Hello, I need Tow peer response , My professor is very strict in grading so please be as specific as possible in answering the question.
This is My post: to help you with the peer responses:
In both clinical practice and medical services settings, experiencing Electronic Health Record (EHR) workarounds is entirely expected. These workarounds frequently emerge because of system design flaws, inadequate training, or inefficient workflows. The absolute most normal EHR workarounds I’ve noticed incorporate reordering data from past notes into new sections to save time, involving paper documentation in circumstances where EHR systems are seen as sluggish or awkward, utilizing easy routes in documentation to facilitate the cycle, and unapproved systems access, where staff individuals might share login accreditations or access patient records they are not approved to see. These workarounds may seem like handy solutions to address prompt difficulties, however, they can present critical dangers to patient security, information trustworthiness, and by and large medical care conveyance (Zhou et al., 2019).
One of the primary effects of EHR workarounds is on patient care. Workarounds like reordering or involving easy routes in documentation can prompt mistakes, obsolete data, and an absence of individualized patient consideration. Fragmented or mistaken documentation can compromise patient safety by possibly prompting blunders in determination and treatment. Besides, compromised information respectability subverts the dependability of EHR systems, obstructing their capability to help with educated direction and progression regarding care. This influences the nature of patient consideration as well as disintegrates trust in the medical services framework (Zhou et al., 2019).
To relieve the event of EHR workarounds and advance more secure and more proficient utilization of electronic well-being records, nurses and healthcare organizations can carry out a few techniques. Extensive preparation is fundamental to guarantee that all staff individuals are capable of involving EHR systems and seeing best practices for the documentation and information section. Laying out client criticism components permits clients to give input on EHR ease of use issues, working with persistent improvement and tending to work process difficulties. Normalized documentation practices ought to be created and authorized to advance consistency and precision in record-keeping.
Regular system updates and maintenance are crucial to staying EHR systems up-to-date with the most recent programming patches and improvements, tending to system weaknesses, and further developing execution. Moreover, work process advancement is fundamental to assess and smooth out clinical work processes, limiting the requirement for workarounds and improving productivity in EHR use. By carrying out these procedures, healthcare organizations associations can decrease the event of EHR workarounds, upgrade patient security, and shield the honesty of electronic health records, at last working on the nature of care conveyed to patients (Rathert, Watchman, Mittler, and Fleig-Palmer, 2019).
References
Rathert, C., Porter, T. H., Mittler, J. N., & Fleig-Palmer, M. M. (2019). Seven years after meaningful use: Physicians’ and nurses’ experiences with electronic health records. Health Care Management Review, 44(4), 293-303.
Zhou, L., Blackley, S. V., Kowalski, L., & Do, N. Q. (2019). A systematic review of the impact of electronic health records on nurse time management. Journal of the American Medical Informatics Association, 26(7), 688-696.
1st peer post
Personally the biggest EHR workaround I’ve encountered is RN’s overriding medication in the Omnicell, even if it’s not for an emergency situation. EHR and the Omnicell are directly linked to each other, meaning the medications listed on the “MAR” tab that are not provided by pharmacy are located in the Omnicell. The way this device is set up RN’s either provide a finger print or type in their password, then the RN will be provided the list of patients names and room numbers that are currently on the unit, once they select the correct person a list of their medications will show to pick from. If there is an order that has not been changed in the EHR then it will not be changed in the Omnicell, forcing the RN to override the safety feature to obtain a different dosage. This could negatively impact patient care due to disregarding safety features as well as delivering a medication that was changed to the patients having a face to face conversation with the physician rather than a written order. To reduce the occurrence of this happening, when the RN proposes an issue and the provider requests the RN to increase the dosage, the provider or resident should then place the order in the clients record. This will update the pharmacist of the change, as well as the Omnicell, further reducing overrides which in return will promote safety and efficiency not only for the EHR but especially for the patient. By involving the pharmacist and the provider it would increase the compliance rate of preventing Omnicell overrides (Rhodes et al., 2021).
Rhodes, J. A. M., Bondi, D. S., Celmins, L., Hope, C., & Knoebel, R. W. (2021). Quality improvement and reconciliation process for automated dispensing cabinet medication overrides. American Journal of Health-System Pharmacy, 79(4). https://doi.org/10.1093/ajhp/zxab406Links to an external site.
2nd peer post:
An Electronic Health Records (EHR) workaround is considered to be a faster way of doing something without doing it correctly. Some common workarounds in the healthcare system include giving medications without scanning them first, scanning the medication after administration, or scanning a wristband that is not attached to the patient (Sewell, 2019). The most common EHR workarounds that I have encountered or observed in my clinical experiences are coping somebody else’s charting, charting about your patient before doing your assessment. and not asking the patient their name or date of birth to administer medication. Although EHR workarounds may seem like a good way to do something quickly they ultimately greatly impact the patient, the user, and the healthcare organization. Data integrity could also be compromised due to a workaround, some that may be intentional and others unintentional due to technology or system flaws. To avoid EHR workarounds, nurses and physicians should always follow medication administration rules, make sure to assess their patients before charting or assuming that they are okay based on the last charted assessment, verifying current medication lists, administer medications without checking medication drug interactions or new medication orders, and not verifying any special orders for certain medications.
Sewell, J. ([Insert Year of Publication]). Lippincott CoursePoint Enhanced for Sewell’s Informatics and Nursing (6th ed.). Wolters Kluwer Health. https://bookshelf.vitalsource.com/books/9781975131777Links to an external site.
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Excellent 2 points |
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Peer Response Posting |
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Demonstrates an understanding of topic, elaborates with minimal integration of assigned material, and content is mostly opinions and/or personal experiences; includes additional supporting articles that are outdated and/or not scholarly |
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