Past and Present To understand the complexities of the emerging electronic health record system, it is helpful to know what the health information system has been, is now, and needs to become.
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Abstract Electronic health record EHR is increasingly being implemented in many developing countries. It is the need of the hour because it improves the quality of health care and is also cost-effective. Technologies can introduce some hazards hence safety of information in the system is a real challenge.
Recent news of security breaches has put a question mark on this system. Despite its increased usefulness, and increasing enthusiasm in its adoption, not much attention is being paid to the ethical issues that might arise.
Securing EHR with an encrypted password is a probable option.
The purpose of this article is to discuss the various ethical issues arising in the use of the EHRs and their possible solutions.
Physicians and hospitals are implementing EHRs because they offer several advantages over paper records. They increase access to health care, improve the quality of care and decrease costs. However, ethical issues related to EHRs confront health personnel. When patient's health data are shared or linked without the patients' knowledge, autonomy is jeopardized.
The patient may conceal information due to lack of confidence in the security of the system having their data. As a consequence, their treatment may be compromised. There is the risk of revelation of thousands of patients' health data through mistakes or theft.
Leaders, health personnel and policy makers should discuss the ethical implications of EHRs and formulate policies in this regard.
The electronic medical record EMR is the tool that promises to provide the platform from which new functionality and new services can be provided for patients. Its major drawback was in terms of accessibility, and it was available to one user at a time.
Its completion was delayed anywhere from 1 to 6 months or more because it was updated manually.
EHRs have several advantages over paper records. Production of legible records reduces many problems of wrong prescriptions, doses and procedure.
This can be done by not permitting prescription and order for drugs for which a known adverse reaction is known for a certain patient. They reduce the number of lost records, help research activities, allow for a complete set of backup records at low cost, speed data transfer and are cost-effective.
The physician and the organization is the owner of the physical medical record. Privacy and confidentiality, security breaches, system implementation, and data inaccuracies.
When a patient is unable to do so because of age, mental incapacity the decisions about information sharing should be made by the legal representative or legal guardian of the patient. Information shared as a result of clinical interaction is considered confidential and must be protected.
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The key to preserving confidentiality is to allow only authorized individuals to have access to information. This begins with authorizing users. The user's access is based on preestablished role-based privileges. The administrator identifies the user, determines the level of information to be shared and assigns usernames and passwords.There are three major ethical priorities for electronic health records: privacy and confidentiality, security, and data integrity and availability.
In addition to the importance of privacy, confidentiality, and security, the EHR system must address the integrity and availability of information. This practice saves time but is. Health care is changing and so are the tools used to coordinate better care for patients like you and me.
During your most recent visit to the doctor, you may have noticed your physician entering notes on a computer or laptop into an electronic health record (EHR). With EHRs comes the opportunity.
Some of the legal and ethical issues presented by electronic medical communications include patient confidentiality, security and privacy, informed consent, standard of care and malpractice, medical records and licensing. ©— Bioethics Research Library Box Washington DC Unless confidentiality and privacy concerns regarding electronic medical records are addressed, the full benefits of electronic technology in the health care industry will not be obtained.
The federal government has not done enough since the enactment of HIPAA and its implementing regulations to safeguard personal medical information to.
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