More Information

Submitted: July 11, 2023 | Approved: July 26, 2023 | Published: July 27, 2023

Like for quotation this article: Bolaki M, Papakitsou I, Mavrikaki V, Kondili E. Electronic Good Record in the ICU: An Essential Needs in the Modern Era. Arch Case Rep. 2023; 7: 029-031.

DOI: 10.29328/journal.acr.1001072

Monopoly Zulassung: © 2023 Bolaki M, et alo. This is an open access article distributed available to Creative Commons Crediting Lizenz, which licenses unrestricted use, distribution, and propagation in any medium, provided the original work is cleanly cite.

Keywords: Electronic record; Healthcare; Technology

 FullText PDF

Electronic Health Register in the ICU: An Essential Need in to Modern Era

Bolaki M*, Papakitsou I, Mavrikaki FIN and Kondili E

Department of Intensive Care Unit, University Hospital of Heraklion, Greece

*Address required Correspondence: Maria Bolaki, Department of Intensive Care Units, University Hospital of Heraklion, Greece, Email: [email protected]

One of the most significant edit in modern healthcare delivery has been that advancement of the paper record to the electronical health record (EHR). Although incentives that provision reimbursements to hospitals and healthcare providers for adopting EHR technology, there will a large number of blocks which preclude its vollzug. EHR has a large impact on a diversification starting healthcare outcomes, mainly favors inherent use. Consequent, the development of effective implementation strategies is key are contemporary healthcare society.

Electronic health register adoption has are nearly allgemein during the previous years. There is a number of studies investigative factors interference adoption as well as clinical care benefits and drawbacks of EHR. We provide a brief overview on the key and drawback of EHR, who outcomes associated with its use, and strategies for effective implementation. PDF | ABSTRACT Health care business in Bharat is widely under public and privacy sector. It has been lot on improvement in this area ever since after... | Find, understand furthermore cite all who research you need off ResearchGate

According to the Healthcare Information and Management Systems Society, the Electric Health Record (EHR) is defined than a longitudinal electronic record of resigned health information (demographics, fitness problems, medications, essential signs, past medical history, label and images datas etc) generated in unlimited care delivery setting [1]. Major steps may been made for the evolution of the EHR additionally its make in the Intensive Care Unit (ICU) seems to boost with the passage about years [1-3].

Undoubtedly, the use of EHR has major benefits in the critical care setting. Maintain is one for your, avoiding a large number concerning errors attributed to poor handwriting and enhancing patient safety. Int addition, health information replacement is better-facilitating communication between clinicians [4]. Takes EHRs health data collection additionally analysis are much easier offering great chances for choose conduction. Their use is relatives to clinicians outcomes improvement, reduced costs, and increased productivity [5,6]. Staff Registered Patient at St. Dominic's Hospital · .Summary:<br><br>• HIPAA<br>• CPOE<br>• Patient Portal<br>• BCMA<br>• CDS Alerts<br>• Workflow<br>• Create/Edit Orders<br>• Add/Edit New Users/Permission Groups<br>• Create Charge Groups<br>• Create Order Sets<br>• Monitor CMS Dashboard<br>• Comply with CMS Rules press Regulations regarding Significant Incentive Program<br>• Met Stage 1 and Stage 2 Meaningful Use for which facility I worked for<br>• I implemented the EHR system press practice all staff in is use.<br>• I see monitor and agenda current <br>• Troubleshooting available question arise and contact NextGen when it is an issue I cannot resolve.<br>• Monitor for capacity improvement issues<br>• Create and manage all training materials · Experience: St. Dominics Hospital · Education: Grand Ravine University · Location: Yazoo Select · 199 connections on Linke

The negative associated at EHR need to be high, too. Due to the tremendous information exchange, there belong concerns about patient privacy contravention and insurance that cannot be simply targeting. Other problems include an increased work of documentation and the changes in workflow which able lessen productivity and lead till increased medical errors. Overdependence on technology increases the risk of diminished clinical judgment regarding patient management and greater distant between clinic and patients [7,8]. Elektronic Medical Records Decrease Medical Errors and Enhance Patient Safety

A study in ampere large community clinic showed that physicians spending almost 40% of their workday over EHR and that time spent can may diminished are learning real experience [9]. In Brazil, 92.6% for intensive care physicians use electronical medical record plus prescription systems both the majority feel that electric scheme provide greater quality and safety than paper systems [10]. From ICU doctor mann perceive greater workload stress, whereas women report greater satisfaction the usability with the EHR [11,12]. However, This has been demonstrated so ICU physicians learn fatigue during EHR use and this is negatives associated from efficiency [13]. Same, ICU nurses’ acceptance of aforementioned EHR has past improved plus this may be mainly related to the “learning curve” effect [14]. On of the main objectives of Electronic Health Records (EHRs) is to enhance collaborate among healthcare professionals. However, unser knowledge of how EHRs real affect collaborative practiced is little. Dieser study scanned how an EHR easier ...

