ELECTRONIC HEALTH RECORDS

Electronic Health Records

Electronic Health Records - Nursing Documentation and Patient Care

Introduction

The need to record information concerning a patient is considered an old and important problem in Medicine. Progress in this direction depends on the possibility of having the adequate technical support. (Eike, 2003)

It seems understandable that the development of information technology has occurred in recent times jump qualitative and quantitative process collection storage and retrieval patient data. However, the scope of informatics is problem is scarce and limited. Despite development and the various developments technological changes that have occurred in the medical field, it still used for the collection of information the old patient record system paper (files), when or paradoxical. (Eike, 2003)

Paradoxically the computer has reached very advanced stages of development in almost all spheres of life including expanded use in medicine itself. Because of the need to solve this and similar problems and overlap the medical and information technology, arises medical informatics (mi) as a science, defined as: the set of issues theory and practice of process information on the basis of knowledge and experiences from the process in medicine and healthcare, taking as critical tasks supporting clinical medical research and health public (Douglas, 2008).

Impact on Nursing Documentation and Patient Care

It is widely recognized that computerization of health information offers the opportunity to improve care health and reduce their costs, while constitute a valuable aid for teaching care, both pre and postgraduates. A computer used as a solid foundation source of data on which are based sound health policies, it is essential to improve the quality of care health, reduce costs and ensure access to this care. It is recognized that so that the systems market Guidance for health is described as the next fastest growing in software industry. (Douglas, 2008)

Electronic health records (EHRs) have been assigned ...