Use of the Electronic Health Record (EHR) for Documentation in a Health Assessment Course

2.50
Hdl Handle:
http://hdl.handle.net/10755/202165
Type:
Presentation
Title:
Use of the Electronic Health Record (EHR) for Documentation in a Health Assessment Course
Abstract:
(41st Biennial Convention) It has been recommended by many, including the Institute of Medicine (IOM), that health care professionals such as nurses, need to develop competencies in the use of information technologies, and specifically in the use of electronic health records (EHR's). The use of the EHR is thought to result in documentation leading to safe, quality health care, as well as providing continuity of care. (IOM, 2003; NLN, 2009) We received a three year HRSA grant for a project entitled, “Using an open-source EHR to integrate informatics in a baccalaureate nursing program”. One of the objectives of this project included the use of the Open Vista clinical information system to document findings in an EHR in our first semester Health Assessment course. Encouraging active learning by having students apply course content to real-world situations, is considered an instructional best practice. We also had the students do some hand written documentation. The students were evaluated on their ability to document physical findings of their peer “patients” on the electronic health record. All of the students were successful in their documentation. In addition, we asked the students to evaluate the use of the EHR, as an instructional method of the course. The feedback from the students has been overwhelmingly positive. They thought that it was easy to use, saved time in documentation, and that the assessment options were complete, or that they were able to add additional information, if needed. Among some of the comments were: “I think it is great. Plus in an ever increasing shift to paperless documentation, it is an effective, if not prudent, learning tool.” Institute of Medicine, (2003). Health professions education. Washington, DC: National Academies Press National League for Nursing. (2009). Position Statement: Preparing the next generation of nurses to practice in a technology-rich environment: An informatics agenda.
Keywords:
Electronic health record (EHR); electronic documentation
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUse of the Electronic Health Record (EHR) for Documentation in a Health Assessment Courseen_GB
dc.identifier.urihttp://hdl.handle.net/10755/202165-
dc.description.abstract(41st Biennial Convention) It has been recommended by many, including the Institute of Medicine (IOM), that health care professionals such as nurses, need to develop competencies in the use of information technologies, and specifically in the use of electronic health records (EHR's). The use of the EHR is thought to result in documentation leading to safe, quality health care, as well as providing continuity of care. (IOM, 2003; NLN, 2009) We received a three year HRSA grant for a project entitled, “Using an open-source EHR to integrate informatics in a baccalaureate nursing program”. One of the objectives of this project included the use of the Open Vista clinical information system to document findings in an EHR in our first semester Health Assessment course. Encouraging active learning by having students apply course content to real-world situations, is considered an instructional best practice. We also had the students do some hand written documentation. The students were evaluated on their ability to document physical findings of their peer “patients” on the electronic health record. All of the students were successful in their documentation. In addition, we asked the students to evaluate the use of the EHR, as an instructional method of the course. The feedback from the students has been overwhelmingly positive. They thought that it was easy to use, saved time in documentation, and that the assessment options were complete, or that they were able to add additional information, if needed. Among some of the comments were: “I think it is great. Plus in an ever increasing shift to paperless documentation, it is an effective, if not prudent, learning tool.” Institute of Medicine, (2003). Health professions education. Washington, DC: National Academies Press National League for Nursing. (2009). Position Statement: Preparing the next generation of nurses to practice in a technology-rich environment: An informatics agenda.en_GB
dc.subjectElectronic health record (EHR)en_GB
dc.subjectelectronic documentationen_GB
dc.date.available2012-01-11T11:13:31Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:13:31Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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