Wgu Nut1 Nursing Informatics
NUT1 Task 1
Western Governors University
NUT1
NUT1 Task 1
What is EMR?
Electronic Medical Records
“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)
Benefits of EMR * Paper records can be reduced or completely eliminated. * Less time consuming. * Enhances efficiency. * Reduces errors in documentation, as the process of entering information is streamlined. * Improves and speeds up work flow. * Makes sharing of information across hospitals and healthcare providers possible. * Healthcare professionals have access to all pertinent health related information. * Facilitates easy decision-making. * Enables delivery of evidence-based, quality care. * Patient safety and confidentiality are improved.
A1. Benefits to Nursing Care
How will EMR benefit nursing Care? * Immediate access to pertinent medical information. * Standardized care planning. * Immediate access to protocols and assessment guidelines. * Reduces “double charting” by auto-population of vital signs, lab results etc. to the patients flow sheet. * Reduces stress and saves time related to deciphering orders and handwriting legibility. * Reduce occurrence of medication errors with alerts for potential errors or medication interactions. * All the information of a patient is present at a centralized place, for easy access. * Improves the consistency and level of patient care, via evidence-based nursing. * Reminders of medications due or overdue.
What is
Protected Heath Information (PHI)?
PHI includes any information, oral or recorded, that pertains to a persons health status, provisions of healthcare to an individual or payments for healthcare that can be directly linked to an individual ("Privacy/Data Protection Project," May 11, 2005)
PHI can be compromised in many ways
Western Governors University
NUT1
NUT1 Task 1
What is EMR?
Electronic Medical Records
“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)
Benefits of EMR * Paper records can be reduced or completely eliminated. * Less time consuming. * Enhances efficiency. * Reduces errors in documentation, as the process of entering information is streamlined. * Improves and speeds up work flow. * Makes sharing of information across hospitals and healthcare providers possible. * Healthcare professionals have access to all pertinent health related information. * Facilitates easy decision-making. * Enables delivery of evidence-based, quality care. * Patient safety and confidentiality are improved.
A1. Benefits to Nursing Care
How will EMR benefit nursing Care? * Immediate access to pertinent medical information. * Standardized care planning. * Immediate access to protocols and assessment guidelines. * Reduces “double charting” by auto-population of vital signs, lab results etc. to the patients flow sheet. * Reduces stress and saves time related to deciphering orders and handwriting legibility. * Reduce occurrence of medication errors with alerts for potential errors or medication interactions. * All the information of a patient is present at a centralized place, for easy access. * Improves the consistency and level of patient care, via evidence-based nursing. * Reminders of medications due or overdue.
What is
Protected Heath Information (PHI)?
PHI includes any information, oral or recorded, that pertains to a persons health status, provisions of healthcare to an individual or payments for healthcare that can be directly linked to an individual ("Privacy/Data Protection Project," May 11, 2005)
PHI can be compromised in many ways
References: Birz, S. (2005). Electronic Surveillance Provides Hospital Infection Control [Supplemental Material]. Nursezone.com. Retrieved from http://www.nursezone.com/Nursing-News-Events/devices-and-technology/Electronic-Surveillance-Provides-Hospital-Infection-Control_23980.aspx Goth, G. (2006, April 1, 2006). Raising the Bar [Journal Article]. HealthcareInformatics.com. Retrieved from http://www.healthcare-informatics.com/article/raising-bar-0 HIPAA Requirements | MedicalRecords.com [Journal Article]. (n.d.). Medicalrecords.com. Retrieved from http://www.medicalrecords.com/physicians/hipaa-and-medical-records Privacy/Data Protection Project. (May 11, 2005). In University of Miami- Miller School of Medicine Privacy/Data Protection Project. Retrieved from http://privacy.med.miami.edu/glossary/xd_protected_health_info.htm Santiago, A. (n.d.). EMR - What is EMR? Retrieved from http://healthcareers.about.com/od/h/g/EMR.htm