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Electronic patient records for homecare nursing
1Mercer University School of Pharmacy.
Computers in Nursing
|September 1, 1994
Summary
Electronic patient records (EPRs) are nearing broad acceptance due to healthcare cost pressures and advancing technology. Home care nurses are prime early adopters, benefiting from EPRs to improve efficiency and patient care.
Area of Science:
- Health Informatics
- Nursing Technology
- Healthcare Management
Background:
- Electronic patient records (EPRs) have been researched for over 25 years with limited adoption.
- Healthcare cost reduction and standardized outcome measures are key industry drivers.
- Advancements in computer and communication technologies facilitate a continuum of care.
Purpose of the Study:
- To explore the potential for broad acceptance of electronic patient records.
- To identify driving forces and ideal early adopters for EPR implementation.
- To outline considerations for successful EPR system design in healthcare.
Main Methods:
- Analysis of historical research and development in EPR systems.
- Identification of external pressures and technological enablers for EPR adoption.
- Evaluation of specific clinician groups, such as home care nurses, as potential early adopters.
Main Results:
- External pressures (cost, standardization) and technological advancements are accelerating EPR acceptance.
- Home care nurses are identified as ideal early adopters due to mobility and documentation burdens.
- Successful EPR systems require focus on clinician environment, skills, patient interaction, and managed care needs.
Conclusions:
- The convergence of industry pressures and technological capabilities signals a tipping point for EPR adoption.
- Home care nurses represent a critical demographic for initial EPR implementation and validation.
- User-centered design, considering workflow and advanced healthcare requirements, is essential for successful EPR systems.