Optimization of Electronic Health Records in Leading Healthcare Organizations

This research explores the optimization process of electronic health records in leading healthcare organizations and its benefits in providing safe and responsive care. It discusses the advantages of implementing EHR, such as increased efficiency, smarter decision-making, improved patient care, and enhanced physician and user adoption. The research also highlights the relevance of EHR in nursing practice, including improved documentation, patient safety, and access to care for disadvantaged populations. Ethical considerations in health research, such as obtaining informed consent, are also discussed.

Running head: HEALTH RESEARCH
Name of the student;
Name of the university:
Author’s note:

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HEALTH RESEARCH
First paper:
Summary:
There are very few documentation exist in literature which provided the idea of
optimization of electronic health records and process which takes place after implementation for
faciliating the benefit of the utility of electronic health system to provide safe, responsive person-
centered care. The purpose of the paper was to gain an understanding of the optimization
process of electronic health record in leading health care organization of United States. Moon,
Hills, and Demiris, (2018), conducted a qualitative study involving 11 in-depth interviews where
the focus group was EHR experts from the reputed health care organizations. Moon, Hills, and
Demiris, (2018), used the grounded theory approach to conduct the interview in order to obtain
accurate result from the responses participants gave. The result of the study reported 16
advantages of implementation of EHR which further helpful to meet the health care demand. The
result suggested that implementation of EHR increase efficiency, increase smarter decision,
optimize professional practice, improve quality of patient care, aid in tracking workflow,
improve patient safety and documentation, aid in upgrading new features, improve the physician
and user adoption of EHR.
Relevancy to the practice:
The electronic health record is one of the unique innovation of information technology
which enable nurses to meet the demand of the patient (Omotosho, Emuoyibofarhe, & Meinel,
2017). This research can be used in nursing practice in order to improve the performance of
nurses to meet provide high quality responsive care (Omotosho, Emuoyibofarhe, & Meinel,
2017). This research is a piece of evidence which helps nurses to document crucial details of

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patients such as history, medication or any genetic disorder which will reduce the probability of
medical error (Stevenson et al., 2017). Medical error is reported as a frequent issue in the health
care sectors, questioning the safety of the patient. This research may assist nurses to keep the
patient’s information confidential and private in order to avoid ethical issues. As discussed by
the Varpio et al. (2015), inability to keep the confidentiality of the patient may breach clinical
practice since it can give rise to ethical issues resulted in increasing issues regarding patient
safety. Moreover, the patients who live in the disadvantageous area are failed to seek clinical
assistance when required because of issues regarding transportation (Stevenson et al., 2016).
This research may be helpful for nurses to provide care and support to the patients who require
immediate clinical assistance and failed to seek because of transportation. Consequently, it will
minimize the gap in providing health care services to the indigenous and nonindigenous culture.
Ethical consideration:
In health research, maintaining ethics is important to ensure that data obtained by
researchers are accurate (Lotto, 2018). The researchers obtained informed consent from the
respondent before conducting an interview by explained the detailed method of interview and
purpose of the interview (Dehghani, Mosalanejad & Dehghan-Nayeri, 2015). This process
enables researchers to avoid possible ethical issues by gaining retain consent. The informed
consent is obtained from the participants for ensuring the fact that no participants were forced to
answer the questions or response they were not comfortable to answer which will aid in avoiding
any legal obligations (Omotosho, Emuoyibofarhe, & Meinel, 2017).

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Second paper:
Summary:
The purpose of the paper is to provide explore the nurse's experience regarding
implementing HIT over time. Zadvinskis, Smith and Yen (2018), conducted face to face and via
email, interview to gain the understanding of a perspective of nurses where they recruited 19
staff nurses who worked on a medical-surgical unit. Zadvinskis, Smith and Yen (2018), had
taken field notes during and after the interviews to keep it as an evidence. All interviews were
audio recorded and transcribed with the help of professionals. The researchers also collected
basic demographic information which includes position, gender, education and year of
experience. The result suggested that the majority of the nurses stated that it helps to obtain end-
user satisfaction. Previous nurses reassess the patient and then document the health conditions
and failed to correct data from the paper chart. However, after implementation of the electronic
health records, nurses can amend the information without any obstacles which improve their
performance by reducing the excessive workload. Moreover, few nurses also stated that the
implementation of electronic health records helps to track the workflow, improve communication
and nurse-sensitive quality indicator. However, many nursing professionals also highlighted that
they failed to adopt the technology because of illiteracy which made them incompetent in
technical domains of nursing practice.
Relevance to nursing practice:
Previously before implementation of electronic health records, because of the shortage of
nurse and technology, nurses used to feel professional burnt out which affected their practice

