Gaffey Ann D
George Washington University, Washington, DC, USA.
J Healthc Risk Manag. 2009;29(2):16-20. doi: 10.1002/jhrm.20010.
Electronic health records (EHRs) are here to stay, and their use is expected to grow significantly in the future. It is incumbent on risk managers to ensure their use does not inhibit good provider-to-patient communication. Providing education and strategies on how to make the patient encounter meaningful while the provider uses an EHR may increase patient satisfaction and may contribute to a favorable professional liability loss experience. Risk managers also need to have an understanding of the capabilities of each specific EHR system in the facility, the implications of the ability to cut-and-paste information from one provider entry to another, and knowledge of how to control the risk that comes with both copying forward and delayed EHR documentation.
电子健康记录(EHRs)已成为常态,预计其使用在未来还会大幅增长。风险管理者有责任确保其使用不会妨碍医患之间良好的沟通。提供关于在医生使用电子健康记录时如何让患者就诊变得有意义的教育和策略,可能会提高患者满意度,并有助于获得有利的职业责任损失经验。风险管理者还需要了解机构中每个特定电子健康记录系统的功能、从一个医生记录条目复制粘贴信息的能力所带来的影响,以及如何控制向前复制和延迟电子健康记录文档所带来的风险。