Md Death Records
Nursing and Computers: The inevitable shift toward electronic health records (EHR)
Nursing and computers have not always mix perfect. In general, the nurses try and stay out of new computer systems whenever possible. However, it is an inevitable evolution of workflow in hospitals today.
"It was so easy before, when all I had to do was give (knowledge) to the secretary."
"This new computer system is a mess. Why can we keep our old system?
"Taking time away from patient care."
"It will never work."
As a nurse working on the side of health care information technology, these tests are very common when traveling facilities in different locations.
Why I wanted to do
With billions of dollars allocated to implement this project several At the national level institutions, I wanted to be part of it. "Never before has made this magnitude," said Vicki Levario, director of systems solutions and deployment Kaiser Permanente Southern California region. When I was offered this job, did not hesitate. There was a marriage of two things that I feel comfortable with – clinical content and computers.
The magnitude of this project can be seen when one takes into account the 8 million Kaiser members who will be affected. In 2007, 12,000 physicians and 150,000 in Kaiser organization employees should be well trained and use the software in your workflow. After several weeks of having participated in this project, started to see what will be a titanic undertaking.
Resistance
"Good luck with this work. They are losing their money. Never going to happen," a doctor told me one day.
automation of health is an inevitable evolution, but did not meet resistance. There are some that are so provocative that they prefer change to withdraw from work in these conditions.
This feeling is not unique to this organization. Cedars-Sinai Medical Center in Los Angeles has been found with that resistance from physicians that the phase of implementation has failed despite the system is in line with the two-thirds.
I can understand the paranoia is harmonic. Work Support Units software, I have seen some users who are obviously the team for the first time. I've seen have problems using the mouse and enter your username and password with the slow style hierarchy.
I try to encourage users by showing them the positive side. With the trend of the nation Health care of automation of medical records, which donors will make health care more negotiable as electronic medical records (EHR) of experienced professionals. And, in time, that will handle the flow system and its work more effective.
Safer practice
The issue of workflow system in health care electronic patient damaging CARE has also been of concern. However, the opposite happens. The Institute of Medicine (IOM) in a report entitled To Err Is Human: Building a Safer Health System (2000), "98 000 Americans die each year in hospitals as a result of medical errors. Even with the lower estimate, deaths in hospitals due to preventable adverse events exceed the number attributable to eight main cause of death. due to preventable adverse events exceed the deaths number of deaths from vehicle accidents (43 458), breast cancer (42 297) or AIDS.
In his report of the key capabilities of the electronic health record July 31 in December 2003, Dr. Carolyn M. Clancy, Director of the Agency for Healthcare Research and quality health care, said: "A lot of areas where public and private sectors to encourage all health care providers to migration medical records from paper to a system that stores electronic health information and decision support has assisted by computer. In part, this interest recognition is increasing because of a strong technology (IT) is essential to address these national concerns that need to improve safety and quality of care health. "
National Mandate
The automation of the records in the health care is not only a step in the modernization, but a national mandate. The following is extracted from the U.S. Department of Health Services.
Mission:
"… To guide to technology nationwide implementation of interoperable health information to the attention of both public and private health to reduce medical errors, improve quality and produce greater value for health spending, and coordinates outreach and consultation by the relevant bodies of executive power with the public and private. "
Vision
"… Physicians should perform a medical history, computer systems control, and a reminder by email."
The implementation of electronic health records (EHR) is united in this national mandate and is only a matter of time when all hospitals in the United States will be fully electronic systems in your workflow.
With this heavy task ahead, I remembered the words of the Coordinator National Health Information Technology National Coordinator, David J. Brailer, MD, PhD, when he spoke of system solutions and deployment of staff. "All eyes are on you. "As a health professional and RN, which is impressive to see through the telescope to look beyond the horizon and be part of the mission.
About the Author
Janie Gafford, RN BSN is currently a Clinical Content Project Manager for Kaiser Permanente Southern California region to implement Kaiser Permanente HealthConnect TM. Kaiser Permanente HealthConnect TM is a $3.2 billion information technology system designed to expedite the flow of information between patients, physicians, key health specialists, and patient services. Her past background in nursing includes ICU, ER, and Case Management. For more information, visit http://www.janiegafford.com
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