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Electronic Health Record Safety: The Nurse's Role

Expiration Date
Dec 16, 2024
Media Format
Video
MOC Approved
No
Activity Type
Online
Est. Duration
1 hour
Credits
CNE: 1.00

$150


ACCESS EXPIRES IN 263 DAY(S)

Target Audience

Registered nurses documenting patient care in electronic health records.

  • Documentation

Description

Electronic health records (EHRs) are a part of everyday life. While EHRs facilitate communication regarding patient care, they can also cause errors if not used safely. End-users of an EHR system are ultimately accountable for using it safely and effectively, just as any other clinical tool. Common EHR safety pitfalls, best practice strategies and risk mitigation recommendations are presented in this education. 

Learning Outcomes/Objectives

Upon completion, participants should be able to:

  1. Explain the importance of documentation to nursing practice. 
  2. Describe at least three types of unintended errors common in EHR nursing documentation that pose risks to patient safety. 
  3. Identify best practice strategies nurses can implement to influence patient safety and communication when documenting patient care in EHR systems. 

Release Date:
December 19, 2018
Last Review Date:
December 16, 2021
Expiration Date:
December 16, 2024

Copyright Information

Copyright © 2018-2021

CNE Information

LAMMICO/Medical Interactive designates this enduring material for 1.00 contact hour(s). LAMMICO/Medical Interactive is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Learning Assessment

There will be a post test for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Method and Medium

To obtain CNE credit, view the entire online presentation, complete the evaluation and posttest and print your certificate online.

Analyzing decades of medical malpractice claim data has led the MI faculty to narrow our focus to pinpoint the most important roots of patient safety issues across a host of medical specialties. When we boil down our collection of risk management education topics, these key concepts most keenly respond to the roots of patient safety issues: 

Risk Management Concept: Cognition - Icon of human head with cog for brain

Cognition

Error in the mental action or process of learning can lead to adverse events stemming from inaccurate or incomplete thinking, perceiving, experiencing, recognizing, remembering and judging. Courses marked with this designation indicate that information presented within that specific education activity will illuminate actionable ways to improve analysis and synthesis of information, diagnosis and clinical decision making. 


Risk Management Concept: Communication - Icon of speech bubbles

Communication

Misunderstandings can lead to adverse events arising from errors in written, verbal and non-verbal information exchange. Courses marked with this designation indicate that concepts presented within that specific education activity will feature actionable ways to improve mutual understanding between healthcare providers and/or between medical professionals and their patients. 


Risk Management Concept: Performance - Icon of spedometer

Performance

Reactive behavior resulting in inaccuracy, incompletion, expensive and untimely tasks can lead to adverse events arising from poor execution of an action and/or fulfillment of a request. Courses marked with this designation indicate that the specific education activity will present realistic ways to apply learning, implement changes in a medical practice, improve competencies, critically assess performance, and utilize and incorporate evidence-based best practices. 


Risk Management Concept: Professionalism - Icon of people

Professionalism

Breach of competency standards and ethical values can result in adverse events stemming from a misunderstanding of professional expectations. Courses marked with this designation indicate that the education activity will clarify professional expectations in an effort to improve advocacy and participation, provider wellness, ethical decisions, cultural competence, professional organization participation, and adherence to patient care guidelines. 


Risk Management Concept: System - Icon of Cogs

System

System errors in medicine primarily consist of interrelated and interdependent components that habitually influence one another, and can often result in adverse consequences. Courses marked with this designation indicate that the education activity will present ways to address legal and regulatory issues, coordination of care and teamwork, electronic health record IT issues, policies and procedures, cost and risk benefits, and quality improvement activities. 

Disclosure Policy

LAMMICO/Medical Interactive requires planners, speakers, faculty and all those who influence the content of a CME/CNE activity to disclose any financial relationships they have with ineligible companies that are relevant to the activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism for resolution of conflict of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure Statement

The authors, editors, reviewers and planning committee members for this activity have no relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Speaker(s)

Juli Miller-Hart

Author(s)

Ann Lockhart, MN, RN-BC - Read Bio

Editor(s)

Amanda Martin-Sanchez, MEd, BSN, RN, CNOR - Read Bio

Managing Editor(s)

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Accredited Provider Program Director

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Geri Cook, RHIA, CPHRM, LAMMICO Risk Management Manager

Carol A. Curran, RNC, MS, OGNP, LAMMICO Senior Perinatal Educator and Medical Interactive Business Specialist

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Karen K. Davis, MA, CPHRM, LAMMICO CME/CNE Writer/Editor

Joseph Tran, Attorney at Law, Legal Counsel – Medical Interactive

Amanda Martin-Sanchez, MEd, BSN, RN, CNOR, LAMMICO CME/CNE Educator

Lynne Vega, RN, LAMMICO Hospital RM Specialist

Lynda Sanders, LAMMICO Continuing Education Specialist

Karen Tong, Patient Representative and LAMMICO Communication Strategist

Electronic Hardware and Software Requirements

To view our online presentations, your computer must meet the requirements below:

Hardware: Participants must have a personal computer with internet connection and speakers or an iOS or Android phone.

Operating System

Windows or Mac OS for desktop computers.

iOS or Android for mobile devices

Browser (Internet Explorer is NOT recommended as a browser for any MI courses since it is no longer supported by Microsoft)

Firefox 55 or above

Chrome 60 or above

Safari 11 or above

Microsoft Edge

Bandwidth

High Speed or DSL

Web Master Contact Information

For assistance, contact Shea Ivey at (866) 398-1038 or help@medicalinteractive.com