This website uses cookies to ensure you have the best experience. Learn more

Electronic Medical Records And Charting Essay

2201 words - 9 pages

Electronic Medical Records and Charting
Today’s healthcare is changing, and more hospitals are commencing to go paperless using computers for both medical records and charting. Computers are widely accepted, in personal and professional settings. It is an essential requirement for computer literacy. Numerous advances in technology during the past decade require that nurses not only be knowledgeable in nursing skills but also to become educated in computer technology. While electronic medical records (EMR’s) and charting can be an effective time management tool, some questions have been asked on how exactly this will impact the role and process of nursing, and the ultimate effects on patient safety and confidentiality. In order to investigate these topics, I will be addressing the individual aspects of EMR’s that nurse’s use every day, how they affect collaborative care, and the impact they have on the nursing role.
In the Emergency Department at General Leonard Wood Army Community Hospital (GLWACH) manual paper charting is still used for charting most of the patient care that is per-formed; the exception would be any laboratory studies needed and any kind of radiology proce-dures that must be done. These orders are then put into the computer system, most often by the nurses. I had an opportunity to observe both positive and negative indications during my 72 hour preceptorship at the General Leonard Wood Army Community Hospital. Some of the positive of having EMR’s and electronic charting are that: they are pass code protected, allow access to in-formation quickly, legibility and organization aspects, efficiency of time, and allow for easy transfer of data which minimizes errors. If a patient comes in by ambulance, and is unconscious the medical staff can type the patients name into the computer and could pull up any pervious medical history they might have on that patient This can alleviate many of the questions the doc-tors and nurses would have about the patient such as, any drug allergies, any chronic diseases, and the next of kin information. Some negative indications when using EMR’s could be: power outages and or computer glitches, potential privacy threats, and some believe that it may lead to depersonalized patient care.
EMR’s and charting are becoming a bigger part of an ever changing aspect in the world of healthcare and should be used more in the Emergency Department at GLWACH and in all Emergency Departments across the nation. With further research looking into ways to fix any glitches and provide continued upgrade of systems, EMR’s have the potential to reduce health care costs, improve efficiency, and to enhance the quality of care and patient safety that is provided by the nurse and the rest of the medical staff in the Emergency Department. At this time GLWACH Emergency Department does use paper charting but the paper charts do get scanned and uploaded onto a computerized system to be made part of their permanent EMR.
...

Find Another Essay On Electronic Medical Records and Charting

Electronic Business Systems and Electronic Medical Records Looking to the Future

1574 words - 6 pages The future of data management will doubtlessly be determined by expansions in technologies that enhance electronic storage and handling. Business systems and medical records are two areas of data management that will profit from using electronic technologies for business operations. There are many advantages to shopping from home using electronic data manipulation for business systems that can offer goods and services over the Internet. The

Electronic Medical Records-Patten-Fuller Community Hospital Essay

4164 words - 17 pages Running head: Electronic Medical Records-Patten-Fuller Community Hospital Electronic Medical Records-Patten-Fuller Community HospitalElizabeth Bryant, Jeremy Frick, Pennie Lowe, Greg WatkinsCMGT/410Craig McCormickUniversity of PhoenixTable of ContentElectronic Medical Records ProjectBackground and Statement of NeedProject ObjectivesMission and Goals ProjectProject (Plan) ApproachProject (Plan) OrganizationTask or Responsibility MatrixWBSTask

The Electronic Medical Record System and Computerizing Health Records in Five Years

2011 words - 8 pages Introduction Shadowing a physician in Haymarket, Virginia, I remember first encountering a practice using an Electronic Medical Record system. Prior to that experience, I’ve always went to health clinics that had health records on paper. When the physician I was shadowing was on her laptop, I asked what software she was using. She responded, “It’s an EMR system. It basically has all our patient’s records, we can easily send prescriptions to

Should The Use of Electronic Medical Records Be Expanded?

