Health Care Field Errors
Humans are imperfect beings and mistakes can happen. In the health care field errors can be deadly and are taken very seriously. There are several basic components of EHR and allows for patient information to be shared and charted throughout their life. The three basic components that will talk about concerning the EHR is patient management component, clinical component, and laboratory components and how they affect different safety measures. Proper documentation allows for less errors to happen. To ensure accurate documentation proper there are three factors that need to be included accuracy, relevance, and completeness (Lenier, 2017). This will help alleviate errors. If the documentation is not accurate a nurse can prescribe the wrong medication
or wrong dosage. If the information is not relevant to the patient’s main diagnoses it can cause a lot of confusion. The completeness of medical records is imperative to understand their full previous medical history and continuous issues to ensure no interactions and proper healing (Hawley, Jackson, Hepworth, & Wilkinson, 2014). Correct and full documentation it important so medical errors do not occur. The nurse’s role is very crucial in implementing the EHR. Nurses are able to make the transition easier for the physicians. Nurses are able to effectively integrate EHR into the workplace. This helps with the speed and efficiency. Nurses are responsible for correct documentation while they are caring for the patient (Frazee, Matejicka, Abernathy, Davis, Isbell, Regner, & Papaconstantinou, 2015). Documentation must include things such as ADOPIE and any concerns that are brought to the surface. The documentation must be clear and concise and be able to be understood by others. It’s a nurse’s duty to uphold the EMR and to implement it. These different components can help alleviate errors and keep everything in one spot. This allows for the next nurse on duty or the physician to understand the whole situation fully. The EMR is an important component in a nurse’s job and should be executed daily.
or wrong dosage. If the information is not relevant to the patient’s main diagnoses it can cause a lot of confusion. The completeness of medical records is imperative to understand their full previous medical history and continuous issues to ensure no interactions and proper healing (Hawley, Jackson, Hepworth, & Wilkinson, 2014). Correct and full documentation it important so medical errors do not occur. The nurse’s role is very crucial in implementing the EHR. Nurses are able to make the transition easier for the physicians. Nurses are able to effectively integrate EHR into the workplace. This helps with the speed and efficiency. Nurses are responsible for correct documentation while they are caring for the patient (Frazee, Matejicka, Abernathy, Davis, Isbell, Regner, & Papaconstantinou, 2015). Documentation must include things such as ADOPIE and any concerns that are brought to the surface. The documentation must be clear and concise and be able to be understood by others. It’s a nurse’s duty to uphold the EMR and to implement it. These different components can help alleviate errors and keep everything in one spot. This allows for the next nurse on duty or the physician to understand the whole situation fully. The EMR is an important component in a nurse’s job and should be executed daily.