NURS 1000H Lecture Notes - Lecture 8: Electronic Health Record
Document Summary
Organized: health data needs to be organized in patients record to be useful and to provide access needed sections of the record, dnr form needs to easily be located by all members of a patient. Stored and retrieved: to allow for retrieval when an individual return to health care system for follow up for a new problem, retrieval of information: foundation of optimal clinical decision making. Shared: data needs to be shared with other members of the collaborative health care team as a basis for care. Involves sharing amount nurses shit to shift sharing with allied health care professionals: sharing with insurance companies for payment processing. Informatics in nursing practice: characteristics of ehrs that support nursing practice, effect of expanded access to ehrs under the meaningful use criteria. Exemplars: computerized nursing documentation, bar code medication administration, computerized acuity systems, clinical decision support systems, electronic health record.