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Patient Health Data, Understood

Most patient health records today are hard for consumers to understand. CHCF asked high-end designers what a "human-centered" approach might look like.

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EHRs and PHRs

Wednesday, April 21, 2010

Survey: Nurses Divided on Whether EHRs Have Improved Patient Care

Registered nurses are divided on whether electronic health records have positively or negatively affected health care quality and patient safety, according to a new survey from AFT Healthcare, a subsidiary of the American Federation of Teachers, CQ HealthBeat reports (CQ HealthBeat, 4/16).

The survey of 604 hospital RNs found that:

  • 49% of respondents said EHRs had a positive effect on the overall quality of care; and
  • 47% said EHRs had a negative effect or no effect at all.

When asked about whether EHR implementation had improved patient care:

  • 39% of RNs said care was unchanged;
  • 27% said care had improved; and
  • 25% said care had worsened.

Effects on Work Environment

Although the majority of RNs surveyed said EHRs reduced medication errors and improved care coordination, nearly half reported that EHRs had a negative impact on stress levels.

In addition, about 50% of respondents said EHRs negatively affected the amount of time needed to chart patient information. Nurses were evenly split on whether EHRs had a positive or negative effect on the time spent on paperwork.

When asked about the ease of adopting EHR systems, 73% of RNs said implementation went smoothly. However, 52% of respondents noted that some physicians refuse to use the new systems (AFT Healthcare release, 4/16).



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