In some cases where hospitals do paper charting, it can be mis charted.
or, there can be issues with not recording medication as being given or not, and the patient can miss their dose because a nurse thinks it was given. There is some cases where such confusion is tolerated depending on the patient.
>>> or, there can be issues with not recording medication as being given or not, and the patient can miss their dose because a nurse thinks it was given.
Partially true. First, there's no need to record anything in any EMR, this is a big misunderstanding. The act of sending the script is recording it itself. There's no need to do data entry in EMR.
You can test this by simply attempting to send eScripts outside of the EMR. PBM systems like surescripts will alert the provider as he's prescribing in any other 3rd party system of any problems (multiple scripts of same meds, reactions, etc).
Even a paper script needs to be adjudicated via PBM by the pharmacy, which means there's a PBM record already the moment that script is created and picked up. That's how most doctors and pharmacies know whether pts are picking up their meds.
Now if a doctor is fully on paper based then you do have a problem because there's no feedback to a paper record IF the doctor is failing to log into the PBM system to check for drugs dispensed. In this case, the EMR may appear superior on this front, but it also introduces its own set of problems, such as a very common one - patients missing their scripts because the pharmacy is out of meds, causing multiple scripts being sent and back and forths with busy doctors. This is never a problem with a paper script.
Perhaps one of the very few value adds is turning the MD scribble into something legible, but that's something that can easily be solved without any click, or an EMR in the middle .
> First, there's no need to record anything in any EMR, this is a big misunderstanding. The act of sending the script is recording it itself. There's no need to do data entry in EMR.
Not quite. Hospital EMRs now have barcoding and scanning, for timed doses being delivered an to make sure they were - saw it first hand in the past year.
This is a shadow working culture issue, not a technical one.
Hospital workplace cultures can be quite toxic, and that plays out varying degrees of horrible for certain segments of the population 60 percent of the time, every time.
In hospitals, prescriptions are administered usually by a nurse.
Since it's a problem that can be casually looked away from because it doesn't impact one group, it can be downplayed.
In some cases where hospitals do paper charting, it can be mis charted.
or, there can be issues with not recording medication as being given or not, and the patient can miss their dose because a nurse thinks it was given. There is some cases where such confusion is tolerated depending on the patient.