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Computerized Management Systems

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Computerized Management Systems
Computerized management systems or electronic medical records (EMR) are computerized medical records generated in an organization that delivers care, such as in a physician 's office or a hospital. The EMR stores the patient 's protected health information, such as patient history, test results, current medications, and demographics in a centralized database. There are many EMR systems available on the market today, but the two most popular systems are EpicCare and NexGen.
A. Increase in Quality of Care Computer management systems facilitate “patient safety and quality improvement through use of checklists, alerts, and predictive tools; embedded clinical guidelines that promote standardized, evidence-based practices; electronic prescribing and test-ordering that reduces errors and redundancy; and discrete data fields that foster use of performance dashboards and compliance reports” (Silow-Carroll, et al, 2012). The EMR has shown to improve communication within the interdisciplinary team, reduce medication errors and other clinical errors, such as ordering duplicate tests, and improve documentation.
Clinical information is easier to access with an EMR. And it has the ability to collect quality improvement data from the system to identify the occurrence of problems and errors.
B. Active Nursing Involvement Nurses should be involved in the planning, choice, and implementation of the system because they are the ones that are on the frontline of patient care and will be using the system the most. By overlooking the nurses within the organization during the implementation process, it will adversely impact the universal goal of the planning, choice, and implementation of the system. Nurses may not cooperate and this may compromise the quality of service provided to patients, when they are not consulted and communicated with. Involving nurses in the implementation process will have a final outcome that is prone to be more accessible, wholly embraced, and



References: Department of Health and Human Services. (2007). Security standards: technical safeguards. HIPPA Security Series, 2. Retrieved from http://www.hhs.gov/ocr/ privacy/hipaa/administrative/securityrule/techsafeguards.PDF[->1]. Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005). Can electronic medical record systems transform health care? potential health benefits, savings, and costs. Health Affairs, 24:5. Retrieved from http://content.healthaffairs.org/content/24/5/1103.full. Johnson, C. (2008). Nurses and the use of personal digital assistants at the point of care. Scroll: Essays on the Design of Electronic Text, 1. Retrieved from http://fdt.library.utoronto.ca/index.php/fdt/article/view/4906/1766. Moukheiber, Z. (2012). The staggering cost of an epic electronic health record might not be worth it. Forbes. Retrieved from http://www.forbes.com/sites/zinamoukheiber /2012/06/18/the-staggering-cost-of-an-epic-electronic-health-record-might-not-be- worth-it/. Silow-Carroll, S., Edwards, J.N., & Rodin, D. (2012). Using electronic health records to improve quality and efficiency: the experiences of leading hospitals. The Commonwealth Fund,17. Retrieved from http://www.commonwealthfund.org/ ~/media/Files/Publications/Issue%20Brief/2012/Jul/1608_ SilowCarroll_ using_EHRs_ improve_quality.PDF. [->0] - http://www.forbes.com/places/ca/san-francisco/ [->1] - http://www.hhs.gov/ocr/

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