*NURSING > CASE STUDY > NUR 514-topic-8-assignment-benchmark-electronic-health-record-implementation-paper-october-20192020. (All)

NUR 514-topic-8-assignment-benchmark-electronic-health-record-implementation-paper-october-20192020.

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especially the prevention of adverse drug reactions and the identification of health risk factors, such as falls (DeNisco & Barker, 2015, p. 357). Nursing documentation pre-date the days of Floren... ce Nightingale. Over time nursing documentation has increased in its relevance to nurses and health care professionals, and its impact on patient care and patient outcomes. The mode of documentation has changed, from a paper trail to an electronic trail. Health informatics is the management of health information and uses information technology (IT) to organize health records to improve health outcomes and manage data collection from patient records. It is the responsibility of health informatics nurses to manage, interpret and communicating the health information, with the primary purpose of improving the quality of care. Three (3) key ways that informatics has improved care is with improved documentation, improved coordinated care and reduction of medical errors (Rupp, Benchmark – Electronic Health Record Implementation 2014). The care of the patient starts with the collection of patients’ medical history, clinical symptoms, allergy histories and latest medication list. This information is collected and documented in the electronic database. Nurses and other medical professionals are able to retrieve and record the information in real time. Thus, reducing medication errors with the integration of “soft stops”, alerts of medication allergies and interaction medications is one of the ways to improve patient care and have a comprehensive clinical system, which is a great asset. Required regulations in EHR system implementation [Show More]

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