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Related Concept Videos

Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
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Interdisciplinary Care: The Health Care Team-I

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

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Published on: April 12, 2021

Interdisciplinary collaboration and the electronic medical record.

Shayla D Green1, Joan D Thomas

  • 1Methodist University Hospital, Memphis, TN, USA.

Pediatric Nursing
|July 25, 2008
PubMed
Summary

Physicians find detailed nursing documentation in electronic medical records (EMRs) crucial for collaboration and patient care. Clearer, narrative summaries are valued over checklists alone for effective interdisciplinary teamwork.

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Area of Science:

  • Health Informatics
  • Nursing Informatics
  • Medical Documentation

Background:

  • Electronic Medical Records (EMRs) are integral to modern healthcare delivery.
  • Effective interdisciplinary collaboration relies on clear and comprehensive patient data exchange.

Purpose of the Study:

  • To investigate physician perceptions of nursing documentation within Electronic Medical Records (EMRs).
  • To understand how nursing documentation impacts interdisciplinary collaboration.

Main Methods:

  • A quality improvement project was conducted at a tertiary care pediatric hospital.
  • A survey instrument assessed the perceptions of 37 physicians regarding nursing documentation post-EMR implementation.

Main Results:

  • Physicians prefer nursing documentation with enhanced clarity and additional information beyond simple checklists.
  • Narrative nursing summaries are considered invaluable for guiding medical treatment decisions.
  • Detailed nursing assessments and well-described interventions are critical for effective physician practice.

Conclusions:

  • EMR systems should be developed to facilitate swift and straightforward documentation of detailed patient data by nurses.
  • Collaboration among nurses, physicians, and technology specialists is essential for optimizing EMR systems.