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Electronic health records: critique and solutions

Kapoor, Shawn (2014) Electronic health records: critique and solutions. Master Essay, University of Pittsburgh.

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Abstract

In the realm of healthcare, physicians have traditionally documented patient records on paper. However, computers have allowed healthcare, like most other industries, to transition to storing extensive medical records electronically. The electronic health record (EHR) has been slowly adopted by health care, and it has many advantages and disadvantages compared to the traditional form of paper documentation. In general, the advantages include legibility, ease of locating the patient chart, billing, and computerized order entry. Disadvantages include over-documentation, decreased speed of physician documentation, and the cost of implementing and maintaining the EHR. Physicians find themselves spending more time documenting and less time treating and interacting with patients, which leads to physician dissatisfaction. Many interventions attempting to improve speed of documentation have been developed, including voice recognition software and the utilization of scribes. Voice recognition software is a real-time dictation system that works well in quiet environments but still requires time from the physician to dictate and proof read the dictation. Scribes have shown promise in Emergency departments and specialty clinics by being cost effective while also improving both physician and patient satisfaction. Scribes are a novel solution to facilitate medical documentation, increasing physician efficiency, improving physician satisfaction, and thus important to public health.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Kapoor, Shawn
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairRoberts, Markmroberts@pitt.eduMROBERTSUNSPECIFIED
Committee MemberO'Rourke, Seanoroukesa@icloud.comUNSPECIFIEDUNSPECIFIED
Date: April 2014
Date Type: Publication
Defense Date: 28 April 2014
Submission Date: 23 April 2014
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: electronic, health, records, scribes
Date Deposited: 22 May 2015 19:28
Last Modified: 25 Nov 2021 12:55
URI: http://d-scholarship.pitt.edu/id/eprint/21438

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