Autonomy In Making Patient Decisions

Decent Essays
a) catastrophic failures. If the computer system fails, stored information may be unavailable for an indeterminate time. Paper records fail one chart at a time. On the other hand, if the average paper chart is unavailable up to 10 percent of the time,f that would be equivalent to a 10 % downtime for the average patient. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270933/ b) increased medical errors. Researchers have found an association between the use of CPOE and increased medical errors due to poorly designed system interfaces or lack of end-user training.
c) Physician may lose his or her autonomy in making patient decisions because of EHR blocks the ordering of certain tests or medications. Overdependence on technology may also become

Related Documents

  • Improved Essays

    Before the use of electronic health records, there were paper charts. These charts lined large shelves that often filled entire rooms depending on the size of the healthcare practice or hospital. The idea of the electronic health record has been around for several decades plus years (Gartee, 2011). However, it was not until more recent years that the use of the electronic health record has become more widely used within the healthcare industry. In 1991, the Institute of Medicine of the National Academies sponsored various studies and developed reports that ultimately paved the way for the electronic health records that we use today Gartee, 2011).…

    • 280 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    For those who are using the EHR, they are known to be members of a large institution. In this case, the organization has a lot of financial resources and thus it is easy to adopt the use of the EHR without significant challenges. It has been observed that the physicians who are adopting the EHR have some characteristics. Some of the key aspects are that the physicians, who have fully adopted the use of the EHR, are participants who have had an experience working with the EHR (Jung, Unruh, Kaushal, & Vest, June). The key strengths of the study are that the researcher was able to achieve the key objective of the study.…

    • 1319 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    During every year that the eligible healthcare professional participates in the program they must demonstrate Meaningful Use of a certified electronic health record. To receive this incentive, the provider must document the percentage of visits, diagnoses, prescriptions, immunizations, and other pertinent health information electronically; use the EHR clinical support tools; share patient information; and report quality measures and public health information (Booth, K. A., Whicker, L. G., & Wyman, T. D. 2014). In addition to a financial incentive, other benefits of complying with Meaningful Use guidelines include a reduction in medical errors, improved availability of patient records and data, reminders and alerts, clinical decisions, and e-prescribing/refill automation (Aumula, N., & Sanelli, P. 2012, July…

    • 755 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Electronic Health Records Article Overview The article that I chose to analyze discusses upcoming changes with the Electronic Health Records (EHRs) requirements due to the overall cost. I selected this particular article because cost seems to be playing a major factor for our office and making the decision to purchase an EHR program. It is evident that the one priority with mandating physicians and hospitals to implement EHRs into their facility was to simplify tasks while improving the quality of care that patients receive.…

    • 669 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    “Widespread meaningful use of fully functional electronic health records (EHRs) combined with a robust infrastructure for broad-base health information exchange can improve the quality, safety, and efficiency of healthcare for all Americans” (Blumenthal, 2010). The EHR is an effective communication system that is designed to improve quality care and patient outcome by providing updated information on the patient. The functions of the EHR to include Computerized Provider Order Entry (CPOE) and Clinical Decision Support System (CDSS) are the backbone of the health care delivery system. Healthcare organizations must embrace implementation of Electronic Health Records (EHRs). Computer Physician Order Entry (CPOE) is a system that allows providers to enter medical orders and instructions for treatment of patients.…

    • 2027 Words
    • 9 Pages
    Great Essays
  • Great Essays

    The Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009 was established to promote electronic medical record (EMR) adoption and electronic health information exchange. Furthermore, incentives and penalties were fixed to invoke health organizations to install EMR programs and achieve meaningful use standards set forth by the Center for Medicare and Medicaid Services (CMS). Overall, the HITECH Act and Meaningful use standards were created to improve quality of care, patient safety, and public health. In order to verify the outcome we will investigate the effects of computerized physician order entry (CPOE), computerized decision support systems (CDDSs), use of statistical reports, and health information…

    • 1471 Words
    • 6 Pages
    Great Essays
  • Great Essays

    To qualify for CMS incentive payments, providers must start employing clinical decision support systems and using the capability that undergirds much of the value of EHRs such as HIE, e-prescribing, Computerized physician order entry (CPOE), ETC. Stage 3 was set to start in 2016. In this stage, the benefit of EHR is to be extended to the patients. The providers are required to provide the patients with…

