Electronic Medical Records
The medical records were acknowledged as a significant source in medical care for years. In a book named Notes on a Hospital, by Florence Nightingale established the importance of medical records in health care administration. Medical care is an uninterrupted phenomenon in which information is increasingly complied; hence the medical records must operate as a pre-birth to post-death organization that fulfills the needs of any health care background, either intensive care or initial care (Hammond, 1993). The traditional medical record systems predominantly include hard copy, paper-based models that negligibly include laboratory findings and x-ray studies.
Electronic Medical Record is the repositing of medical information in electronic formats for carrying out the medical endeavors that includes knowledge processing and information backup instruments. In order to ameliorate patient care many organizations probed the concept of creating an EMR at the beginning of 1970’s. The priority that the medical records should be the basis or foundation to every information system within the medical care surroundings; is a crucial agenda behind the investigations involved (Blum 1986, McDonald et al 1992a, Safran 1990, Enterline et al 1989, Kuperman et al 1991).
Regenstrief Institute, Indianapolis, experienced the most former productive executions of EMR functions. McDonald established the importance of computer rendered remainders using RMRS (Regenstrief Medical Record System) making use of patient-specific laboratory events that ended up in minimizing the physicians faults in probing life threatening issues. He also substantiated that physicians who have booming practice were ineffective to notice a lot of vital irregularities that take place in the patient’s record. He concluded that, ‘the amount of data presented to the physician for unit time is more than he can process more than the other’ (McDonald 1976).
Overall mechanization of the medical record system has not been established yet; even then a wide variety of EMR systems that demonstrate accurate data are available. The substantiated benefits of EMR’s can be established by a few examples as:
It is demonstrated experimentally by Fries and he’s co-workers that physicians who followed computerized data formatting were at the double speed in finding assigned data compared to physicians implementing traditional paper record (Fries 1974). They made use of American Rheumatological Association Medical Information System (ARAMIS) in drawing this conclusion. Physicians making use of computerized records in demonstrating their patients laboratory findings were having cutting edge advantage in depicting accurate findings (Whiting-O’Keefe 1980). The preventive care has experienced advanced compliance as computer-yielded remainders were regularly implemented in improving standards (McDonald et al 1984, 1989b, and 1990c, Litzelman et al 1990). The quality of care can be preserved even though the reduction in resource usage and costs is implemented, that is made possible by making use of protocol-addressed care programs (Enterline et al 1989). Beth Israel Hospital (BIH) system to its honor has advanced access to medical records. Through its medical interrogative tongue, it has rendered decision backing by faster approach to bibliographic information and cumulative patient information subsets (Safran et al 1990, and 1991). Patient care is established by making use of an electronic remainder system in thorough evaluation of patient record. This can be proved by the results in controlling and reducing the death rate, wide spread use of vaccination, immunization routines and efficient execution of preventive care protocols (Fries et al 1993, Gardner & Schafner 1993). Also quality assurance is the first priority in the provision of medical care. It needs a step down in incompatible fluctuations in medical care provision and enough certification of processes to