Electronic Medical Records By Toni Word Nurs307 Group 6
Electronic Medical Records• IIs a computerized medical record used in a healthcare facility such as hospitals.
Features of EMR• Easy access to a patients medical status• Can be accessed by various disciplines• Information is easily available for consumers
Uses of EMR• Tracking patient interventions/outcomes• Pharmacology studies/analysis• Patient medical data can be shared• Changes/updates/revisions can be made instantly• Communication of care within all disciplines can be evaluated
Institutional Policy/Procedures Related to EMR• Adhering to privacy of information rules• Records must be kept in an unaltered form• Protecting the patients safety from unlawful access of medical records
Improvements/Challenges to Clinical Practice Using EMR• Improvements in the healthcare continuum can be monitored and revised.• Healthcare professionals can reduce the errors related to medications/procedures• Communication/Documentation made more easily, and readily available• Challenges relate to time constraints for training and learning EMR, cost involved in training, and ever changing technology pace.
Reference• Sewell,J.P. & Thede,L.Q.(2010) Informatics and Nursing, Competencies and Applications 3rd, Philadelphia, PA Wolters Kluwer Health