t know what you don’t know. A nurse knows what she will bespeak and is the best to supply this entropy.\r\nWhile researching which EMR would be the best for a facility, a nurse can provide data on time saving workflows between bodys. Nurses mustiness also be trained as super substance abusers to provide a seamless change from constitution charting to electronic charting and provide suppor t to fellow nursing lag. A nurse on the EMR team will be able to deliver in the raw information in a expressive style that other nurses are more candid to. Handheld Devices If nurses were to use handheld devices in delivery of patient care, there would be a noticeable savings of time as swell as more accurate charting.\r\nNursing personnel carrying a handheld device would have neighboring(a) access to their patients chart to notice spick-and-span orders, lab results, or medication entranceway records. The need to review the ca-ca-up chart repeatedly throughout the day would be eliminated along with the long search that commences any time you have to look for the news report chart. This could add several minutes to a nurse’s time at the bedside, improving patient satisfaction. When vital signs are taken, written on a sheath of paper and then transcribed into the paper chart, there are many opportunities for error and delay.\r\nNumbers can be transposed, written i ncorrectly or the wrong patient’s information could go into a chart. With the immediate avail readiness of a handheld device, the information from the vital signs monitor would have the ability to interface into the patient’s chart virtually eliminating late charting and errors. credential Standards The Health Insurance Portability and Accountability twist (HIPAA) was initiated in 1996 as a stock for protecting individually identifiable health information (U. S. Department of Health and world Services).\r\nHIPAA requires that all information, each written or electronically, that falls under the criteria is saved from wildcat viewers. An EMR carries more stringent HIPAA guidelines than a paper chart due to the risks associated with computer establish files and there are a hardly a(prenominal) key steps that must be taken to ensure compliance with this act. inlet control: each user will have a unique user name and password that must not be shared. Firewall guard must be employ on the internet host the hospital utilizes to prevent hackers from obtaining access to protected information.\r\nIf users are sure to access patient information from home, there must be a secure server apply (Arevalo, 2007). Storage: Data must be encrypted to enhance the security while information is being stored and while it is transferred. Encryption entails protection of files and data that is only viewable to authorized users. Compliance of these regulations should be audited on a regular basis with any misdemeanor being swiftly remedied (Medical Records, 2013). Healthcare cost Purchasing an EMR can cost hundreds of thousands of dollars.\r\nIn order to justify such a large purchase, one must dissect the potential ways that money can be saved while development an EMR. After spending hours training users and with a little practice, nurse’s workflows will improve and less time will be wasted. A chart will not have to be searched for, reduplicate or t riple charting is eliminated by victimisation handheld devices for immediate charting. The quality self-assertion team will be able to run reports on compliance of ticker measures and be able to recommend changes to nursing personnel to implement. Fewer medication errors will be made by using the electronic MAR.\r\nMost importantly, these time and money saving factors will enhance patient safety. With fewer paper charts to store, valuable spot can be remodeled into patient care areas that offer services not antecedently offered due to space issues (Power, 2013). This will change magnitude revenue for the facility. Comparison large offers a computerized management system that is utilized by everyone in the healthcare backdrop including, nurses, nurse aids, physicians, dietary, radiology, emergency department and the business office. from each one department will have a unique look and functionality to their program.\r\nThere is no need to use multiple systems to gain informa tion on a patient. It can be used in mass medium size ambulatory settings such as a clinic as well as in a hospital setting for either inpatients or outpatients. With all departments having access to the same information on a patient, errors will be reduced in delivery of patient care. The chance for entree erroneous lab results or miss- enfranchisement will also be reduced with department specific workflows. Not only will this result in expose patient care, but also in a nurse’s ability to delivery effective, efficient, quality care without delay.\r\nIn addition, all physician order access is electronic, every time. Order sets can be customized for each prescriber, saving time and stimulate while maintaining meaningful use and by-line core measures. For added security, the system can be set to automatically sign a user out after a specified length of time of non-use. And while all of the patient’s information is available to each user, audit trails are left enh ancing patient security. Epic has pre-loaded patient teaching materials available as well as the option to custom make information.\r\nAfter visit summaries are easily printed upon discharge and an electronic copy is permanently attached to the chart. Patient would benefit from a facility the uses the Epic system by having access to MyChart. MyChart is a admission of access between a patient and their provider for communication as well as a portable computerized health record. IF a patient were to access care from a facility that does not utilize the Epic system, that patient would have access to MyChart and would then be able to provide little information that would enhance their care. Another computerized management system available is one from Cerner.\r\nThis system can be used in all settings in a hospital including nursing. For medication administration, Cerner has available barcode identification of medication to help nursing staff stark(a) their five rights verification pr ior to administration. It also allows charting at the bedside to enhance accuracy either through a handheld device or a stationary computer. every order entry by physicians is do on the computer allowing the providers to follow built in prompts for allergy information and uncomely drug interactions as well as prompts that will aid in the order of care protocols to enhance patient care.\r\nCerner also has a portal designed for patient to have access to their records no progeny where they are as well as tracking information for health goals a patient and their provider have established. The portal allows progress tracking and provides information on steps that can be used to help the patient reach their goals. This gives patients more responsibility for their health while providing the motivator needed. Nursing care will be escalated similarly to the way it would be in Epic.\r\nPatient information is easily loving through intuitive workflows allowing nursing staff to make respo nsible decisions regarding patient care. My testimonial for a computerized management system would be the one available from Cerner. It is the most user friendly for staff including nursing and offers intensifier training and yearly upgrades. The different departments systems search to work together seamlessly resulting in increase savings of time and money (Cerner, 2013).\r\n'