Communication and documentation considerations for electronic health records.
Communication and documentation considerations for electronic health records.
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DOI：
10.1002/jhrm.20010
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发表时间：
2009-01-01
影响因子：
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通讯作者：
Gaffey, Ann D
中科院分区：
文献类型：
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作者：
Gaffey, Ann D
电子健康记录（EHR）将继续存在，其使用预计将在未来显着增长。风险管理人员有责任确保其使用不会妨碍提供者与患者的良好沟通。在提供者使用EHR时，提供关于如何使患者遇到有意义的教育和策略可以提高患者满意度，并可能有助于获得良好的专业责任损失体验。风险管理人员还需要了解设施中每个特定EHR系统的功能，将信息从一个提供商条目剪切和粘贴到另一个提供商条目的能力的含义，以及如何控制复制转发和延迟EHR文档带来的风险的知识。
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.