student will discuss the national mandate of electronic health records (EHR)‚ and how this mandate is being implemented at the Cleveland Clinic Foundation. Also discussed are how Cleveland Clinic is progressing to achieve EHR‚ and what challenges this brings to patient confidentiality and self-determination. Lastly this student will provide information on the benefits of EHR in healthcare. According to Gunter & Terry (2005)‚ “The electronic health record (EHR) is an evolving concept defined as a
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The title of the article is “The challenge of managing electronic records in developing countries: Implication for records manager in sub Saharan Africa”. The article is written by Brendan E. Asogwa in 2012. The author of this article is a Doctoral student at the University of Nigeria. His academic qualifications make him qualified enough to use this article as my topic in reviewing. He had acquired qualifications in Diploma in Public Administration and Local Government‚ Bachelor Degree in Education
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Chapter 3 – Medical Record | History of Present Illness | Patient is a 35 year old male complaining of nausea‚ pyrosis‚ indigestion‚ and melena stool. Patient stated that he has been experiencing abdominal pain that wakes him in the middle of night for over a month. He stated that he normally can drink a glass of milk or baking soda water to relive the pain‚ but this has no longer been effective. | Past Medical History | Patient is a smoker who drinks daily and suffering from obesity.
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HS499-01 January 15‚ 2012 Professor Kristen Hathcock Kaplan University Going Paperless: Electronic Medical Records versus Paper Medical Records “Is it time to make the switch?” Carletta Howard Kaplan University Abstract Making the switch to an electronic medical records system will help to bring forth health care advances with the systems data quality and availability. This research study uses focus groups and surveys to get the opinions of different health care providers and some patients
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Chapter 3 – Medical Record History of Present Illness The patient is a 61 year old female. The patient is complaining that they feel weak‚ their urine is dark‚ nausea‚ pain in the abdomen. Past Medical History Mrs. Carter has suffered from seizures since she was 14 years old. She has been taking Dilantin to help keep her seizures under control and to a minimum. Clear history otherwise. Physical Examination Temperature was 99.8 Pulse was 83 Blood Pressure was 120/84 Abdomen area was swollen
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Abstract Electronic health records (EHR) is more and more being utilized in organizations offering healthcare to enhance the quality and safety of care. Understanding the advantages and disadvantaging of EHR is essential in the nursing profession as nurses would learn its strengths and weaknesses. This would help the nursing profession know how to deal with the weak areas of the system. The topic on advantages and disadvantages of EHR has been widely researched on with different researchers coming
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Over the past five decades healthcare record keeping has been evolving. In order to protect patient ’s records and encourage healthcare providers to keep up with current technology trends several federal agencies have been developed. As a result of these agency formations several laws and regulations have been put into place. The development of healthcare information technology (HIT)‚ and subsequently the rules and regulations‚ began to evolve in the 1960 ’s with the development of Medicare and
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An Electronic Document and Records System (EDRS) is a computer program (or set of programs) used to track and store records. The term is distinguished from imaging and document management systems that specialize in paper capture and document management respectively. ERS systems commonly provide specialized security and auditing functionality tailored to the needs of records managers. The National Archives and Records Administration (NARA) has endorsed the U.S. Department of Defense standard 5015
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What healthcare organizations define as a “legal” health record is becoming very important. The primary role of a health record is to keep a record of tests‚ treatments‚ and medications of a patient. A legal health record serves to identify what information constitutes the official business record of an organization for evidentiary purposes. (AHIMA‚ 2011) There are many issues that should be considered by a healthcare organization when defining the legal health record. One of the issues is how
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Historically‚ the only means available to record health information were paper and pen‚ today the industry has multiple options. This type of information has been known to be transmitted between practitioners and facilities via personal messenger‚ phone‚ or interdepartmental mail. There are numerous options of transmittal but most of the above mentioned methods were fraught with errors and time consuming. Medical information recorded in paper format makes tasks difficult‚ provides opportunities
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