MIDTERMS - Clinical Practice: Application of Nursing Informatics Flashcards
Often used interchangeably with
computerized patient record, clinical
information system, electronic medical
record, and many others
Electronic Health Record System
Reflects the broader focus on the health of
the consumer or patient
Electronic Health Record System
Used by all participants in the process of
achieving health, including all disciplines of
clinicians, family caregivers and the patient
Electronic Health Record System
The set of component that form the
mechanism by which the patient record are
created, used, stored, and retrieved.
EHR-s by IOM (Dick, Steen & Detmer, 1991)
A patient record system is usually located
within a healthcare provider setting
EHR-s by IOM (Dick, Steen & Detmer, 1991)
What are the inclusion of EHR-s by IOM?
people, data, rules and
procedures, processing and storage devices
(e.g. paper and pen, hardware and software)
support facilities
Longitudinal collection of electronic health
information for and about persons, where
health information is defined as information
pertaining to the health of an individual or
healthcare provided to an individual
EHR-s 2003
Immediate electronic access to person-and
population level information by authorized,
and only authorized, users
EHR-s 2003
Provision of knowledge and decision support
that enhances the quality, safety, and
efficiency of patient care
EHR-s 2003
Support of efficient processes for healthcare
delivery
EHR-s 2003
General goals of EHR-S
- INFORM CLINICAL PRACTICE
- INTERCONNECTINGCLINICIANS
- PERSONALIZEDCARE
- IMPROVE POPULATION HEALTH
This goal of EHR-S centers largely around efforts to bring EHRs directly into clinical practice
INFORM CLINICAL PRACTICE
This goal of EHR-S reduces medical errors and duplicate works, and enable clinicians to focus their efforts more directly on improved patient care
INFORM CLINICAL PRACTICE
This goal of EHR will allow information to be portable and to move with consumers from one point of care to another
INTERCONNECTINGCLINICIANS
This goal of EHR-S requires an interoperable infrastructure to help clinicians get access to critical healthcare information when their clinical and/or treatment decisions are being made
INTERCONNECTINGCLINICIANS