Neither seen nor heard: why we need a child-friendly electronic health record

Roy L Simpson1

  • 1Nursing Informatics, Cerner Corporation, 2800 Rockcreek Parkway, Kansas City, MO 64117, USA. rsimpson@cerner.com

Insights

Pediatric electronic health records (EHRs) require unique features to meet the specific data needs of child healthcare. This article explores these requirements and proposes solutions for a pediatric-optimized EHR system.

Area of Science:

  • Pediatric healthcare informatics
  • Clinical data management
  • Health information technology

Background:

  • Pediatric practice presents unique challenges distinct from adult care.
  • Traditional electronic health records (EHRs) are often ill-suited for pediatric specificities.
  • Current EHR systems may not adequately address pediatric data requirements, compliance, and privacy needs.

Purpose of the Study:

  • To examine the distinct data requirements of pediatric care.
  • To identify the limitations of traditional EHRs in pediatric settings.
  • To propose enhancements for EHR systems to better support pediatric practice.

Main Methods:

  • Literature review of pediatric data needs and EHR functionalities.
  • Analysis of unique linguistic, data, compliance, and privacy aspects of pediatrics.
  • Conceptual framework development for a pediatric-enabled EHR.

Main Results:

  • Pediatric care necessitates specialized data fields and terminologies.
  • Existing EHRs lack features crucial for accurate pediatric growth monitoring and developmental tracking.
  • Compliance and privacy regulations in pediatrics have unique implications for data handling.

Conclusions:

  • A pediatric-enabled EHR is essential for efficient and effective child healthcare.
  • Tailored EHR solutions can improve data quality, clinical decision support, and patient safety in pediatrics.
  • Further development of pediatric-specific EHR functionalities is warranted.

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