As the old saying goes, “practice makes perfect, and in no place is that phrase more important than a profession in which it's your job to save people's lives.
So when it comes to training the next generation of nurses, an increasing number of nursing schools are looking at how an educational EHR improves can patient outcomes.
When nurses and other health care providers have access tocomplete and accurate information, patients receive better medical care and overall outcomes improve.Electronic health records(EHRs) can improve the ability to diagnose diseases and reduce-even prevent-medical errors. Accurate records can literally mean the difference between life or death in some cases.
Electronic Health Records And Patient Safety
With EHRs, nurses can enter, retrieve, and update individual patient records. Plus, the organizations that utilize these EHRs receive helpful tools, such as reminders and alarms, to help automate processes for improved clinical accuracy and outcomes. Electronic documentation with these systems can help decrease documentation deficiencies and errors, as well, since an EHR system's prompts remind a nurse to chart certain important aspects of the patient's case.
Dr. Christopher Tashjian, a family medicine practitioner in Ellsworth, Wis., was visiting Estonia in 2011 when he got a call from a patient who needed a refill on blood pressure medications. Dr. Tashjian was able to access his patient's records using a mobile connection to his EHR, and called in a refill for the patient. He specifically sites the EHR's summary abilities as being extremely useful in improving patient outcomes.
“All their important health information is captured in the summary. They can take a print out of the summary to another doctor, which is also a helpful safety measure, Dr. Tashjian explained. “In addition to helping providers offer quality health care, the summaries allow patients to better remember what happened at their most recent visit and review their health data.
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Plus, he added, “from a safety standpoint, one of the most obvious benefits is the computer physician order entry. There is no more confusion about the care instructions or the prescriptions I write because it is all done electronically.
Many negative - and, even, deadly - patient outcomes can often be prevented with proper documentation. Some of the most common medical documentation errors can also be the most disastrous. Plus, improper documentation can open up an employer to liability and malpractice lawsuits. For nurses, who are on the front lines of defense in the medical field, being adequately trained early on proper documentation with educational EHRs can help avoid such medical errors, save lives and help protect their employers.
Also, a combination of the above common nursing and medical documentation errors can also lead to medication errors. Academic EHRs benefit nursing students in preventing medical documentation errors before entering into real-world practice.
Harnessing The Power Of Electronic Health Records To Improve Health Care
The number of hospitals adopting EHR technology surged from fewer than 10% in 2008 to nearly 84% in 2015, according to federal data. But in order for EHRs to be efficient and effective in improving patient outcomes, practicing nurses need to be proficient in the technology. They need to know how to complete electronic care plans, collect data needed for patient education, and complete discharge planning. They also need to know how to effectively document in real-time rather than waiting until the end of the shift.
As hospitals aim to advance care planning and quality, providers need real-time tools and evidence-based resources that empower them to improve health outcomes.
Nursing education programs provide nursing students with the fundamental nursing knowledge they will need to make quick, clinical decisions on the job that will be incorporated in EHRs. But nursing students also need to be taught to utilize EHRs to complete complex clinical calculations, identify potential drug interactions, and quickly scan large amounts of information if the appropriate electronic reports are accessible. The more practice they get using educational EHRs in class, the more comfortable they will be with them in a real patient setting.
The Impact Of Electronic Health Records On Patient Safety
Up until a few years ago, academic institutions offering nursing degrees did not typically include EHR use in curricula and nurses reported they were not prepared to use EHRs. But that has all changed. Today, nursing program faculty are working to develop curricula that includes current information technology, such as adding simulated EHRs to the assignments for the assessments and care plans completed during clinical rotation. The practice is needed to fill existing gapsbetween the informatics knowledge new nurses have and the skills they need to have on the job.
Students have sharedthat the use of academic EHRs improved their charting performance, critical thinking skills, and preparedness for practice after graduation. Instructors benefit too, and say that using an academic EHR allowed them to provide immediate feedback to students and help students to further develop clinical reasoning skills as well as clinical skills.
Haywood Community College's School of Nursing in Clyde, NC, is just one college that has chosen Lippincott's DocuCare as their educational EHR of choice to prepare their nursing students for practice. Here's how the nursing program at Haywood deployed
Infographic: Electronic Health Records As A Gps For Healthcare
Said Michael Youngwood, Lead Instruction Clinical & Simulation Coordinator at Haywood Community College's School of Nursing. “I can run simulations that are true to real-world hospital settings. It enables our students to graduate with hands-on experience with electronic health records, have better skill sets, and are more likely to find jobs when they graduate.
The leader of integrated, digital learning solutions for nursing education — combining engaging content and deep analytics to help students prepare for practice
Is the best EHR training and education solution guaranteed to prepare students for the clinical demands of practice. This educational EHR enhances clinical learning by contextualizing realistic patient scenarios for nurses with hands-on documentation, all in an easy-to-use program. This educational also:
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Allows a streamlined way for students to focus their clinical skills and their charting skills, It was really a great experience and I recommend it to students. said Elizabeth Kozlak, a nursing student at Northwestern Connecticut Community College in Winchester, Ct.
Is very easy to program, added Lawrence R. Kobulinsky, CHSOS, Instructional Development Specialist at the University of Pittsburgh School of Pharmacy. “Whether it's creating a brand-new chart from scratch or modifying one that's pre-programmed, it does not take long for an inexperienced user to gain proficiency in programming charts.Electronic health records have transformed modern medicine, giving doctors and nurses better data to guide care, supporting enhanced patient safety through new automated tools, and creating more efficient processes by connecting different health systems.
However, the design, customization, and use of electronic health records (EHRs) by doctors, nurses, and other clinicians can also lead to inefficiencies or workflow challenges and can fail to prevent—or even contribute to—patient harm. For example, an unclear medication list could result in a clinician ordering the wrong drug for a patient. Laboratory tests that are displayed without the date and time of the results could lead to clinical decisions based on outdated information. And failures of systems to issue alerts about harmful medication interactions—situations that can stem from changes made by facilities, how clinicians enter data, or EHR design—could lead to medical errors.
Ehr Adoption May Not Reduce Patient Safety, But Does It Help?
These safety hazards can be associated with EHR usability, which refers to the design and use of the technology and how individuals interact with it. Usability challenges can frustrate clinicians because they make simple tasks take longer, lead to workarounds, or even contribute to patient safety concerns. These challenges can stem not only from the layout of EHRs, but also from how the technology is implemented and operated in health care facilities; how clinicians are trained to use it; and how the EHR is maintained, updated, and customized. Each stage of EHR development and use—the software life cycle from development through implementation and use in a health care environment—can affect the usability and safety of the technology.
While usability and patient safety are related, not every usability challenge will represent a risk to patients, and not every risk to patients stems from an EHR usability problem. In fact, some changes to EHRs might improve safety but result in less-efficient workflows—for example, if clinicians were prompted to enter “lbs.” or “kg.” every time they entered a patient’s weight. But when a system is challenging to use or patient information is difficult for a clinician to find, safety risks could occur.
As part of federal criteria that provide the certification standards for EHRs, technology developers must state that they engage end users and conduct usability testing during design and development. However, the certification requirements can fall short in two ways when it comes to assessing whether the use of products contributes to patient harm.
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First, current federal testing criteria do not address circumstances in which customized changes are made to an EHR as part of the implementation process or after the system goes live. Instead, current rules focus only on the design and development stage of the EHR. While federal regulations mandate the testing of certain safety-related features—such as medication-allergy checks—the requirements do not focus on whether those functions operate in a safe way.
The second key challenge is the absence of requirements and guidance on how to test clinician interaction with the EHR for safety
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