DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes

DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes

DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes

A variety of electronic methods have been used to integrate health information technology into the health system and into primary care for individuals and patients as a group to continue to improve and provide quality care to patients (Agency for Healthcare and Research Quality (AHRQ), 2019). The Electronic Health record (EHR) is defined as a ‘longitudinal’ electronic record of patient’s health information which is generated during several episodes of care in a care delivery setting. It has a robust database of information that has a capacity for customization to the needs of the patients and the healthcare providers (HCP) that could be endless. EHRs have been designed to collect and store so many different types of information on patients such as patient demographics, order entries, laboratory values, radiologic images and documentations by HCPs (Alexander, Hoy, & Frith, 2019).

Some of the strengths and limitations of EHR. In 2017, hospitals growth in the use of EHR is about 96 percent in non-Federal acute acer hospitals. The EHR has been used to redesign and benefit the healthcare system. EHR supports evidence-based practice that helps to improve the outcomes of patient care. With EHR, volumes of data can be stored for years and obtained quickly and easily to evaluate patient populations, manage acute and chronic diseases that will help to ensure adequate preventive care individually, collectively and simultaneously more than would have been possible with paper charts. It has become a clinical for all future clinical practices and is potentially life-saving, efficient and cost-effective (Thurston, 2014). EHR has led to the decrease in the number of errors with medical care in terms of clinical orders. HER has improved the ability to read orders and avoid errors, it has prevented the duplication of all health care orders. It has also led to the sharing of the same information by all HCP and has improved the outcome and quality of care for patients. EHR has improved the privacy of patient information (Thurston, 2014). AHRQ’s EvidenceNOW initiative was established in 2015 to support the delivery of evidence-based care and improve the heart health of patients more than 1000 primary care practices nationwide by supporting ongoing health information technology evaluation of practices and quality improvement efforts. But with small and medium sized practices HER has grown about 93% while some are using programs not designed to improve quality care or research. New practices still need support to navigate through the learning curve to improve their efficiency and adjust their workflows. Some practices do not report clinical quality measures to the outside group like the Centers for Medicare & Medicaid Services (CMS) and private insurers, like most practices do which helps to improve practice. Some practices are not aware of where to go for technical assistance but there are services available such as Hospital data networks, Health information exchanges, and clinical data warehouses though some resources are not available to all practices (AHRQ, 2019).

 

References:

 

Agency for Healthcare and Research Quality (AHRQ). (2019). The promise of electronic health records: Are we there yet? Agency for Healthcare Research and Quality. https://www.ahrq.gov/news/blog/ahrqviews/promise-of-electronic-health-records.html

 

Agency for Healthcare and Research Quality (AHRQ). (2019). Health information technology integration. Agency for Healthcare Research and Quality. Rockville, MD. https://www.ahrq.gov/ncepcr/tools/health-it/index.html

 

Alexander, S., Hoy, H., & Frith, K. (2019). Applied clinical informatics for nurses (2nd ed.). Jones & Bartlett Learning.

 

Thurston, J. (2014). Meaningful use of electronic health records. The Journal for Nurse Practitioners10(7), 510-513. https://doi-org.lopes.idm.oclc.org/10.1016/j.nurpra.2014.05.012

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In the United States, EHRs implementation is a major requirement for healthcare organizations, a transition that was led by the Centers for Medicare and Medicaid Services (CMS) through financial incentives supported by policies such as the 2009 HITECH (Health Information Technology for Economic and Clinical Health) Act (Aguirre et al., 2019). In supporting clinical tasks, EHRs have a legacy in visit documentations, ordering drugs, laboratory, and diagnostic tests, reviewing test outcomes, and tracking/following up patients.

The most important usefulness of EHRs is in its application to promote population health through monitoring and

DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes
DNP 805 Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes

surveillance of both infectious and non-infectious diseases, improved patient management, particularly patients with chronic illnesses and identification of populations at high risk of specific diseases. In ensuring the continuity of care, EHRs have proven to be beneficial in managing chronically ill patients by preventing fragmented care, and promoting coordination. Honavar (2020) highlights that, in the Emergency department, EHRs use improve evidence-based therapeutic and diagnostic decision-making through the CDSS (Clinical Decision Support) embedded in its system.

EHRs improve healthcare quality and outcomes by improving management, decreasing unnecessary investigations, improving interactions among healthcare staff, patients, and healthcare providers from other institutions involved in the care of patients (Kataria & Ravindran, 2020). From physician’s perspective, EHRs improve efficiency and workflow by decreasing the time needed to retrieve data, improve patient appointment scheduling, and allow remote access to patient data.

The limitations of using EHRs are associated with medical information errors, interoperability, and the financial resources needed to implement health information technology. Despite the increased efficiency in gathering and storing information using EHRs, medical errors still happen. According to Kataria & Ravindran (2020), medical errors are particularly associated with wrongly matching patients to their records or creation of duplicate records. Such errors do not only compromise the quality of care but also compromise the safety of patients.

 

References

Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic health record implementation: a review of resources and tools. Cureus11(9). doi:10.7759/cureus.5649

Honavar, S. G. (2020). Electronic medical records–The good, the bad and the ugly. Indian Journal of Ophthalmology68(3), 417. https://dx.doi.org/10.4103%2Fijo.IJO_278_20

Kataria, S., & Ravindran, V. (2020). Electronic health records: a critical appraisal of strengths and limitations. JR Coll Physicians Edinb50(3), 262-8. doi: 10.4997/JRCPE.2020.309

Electronic Health Records (EHR) have made a significant impact on health care today. The EHR has contributed to improving patient safety and patient services and has ultimately reduced costs in many organizations (Boonstra et al., 2021). One of the benefits of the EHR is accessing patient information such as history, treatments, and vital information pertinent to the patient’s health (Anderson, 2022). In addition, the EHR provides an updated version of the patient information compared to paper charting, which may require additional time spent verifying the most recent data. Another benefit of the EHR is efficiently gathering data essential to evidence-based research studies, quality improvement projects, and overall research findings. Data from the EHR has been a game-changer in healthcare because it enables the potential for research that can ultimately improve quality outcomes and patient safety (Boonstra et al., 2021). The EHR has also made a significant change to the workflow of providers such as physicians, nurses, case managers, and other staff members. The EHR has helped providers improve productivity and enable more time to spend with patients (Anderson, 2022). One of the disadvantages of the EHR is the ability for patient information to be compromised. Organizations are making great efforts to avoid this by establishing network protections and encryptions.

References

Anderson, R. (2022). Effects of an electronic health record tool on team communication and patient mobility: A 2-year follow-up study. Critical Care Nurse42(2), 23–31.

https://doi-org.lopes.idm.oclc.org/10.4037/ccn2022385

 

Boonstra, A., Jonker, T. L., van Offenbeek, M. A. G., & Vos, J. F. J. (2021). Persisting workarounds in

Electronic Health Record System use: Types, risks and benefits. BMC Medical Informatics and Decision Making21(1), 183.

https://doi-org.lopes.idm.oclc.org/10.1186/s12911-021-01548-0