Failureof an Electronic Health Record (EHR) System
Theelectronic health records (EHR) was developed to ensure efficiencyand faster service delivery. However, the case above highlights someof the challenges facing the system. According to Quinbery GeneralHospital, some of the staff, that is Dr. Monday and Dr. Morgan havehad a very rough time using the system, and as a result, they decidedto pull it down. Their reason was that EHR was characterized bysystem failures, and this had negatively affected their work.Initially, the system was only being operated by Dr. Wilkins and hiscronies. However, things changed when nurses, physicians, and otherstaff were trained and allowed to manage EHR for themselves. Sincethen, there has been a turnover and a new HIM Director appointed.
Oneof the solutions to the above technological problem is the need fortraining of staff on how to implement EHR within the hospital.Another option involves resorting to manual approach as was suggestedby Dr. Monday and Dr. Morgan. The advantage of training of staff isthat it will allow them to interact with and handle the system. Themajor disadvantage is that a significant amount of time would bespent on training and this will mean higher operational cost.Resulting in manual filings will help reduce time wastage as a resultof system failure, and many people are familiar with it. On thenegative side, it will discourage innovation and promote medicalerrors.
Thebest solution is staff training. It is the most efficient becausebesides acquiring skills, it helps empower nurses. The system likelyfailed because those entering data did not have medical skills andwere thus prone to making mistakes. Training is a way of motivatingworkers and allows them to develop their abilities for the benefit ofan organization (Ferris, 6). One of the weaknesses of this approachis that it tend to take time and thus high operational cost. Thehidden assumption from the case was that everybody, which is thenurses and physicians agreed to attend the training and it was awonderful experience.
Froman individual’s perspective, every profession has its unique waysof doing things. The medical profession has definitions of terms,units of measurements and calibrations which others find hard tounderstand. Specialization allows for efficiency because onediscovers new and more efficient ways of doing things (Ferris, 12).One way of strengthening the above solution is by further trainingsome nurses to become health care informatics specialists. This willallow them to be specifically trained in data management, analysis,and interpretation. A new found information may be in regards to thehospital leadership. Perhaps there was no cooperation between juniorworkers and the management, and this resulted in the lack ofcooperation hence system failure. .
Potentialmissing information could be the employee’s attitude towards theprogram. Some patients may be concerned about the confidentiality ofthe stored data and as a result hinder the system’s implementation.If this were the case, even the new solution would not succeed. Oneof my strength is that I have read lot about electronic healthrecords. My weakness is that I am usually confined to what I know.Relying on my opinion could have caused some biases. I believe theEHR is a better health services. I learned about the importance of ITskills in every profession and to improve my critical thinkingskills, I will ensure that I read widely from credible sources beforeanalyzing a case study.
Ferris,D. L., Johnson, R. E., Rosen, C. C., Djurdjevic, E., Chang, C. H. D.,& Tan, J. A. (2013). When is success not satisfying? Integratingregulatory focus and approach/avoidance motivation theories toexplain the relation between core self-evaluation and jobsatisfaction. Journalof Applied Psychology, 98(2),342.