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Electronic Health Records

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June 20, 2020

Electronic Health Records
Electronic health records are digital real time patient-centered records systems that avail information instantly when needed, in a secure manner and strictly to authorized users (Cowie et al., 2016). EHR are essential in storing real time data collected during day-to-day delivery of health care services. With consideration of it acting as a point of reference for all patient data, it also presents; vital statistics, demographics, patient and clinical-centered data and medical claims. There has been an increased adoption and integration of EHR systems in practice, specifically the primary care setting and within healthcare centers worldwide (Cowie et al., 2016). The potent force shaping EHR adoption is meaningful use and proper utilization of the system. The trends in adoption of EHR in health care currently are; reliance on cloud computing, integration to large and shared databases, increased use of natural language processing, more patient registries costumed and built into EHR, increased use of telehealth, integration and utilization of wireless remote outpatient monitoring and incorporation of expert system to assist in decision making support.
EHR’s have potentially transformed the health care system from paper-based system utilization to a digital system that utilizes information to aid health workers in delivering quality care services to patients (VanLangen & Wellman, 2018). The main reasons for adoption of EHR’s are; use of computerized physician order entry systems, health information exchange and clinical decision support tools. These factors all uphold the value in the meaningful use of EHR in health care systems (Kruse et al., 2016). Other reasons include; EHR improves patient management and engagement, lowers operational cost, facilitates safer and reliable workflows to enable e prescribing, efficient XRAY and laboratory ordering and reporting, offers error reduction and eliminate issues of lost records and enhances delivery of effective and safer care (VanLangen & Wellman, 2018).
Some of the challenges in adoption include; increase effort to manage privacy and protection of patient records, high startup and maintenance cost, education and training on use of EHR, depersonalization of provider and patient relationship and difficulties in capturing and structuring data to match the orientation setup of EHR system (Kruse et al., 2016).

Electronic Health Records

Cowie, M., Blomster, J., Curtis, L., Duclaux, S., Ford, I., & Fritz, F. et al. (2016). Electronic health records to facilitate clinical research. Clinical Research In Cardiology, 106(1), 1-9. https://doi.org/10.1007/s00392-016-1025-6
Kruse, C., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2016). Barriers to Electronic Health Record Adoption: a Systematic Literature Review. Journal Of Medical Systems, 40(12). https://doi.org/10.1007/s10916-016-0628-9
VanLangen, K., & Wellman, G. (2018). Trends in electronic health record usage among US colleges of pharmacy. Currents In Pharmacy Teaching And Learning, 10(5), 566-570. https://doi.org/10.1016/j.cptl.2018.01.010

Electronic Health Records

Consider the idealized cycle of health information in evidence-based medicine where database systems offer information sharing service for doctors, medical researchers, medical institutions, and patients. In this scenario, doctors and researchers can easily query and analyze medical information with much greater speed, security, and ease. What would facilitate achieving this ideal and assess the benefits and challenges of these achievements. How soon do you realistically expect to see these to be implemented on a large scale?
Electronic Health Records