Aguirre Roboam R, Suarez Orlando, Fuentes Mailenys, Sanchez-Gonzalez Marcos A
Clinical and Translational Research, Larkin Community Hospital, Miami, USA.
Miscellaneous, Larkin Community Hospital, Miami, USA.
Cureus. 2019 Sep 13;11(9):e5649. doi: 10.7759/cureus.5649.
Implementing an electronic health record (EHR) can be a difficult task to take on and planning the process is of utmost importance to minimize errors. Evaluating the selection criteria and implementation plan of an EHR system, intending interoperability, confidentiality, availability, and integrity of the patient health information data, while ensuring timely, accurate, and regulatory compliant generation of reports is a critical task. This article discusses the selection and implementation plan that will primarily consist of assessing existing institutional workflows for each department, and it outlines the necessities and inclinations of the institution to include in the EHR system for the organization to function properly. Resources and tools are included to assist in the selection of the product as well as ideas on how to train staff and evaluate staff readiness. Regulatory requirements are also included for consideration during the initial process. EHR increases the logistic productivity of workflows and offers a safer way to care for patients. To ensure efficiency, there is a series of steps the provider's staff must follow to ensure proper implementation and handling of the EHR system. Before using the implemented EHR, it is recommended to have a testing protocol in place to ensure areas of possible staff confusion are identified and controlled. Using a proper implementation strategy for a new EHR system can facilitate success, minimize delays, and increase health care worker's satisfaction and decrease the chances of usability being compromised.
实施电子健康记录（EHR）可能是一项艰巨的任务，规划该过程对于最大限度地减少错误至关重要。评估EHR系统的选择标准和实施计划，考虑患者健康信息数据的互操作性、保密性、可用性和完整性，同时确保及时、准确且符合法规要求地生成报告是一项关键任务。本文讨论了选择和实施计划，该计划主要包括评估每个部门现有的机构工作流程，并概述了机构为使组织正常运作而纳入EHR系统的必要性和倾向。文中还包括了协助选择产品的资源和工具，以及关于如何培训员工和评估员工准备情况的想法。在初始过程中也纳入了法规要求以供考虑。EHR提高了工作流程的后勤效率，并提供了一种更安全的患者护理方式。为确保效率，提供者的工作人员必须遵循一系列步骤，以确保EHR系统的正确实施和处理。在使用已实施的EHR之前，建议制定测试协议，以确保识别并控制可能导致员工困惑的领域。为新的EHR系统采用适当的实施策略可以促进成功，最大限度地减少延迟，提高医护人员的满意度，并降低可用性受损的可能性。
