The use of nursing and pharmacy notes in electronic medical records for predicting patient outcomes: Review

Adil Mubarak F Alotaibi; Fahad Salem Alahmadi; Khaleel Ahmad Alhrbi; Mohammed Jameel Albalawi; ‏Khalid Moaed Alqahtani; ‏Basheer Ghanem Alshammari; ‏Wafa Abdullah Alshareef; Abdulaziz Abdullah Alsaeed; May Khalid Alquwaidi; Deema Osamah Bin Taleb; ‏Talal Habeeb Bokhamsin; Saleh Abdullah Altwaijri; ‏Nader Saeed Alzahrani

doi:10.53730/ijhs.v4nS1.15417

Authors

Adil Mubarak F Alotaibi KSA, National Guard Health Affairs
Fahad Salem Alahmadi KSA, National Guard Health Affairs
Khaleel Ahmad Alhrbi KSA, National Guard Health Affairs
Mohammed Jameel Albalawi KSA, National Guard Health Affairs
‏Khalid Moaed Alqahtani KSA, National Guard Health Affairs
‏Basheer Ghanem Alshammari KSA, National Guard Health Affairs
‏Wafa Abdullah Alshareef KSA, National Guard Health Affairs
Abdulaziz Abdullah Alsaeed KSA, National Guard Health Affairs
May Khalid Alquwaidi KSA, National Guard Health Affairs
Deema Osamah Bin Taleb KSA, National Guard Health Affairs
‏Talal Habeeb Bokhamsin KSA, National Guard Health Affairs
Saleh Abdullah Altwaijri KSA, National Guard Health Affairs
‏Nader Saeed Alzahrani KSA, National Guard Health Affairs

Keywords:

Electronic Medical Records, Clinical Safety Indicators, Healthcare Professionals, Data Security, Digital Healthcare

Abstract

Background: The integration of Electronic Medical Records (EMRs) in healthcare systems has revolutionized the management of patient information, enhancing efficiency and accessibility. This study explores the impact of EMRs on Clinical Safety Indicator (CSI) behavior among healthcare professionals, focusing on doctors and nurses, who play crucial roles in medical record creation and utilization. Methods: A comprehensive literature review was conducted to assess the prevalence of EMR usage, perceived benefits, concerns, and attitudes toward digital record-keeping. Data was collected to understand the relationship between EMR adoption, professional roles, and perceptions of data security and integrity. Results: Findings revealed a higher inclination of doctors towards EMR adoption compared to nurses, with concerns shared by both groups regarding data accessibility, reliability, and comprehensibility. Nurses tended to prefer traditional paper records, impacting their engagement with EMRs. Security and privacy concerns surrounding EMRs were highlighted, influencing professionals' trust in Health Information Systems (HIS) and data privacy safeguards. Conclusion: The study underscores the importance of addressing healthcare professionals' attitudes and concerns toward EMRs to enhance their integration and utilization. Improved training on digital healthcare systems and addressing data security issues are crucial for promoting EMR adoption and ensuring effective communication and collaboration among healthcare teams.

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