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1.

Role of Electronic Health Record (HER) in supporting evidence based practice in clinical decision
making

Evidence – based practice is the use of the best available evidence together with the clinicians
expertise and patients values and prepeveuas in making healthcare decisions. Thru HER, it provides a
reliable and comprehensive patient health information in real-time and provides are given a truly
complete of a patients medical history as well as analyze disease conditions and review important tread
companions over time thereby helping the clinician to arrive at an excellent dicision making

Clinical decision support tools can alert you to potential errors, remind you to provide
prevontine care, help you make diagnosis and assist you with the treatment plans. So with this decision
support tool in coordination with the EHR’s reliable and comprehensive patient health information will
enchance the quality and sofety of patients healthcare.

2. Ethical and legal considerations of HER implementation in your own organization


Strategies and policies that you can use during implementation to ensure the responsible and
ethical use of HER systems
In our hospital (District Hospital) we are not yet using the electronic Health records.
Paper reads are still used.
An HER is a record of patient’s medical details
In digital format. Although, our institution is yet to adopt the EHR fully, we still follow the ethical
and legal considerations of health records. W/c are as follows
1. Privacy and conpredentality
- Patients information are released only with patients consent or required by law
2. Security breaches
- This is a track to patient privacy so record should be kept in a safe place
3. System implementation
- Requires adequate funds and involvement of many individuals w/c is the reason
why EHR is not yet implemented in our hospital
4. Data inconvience
- This is due to faulty entry into the records ( Human error )

In order to ensure the responsible and ethical use of EHR Systems, we should make sure to eavcate staff
members, only authorized personel’s should have access to EHR’s, security measures and as firewalls,
antivirus software and intrusion detection software must be included to protect data security and put up
a team to check the accuracy of transparency data in to the computer.

3. Concept of EHR and their role in transferring healthcare delivery


Advantage/ Challenges with the adaptation and implementation of EHR systems in your own
organization
Discuss their impact on patient-care and outcomes

EHR is an electronic version of patients medical history, that is maintained by a provider


over time and may include all of the key administrative clinical data relevant to the including
demographics, progress notes, problems and medications. It’s concept is to help providers be
her manage patients and provide healthcare by providing up to date and complete information
about the patient at the point of care. Enabling quick access to patients records for more
coordinated & efficient care

- Advantages of EHR
a. Convenient management of patient needs
b. Accessible cloud-based system
c. Efficient generation of report and billing processes
d. Compliant to data privacy and security
e. Equipped with regular automated back-up
- Challenges of EHR
a. Costly
b. Require staff training
c. Security risk from cyber attacks

With the readily available, reliable and comprehensive patient health information in real-time
and with the clinical decision support tools as its core component which alerts clinicians of
potential errors, helps in making diagnosis and assists in treatment plans, it provided a positive
impact on patients care with excellent outcomes.

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