The EHR’s can enhance communication …show more content…
It is important to minimize the amount of material the physician needs to fill out when they are in the examination room to better focus on the patient, emphasizing the need to make information presentation as effective as possible. It is important to dispose of the old paper paradigm in EHR’s design, and move to an interactive design that optimizes information exploration and displays the necessary patient care. Creating a different physician work flow is vital to supporting efficient and safe patient care. The challenge will be to create a program that covers all of the needs (patient, practitioners, billing and legal use) giving all parties concerned the data they need without overloading the records while still covering the relevant information necessary to cover all aspects and …show more content…
• Accessing a user’s needs, giving only pertinent information
The concept of EHR is comprised of a wide range information system, from files compiled in single department to longitudinal collections of patient data. EHR’s are used in primary, secondary and tertiary care, and is recorded by different groups of health care professionals. Sometimes it is also recorded by patients themselves. This information is validated by physicians and it is important to take all the information into the same account in the future development of the information system. Several data components that are documented in EHR’s are:
-Daily charting -Diagnosis -Medication administration
-Tests -Physical assessment -Procedures
-Admission nurse’s notes -Treatment -Nursing care plan
-Medication -Referral -Discharge
-Present complaint (e.g. symptoms)