Articles Tagged With: EHRs
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Difficult EHRs Less Likely to Catch Medical Errors
Electronic health records that are difficult to use are less likely to catch medical errors, according to a new report.
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CommonSpirit Ransomware Attack Holds Lessons for Cybersecurity
A ransomware attack on a large health system forced it to shut down electronic health records and cancel appointments — and there are indications it may have threatened patient safety. Hackers might have exploited weaknesses that resulted from a series of mergers and acquisitions.
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Remember the Basics of Good Documentation
Proper documentation requires adhering to the basic goals of fully and accurately recording the patient encounter. Depending on the circumstances, chart notes should include a brief social narrative of relevant historical data, an explanation of the reason for the encounter, subjective complaints and observations reported by the patient, objective findings on physical examination by the clinicians, a diagnosis, treatment plan, and follow-up instructions for post-discharge care.
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Physicians Sometimes Need Help to Improve Documentation
Good charts and proper documentation take time, but technology and scribes can speed the process and improve the quality of documentation.
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Improve Documentation for Compliance, Med/Mal Defense
Good documentation is the foundation of any solid malpractice defense and proper continuity of care argument, so risk managers constantly urge clinicians to make meticulous notes. But there are many ways in which documentation can fall short. Frequent education and adjustment to technological changes can be key to making good documentation.
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EHRs Are Still a Work in Progress
Recent research may not tell the whole story about electronic health records (EHRs) and patient safety. Hospitals must be vigilant in weighing the benefits of using clinical decision support tools in EHRs against the potential downsides of overly tying doctors to their computers with an abundance of manual, perceived non-value-added tasks.
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EHRs Still Not Improving Safety After Years of Promise
Recent research indicates electronic health records still are not improving patient safety, despite years of efforts to make them more effective in preventing errors and boosting adherence to best practices.
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HHS Aims to Ease Administrative Burdens for Clinicians
Detailed report calls for less time on entering data into electronic records, more time with patients.
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EHR Can Make ED Documentation Appear Suspicious
While electronic health records offer many benefits to ED providers, they also carry some inherent risks. Learn more about specific examples of issues that can result in malpractice litigation.
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EHRs May Not Affect Patient Safety Negatively
Recent research suggests concerns over how electronic health records may affect patient safety may be overblown.