Every Physician and Medical Practice Should Be Aware of These Common Risks and Safeguards for EMRs – Are You? (Part 2)

Guest post by Allan Ridings and Joseph Wager, senior risk management and patient safety specialists, Cooperative of American Physicians.

Part 2 of a two-part series.

Introducing an electronic medical records system into the practice helps the physicians and staff provide more efficient health care by making medical records more accessible to all health care team members. It also brings some risks. In this two-part article, CAP Risk Management and Patient Safety identifies 10 areas of risk exposure and provides some brief recommendations in each area.

Diagnostic Testing

Tracking of laboratory and diagnostic orders and results is more efficient and timely when all orders are processed through the EMR with a bi-directional interface.  If possible, also set up to receive all results back through the system. If fax or paper reports are received, scan and index reports into the system the same day. The EHR system may also be used as a “tickler file” for verification of orders and paper reports. Physicians should see all diagnostic testing whether normal or abnormal.

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Every Physician and Medical Practice Should Be Aware of These Common Risks and Safeguards for EHRs – Are You? (Part 1)

Guest post by Allan Ridings and Joseph Wager, senior risk management and patient safety specialists, Cooperative of American Physicians.

Part 1 of a two-part series.

Introducing an electronic medical records system into the practice helps the physicians and staff provide more efficient healthcare by making medical records more accessible to all health care team members. It also brings some risks. In this two-part article, CAP Risk Management and Patient Safety identifies 10 areas of risk exposure and provides some brief recommendations in each area.

EMR or EHR

Know your system.  Electronic Medical Record is the term most often used for the electronic system now holding the medical records of the physician’s patients. If patients’ medical data is shared electronically with other facilities, locations, caregivers, and/or billers, the term Electronic Health Record is more accurate. The terms are often used interchangeably. Most articles are using the words “Electronic Health Record.”

Provide updated/additional training periodically, especially after software updates and enhancements.

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