Emr powerpoint for IPM


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Emr powerpoint for IPM

  1. 1. Decreasing Medication Errors with Electronic Medical Records (EMRs)Group 4B: Jason, Karen, Steven, Thu, Thienan, Selamawit, Meaghan, Chirs & Michelle
  2. 2. ObjectivesExplain medical errors and EMRsUnderstand how errors are madeDetermine how EMRs can helpIdentify the advantages and disadvantagesDiscuss the future of EMRs in the medical field
  3. 3. IntroductionWhat is considered a medical error?Consequences of medical errorsDeathExcess spendingUnnecessary time, energy and added stressWhat is an EMR?Alternative names are: EHR, EPR, CPR
  4. 4. How are errors made?
  5. 5. Prescription Errors Poor Penmanship Error-prone abbreviation Dosing errors Failure to follow prescription guidelines Lack of knowledge
  6. 6. Dispensing ErrorsLook alike/soundalikeBusy workplaceFailure to spotmistakePatient counseling
  7. 7. Administration ErrorsOmissions InsertionRepetition Incorrect DosageSubstitutions Incorrect RouteWrong patient! Other
  8. 8. How does EMR reduce errors?
  9. 9. Dispensing Errors Improved data integrity: Better organized Easier to access client information Use of required fields, uniform data entry and trained personnel
  10. 10. Prescribing Errors: SafetyDrug-to-drug interactionsDrug-allergy interactionsDrug-disease incorrect dosageIncorrect durationDrug-pregnancy conflictDrug gender conflictOTC drugs & herbal adverseinteractions.
  11. 11. Prescribing Errors: ProductivityAvailable strength of drugAlternative classmedicationsReduce refill timeProvide patient datasurveillanceFormularies are availableelectronically
  12. 12. Dispensing ErrorsComplete prescriptioninformation Less errors in interpretingQuicker access to providerQuicker refill authorizationMore access to patient’sprofile
  13. 13. Safety ErrorsDrug-to-drug interactionsDrug-allergy interactionsDrug-disease incorrectdosageIncorrect durationDrug-pregnancy conflictDrug gender conflict
  14. 14. Advantages of EMRs
  15. 15. AdvantagesEfficiency: Retrieve patient profiles quicker Patient access to profiles Reduce errorsEasy to transfer information: Ex: In natural disasters like Hurricane Katrina or 9/11 Ex: If practice has closed or relocated
  16. 16. AdvantagesSaves money: Cost of filing folder and paper Cost of labor Patients saving money Easier billingSaves space: Faster work flow
  17. 17. Disadvantages of EMRs
  18. 18. Financial IssuesHigh Initial implementationcost: Time and patients lost Cost of retained paper processes after Cost of trainingUncertain return oninvestment
  19. 19. Personal Issues Lack of physician support for EMRs Technical matters: Difficulty using new software Lack of support for technical difficulties Inadequate consistency of electronic records
  20. 20. Security IssuesLack of medical policyspecific to EMRsPotential threats: “Inside attacks” Information hungry employers Insurance companies
  21. 21. EMR Advancements and Policies
  22. 22. Advancements in EMRTablet integration inhealthcare Check in Data entryMedical speechrecognition solutionsRole of smartphones inhealthcare
  23. 23. Policies Regarding EMRsEMR government mandate: 2014 deadline Penalties for failing Federal incentive program: 17.2 billions in funds Certified EMR Eligibility Meaningful use: Interoperability
  24. 24. Implementing EMRs High failure rate: Takes months to properly install Choosing a vendor: Practice fusion High cost: Hire IT and consultants Training
  25. 25. Questions??
