Chat with AIExam 6: Key Patient-Centric Technologies: EHR, CPOE, CDS PP
In theory, the use of EHR should reduce the incidence of:
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Why might it be important to link EHR to CPOE and/or CDSS? What about linking EHR to LIS, PIS, RIS, and any other clinical-based IS? What about linking it to a physician PDA?
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Answered by Examlex AI CopilotLinking Electronic Health Records (EHR) to Computerized Physician Order Entry (CPOE) and/or Clinical Decision Support Systems (CDSS) is important for several reasons. First, it can help improve patient safety by reducing medication errors and ensuring that healthcare providers have access to the most up-to-date clinical guidelines and best practices. Additionally, linking EHR to CPOE and CDSS can streamline the ordering process, making it more efficient and reducing the potential for errors.
Linking EHR to Laboratory Information Systems (LIS), Pharmacy Information Systems (PIS), Radiology Information Systems (RIS), and other clinical-based Information Systems (IS) is also important for improving the overall quality of patient care. By integrating these systems with the EHR, healthcare providers can access all relevant patient information in one place, making it easier to make informed decisions and provide coordinated care. This integration can also improve communication and collaboration among different healthcare providers, leading to better outcomes for patients.
Linking EHR to a physician's Personal Digital Assistant (PDA) can also be beneficial, as it allows healthcare providers to access patient information and clinical decision support tools at the point of care. This can improve efficiency and accuracy in decision-making, as well as facilitate better communication between healthcare providers.
Overall, linking EHR to CPOE, CDSS, LIS, PIS, RIS, and physician PDAs is important for improving patient safety, care coordination, and the overall quality of healthcare delivery. It can help healthcare providers make more informed decisions, reduce errors, and ultimately improve patient outcomes.
Why is user resistance-particularly from physicians and nurses-often considered the greatest obstacle to successfully implementing patient-centric management systems?
(30) Answered by Examlex AI CopilotUser resistance, particularly from physicians and nurses, is often considered the greatest obstacle to successfully implementing patient-centric management systems for several reasons:
1. **Change Management**: Healthcare professionals, including physicians and nurses, are accustomed to certain routines and workflows. Introducing a new management system requires them to change how they operate, which can be met with resistance due to discomfort with change or fear of the unknown.
2. **Workflow Disruption**: Implementation of new systems can disrupt existing workflows, leading to a temporary decrease in efficiency. Physicians and nurses are generally under significant time pressure, and anything that is perceived to slow them down or add to their workload can be met with resistance.
3. **Learning Curve**: New systems come with a learning curve. Physicians and nurses may be concerned about the time and effort required to learn new software, fearing it may detract from patient care.
4. **Autonomy Concerns**: Healthcare professionals value their autonomy in making decisions. Patient-centric management systems often standardize processes, which can be perceived as a threat to professional autonomy.
5. **Technological Skepticism**: Some healthcare providers may be skeptical about the effectiveness of new technologies or may have had negative experiences with past implementations, leading to a lack of trust in new systems.
6. **Impact on Patient Interaction**: Physicians and nurses may worry that increased computerization could interfere with their direct interaction with patients, potentially harming the patient-provider relationship.
7. **Privacy and Security**: Concerns about the confidentiality and security of patient data within new management systems can also contribute to resistance.
8. **Resource Allocation**: Implementing new systems often requires significant investment in terms of time and money. Healthcare providers may question whether the resources could be better spent directly on patient care.
9. **Lack of Involvement**: If physicians and nurses are not involved in the selection and implementation process, they may feel that the system does not meet their needs or the needs of their patients, leading to resistance.
10. **Cultural Barriers**: Healthcare institutions have their own cultures, and introducing a new system can clash with the established norms and values of the staff, leading to resistance.
To overcome this resistance, it is crucial to involve healthcare professionals early in the process, address their concerns, provide adequate training and support, and demonstrate how the new system will benefit both them and their patients. Effective communication, leadership endorsement, and the inclusion of feedback mechanisms can also facilitate a smoother transition to patient-centric management systems.
Which part of EHR most immediately affects a hospital's internal pharmacy?
(31) PIS is an optional part of EHR that is used by an internal pharmacy.
(34) If your local hospital still uses paper records, what might be the reason?
(36) With patient portals in full operation, clerks can be freed up for more critical tasks than scheduling.
(39) Patient portals are key in _________ patients about their conditions and care.
(35) The growth of HMIS in the 1960s and 1970s saw collaboration across the Atlantic Ocean.
(27) PP lets patients play a more active role in their therapies, if they choose to do so.
(30) Medical errors, including those leading to patient deaths, have dropped as EHR have been implemented.
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