Ruchi Tomar Disadvantages of Electronic Thesis

  • Length: 12 pages
  • Subject: Healthcare
  • Type: Thesis
  • Paper: #93872950

Excerpt from Thesis :

None of the findings are not surprising to a lot of experts. Apart from large systems that are integrated, like Kaiser Permanente in California and the Veteran's Administration, a lot of doctor practices are adopting different EMRs. Also in so many different situations they do not talk to one another (Sittig & Singh 2012). So, a doctor's record is not necessarily able to get access notes from his regional hospital if different systems were utilized. A lot of doctors in that condition could just re-order a test, instead of going through all of the changes of finding the records from the hospital.

Actually many experts make the point that the true power of digital records come when using a sole, unified system that can be retrieved by altered health sites. With the exclusion of large combined health arrangements, there sometimes can be fragmented EMRs. Experts mention that perhaps with the alliance health reform encouraging, more doctors will be able to do some practice under a EMR that is united, which then would comprehend more savings regarding cost (Williams & Whittier, 2008). Nevertheless until that occurs, EMR evangelists who are making those promise that lower costs may find their expectations reduced radically short. It is obvious with that statement that the technology simply is not there yet.

Training employees to handle the system

Despite training, a lot of the people producing medical records are now nurses, and a lot of times doctors. Not being that familiar with technology, particularly when an EHR program is applied can knowingly diminish from patient time as the doctor or nurse starts to struggle with unacquainted equipment. A lot of patients document visits with doctors where the doctor has to distract emphasis to guessing how to enter things by the use of electronics and therefore has less time for the patient (Simons & Kohane, 2005). Medical care in offices that are already crowded could possibly delay when technology is not dependable. A computer that constantly keeps freezing could possibly take away minutes or more from patient care for that day (Sittig & Singh 2012). It is also very easy to miss out on certain recording pertinent information, or to type in information that is incorrect (Stengel & Ekkernkamp, 2004).

Alongside with reduction in patient/doctor time, a lot of individuals discover that the electronic medical records and their associated systems have depersonalized trips to the doctor or calls to a doctor's office that are needed (Simons & Kohane, 2005). Protocol of a system can necessitate, for example, any questions of a patient to be emailed to a doctor, even if a receptionist gets a hold of them and even if the doctor goes by that receptionist multiple times a day. This can cause wait time for callbacks to increase, or for doctor emails, particularly if emails are not checked on a regular basis.

Furthermore, there is not one electronic medical records system. There are a lot of them. Restructuring patient care will just be achieved when a sole system is utilized, ever since two or more systems do not work together. If the hospital utilizes a dissimilar EHR system than your main care physician, health records to the hospital may not necessarily be available, or the other way around from hospital to the physician. Electronic medical records could possibly reduce office paperwork, nevertheless they may not organize care among numerous pharmacies, and treating physicians plus allied health workers as they promise to do when dissimilar organizations are utilized by each group.

System Failure or error

Experts have made the point that fueled by the economic stimulus which was passed by Congress in 2008, the federal government has embarked on a contentious $40 billion program in order to persuade doctors during the course of the country to accept electronic health records (EHRs) by the year of 2014 (Simons & Kohane, 2005). The determination is to produce an interconnected system of electronic health records in order to improve safety and also reduce most of the medical costs (Sittig & Singh 2012).

Nonetheless the United Kingdom for the last 16 years has spent their time working on the same project but it turned out to be a failure. It failed so bad that the government now wants to drastically cut the entire program. Even though the United Kingdom, boarded on the biggest asset ($18 billion) in health information technology in the world (Sittig & Singh 2012). Yet despite all of the big expectations that the system would increase effectiveness and decrease medical errors, it did not happen nor did is save any money. Research shows that in some cases, they may even have led to patient harm.

Britain's government-run medical system is an example and obviously different from the United States system. Nevertheless, its electronic health record project does appear to bears an eerie similarity to the program President Obama is starting (Williams & Whittier, 2008). The following are the errors the British committed that we are now starting to do:

Too large and ambitious: In Great Britain, they tried to do way too much, too fast, trying to digitize health records for the whole population in a period of just four years (Williams & Whittier, 2008). It got behind schedule and never came into fruition. In spite of all the money dispensed into the system, the huge majority of hospitals in the UK at the moment are without combined electronic health records. For the reason that non-clinicians established the system, the electronic forms that they made had nothing to do with how doctors treat patients -- making it impracticable for numerous physicians (Simons & Kohane, 2005).

Too dependent on commercial, proprietary companies: instead of making one system and then beta-test it, the UK government became contingent on four companies to be able to construct the system, two of which were fired or quit for not making the deadlines. So these health records never had the chance to get developed in the south of England (Williams & Whittier, 2008). The software for the computer turned out to be a secret and exclusive. There was no answerability to the community, and the sellers did not give enough technical support to clinicians that were having trouble utilizing the records.

The errors of the resulting software and crashes that caused incorrect or missing clinical data and occasionally endangered patient safety, for instance by causing surgical interruptions and the annulment of hundreds of processes.

If a nation like Britain -- which it at the verge of a collapse when it comes to the system had so many problems with electronic health records, one can only imagine the issues that America is about to run into (Williams & Whittier, 2008).

Even America's adaption of electronic health records is really causing difficulties. In the years past, hospitals and doctors have been making reports to the FDA dozens of medical damages -- counting six deaths and avoidable heart attacks -- produced by difficulties connected to computerized health records for instance software errors and impenetrable computer screens. Some errors had also resulted in drug doses that were way too much (Heselmans & Ramaekers, 2012). FDA officials are the ones that called this the "tip of the iceberg." More than 78 medical administrations, counting the AMA, were the ones that called on the Secretary of Health and Human Services to postpone the service (Eckman, & Jenner, 2007). In reply, the management deferred some of the requisite health it purposes, but reserved the same 2014 deadline (Sittig & Singh 2012).

Less time spend with patient and more on technology

Commercial electronic medical records (EMRs) in cooperation hinder and help physician social communication -- face-to-face, real-time, or phone conversations -- with patients and other clinicians, as said by a new Center for Studying Health System Change (HSC) study which is founded on painstaking discussions with clinicians in 30 physicians performs (Cook, 1999). EMRs support real-time communication with patients among visits to the office, chiefly through instant admission to patient evidence, permitting clinicians to talk with patients instead of searching for material from paper records. For some of the clinicians, on the other hand, features of EMRs pose an interruption throughout visits. Furthermore, some specified that clinicians could possibly trust on EMRs for data that is gathering and transfer at the expenditure of real-time communication with clinicians and other patients (Simons & Kohane, 2005). Provided the time pressures that are already present in numerous physician practices, EMR and office-workflow alterations could aid in making sure that EMRs advance care without negotiating interpersonal announcement. Especially, strategies endorsing EMR adoption should deliberate including communication-skills training for medical trainees and clinicians that are using EMRs (Williams & Whittier).

Comfort of admission to material also enriched patient education for the duration of visits. For instance, clinicians could pull up data from the patient's record, for instance the issue list, care plan and medication list, or educational information that is from the Internet…

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