Download - Computer use and patient record
Comuter uses in Hospital and Community
Patel NehaF.Y M.Sc Nursing
Storage of Patient Data
Computerized Presentation
Teaching Nurses through Simulations
Computerized Self evaluation
Interactive Learning
Advanced health care
Improved Quality
Decreased cost
Advantages of Computer in
Hospitals Precise 'tests' and medical examn
Faster medical alerts, which are more accurate time-wise Enhanced data about a patient‘s medical
history Precision in diagnosis & billing Automated updating of medical h/o
Electronic Patient Record system
The EMR can be defined as the legal patient record created in hospitals and ambulatory environments that is the data source for the EHR.
Electronic Health Record
is a digital format or documentation of an individual’s medical history that is maintained by health care providers or health institutions.
It includes information on patient’s demographics progress notes, medication problems, vital signs, past history, diagnostic results and vaccination. Definition of EHR
The 2003 Patient Safety Report describes an EMR as encompassing: A longitudinal collection of electronic
health information for and about persons
Immediate electronic access to person- and population-level information by authorized users;
Provision of knowledge and decision-support systems
Support for efficient processes for health care delivery.
Integrated Delivery System
Health information and data Result management Order manageement Decision support Electronic communication and
connectivity Patient support Administrating processes and reporting
Hall mark of Computerised Patient Record Integrated view of patient record
Improving the access of all patient data, whenever and wherever is necessary
Tang et al,(1998) observational studies of physician they noted 81% physician did not find all data of the patient for treatment
Access to knowledge sources: Personal knowledge reference s data
may be useful Physician order entry and clinician data
entry
Physician order initiate the clinical intervention
When its entered by the clinician responsible for care the accuracy and quality of the data are high
Integrated communication support: Clinicians need integrated
communication support for effective functioning of multidisciplinary outpatient health care system
Relying on paper based references become ineffective and fallible
Advantages Can help lessen patient sufferance
due to medical error Reduced medical error by providing
health care workers with decision support.
Promote evidenced- based medcine For research purpose Computerized Physician Order Entry
(CPOE)
Record keeping and Mobility
EHR systems have the advantages of being able to connect too many electronic medical record systems.
In the current global medical environment, patients are shopping for their procedures. Coordinating these appointments via paper records is a time-consuming procedure.
It is also easier to check in their records whether a patient as been admitted to such a medical center or if they have any allergies since they have been admitted before.
Maintain a data and information trail that can be readily analyzed for medical audit, research and quality assurance, epidemiological monitoring, disease surveillance.
Support for continuing medical education. Improve care coordination Reduce healthcare disparities Engage patients and their families Improve population and public health Ensure adequate privacy and security
Storage of Record Depend on national and state
regulations It can depend on shelf life of paper
record. Ruotsalainen and Manning have
found that typical preservation time of patient data varies between 20 and 100 years.
Synchronization of records When care is provided at two different
facilities, it may be difficult to update records at both locations in a co-ordinated fashion. Two models have been used to satisfy this problem: a centralized data server solution and a peer-to-peer file synchronization program Synchronization programs for distributed storage models, however, are only useful once record standardization has occurred.
Merging of already existing public healthcare databases is a common software challenge. The ability of electronic health record systems to provide this function is a key benefit and can improve healthcare delivery.