Electronic And Personal Health Record Research Paper

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The VA Hospital Systems Method to Improve Patient Safety: Electronic and Personal Health Record Anthony Bucki, MSN, RN Governors State University MIS 7101 INTRODUCTION It is well-known that safety is jeopardized when complete medical information is not available to all clinicians treating the same patient: incompatible treatments and medications can cause catastrophic results, expensive test results can be lost, and critical time can be wasted incorrectly diagnosing health conditions (Fischman, 2005). This lack of an electronic personal health record poses increased hazards to patients, particularly those who have multiple health conditions and numerous care providers. For individuals juggling chronic conditions, it can become a full-time…show more content…
The ‘‘Electronic Health Record’’ (EHR) is controlled by, and restricted to, the clinician or health care system. It contains that information traditionally collected in a medical setting, such as a health history, progress notes, test results, and so forth. Patients do not have access to the EHR unless they specifically request copies of their information. The EHR remains the property of the individual health care provider or organization and is not transferred if the patient moves to another provider. One patient, using multiple physicians, may have many separate (and incomplete) EHRs at each of these different…show more content…
There were many concerns on the part of the clinicians about the advisability of patients viewing their records online. Would patients understand what they were reading? Would they get angry at their health care providers about the content of a progress note? Would there be a time lag between the time the results of a test were posted and the time those results were released, so that clinicians would have an opportunity to determine normal versus abnormal outcomes? The Health Information Management professionals were more concerned with the legal aspects: What if patients found something that was incorrect? How could sensitive notes, such as those about mental health, HIV testing, etc., be filtered out? How could patients provide adequate, binding legal consent to allow their records to be uploaded into an Internet program, and what was the security provided on the site? All issues had to be seriously considered and policies drafted before the project could move forward. Once some of the initial kinks were debugged at Tampa and Bay Pines, the program was opened to VA hospitals in New York, Portland, and Washington, D.C. The initial pilot allowed patients to log on through a triple-locked security system and download a static record of ‘‘key portions’’ of their medical records into their own personal e-vaults: admissions, allergies, prescriptions, problem

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