Initial Reflection on a Specific Topic / Problem
Begin a written reflection by sharing what has shaped your ideas about a specific topic / problem in the clinical setting. What have been your experiences or lessons learned? Then consider how these might be similar or different from other’s perspectives.
Here are some discussion prompts:
- Some of the big concerns I have with my clinical work relate to
- The one professional practice gap /problem that I have identified that would benefit from an educational intervention would be…
â€¢ and the outcomes I would be interested in would include
â€¢ If I could focus on just one aspect of this problem, it would be
â€¢ The people and place factors that impact this problem are
Some of the big concerns I have with my clinical work relates to electronic health records. Some of the main challenges related to EHR systems in the clinical setting include lack of adequate technical skills among healthcare providers on how to use certain systems and the interoperability issues of certain electronic health record systems (Gesulga et al., 2017). The lack of adequate technical skills to operate electronic health record systems can make healthcare providers be more prone to errors in healthcare settings, such as making mistakes in recording patient information or ordering medication for given patients. The lack of adequate skills among nurses, especially in relation to certain electronic health records, makes it difficult for healthcare providers to eliminate medical errors in their practice (Gesulga et al., 2017). Another big concern I have with electronic health records in my clinical practise relates to the interoperability of EHRs. The lack of interoperability of EHR systems can negatively affect patient care and can make it difficult for healthcare providers to understand the condition of patients effectively. The lack of effective interoperability of EHR systems can make it difficult for healthcare providers to reconcile medication and other health services for patients, which can eventually lead to poor patient outcomes (Tsai et al., 2020).
To resolve the challenge of interoperability and lack of adequate technical skills among health care providers who utilize electronic health systems, healthcare facilities need to adopt a longer time of implementing EHR systems. Having an EHR system implementation committee made up of both the executive management and healthcare providers in a given facility can therefore ensure that all the electronic health systems that are introduced in given fertility are well evaluated and tested for functionality, including interoperability with other present systems (Sittig et al., 2018). An EHR implementation committee in a healthcare facility can also be involved in the training of healthcare practitioners to utilize certain EHR systems. Having training sessions to educate members of a healthcare facility on how to utilize an EHR system can therefore help to save time and reduce errors in the provision of healthcare services through the use of such systems (Sittig et al., 2018)
During the introduction of an EHR system in a healthcare facility, the ideal outcomes would be a reduction of medical errors associated with an EHR system, sufficient interoperability of a given system with already available systems in a given health care facility. By relying on an implementation team made up of both executive management in a healthcare facility and health caregivers, sufficient interoperability of a given EHR system and a reduction in errors can therefore be accomplished (Tsai et al., 2020).
A significant focus in the implementation of an EHR system in a healthcare facility would be given on education and training of health caregivers to effectively operate such a system and work with it to assure patients of the best outcomes. Health caregivers in a healthcare facility would require constant training sessions and seminars to bring themselves up to speed with a new electronic health record system and to perform their functions efficiently.
The people that influence the implementation of electronic health record systems in a healthcare facility include the executive management in a healthcare facility. The executive management in a healthcare facility needs to involve health caregivers in the implementation of an EHR system. The involvement of health caregivers in introducing EHR systems in a healthcare facility would boost the ease of adoption of such systems in healthcare facilities (Sittig et al., 2018).
Gesulga, J. M., Berjame, A., Moquiala, K. S., & Galido, A. (2017). Barriers to Electronic Health Record System Implementation and Information Systems Resources: A Structured Review. Procedia Computer Science, 124, 544–551. https://doi.org/10.1016/j.procs.2017.12.188
Sittig, D. F., Wright, A., Coiera, E., Magrabi, F., Ratwani, R., Bates, D. W., & Singh, H. (2018). Current challenges in health information technology-related patient safety. Health Informatics Journal, 26(1), 181–189. https://doi.org/10.1177/1460458218814893
Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content. Life, 10(12), 327. https://doi.org/10.3390/life10120327