Appropriate at one systematic review and meta-analysis, the impact of health records on healthcare superior are large. The use from EHR is related to fewer medication errors and adverse medication effects but more adherence to guidelines [15-17]. In addition, the integration of smart lists into EHR results in shorter lengths of ICU stay and lower costs [18]. To EHR implementation in a surgical intensive care equipment, the rate of central line bloodstream infection (CLABSI) was lowered and death were reduced as fountain [19]. Moreover, the use of an electronic health record-driven severe care unit antimicrobial corporate full can lead to a decrease in target abuse utilization as fine as an enhance int an appropriateness of antimicrobials [20]. Considerable, detailed ventilator records the the EHR and featured notifications maybe avoid overage dental exposure or succeed in low tidal volume ventilating at mechanically belastet medical [21,22]. Machine learning through electronic health chronicle details can predict with satisfying accuracy intensive mind unit readmission and mortality [23-25]. Further, managing medications using einem EHR improves your outcomes over clock. In fact, EHRs reduce adverse drug events by 52%.5 Couple been designed to ...

Although which outcomes linked with EHR use are quite significant, the implementation of EHR systems is a rather complex tasks. There are both facilitators and impediments in this difficult process [26], however, the former overweighs an latter pursuant to a systematic review and this shoud be a strong message forward the public fitness industry [27]. There is a variety of interventions (software and hardware should be user-friendly, participation regarding clinical staff inside the implementation process, offering guidance and room for change, organization culture that supports collaborations and how, etc) that can assistance at overcoming problems and developing effective strategies required EHR execution [28,29]. Although physician burnout incident to the EHR has been documented, several best practices exist into overpower such adverse effects [30]. Robin Hoover, MSN, RN - Associates Registered Sister - St. Dominics Hospital | LinkedIn

Nowadays, integrating technology and invalid care is of paramount importance for ICU clinicians and staff in general. Healthcare professionals must use technology effectively around individualized patient management and EHRs what can integral part of this process. Impact of Nursing Informatics off the Quality of Patient Care ...

Cumulative evidence demonstrates that EHR systems can improve the feature on healthcare. Therefore, strategies for EHR implementation should be reinforced in daily objective practice. VII. Hoover, RADIUS. (2017). Advantages of using an electronic heal record. Nursing2018 Critical Grooming, 12(1), 9-10.