    • 1536 Words
    • 7 Pages
    Great Essays
  • Great Essays

    Sharing patient charts and medical information with other health care providers is also made substantially easier with an EMR system. While EMR interoperation is a long term goal and one not realized yet, it is possible to select patient information, including lab results and other diagnostic information, and share that with other providers, substantially increasing the quality of patient care. Today hospitals are adopting, implementing, upgrading, or demonstrating the Meaningful Use of certified electronic health record (EHR) technology. All in all, demonstrating meaningful use of certified EHRs takes time and resources. Through the EHR Incentive Programs, eligible hospitals, including critical access hospitals (CAHs), can qualify for EHR incentive payments totaling some $2 million or more.…

    • 2393 Words
    • 10 Pages
    Great Essays
  • Improved Essays

    I am glad that you mentioned that VSED stands for Voluntary Stopping of Eating and Drinking for mentally competent patients with life-threatening illness and is legal in all 50 states of the U.S., as also stated by the Lachman’s article. Preserving control and autonomy at the end of life has been one of the foundations of quality of life in cases where terminal ill patients have unbearable pain and suffering, despite high quality palliative care. Without a doubt, I agree that all terminal ill patients should have the autonomy and control over their health care in order to preserve their quality of lives. However, how do doctors and nurses help patient retain control, autonomy and hastening death without infringing…

    • 217 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Meaningful Use

    • 1294 Words
    • 6 Pages

    Introduction The Meaningful Use program and its implications has a great impact on nurses. In the overview section, I will discuss the background, requirements, and intent of the Meaningful Use program. In the analysis part, I will discuss the implications of the core criteria. In the recommendations section I will discuss whether or not any additional criteria is needed.…

    • 1294 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    HIPAA And Nursing Practice

    • 1098 Words
    • 5 Pages

    1. What heath care policy did you choose? Why did you choose this one? Define the policy and describe the history behind it.…

    • 1098 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Electronic Medical Record

    • 577 Words
    • 3 Pages

    Targeted News Service (March, 2013) reported that survey results released by the American College of Physicians showed physician satisfaction declining with the ease of use of the electronic medical records. A key finding in this report was that not only did the transition to electronic medical record take a toll on productivity, but this decreased productivity continued after implementation. “With fewer physicians choosing primary care as their specialty, the demand for primary care physicians is increasing”. (Cheng, 2012) According to Cheng (2012), medical students are staying away from primary care and are choosing to pursue higher paid specialties.…

    • 577 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    EHR In Health Care

    • 1103 Words
    • 5 Pages

    Healthcare providers have been tasked with, and are quickly adopting and establishing, electronic health record (EHR) systems due to the mandated federal legislation known as the Health Information Technology for Economic and Clinical Health (HITECH) Act. In summary, this twenty seven billion dollar piece of legislation was created as part of the American Recovery and Reinvestment Act of 2009. Through incentivizing adoption of EHRs and setting of “Meaningful Use” standards, providers must show evidence of utilizing Health Information Technology (HIT) to improve quality of care and health outcomes of patients. Additionally, the should also be a subsequent lowering of costs as evidenced by reduction of repeated medical tests, and reduction…

    • 1103 Words
    • 5 Pages
    Superior Essays
  • Decent Essays

    Sara, another concern with standardization and the loss of autonomy is that physicians may start to depend on the technology and lose their clinical knowledge and skills. When an abnormal case is presented that doesn’t fit these standards, physicians may not be able to adequately assess and treat the patient. Additionally, organizations may become so standardized that they restrict the autonomy of clinicians so that they are not able to try new procedures or treatments in order to refine or develop new best practices. Menachemi and Collum (2011) also bring up the concern of what physicians will do in the event of a downtime when the computer system is not available and individuals have become so reliant on following the standard protocol in…

    • 163 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    In 1991 the Patient Self Determination Act was implemented which pertains to several legal documents as well as those not written in a legal setting. The Patient Self Determination Act states that all health care facilities Medicare and Medicaid reimbursement must recognize a patient’s advance directive, the facilities must ask every patient if they have an advance directive, and provide education to the patient informing them of their rights to communicate their wishes regarding future treatment. This includes if the patient wishes to refuse medical treatments. The main purpose of advance directives is to maintain the patient’s autonomy even after they are unable to communicate due to mental conditions such as dementia or physical conditions…

    • 1007 Words
    • 5 Pages
    Improved Essays