Western Governors University
Outline
Multimedia Presentation
What is an EMR? Importance of Information Access Personal Health Information (PHI) Security Quality Improvement Roles of Implementation Team
Discussion Conclusion References
What is an EMR?
EMR stands for Electronic Medical Records. It is “a paperless, digital and computerized system of maintaining patient data, designed to increase the efficiency and reduce documentation errors by streamlining the process.” (Santiago, n.d., para. 1)
Santiago, A. (n.d.). EMR - what is EMR? Retrieved from http://healthcareers.about.com/od/h/g/EMR.htm
Importance of Information Access
How will the EMR system benefit nurses in their work with patients?
Patient information is centralized and readily available. Built in safety measures for medications. Assessment data suggests care plans and additional assessments that may be needed. Decreased risk of transcription errors and misread handwritten items. More time at the bedside.
Orlovsky, C. (n.d.). The endless nursing benefits of electronic medical records. Retrieved from http://www.nursezone.com/nursing-news-events/devices-and-technology/The-Endless-Nursing-Benefitsof-Electronic-Medical-Records_24676.aspx
Patient information is centralized…
EMRs allow all patient data to be contained in one area. This facilitates coordination of care among providers, as well as providing quick and easy access to patient information. (Esche, 2011)
Esche, I. (2011). Despite risks, electronic medical records will likely soon replace paper-based records. Retrieved from http://www.stlr.org/2011/03/despite-risks-electronic-medical-records-will-likely-soonreplace-paper-based-records/
…and readily available
Instant access to records allows for updates, additions or corrections to be entered in a more timely manner. Charting can be completed while still at the bedside, improving accuracy and streamlining the work process. ("What Are The
References: Bowman, D. (2012). HIMSS: Hospitals must be more ’proactive’ about data breach prevention. Retrieved from http://www.fiercehealthit.com/story/himss-hospitalsmust-be-more-proactive-about-data-breach-prevention/2012-04-11 Bowman, D. (2012). Report: Data breaches from unencrypted devices up 525% in 2011. Retrieved from http://www.fiercehealthit.com/story/report-data-breachesunencrypted-devices-525-2011/2012-02-01?utm_medium=nl&utm_source=internal Dreyer, T. (2011, March 8). How bar coding and scanning at bedside ensure quality care and safety [Blog post]. Retrieved from http://blogs.zebra.com/blog/bid/51053/How-Bar-Coding-and-Scanning-at-BedsideEnsure-Quality-Care-and-Safety Dudley, G. (2004). Electronic records, patient confidentiality, and the impact of HIPAA. Retrieved from http://www.psqh.com/octdec04/dudley.html Durben Hirsch, M. (2012). EHRs a major cause of patient info breaches. Retrieved from http://www.fierceemr.com/story/ehrs-major-cause-patient-info-breaches/201204-12 EHR implementation. (n.d.). Retrieved from http://www.qualishealthmedicare.org/healthcare-providers/improvementfundamentals/EHR-implementation Esche, I. (2011). Despite risks, electronic medical records will likely soon replace paper-based records. Retrieved from http://www.stlr.org/2011/03/despite-riskselectronic-medical-records-will-likely-soon-replace-paper-based-records/ Freudenheim, M. (2012). Fast access to records helps fight epidemics. Retrieved from http://www.nytimes.com/2012/06/19/health/states-using-electronic-medicalrecords-to-track-epidemics.html?_r=1& Health information technology: can HIT lower costs and improve quality? (2005). Retrieved from http://www.rand.org/pubs/research_briefs/RB9136/index1.html Kaushal, R., & Bates, D. W. (2002). Information technology and medication safety: what is the benefit? Quality & Safety in Health Care, 11(3), 261-265. http://dx.doi.org/10.1136/qhc.11.3.261 Lee, E. K., Mejia, A. F., Senior, T., & Jose, J. (2010). Improving Patient Safety through Medical Alert Management: An Automated Decision Tool to Reduce Alert Fatigue. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3041356/ Orlovsky, C. (n.d.). The endless nursing benefits of electronic medical records. Retrieved from http://www.nursezone.com/nursing-news-events/devices-andtechnology/The-Endless-Nursing-Benefits-of-Electronic-MedicalRecords_24676.aspx Santiago, A. (n.d.). EMR - what is EMR? Retrieved from http://healthcareers.about.com/od/h/g/EMR.htm Schultz, D. (2012). As patients’ records go digital, theft and hacking problems grow. Retrieved from http://www.kaiserhealthnews.org/Stories/2012/June/04/electronichealth-records-theft-hacking.aspx Steele, A. M., & DeBrow, M. (2008). Efficiency gains with computerized provider order entry. In: Henriksen K, Battles JB, Keyes MA, Grady ML (eds) Advances in patient safety: new directions and alternative approaches AHRQ publication no 08– 0034-4, vol 4. Technology and Medication Safety Agency for Healthcare Research and Quality, Rockville, MD. Retrieved from http://www.ahrq.gov/qual/advances2/ Summary of the HIPAA security rule. (n.d.). In Summary of the HIPAA security rule. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/srsummary.html The 2012 HIMSS analytics report: security of patient data [White paper ]. (2012, April). Retrieved from Kroll Cyber Security website: http://www.krollcybersecurity.com What are the benefits of electronic medical records ? (n.d.). Retrieved from http://www.medicalrecords.com/physicians/what-are-the-benefits-of-working-withemr Zaratkiewicz, S., Whitney, J. D., Lowe, J. R., Taylor, S., O’Donnell, F., & MintonFoltz, P. (2010). Development and implementation of a hospital-acquired pressure ulcer incidence tracking system and algorithm. Retrieved March 4, 2013, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2957315/