Description
Answer Questions on last part of attachment and then write a separate memo
Write a memo (1-page) to a HIM director explaining data entry inaccuracies and deficiencies in the EHR system that potentially impact clinical care. Include an explanation of the findings and their importance. Provide evidence-based recommendations to address identified issues. Provide EHR Go supporting activities as attachments to the memo.
Complete 5 questions on attachment and mark the lettering in red
Resources: Decision Support Models
- Ancker, J. S., Edwards, A., Nosal, S., Hauser, D., Mauer, E., & Kaushal, R. (2017). Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. BMC Medical Informatics and Decision Making, 17.
- Helmons, P. J., Suijkerbuijk, B. O., Nannan Panday, P. V., & Kosterink, J. G. W. (2015). Doing the right things and doing things right: Inpatient drug surveillance assisted by clinical decision support. European Journal of Hospital Pharmacy Science and Practice, 22(4), 236.
- Schaeffer, J. (2017). CDS systems: Common malfunctions, practical solutions. For the Record (Great Valley Publishing Company, Inc.), 29(5), 10–13.
Resources: User Acceptance
- Clark, J. S. (2014). Tips for ongoing medical record review. Medical Records Briefing, 29(1), 12–13.
- Meulendijk, M., Spruit, M., Willeboordse, F., Numans, M., Brinkkemper, S., Knol, W., ... Askari, M. (2016). Efficiency of clinical decision support systems improves with experience. Journal of Medical Systems, 40(4), 1–7.
- Roop, E. S. (2015). The human touch. For the Record (Great Valley Publishing Company, Inc.), 27(7), 20–23.
Unformatted Attachment Preview
Purchase answer to see full attachment
Explanation & Answer
hey there, I have posted the answers, kindly confirm and contact me if you need any clarifications, thank you
Date:
To: The Health Information Management Director
From:
Subject: Impact of inaccurate and incomplete data on clinical care.
The use and adoption of electronic health record systems have promised a useful number of
benefits such as the provision of better care and reduction in the cost of healthcare. Despite its
benefit, unintended consequences have come up due to their improper use and designs.
There has been an increase in the recording of more amounts of bad data. New types of errors
have been significantly reported of which they compromise the quality of care and safety of
patients. An example was whereby the treatment of a patient with cancer was delayed by several
years due to a setting in the physicians EHR system that defaulted to an old normal pap smear
test result instead of the recent abnormal results. There has also been a case of a baby dying due
to a massive overdose of drugs as a result of an error in transcription when a handwritten order
was erroneously entered into the system. The errors obtained from inaccuracies and
inefficiencies in data entry have a negative effect on the decision-making process by the
clinicians.
Some of the errors can be prevented by the installation and activation of automated alert systems.
There should also be an active regulatory framework whose purpose is to monitor the safety of
the EHR system and ensure regular maintenance is carried out to avoid malfunction. They should
also ensure the system meets the specifications of the design, have no errors or bugs, and be built
based on dependent hardware and software platforms.
In conclusion, if the EHR systems are carefully monitored and maintained according to the
regulatory standards, the rate of inaccuracies will greatly decline, leading to better patient care
and safety.
Go! Activity: Record Deficiencies
Discipline applications
The student will review the data in the patient chart in detail and, by using critical
thinking skills, list what is present, deficient, incorrect or incomplete in the patient chart.
Learning objectives
1. Recognize incomplete or missing data in the patient chart.
2. Identify potential risks and benefits that might be associated with EHR clinical
decision and chart completion functions.
3. Recommend potential strategies for minimizing risks.
4. Recommend potential strategies for maximizing benefits.
5. Explain how chart inaccuracies impact patient care and clinical decision-making.
Prerequisites
1. Complete the activity:
a. EHR Orientation
Student instructions
1. If you have questions about this activity, please contact your instructor for
assistance.
2. You will review the chart of Jacy Sky Redbird to complete this activity. Your
instructor has provided you with a link to the Record Deficiencies activity. Click
on Launch EHR to review the patient chart and begin this activity.
3. Refer to the patient chart and any suggested resource...
Review
Review