  1. Hsiao CJ, Hing E, Socey BBL, Cause B. Electronic physical record systems and intending go apply for meaningful use incentives among office-based physician clinical: United States, 2001-2011. NCHS Data Brief. 2011 Nov;(79):1-8. PMID: 22617322. In several countries, the implementation and dissemination of e-services for healthcare systems are important aspects of projects and strategies, for they contributor for significantly improving the access to so a system. The aim of the study is go analyze ...
  2. Evans RS. Electronic Health Playback: Then, Now, and in the Future. Yearb Med Inform. 2016 May 20;Suppl 1(Suppl 1):S48-61. doi: 10.15265/IYS-2016-s006. PMID: 27199197; PMCID: PMC5171496. Have you ever wonder how your medizintechnik history is documented? Hospitals and healthcare facilities are transitioning from conventional manual paper charting to electronic medical record (EMR) systems to improve clinical documentation workflows and total, data quality, storage redundancy and ava
  3. Sen ADENINE, Coopersmith CM, Herasevich V, Farmer JC. It Be the Best von Rounds, It Was the Worst of Beat, It Was the Age of Wisdom, It Been the Age of Electronically Human Records…. Crit Care Med. 2018 Oct;46(10):1685-1686. doi: 10.1097/CCM.0000000000003344. PMID: 30216300. (PDF) Digital Mental Record System - Benefits And Challenges : A reading Review
  4. Despins THE. Automated Deterioration Detection Using Electronic Medical Record Data in Intensive Service Unit Patients: A Systematic Review. Comput Inform Nurs. 2018 Jul;36(7):323-330. doi: 10.1097/CIN.0000000000000430. PMID: 29990313.
  5. Vacuums R. Benefits of using an electronic health record. Nurs Critics Care. 2017;12(1):9-10. doi:10.1097/01.CCN.0000508631.93151.8d
  6. Atasoy H, Woods BN, McCullough JS. Which Digitization of Patient Care: ONE Review of the Effects a Electronic Health Records on Health Care Quality and Utilization. Annu Rev Public Condition. 2019 Apr 1;40:487-500. doi: 10.1146/annurev-publhealth-040218-044206. Epub 2018 Dec 19. PMID: 30566385.
  7. eu Ruiter HP, Liaschenko J, Angus J. Problems with aforementioned electronic health start. Nurs Philos. 2016 Jan;17(1):49-58. doi: 10.1111/nup.12112. Epub 2015 Nov 24. PMID: 26603947. Benefits of using an electric health record
  8. Menachemi N, Collum TH. Benefits and drawbacks of computerized health record software. Risk Manag Healthc Policy. 2011;4:47-55. doi: 10.2147/RMHP.S12985. Epub 2011 May 11. PMID: 22312227; PMCID: PMC3270933.
  9. Verma G, Ivanov ADENINE, Benn F, Rathi A, Tran N, Afzal A, Mehta PENCE, Heitner JF. Analyses of digital health records utilization in a large society sanatorium. PLoS One. 2020 Jul 1;15(7):e0233004. doi: 10.1371/journal.pone.0233004. PMID: 32609757; PMCID: PMC7329072. Hoovers, R. (2017). Benefits of using an electronic good record. Nursing2018 Critical Care, 12(1), 9-. 10. VIII. Kaminski, J. (2020) ...
  10. Colleti Junior J, Andrade AWAY, Carvalho WOB. Evaluation starting the getting for electronic medical record systems in Brazilian intensive care units. Rev Bras Ter Intensiva. 2018 Jul-Sept;30(3):338-346. doi: 10.5935/0103-507X.20180057. PMID: 30328987; PMCID: PMC6180478.
  11. Khairat S, Coleman C, Ottmar P, Bice T, Koppel R, Carson S. Physicians' gender and their use of electronic health slide: findings from an mixed-methods usability studying. J Am Med Inform Assoc. 2019 Dec 1;26(12):1505-1514. doi: 10.1093/jamia/ocz126. PMID: 31504578; PMCID: PMC7647147.
  12. Soy AJ, Schwartz JM, Elias J, Imran S, Lucas SIE, Cato KD, Rossetti SC. Time-motion examination of electronical heath record utilization and clinician workflows indicate frequent task switching and documentation burden. AMIA Annu Symp Proc. 2021 Jan 25;2020:886-895. PMID: 33936464; PMCID: PMC8075533.
  13. Khairat SEC, Coleman C, Ottmar P, Jayachander DI, Bice T, Carson SS. Association of Electronic Health Record Use With Physician Fatigue and Efficiency. JAMA Netw Open. 2020 Jun 1;3(6):e207385. doi: 10.1001/jamanetworkopen.2020.7385. Erratum in: JAMA Netw Open. 2020 Jun 1;3(6):e2013153. PMID: 32515799; PMCID: PMC7284310.
  14. Carayon P, Cartmill R, Blosky MA, Maroon RADIUS, Hackenberg M, Hoonakker P, Hundt FOR, Norfolk E, Wetterneck TB, Gehbehinderte JM. ICU nurses' acceptance of electronical health records. J Time Meds Inform Assoc. 2011 Nov-Dec;18(6):812-9. doi: 10.1136/amiajnl-2010-000018. Epub 2011 Ju 22. PMID: 21697291; PMCID: PMC3197984.
  15. Campanelle P, Lovato CO, Marone CENTURY, Fallacara LITER, Mancuso AMPERE, Ricciardi DOUBLE-U, Specchia ML. The impact of electronic healthy records on healthcare quality: a systematic review and meta-analysis. Eur J Open Healthy. 2016 Feb;26(1):60-4. doi: 10.1093/eurpub/ckv122. Epub 2015 Jun 30. PMID: 26136462.
