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Electronic Medical Records

In: Business and Management

Submitted By marine11
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Electronic health records are becoming more common as a means of recording patient information. In some cases, the transition from paper charting to the use of electronic medical records has not been easy. Nurses may find the system more time-consuming and more difficult to use initially. Without modern technologies decision support systems cannot be effectively integrated into routine clinical workflow. Electronic health records present many advantages over writing medical records. As with any new system, electronic health records will take some time in adjusting. As the use of electronic health records becomes more common, nurses will undoubtedly adjust as they become more familiar. “Acquiring immediate access to key information such as patients' diagnoses, allergies, lab test results, and medications is readily available. It has improved caregivers' ability to make sound clinical decisions in a timely manner. The ability for providers participating in the care of a patient in multiple settings quickly access new and past test results would increase patient safety and the effectiveness of care” (New England Journal of Medicine 348, no. 26, 2003: 2635–2645). “The ability to enter and store orders for prescriptions, tests, and other services in a computer-based system should enhance legibility, reduce duplication, and improve the speed to execute orders. Using reminders prompts, and alerts, computerized decision-support systems would help improve compliance with best clinical practices, ensure regular screenings and other preventive practices, identify possible drug interactions, and facilitate diagnoses, and treatments. Efficient, secure, and readily accessible communication among providers and patients would improve the continuity of care, increase the timeliness of diagnoses and treatments, and reduce the frequency of adverse events. Computerized...

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