Reference no: EM133768510
1- Some of the most common EHR workarounds I've observed in my clinical experiences include the charting of medications before they are given, charting inaccurate or false data, charting later in the day and rely on memory, ignoring system popups, using paper for their notes and copy and pasting past data entered into a new entry. These EHR workarounds pose a threat to the quality of care a patient receives and jeopardizes their safety because important information or change in patient status can be overlooked. Data integrity is jeopardized because the staff can chart inaccurately trying to rely on their memory, chart false information, or lose their paper notes with patient information
"Organizational resolutions can relate to (1) adapting authorizations, (2) changing the task distribution between physicians, nurses, and administrators, (3) reducing the required data registration, or 4) shifting registration tasks to specific employees, such as scribes" (Boonstra et al., 2021). Continuing educating healthcare workers about the short term benefits but the long term consequences is crucial to try and reduce the occurrence of EHR workarounds and promote more efficient and safe use of EHRs. We can also support the facilities or organizations with training courses on how to become users of the EHR system so they won't have to workaround and bypass certain steps.
2-I have noticed some prevalent workarounds in utilizing electronic health records (EHR) throughout my clinical encounters and professional contexts. A commonly observed example is the practice of utilizing paper-based documentation alongside the electronic system when the latter is perceived as burdensome or time-consuming. Another often employed solution is utilizing shared or generic user logins to promptly access patient records, avoiding individual authentication (Boonstra et al., 2021).
Alternative solutions may prove to be critical aspects in ensuring the long-term viability of health care and data accuracy. In such circumstances, for example, when you rely on paper reports or even electronic health records (EHRs), poor documentation leads to inconsistencies and endangers patient safety. Furthermore, the use of shared passwords compromises the concept of accountability and data security. Sharing data without the permission of the original owner of the information, in other words, leads to the proliferation of false information. The way for nurses and healthcare organizations to overcome these challenges is to prioritize the EHR system training, building unique systems behind the entity's necessities, training the reporting channel for difficulties, and fostering a culture of accountability (Zheng et al., 2020).
In conclusion, EHR workarounds are just a temporal measure that partially helps physicians resolve their workflow challenges. However, they are somewhat complicit in patients' misalignment of medical records and the inadequacy of healthcare services.