Essay

Essay Info 6060-The Electronic Patient Record Electronic Health Record, ISBN: 9781118479667

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Course
Info 6060-The Electronic Patient Record

Institution
Fanshawe College Of Applied Arts And Technology (Fanshawe )

Book
Electronic Health Record

The essay distinguishes between the similarities and differences in the content of paper and electronic health records. It also emphasizes the significance of not using abbreviations in the healthcare field.

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Uploaded on December 3, 2021
Number of pages 3
Written in 2021/2022
Type Essay
Professor(s) Unknown
Grade A

health informatics
emr
personal health information

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INFO-6060 – Electronic Health Records

Lab #1

Complete the questions below using available resources. Type your answers directly in this Word
document. Do not attempt to recreate the questions in another document as if this is done, your lab will
not be marked. Remember to cite ALL your sources correctly using a link at the bottom of the question
when you use an external reference. You need to use at least one reference THAT DOES NOT INCLUDE
the slides and e-book. Use default paragraph settings and format in a Word document. Any late
submissions will not be marked. Do not submit a PDF version of this lab as this version will not be
marked. Any attempt to plagiarize will have a mark of zero given to you and assigned an academic
penalty.

1. In a table, list three similarities and three differences between paper and electronic health
record content (5 marks)

Similarities Differences
Contains patient information Costly
-Both the paper and electronic health records provide vital -It will cost thousands or millions of dollars to install
information about the patient, including demographic digital or electronic health software, and it will take
information, current, and previous medical histories, and several months. As a result, health-care delivery could
allergies. Personal information such as name, age, gender, and be hampered. On the other hand, using paper health
sexual orientation is included in demographic data. Their current record is less costly since paper and printer is the
health history covers their current health condition, while their majority component of the paper health record system.
previous health history includes any treatments or surgeries they
have undergone.
Completeness of Documentation Accuracy
-both health record needs to have complete documentation to - Nurses or the healthcare team can struggle to read a
back up the diagnosis and treatment given in our client. A client, physician's penmanship on a paper health record, which
for example, has been diagnosed with asthma. In the SOAP notes can lead to medical inaccuracy or error. Furthermore,
whether using digital or electronic health records, the subjective, with a paper health record, there can be cases where
objective, assessment, and planning should be completed, and the physician does not have enough room to note his
lab tests should back up why they diagnosed her with asthma. observations or evaluation, resulting in data inaccuracy.
Physicians, on the other hand, can encode their
observations and assessments in an electronic health
record, and there is also unlimited space.

Proper Authentication Accessibility
- Healthcare professionals must document both on paper and -The electronic health record system is more accessible
electronic health records. A pen signature applies to the paper than the paper health record. Healthcare staff
health record while an e signature is required on all documents collaborates with another, because if one of the
to the electronic health record. interprofessional health team members needs a
medical record or details, it will only take one click to
share the information. This is also advantageous when
someone requires immediate medical attention. It saves
time and allows for immediate care. Meanwhile, finding
health records in a paper form will take time. Since the

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Essay Info 6060-The Electronic Patient Record Electronic Health Record, ISBN: 9781118479667

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