Study Set Content:
In contrast to paper-based medical records, EHR systems can
remind and advise health care providers
• Provide easily retrievable information about care given days or years before
DATA FLOWS OF EHR
➢ Physician prescribing and supporting documents
➢ Patient demographic and health plan
➢ Lab test data
➢ Drugs dispensed and administered
➢ Notes on nursing care
➢ Data on ancillary services
Patient information is not tied to a () location as it is with paper chart
single
Access to data is not () - clinicians and managers can view the health record data throughout the healthcare system
limited
Information can be automatically () – information entered at keyboards or other data capture devices goes right into the EHR system
captured
➢ Errors can be reduced with EHR systems because medical information entered into the system is immediately () thereby reducing the potential of miscommunication between system users
legible
EHR: MANUAL DEVELOPING COUNTRIES BY WHO By
Harsh Parikh, Research Analyst- Clinical Research, Beroe Inc. (April 15, 2015)
have replaced paper-based health records by more than 80 percent in established markets and up to 40 percent in emerging markets
Electronic health records
act as a working instrument for physicians to significantly reduce 25 to 30 percent of time spent on paper work and allows patient access information.
EHR
OVERVIEW OF EHR SYSTEMS IN () NATIONS
BRICS (BRAZIL, INDIA, CHINA, AND RUSSIA)
EHR for Type 2 diabetes and heart disease resulted in numerous patient improvements by enhancing patient coaching and improving the referral process to specialists.
Sanofi Aventis
In the US, GSK used EHRs for evidence-based guidelines to establish care protocols.
GSK
Three pilot projects focused on leveraging EHR to support clinical trials by (i) Concept Development (ii) Protocol Design and feasibility analysis (iii) EHR for protective patient recruitment
Roche Pharma and Genentech
Developed and implemented a generalizable, scalable EHR system to automatically send electronic ADE reports to the FDA in real-time Used anonymous EHR data in developing Xalkori as the first USFDA drug specifically for lung cancer
Pfizer
EHR data was obtained through SAIL (Secure Anonymized Information Linkage) databank in Wales to enroll 250 patients. It took six weeks to recruit patients with high cholesterol in an observational study, which would have taken several months if not for EHR.
Quintiles
Used EHR for rapid prospective recruitment of patients with heart failure (HF)
Mayo Clinic
The Institute of Medicine’s landmark 2000 report found that as many as () people die each year in the US due to medical errors.
98,000
It propelled the US Congress towards a renewed commitment to
Patient safety
A central theme of the report is that () cause errors, not bad people, and this idea fostered advances in clinical systems engineering with safety foremost in design, including “no blame” error reporting and a call for widespread use of electronic health records.
bad systems
This denotes the direct entry of clinical orders into a healthcare system’s electronic health record (EHR) by licensed clinicians, those who have prescribing privileges.
COMPUTERIZED PROVIDER ORDER ENTRY (CPOE)
