The Difficulty of Implementation of the Electronic Health Record and Ethical Dilemmas of Its Use – Research Paper Example

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This corroboration between the hospitals will enhance the medical research that is being carried out as they can share information and data over a secure network without any fear of losing the data or the falling of data in the wrong hands. Some of the big hospitals who have many centers located in different areas use this system to the highest effectiveness as they share medical reports, medicinal data and other information over secure network. The carrying cost of files and paper work from one place to the other is reduced and the data is shared without any hassle and that too in real time.

The sharing of the data is a lot easier through the Electronic medical recording system (WATKINS, HASKELL, LUNDBERG, BROKEL, WILSON AND HARDIKER, 2009). CRITICISM There are quite a lot of advantages of using the electronic medical record system but there are still some issues related to cost effectiveness and security that has made hospital managements vary of implementing the Electronic medical recording system. The concern over security is one of the most pressing issues in the case of Electronic medical recording.

The issue is a serious one as many practitioners as well as patients feel that the data is not safe as people have access to it in a much easier way as compared to the paper records (JHA, BURKE, DESROSCHES, JOSHI, KRALOVEC, CAMPBELL AND BUNTIN, 2011). The paper records are usually kept in a record room and only authorized personnel have an access to it. Despite the fact that the access is limited even then a written request is usually required to gain access. Though the advancement in the field of hospital management has been quite fast paced, the application of electronic medical record has not been fully implemented because of some of the constraints that exist (FRANCIS, 2010).

Though EMR would make retrieval quite easier as the smaller database at a smaller hospital branch can be connected with one large database at the main hospital, but then again the availability of same data over a number of networks will reduce the security of the data. The increased emphasis by the government to transfer the data into electronic form from paper form has made it very difficult for the hospital management as there were a lot of issues with the availability of old records.

Legal issues that arise from this transference is that sometimes the writing is not legible and while entering the data the person who is responsible for entering the data might make mistakes and the information entered may be complete wrong.

REFERENCES

CALMAN, N., HAUSER, D., LURIO, J., WU, W. Y., & PICHARDO, M. (2012). Strengthening public health and primary care collaboration through electronic health records. American Journal of Public Health, 102(11), e13-18. http://dx.doi.org/10.2105/AJPH.2012.301000

FRANCIS, L. P. (2010). The physician-patient relationship and a national health information network. Journal of Law, Medicine & Ethics, 38, 36-49. http://dx.doi.org/10.1111/j.1748-720X.2010.00464.x

HORBST, A. (2010, September). Electronic Health Records. A systematic review on quality requirements. Methods Inf Med, 320-36. http://dx.doi.org/10.3414/ME10-01-0038

JHA, A. K., BURKE, M. F., DESROSCHES, C., JOSHI, M. S., KRALOVEC, P. D., CAMPBELL, E. G., & BUNTIN, M. B. (2011, December). Progress Toward Meaningful Use: Hospitals’ Adoption of Electronic Health Records. The American Journal of Managed Care, 17: SP117-SP12, SP117-124. Retrieved from http://myedison.tesc.edu/webapps/portal/frameset.jsp?tab_id=_4_1

KELLEY, T. F., BRANDON, D. H., & DOCHERTY, S. L. (2011). Electronic nursing documentation as a strategy to improve quality of patient care. Journal of Nursing Scholarship, 43(2), 154-162. http://dx.doi.org/10.1111/j.1547-5069.2011.01397.x

KUTNEY-LEE, A., & KELLY, D. (2011). The Effect of Hospital Electronic Health Record Adoption on Nurse-Assessed Quality of Care and Patient Safety. Journal of Nursing Administration, 41(11), 466-72. http://dx.doi.org/10.1097/NNA.0b013e3182346e4b

NATIONAL RESEARCH COUNCIL (U.S.) (1995). The changing nature of telecommunications/information infrastructure. Washington, DC: National Academy Press.

WATKINS, T. J., HASKELL, R. E., LUNDBERG, C. B., BROKEL, J. M., WILSON, M. L., & HARDIKER, N. (2009, September 1). Terminology use in electronic health records: basic principles. Urologic Nursing, 29, 321-327. Retrieved from http://myedison.tesc.edu/webapps/portal/frameset.jsp?tab_id=_4_1

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