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(Omotosho, Emuoyibofarhe, & Meinel, 2017). This research is may be helpful in nursing
practice because it would help nurses to implement the technology to gain high patient
satisfaction and provide patient centered care without feeling professional burn out (Dehghani,
Mosalanejad & Dehghan-Nayeri, 2015). Consequently, it will increase the job satisfaction and
nurses would be more dedicated to their practice. This research may be helpful for nurses to
track their performance and identify their gap in practice (Patel et al., 2015). Moreover, the
research would help nurses to engage themselves in the training session to adopt electronic
health record in their daily practice with the assistance of supervisors and professionals
(Vimalachandran et al., 2016). The technology will also help clinical managers to keep the
performance of nurse according to benchmark and identify the indicators of quality of nursing
practice (Sicuranza, Esposito & Ciampi, 2015).
Ethical consideration:
In order to complete the study, the researchers obtained informed consent from the
respondent before conducting an interview by explained the detailed method of interview and
purpose of the interview (Dehghani, Mosalanejad & Dehghan-Nayeri, 2015). The purpose of
obtaining informed consent from the participants is that researchers ensure the fact that no
participants were forced to answer the questions or response they were not comfortable to answer
(Omotosho, Emuoyibofarhe, & Meinel, 2017). Conducting research without informed consent
may give rise to ethical issues. The written evidence is effective in avoiding any legal obligations
and accomplishing research successfully.

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References:
Dehghani, A., Mosalanejad, L., & Dehghan-Nayeri, N. (2015). Factors affecting professional
ethics in nursing practice in Iran: a qualitative study. BMC medical ethics, 16(1), 61.
Lotto, R. (2018). Postgraduate students’ perception of research ethics training: a qualitative
study. Innovations in Practice, 12(2), 24-33.
Moon, M. C., Hills, R., & Demiris, G. (2018). Understanding the optimization processes of
electronic health records (EHR) in select leading hospitals: a qualitative study. Journal of
innovation in health informatics, 25(2), 109-125.
Omotosho, A., Emuoyibofarhe, J., & Meinel, C. (2017). Ensuring patients privacy in a
cryptographic-based-electronic health records using bio-cryptography. arXiv preprint
arXiv:1708.01643.
Patel, V., Hughes, P., Savage, L., & Barker, W. (2015). Individuals' perceptions of the privacy
and security of medical records. ONC Data Brief, (27).
Sicuranza, M., Esposito, A., & Ciampi, M. (2015). A view-based access control model for EHR
systems. In Intelligent Distributed Computing VIII (pp. 443-452). Springer, Cham.
Stevenson-Agren, J. E., Petersson, G., Israelsson, J., & Bath, P. A. (2017). P617Reasons for poor
vital sign documentation in electronic health records: a qualitative study. European Heart
Journal, 38(suppl_1).

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Varpio, L., Rashotte, J., Day, K., King, J., Kuziemsky, C., & Parush, A. (2015). The EHR and
building the patient’s story: a qualitative investigation of how EHR use obstructs a vital
clinical activity. International journal of medical informatics, 84(12), 1019-1028.
Vimalachandran, P., Wang, H., Zhang, Y., & Zhuo, G. (2017). The Australian PCEHR system:
ensuring privacy and security through an improved access control mechanism. arXiv
preprint arXiv:1710.07778.
Zadvinskis, I. M., Smith, J. G., & Yen, P. Y. (2018). Nurses’ experience with health information
technology: Longitudinal qualitative study. JMIR medical informatics, 6(2), e38.