  26. 26. References1. "Avoid common pitfalls of implementing EMRs." Managed Care Contracting and Reimbursement Advisor Oct. 2011: 5+. Health Reference Center Academic. Web. 6 Mar. 2012. <http://go.galegroup.com.ezproxy.mcphs.edu/ps/i.do?id=GALE%7CA273587153&v=2.1&u=mcp _main&it=r&p=HRCA&sw=w>2. Barrows, Randolph C., Jr., and Pail D. Clayton. "Privacy, Confidentiality, and Electronic Medical Records."Journal of the American Medical Informatics Association. 3.2 (1996): 139-148. Web. 5 Feb 2012. <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC116296/pdf/0030139.pdf>.3. Bowdie, TA. "Drug Administration Errors from ASA CLosed Claims Project." ASA Newsletter. 67.6 (2003): 11-13. Web. 22 Feb 2012. <http://depts.washington.edu/asaccp/ASA/Newsletters/asa67_6_11_13.pdf>.4. Buppert, Carolyn. "Electronic Medical Records: 18 Ways to Reduce Legal Risks." Medscape News Pharmacists. (2010): n. page. Web. 22 Feb. 2012. <http://www.medscape.com/viewarticle/714812>.5. "Dispensing Errors – Dispensing Process." NHS Wirral. N.p., n.d. Web. 5 Mar 2012. <http://www.wirral.nhs.uk/document_uploads/Governance/DispensingErrorsAudit.pdf>.6. Fins, Joseph J. "Web of Care: How Will the Electronic Medical Record Change Medicine?." Hastings Center Report. 38.5 (2008): 36-38. Web. 5 Mar. 2012. <http://www.medscape.com/viewarticle/714812>.
  27. 27. References7. Graham, Angie S. "Prescribing Errors." California Journal of Health-System Pharmacy. (2008): 5-14. Web. 1 Mar. 2012. <http://www.cshp.org/uploads/file/Continuing%20Education/CJHP%20CE/v20n2_ce_prescribin g_errors.pdf>8. Hebda, Toni, Patrica Czar, and Cynthia Mascara. Handbook of informatics for Nurses and Health Care Professionals. 3. New Jersey : Person, Prentice Hall., 2005. 256-258. Print.9. Jha, A.K., DesRoches, C.M., Campbell, E.G., Donelan, K., Rao, S.R., Ferris, T.G., Shields, A., Rosenbaum, S., Blumenthal, D. "Use of Electronic Health Records in U.S. Hospitals." New England Journal of Medicine. 360.16 (2009): 1628-1638. Web. 10 Feb 2012. <http://www.nejm.org/doi/full/10.1056/NEJMsa0900592>• Jones, D. Scott, and Howard B. Kessler. "Can electronic medical records really improve quality? The Obama administration bets yes: step right up, physicians--the electronic medical record wizard is waiting for you." Journal of Health Care Compliance Jan.-Feb. 2010: 39+. Health Reference Center Academic. Web. 3 Mar. 2012. http://go.galegroup.com.ezproxy.mcphs.edu/ps/i.do?id=GALE%7CA216180883&v=2.1&u=mcp _main&it=r&p=HRCA&sw=w7. "Medication Errors." FDA Drug Safety Newsletter. 1.4 (2008): n. page. Web. 3 Mar. 2012. <http://www.fda.gov/Drugs/DrugSafety/DrugSafetyNewsletter/ucm120618.htm>.
  28. 28. References12. Microwize Technology, Inc."Reducing Medical Errors with an Electronic Medical Records System." Sunrise Services. N.p., n.d. Web. 12 Feb 2012. <http://www.sunrize.com/ReducingMedicalErrorsForum.pdf>.13. Miller, Robert H. and Sim, Ida. “Physicians’ Use of Electronic Medical Records: Barriers And Solutions.” Health Affairs, 23. 2 (2004): 116-126. Web. 20 Feb. 2012. <http://content.healthaffairs.org/content/23/2/116.full>14. Rama P. Nair Daya Kappil, and Tonja M. Woods. "10 Strategies for Minimizing Dispensing Errors." Pharmacytimes. HCPLive, n.d. Web 4 Mar. 2012. <http://www.pharmacytimes.com/media/pdf/P2PdispensingErrors.pdf>15. Rivera, Pete. "Emr? We have an iPhone app for that ..." Healthcare Informatics Mar. 2010: 10.Health Reference Center Academic. Web. 6 Mar. 2012 <http://go.galegroup.com.ezproxy.mcphs.edu/ps/i.do?id=GALE%7CA22193560 5&v=2.1&u=mcp_main&it=r&p=HRCA&sw=w.>
  29. 29. References• Sanderson, Susan. Electronic Health Records for Allied Health Careers. Boston: McGraw-Hill Higher Education, 2009. 28-30, 98- 103. Print.• Smith, Paul D. "Implementing an EMR System: One Clinic’s Experience." Family Practice Management. 10.5 (2003): 37-42. Web. 6 Mar. 2012. <http://www.aafp.org/fpm/2003/0500/p37.html>.