INTRODUCTION An electronic health record (EHR) is a record of a patient 's medical details (including history, physical examination, investigations and treatment) in digital format. Physicians and hospitals are implementing EHRs because they offer several advantages over paper records. They increase access to health care, improve the quality of care and decrease costs. However, ethical issues related to EHRs confront health personnel. When patient 's health data are shared or linked without the patients ' knowledge, autonomy is jeopardized.
Health information exchange or HIE allows doctors, nurses, pharmacists, and other health care providers and patients to access vital medical information. It also allows them to share medical information securely and electronically. HIE improves the speed, quality, safety, and the cost of patient care.For many years patient's files were stored using paper methods, transferring them by mail, fax or transferred it by hand to every appointment. Changing to electronic file improves the completeness of patient's medical records. It makes decision making of healthcare providers avoid readmissions, avoid medication errors, improve diagnosis, and decreases the amount of times test are reordered.
It’s said that Doctors using the computer to input data then interviewing the patient will cause them to hasten their pace and not read a true diagnosis for proper treatment. In other instances, EMR’s according to patients can be falsified information being stated. Physicians tend to put check off on things that they haven’t completed. EMR’s aren’t intended to omit incorrect information unless corrected by staff. A way for patients to protect themselves and to obtain the upmost care need they should request a copy of their medical records and tests; go over medication intake directions and its residual side effects.
Typically, evidence based practice critiques the research findings, quality improvement data and expert opinion to single out the most appropriate approaches of improvement. On the other hand, clinical research uses the existing methods and processes in the search for improvement i.e. it is based on the opinions and tradition and nothing can be done more. Indeed, the core business of the healthcare planners is to always make improvements on quality and efficiency of healthcare services. Thus, engaging in meetings where opinions, researches and other relevant knowledge is shared allows comprehensive learning, effective research and crafting or invention of better approaches to ensure patients and nurses enjoy the services and the health care environment as implied by Munhall (2012) and Torrey et al.
(2013) offers so far the most comprehensive empirical analysis of ERM determinants from a corporate governance perspective. This detailed examination of ERM drivers showed that higher quality of ERM is associated with good corporate governance attributes such as, the presence of chief risk officers, audit committees, a board with longer tenure and having supervisory expertise within the audit committee members. Based on this argument, this empirical study attempts to show that corporate governance attributes are important when deciding to implement an ERM system. Overall, this study makes several contributions to the extant literature on ERM. First, it addresses the paucity of evidence regarding the relation of corporate governance and ERM.
Using the EHR, there is greater efficiency in accessibility and create great stride in centralization of patient’s information. Doctors and healthcare professionals are one-click away to the records which are heralded before from a distance. Patients spend less suffering and
The emergence of digital technologies has already led to major changes in the field of health. Aging population, unhealthy life styles, increasing life expectancy and the rise of chronic diseases have led to an increase in health spending, which will become unsustainable if there is not a paradigm shift. The system should focus on prevention and on the patient, providing tools that allow a better communication between the health system and the user. In this transformation, the use of information technology in health will and is playing a key role. The health area addressed, managed and applied by information and communication technologies is also known as eHealth.
4.1 High maintenance costs Implementing NEHR involves considerable commitment to system administration, maintenance and support to keep NEHR running effectively and efficiently. These costs incurred in maintaining, supervising, revising and upgrading NEHR will be substantial. Furthermore, since NEHR serves approximately 5 million people in Singapore, the amount of data stored in the system is massive. It will be extremely costly to store and manage the massive amount of data in NEHR. The size of the data will keep increasing as each patient’s record is stored in the system.
The benefits of electronic medical records far surpass any burdens that one can contend and therefore, prescription today is getting to be more secure and more proficient. Patients get better care, practices are repaid snappier than any time in recent memory and can procure and hold patients with more prominent accomplishment using successful showcasing instruments. 3.1. Better quality of care and patient safety EMRs can reduce medical errors caused by illegible handwriting and alert health care providers if a patient is allergic to a medication or when a prescribed medication may harmfully interact with another drug the patient is
E-Health has been defined as an amalgamation of healthcare system and Information Communication Technology (ICT) to enable better health and healthcare delivery (Nykanen, 2006). It includes all applications of information communication technologies to promote healthcare services support, delivery and education for improving efficiency in health care delivery to the citizens. Many factors contribute to the poor state of the medical sector of Nigeria, and in fact many developing countries, two of the most important being record keeping and accessibility. Nigeria still make use of the old ways of paper based healthcare delivery system; meeting demands of citizens have been increasingly difficult due to her huge population, understaffed hospitals,