Electronic Clinical Documentation Electronic Clinical Documentation‚ best known as computer based documentation‚ is an electric computer system that stores medical information of patients and patient care. It includes patient care notes and data that is shared throughout the patient hospital stay or doctor visit. Lab results‚ past and present medical history as well as personal data is stored in the electronic medical record. As the demand for Electronic Clinical Documentation increases
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One of the situations I experienced in clinical this week was my conversation with 38 years old man‚ a man married to a nurse‚ a father of three girls and a writer‚ who was in for a dual diagnoses of depression also drug and alcohol use disorder. He was talking to me on how he got into drug and extreme alcohol abuse. He was telling me on how he got injured at his former work place back in 2001 and the whole time he was talking to me I couldn’t help but feel bad for him but at the same time question
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throughout the US had used the PHR‚ and more than 70 million were interested in doing again (Smith‚ 2009)‚ but the extent to which consumers use them will depend on how well they understand the PHR. In the July‚ 2008 Summer Institute in Nursing Informatics‚ it was discussed that “a nursing viewpoint is essential for making PHRS truly useful to consumers (Thede‚ 2009)‚ which that when it comes to designing personal health record nursing perspectives are strongly considered necessary.
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Communication Paper - Electronic Medical Records The mode of communication that I will be addressing is Electronic Medical Records. There are several different benefits with this type of communication. According to "Center for Studying Health System Change" (2013)‚ “Physicians can focus on the patient and engage in real-time decision making rather than spending time pulling information from a variety of paper sources. They can take full advantage of communication with the patient‚ and also
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Kumasi PMM Team. Int J Gynaecol Obstet. 1997;59(2):S149–S155. [PubMed] 9 10. Kamadjeu RM‚ Tapang EM‚ Moluh RN. Designing and Implementing An Electronic Health Record System In Primary Care Practice In Sub-saharan African: A Case Study From Cameroon. Informatics in Primary Care. 2005;13:179–186. [PubMed] 11 12. Teviu EAA. Improving Medical Records Filing at the Municipal Hospital‚ Goaso‚ Project report. 2010. (Unpublished).
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2012 EVALUATION /COMPARISON REPORT OF 2 EMR SOFTWARE SYSTEMS FOR POTENTIAL USE IN OUR HOSPITAL Report Prepared By: Gary Holt RN Director of Nursing Informatics. Pg. #1 TOPIC A: EMR SYSTEMS AND PATIENT QAULITY CARE OUTCOMES. EMR stands for “Electronic Medical Record”. This section of the report is to explain to you the benefits to improving the quality of patient care we can provide to our patients by utilizing the EMR system. As we all know our number one goal is positive patient outcomes
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progress notes‚ problems‚ medications‚ vital signs‚ past medical history‚ immunizations‚ laboratory data and radiology reports. The EHR automates and streamlines the clinician ’s workflow. The EHR has the ability to generate a complete record of a clinical patient encounter - as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support‚ quality management‚ and outcomes reporting. (HIMSS) Within this definition there is a multitude
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Impact of Technology on Health Care Alehandra Philip UMUC Impact of Technology on Health Care Introduction Information and communication technology has been adopted and implemented within various sectors of the economy. This is attributed to the benefits of technology in facilitating organizational activities and processes and its use in meeting the changes which characterize the modern society. The health sector is one of the industries which have significantly
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During the first day of my clinical‚ I had the opportunity to shadow my preceptor because of some technical problem I did not have my login‚ so I couldn’t have access to the patient records and all the information’s I needed. Consequently‚ I shadowed my preceptor. In fact‚ it was a learning since I did observe how she does her charting‚ reporting‚ how to start‚ organize and prioritizes during a shift. The culminant point of the day was the admission of a patient from the PACU. Before the patient
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Social Change of EMR Introduction/Thesis A chartless/paperless doctor’s office was once something only dreamt of in a Star Trek episode. Soon humans will utilize laser beams as a major mode of transportation; well possibly in the distant future we will transport ourselves via laser beam. The advancements in health care technology have made it possible to obtain a chartless (paperless) environment. Whether you are in private practice or part of a major health care organization‚ the latest
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