Latino patients often delay medical care until their conditions worsen and require immediate attention. There are many possible reasons for this, including poverty and lack of health insurance, or non-citizenship that disqualifies them from Medicare or Medicaid. Cultural factors includes the expectation that one should tolerate pain without complaint, and a belief that certain conditions are natural and do not require medical attention; are examples that might cause patients to delay seeing a doctor and impact their hospital stay. Language is another factor that affects their medical care. They are likely concerned about being misunderstood, or misunderstand medical terminology that can be complicated and communicated in a fast pace.
There are other mistakes made with dosages. This mainly occurs when the nurse transcribes the doctor’s orders to the MAR. Some medicines are prescribed in milligrams, but the medicine actually comes in micrograms or vice versa. These dosages are not the same, milligrams are larger than micrograms, and this could be disastrous, causing the nurse to overdose the patient, or not give enough to the patient. Following simple procedures while handing out medication the nurse can actually save someone’s life.
While ERP’s are not necessarily well-designed to handle big data, it is my recommendation that both be used parallel to one another for the most benefit. By using each system to feed the other, the hospital ensures sufficient patient data is obtained without inundating the system with useless or superfluous information, such as would be the case if the two systems were to be fully integrated. For example, each time a patient is seen any resulting information would be put in to the ERP system. That data would then be transferred to whatever large data storage system the hospital uses from the ERP system. When the patient returns for future treatment, that information is again accessed in the patient history, most likely in the large data storage, and transferred to the ERP system for use and update.
Paper charting cannot effectively be used and searched to follow, examine, and or chart numerous clinical processes and medical information. Paper filing also cannot be saved or copied easily off the premises. Doctor’s orders and any corresponding information, such as labs and prescriptions, can be handed out, stored, and looked after more effectively in an electronic medical record system. Electronic medical records can also improve the quality of care for the patient by combining and joining together the patient information that is vital in quality of care. Electronic medical records “provide admitting staff, physicians, and other care giving and business professionals’ appropriate access to common patient data while maintaining privacy requirements” ("Benefits of EMR", 2003, figure 1).
Handwritten reports or notes, manual order entry, non-standard abbreviation and poor legibility lead to errors and injuries to patients, according to a 1999 Institute of Medicine Report. CPOE significantly improved timely discontinuation of antibacterial from 38.8 percent of surgeries to 55.7 percent in the intervention hospital. CPOE/e-prescribing systems can provide automatic dosing alerts (for example, letting the user know that the dose is too high and thus dangerous and interaction checking. In this way, specialist in pharmacy informatics work with the medical and nursing staff at hospitals to improve the safety and effectiveness of medication use by utilizing CPOE systems. In using CPOE for medications, orders are incorporated with patient information, such as other prescriptions and lab results, which can be automatically checked for potential errors or problems.
In this day and age when people's mantra is "I need my privacy", not many people are comfortable about having their entire medical history recorded and digitized for almost just anybody to see - in other words, incursion into people's privacy. EMRs can lead to loss of the human touch in health care. In the process of digitalization, the interpersonal aspect in health care may be lost. In handwritten hospital charts, doctors and other health care practitioners may write what they think and they feel based on their personal observations in their very own words. EMR is simply about ticking off boxes and crossing out things in electronic forms.
Bearing with a patient, especially an elderly patient who might be a little slower at comprehending medical terminology can make all of the difference in the world. Medical terminology can be overwhelming to those who study medicine, so to a carpenter or super market manager it can be extremely flustering, so it is important to break down the meaning of the diagnosis to avoid the patient feeling lost. Doing this adds to the patients comfort which is crucial. Developing a trusting, healthy, doctor-patient relationship can take healthcare to a whole new level. One can describe this phenomenon almost as a 'slippery slope' affect in the fact that having a positive, friendly bed side manner with a patient makes the patient more willing to trust the advice of the physician, leading to a faster treatment, ultimately making the patient better with ease.
Based on the multitude of systems available, it is important to ensure that an effective system is acquired and that the proper post-purchase training occurs. Further it also points out that many clinicians do not understand that these systems are not created by IT companies, and they believe they are too expensive to begin to discuss. TEN: How to Tell if EMR Will Hinder or Hurt Your Practice:
Internal Medicine Choosing a career can be hard because there are so many different careers to choose from, but with a little bit of research you can find one that fits in with your interests. The career that I feel would fit me best, would be a general internist, due to the fact that it is in the medical field, I get to help others and it seems like a very interesting job. A general internist is someone who specializes in the diagnosis and medical (nonsurgical) treatment of adults. Being an internist requires a lot of work; some of the tasks include being able to treat internal disorders such as hypertension, heart disease, diabetes and problems of the lungs, brain, kidneys and gastrointestinal tract. Internists are also able to prescribe and /or administer medication or therapy (ONET,”Tasks”).
Voice Activated Device/ MD Dictation Speech recognition devices are widely used by physicians because they provide many advantages in the health care environment that they practice. Due to managed care, doctors are restricted in the amount of time they can spend with their patients because they use most of their time doing paperwork that is required of them. Speech recognition systems such as dictation programs and devices have brought a new outlook for the application of technology in healthcare organizations especially among physicians. Dictation programs and devices allow doctors to use the time formerly spent on record keeping to see more patients. Many programs and devices exist today that physicians can choose from.