- مبلغ: ۸۶,۰۰۰ تومان
- مبلغ: ۹۱,۰۰۰ تومان
Administrators play a major role in choosing and managing the use of the electronic health record (EHR). The documentation policies and EHR changes enacted or approved by administrators affect the ability to use clinical data for research. This article illustrates the challenges that can be avoided through awareness of the consequences of customization, variations in documentation policies and quality, and user interface features. Solutions are posed that assist administrators in avoiding these challenges and promoting data harmonization for research and quality improvement. Using data elements from the electronic health record (EHR) for purposes beyond clinical documentation, billing, and administration is a rapidly growing practice (1). The increasing number of EHR installations and several recent national policy initiatives have supported this trend. Meaningful use of electronic health information, mandated by the Health Information Technology for Economic and Clinical Health (HITECH) Act, involves using EHR and related technology to improve quality, safety and efficiency of patient care; engage patients and families; improve care coordination; and ensure adequate privacy and security for personal health information (2). Further, the Institute of Medicine proposed a learning health system in which we use patient and health care information for research and continuous improvement in health and healthcare (3).