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Nursing Information System Assignment

   

Added on  2020-03-23

7 Pages1533 Words139 Views
Running head: NURSING INFORMATION SYSTEM Nursing information system Name of the StudentName of the UniversityAuthor note

1NURSING INFORMATION SYSTEMElectronic health records of patient offers enhanced communication and maintenance ofquality of care between the healthcare professionals. It provides patient’s medical history andkey clinical data of a person who is under a particular healthcare provider. There is a need toensure documentation integrity as there might be invalid auto-population data field entry ormanufactured documentation to enhance the reimbursement. There is also requirement of dataintegrity like ensuring security and privacy in health information that help to build trust andimprove healthcare quality and equity in services. However, there are ethical and legalimplications related to data integrity confronting health personnel like respect for autonomy,non-maleficence and beneficence along with privacy and confidentiality. Therefore, thefollowing assignment deals with the legal and ethical implications in data integrity in electronichealth records (EHRs). Data integrity refers to the data quality where there should be maintenance and assuranceof consistency and accuracy of data over the entire life cycle. The data entered in the healthcarerecords should be reliable and valid. There is a responsibility to protect data as it is of extremeimportance in healthcare as it is used to identify, track patients when they move from one carelevel to another. At every level, healthcare data integrity is important as it help providers to makeuse of this data in taking decisions regarding patient care. Failure to protect data has seriousimpact on patient safety and poses risks. There might be wrong data entry, delayed, missing datadelivery, or any sort of associated errors like data entry from another patient record (Huffman &Rittenmeyer, 2012). These pose serious implications on healthcare as poor EHRs systemdesigning and improper use can cause errors in the electronic system that can jeopardise thatinformation integrity in EHR resulting in errors and endangering patient safety and quality ofcare. Unintended consequences may increase abuse and fraud posing serious legal implications.

2NURSING INFORMATION SYSTEMIt can contribute to the suboptimal quality of healthcare and error can occur from the impropersystem use. The faulty functionality of EHRs can mislead doctors and clinicians due to incorrectvalues or confusing screen display resulting from program error entering data of wrongmedication or patient (Fowler & Davis, 2013). Apart from healthcare delivery, data integrity affects the nursing care on a large scale.Nurses have the responsibility to protect patient information as it has a significant impact onoverall healthcare system affecting communication and patient safety. They have the obligationto protect and safeguard patient rights as according to Code of Ethics for Nurses, AmericanNurses Association, they have the responsibility to promote and advocate patient privacy andconfidentiality (Winland-Brown, Lachman & Swanson, 2015). Wrong entry in health recordspose patient safety risk issues in every level of care, therefore there should be data integrity thatsafeguard patient safety and quality of care. The ethical implications include beneficence, non-maleficence and respect for autonomy. The patient is the owner of his or her information andnurses have the responsibility to protect data and share only relevant information with otherhealthcare professionals for clinical decision-making with prior patient consent (Johnstone,2015). Although, EHRs improve the quality of care, there are problems that affect the dataintegrity in healthcare system. The primary goal of implementation of EHR is to reduce medicalerrors that compromise patient safety and integrity (Ayatollahi, Mirani & Haghani, 2014).However, intentional or unintentionally, nurses enter wrong data regarding patient informationthat is unsafe and breach of conduct. For example, the treatment cancer of a patient was delayedby many years because a piece of information was wrongly entered in the EHR system. The

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