1031 words - 5 pages Because efficiency is lacking in the American healthcare system, some are arguing to expand the use of electronic medical records. Switching to some form of universal digitized record would “Improve quality and convenience of patient care, increase patient participation in their care, improve accuracy of diagnoses and health outcomes, improve care coordination, and increase practice efficiencies and cost savings” (“Benefits of Electronic Health

Electronic and Image Records

1592 words - 6 pages Introduction: The chapter we will be looking at today will be discussing electronic and image records. We will focus are time on key terms and key idea throughout of the chapter. The first part of this paper we are going to be look at electronic media; the second part will be record security and safety; and the final part will be image media. Electronic media will be addressing the key ideas; such as relationship between “electronic and image

Patients' Rights and Access to Medical Records

1010 words - 4 pages Patients' Rights and Access to Medical Records The confidentiality of patient visits and medical records are essential in providing the highest quality of health care. Under penalty of law, a patient's medical records or any other information regarding the patient may only be released with his or her authorization. Exceptions to this are certain cases specified by law for example, health care providers are required to report certain

Electronoc Medical Records and Genomic Information

868 words - 4 pages The Electronic Medical Records and Genomics (eMERGE) Network is a National Human Genome Research Institute (NHGRI)–funded consortium which has been developing tools and practices for the utilization of electronic medical records (EMR) and genomic information towards patient healthcare. As collaborative effort between 9 different centers, eMERGE is targeted towards the utilization of phenotypic information to find out causative factors for

Privacy and Confidentiality in the Electronic Medical Record

1939 words - 8 pages colleagues. More and more hospitals and clinics are getting rid of paper base filling system and investing in cloud base storage. According to HIMSS The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. It includes information from patient demographics, medications, to the laboratory reports. Introduction of Electronic Medical Records in

The Differences Between an Electronic Medical Record and Clinical Information Systems

687 words - 3 pages Discussion A Describe the difference between EMR and Clinical Information Systems (CIS). What are the advantages and disadvantages of CIS’s? EMR is an electronic record of patient health information that is created by each encounter in any healthcare setting (Menachemi & Collum, 2011). Information in the EMR includes patient progress notes, medications, problems, vital signs, immunizations, laboratory and radiology reports and past medical

Challenges of Electronic Health Records

1412 words - 6 pages of Health and Human Services, National Coordinator of Health Information Technology, and the Administrator of the Centers of Medicare and Medical Services have all identified electronic health records as top priority. This research paper will examine benefits and challenges electronic health records face, along with resistance to change and fear many have toward this new system. The transition from paper based charting to electronic base

Use of the Electronic Medical Record

1249 words - 5 pages In 2009 Congress passed the American Recovery and Reinvestment Act which included The Health Information Technology for Economic and Clinical Health (HITECH) Act. A part of the HITECH Act was to promote the meaningful use of electronic medical records (EMR). Meaningful use is the set of standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs, and governs the use of electronic health records to achieve

Similar Essays

Electronic Medical Records Systems Essay

1584 words - 6 pages Electronic Medical Records systems lie at the center of any computerized health information system, without them other modern technologies, such as decision support systems cannot be effectively integrated into routine clinical workflow. The paperless, inter-operable, multi-provider, multi-specialty, multi-discipline computer medical record, which has been a goal for many researchers, healthcare professionals, administrators, and politicians for

Electronic Medical Records (Em Rs) Essay

2142 words - 9 pages communicate through different channels, and has improved and advanced the medical care for all. Financial consideration With having access to electronic medical records (EMR), this will allow physicians, healthcare providers, nurse practitioners, radiologist, and researchers, to treat different populations with healthcare needs. Health care will become more efficient because a care giver will no longer have to wait for necessary medical

Electronic Medical Records Essay

846 words - 4 pages ). Electronic health records. New York, NY: McGraw-Hill. Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005, September). Can electronic medical record systems transform health care? potential health benefits, savings, and costs. Health Affairs, 24(5), 1103-1117.

Electronic Medical Records (Emr) Essay

3488 words - 14 pages way for more automation in this field.The computer is considered a tool to promote communication. In the medical arena, a moment between life and death or sickness and health is contingent upon communication or the lack there of. Computers have been instrumental in facilitating many areas in the management of medical records, and with its introduction into the medical field about 30 years ago, experts believed its involvement would provide several