Modifying Electronic Health Records

Healthcare Training Resource
May 21, 2012 — 1,004 views  
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Federal law requires all hospitals in the United States to switch to Electronic Health Record (EHR) practices by 2015. If a facility fails to meet these regulations, it could face numerous financial penalties. Therefore, doctors have been eager to switch to EHR systems, embracing the various record maintenance options they provide. Advocates of digital records say they have the potential to positively change health care, reduce medication errors, improve efficiency and cut health costs. However, these systems are not without their glitches.

In some cases, electronic records must be modified by adding, amending, correcting or completely deleting information. Unfortunately, with many EHR systems, it can be much harder to edit files than it was in the past with pen and paper. A simple mistake in the data entry process can be hard to remove, and a loss of information due to technology problems can result in inadequate medical care.

Doctors and other professionals need to verify the information they are adding or removing when modifying electronic health records. In addition, it is essential that these records become living and breathing documents, evolving after each visit so they remain up-to-date and accurate. Failing to manage these files effectively can result in improper care down the line.

Healthcare Training Resource