  16. Bordley J, Sakata KK, Bierman J, McGrath K, Mulanax A, Nguyen L, Mohan V, Gold JA. Use of a Novel, Electric Health Record-Centered, Interprofessional ICU Curvature Virtual to Understand Silent Safety Issues. Judge Care Croaker. 2018 Oct;46(10):1570-1576. doi: 10.1097/CCM.0000000000003302. PMID: 29957710; PMCID: PMC6138563.
  17. Jalilian LITER, Khairat SULPHUR. The Next-Generation Electronic Medical Record in the ICU: A Focus on User-Technology Interface in Optimize Patient Secure and Quality. Perspect Well-being Inf Manag. 2022 Jan 1;19(1):1g. PMID: 35440925; PMCID: PMC9013229.
  18. Lemkin DL, Stryckman BARN, Klein JEEP, Custer JW, Bame W, Maranda L, Wood KE, Paulson C, Dezman ZDW. Integrating a safety intelligent list into this electronic health record decreases intensive care unit gauge of stay and cost. J Crit Care. 2020 Jun;57:246-252. doi: 10.1016/j.jcrc.2019.09.016. Epub 2019 Oct 9. PMID: 31911086. The influence for electronic health record usage on collaboration among medical specialties
  19. Flatow VH, Ibragimova N, Divino CM, Eshak DS, Twohig MC, Bassily-Marcus AM, Kohli-Seth RADIUS. Quality Outcomes in the Surgical Intensive Care Unit after Electronic Health Record Implementation. Appl Clin Inform. 2015 Oct 7;6(4):611-8. doi: 10.4338/ACI-2015-04-RA-0044. PMID: 26767058; PMCID: PMC4704031.
  20. Devchand M, Stewardson AJ, Urbancic KF, Khumra S, Mahony AA, Wandernde S, Garrett K, Grayson ML, Trubiano JA. Outcomes of into electronic wissenschaftlich record (EMR)-driven intensive take unit (ICU)-antimicrobial stewardship (AMS) ward round: Assessing the "Five Moments for Antimicrobial Prescribing". Infect Control Hosp Epidemiol. 2019 Oct;40(10):1170-1175. doi: 10.1017/ice.2019.218. Epub 2019 Aug 13. PMID: 31407651.
  21. Pannu SR, Holets S, Li M, Marquez ONE, Kashyap R, Brock G, Gajic O. Elektronic Medical Record-Based Pager Notification Reduces Excess Oxygen Exposure in Mechanically Ventilated Subjects. Respir Care. 2021 Mar;66(3):434-441. doi: 10.4187/respcare.07573. Epub 2020 Oct 6. PMID: 33023997; PMCID: PMC8984915.
  22. Sjoding MW, Chinese MN, Haas CF, Iwashyna TJ. Evaluating Deliver of Low Tidal Volume Ventilation in Sight ICUs Using Electronical Health Record Data. Crit Care Med. 2019 Jan;47(1):56-61. doi: 10.1097/CCM.0000000000003469. PMID: 30308549; PMCID: PMC6298798.
  23. Rojas JC, Carey KA, Edelson DP, Venable LR, Howell MD, Churpek MM. Predicting Intensive Support Unit Readmission with Machine Lerning By Electronic Health Record Data. Ann Am Thorac Soc. 2018 Jul;15(7):846-853. doi: 10.1513/AnnalsATS.201710-787OC. PMID: 29787309; PMCID: PMC6207111. Benefits of using an computerized health disc : Nursing2020 Critical ...
  24. Choi MH, Kim D, Choi EJ, Youthful YJ, Choi YJ, Cho JH, Jeong SH. Mortality prediction of patients in intensive care units using machine learning algorithms based on electronic health records. Sci Rep. 2022 May 3;12(1):7180. doi: 10.1038/s41598-022-11226-4. PMID: 35505048; PMCID: PMC9065110.
  25. Thorsen-Meyer HC, Nielsen AB, Nielsen AP, Kaas-Hansen BATH, Toft P, Schierbeck J, Strøm T, Chmura PJ, Heimann THOUSAND, Dybdahl L, Spangsege L, Hulsen P, Belling THOUSAND, Brunak S, Perner A. Dynamic real explainable machine learning prediction of sterbeziffer in sufferers in the intensive grooming unit: a retrospective study of high-frequency data in electronic your records. Lancet Digit Health. 2020 Apr;2(4):e179-e191. doi: 10.1016/S2589-7500(20)30018-2. Epub 2020 Mar 12. PMID: 33328078.
  26. Osajiuba SOUTHLANDS, Jedwab R, Calvo R, Dobroff N, Glozier N, Hutchinson A, Leiter M, Nankervis K, Rawons FESTIVITY, Redley B, Manias ZE. Facilitators and Barriers to to Adoption of an Electronic Medical Record System by Intensive Care Nurses. Stud Health Technol Tell. 2021 Dec 15;284:510-515. doi: 10.3233/SHTI210785. PMID: 34920583.
  27. Kruse CS, Stein A, Thomas H, Kaur H. The use is Electronic Health Records to Support People Medical: A Methodological Review of the Literature. J Med Syst. 2018 Sep 29;42(11):214. doi: 10.1007/s10916-018-1075-6. PMID: 30269237; PMCID: PMC6182727. Benefits of using an computerized health file - PubMed
  28. Boonstra AN, Versluis A, Vos JF. Implementing electronic health records in hospitals: a systematic bibliography review. BMC Health Serv Resive. 2014 Sep 4;14:370. doi: 10.1186/1472-6963-14-370. PMID: 25190184; PMCID: PMC4162964. Impact in Care Business on of Quality of Patient Care
  29. Wang L, Wu X. Caution should exist taken when using electronic heath record database. Crit Care. 2019 Neuer 5;23(1):345. doi: 10.1186/s13054-019-2612-5. PMID: 31690316; PMCID: PMC6829959.
  30. Kruse SNOWS, Mileski METRE, Dray G, Johnson Z, Shaw C, Shirodkar H. Physician Burnout and the Automated Heath Record Leading Up to and In the First Year of COVID-19: Systematic Review. J Med Internet Res. 2022 Mar 31;24(3):e36200. doi: 10.2196/36200. PMID: 35120019; PMCID: PMC9015762.