19 Mar Charting Errors
13319Step 1: Research information regarding charting errors and error in patient care since the implementation of the Electronic Medical Record from the paper chart. There are three main areas that have caused an increase in charting errors:
Transition of Information (many healthcare professionals will make notes on paper and then transfer into the EMR) or (many healthcare professionals are busy “charting” that they miss key information from the patient)
Movement Between Locations (not having access to a computer immediately after assessing or checking on a patient and the need to walk elsewhere to chart) and (the outside noise factors that pull attention away from charting)
Transition of Information Between Care-Providers (others’ interpretations of the notes in the chart based on their experience and area of expertise)
Step 2: Reflect on how these three main areas have impacted your role and the care provided to your patient. How has your interpretation of the patient’s data put you in a place where you may disagree with a physician’s order, how did you handle that situation. Lastly, what steps could be taken in order to reduce errors?
Step 3: Compile your research and create a professional paper that adheres to APA guidelines.
Step 4: Ensure you are researching only scholarly works, it is recommended to use Concorde’s Online Library: http://galesites.com/menu/index.php?loc=miss22358
Step 5: Save and submit your assignment.
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