Best Practices for Physicians entering Patient Data into EMR System
ALL MD attorney Craig Brodsky offers physicians best practices on entering patient data in their EMR systems. This important advice could lead to fewer medical malpractice claims.
Mr. Brodsky is a partner with the firm Goodell, Devries. He has represented attorneys, physicians, psychologists, healthcare organizations, nursing homes, group homes, developers, adoption agencies, and real estate brokers. He has developed a concentration in defending healthcare providers in birth trauma, and cerebral palsy ligation. He frequently presents to healthcare providers and attorneys on current developments in the law in medical issues.
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Interview was recorded June 12, 2015
Mike Matray: Hi, my name’s Mike Matray, and I’m your host of Healthcare Matters, where the medical and legal community comes together to discuss healthcare matters. Today, my guest is Craig Brodsky. Mr. Brodsky is a partner with the firm Goodell, Devries. Welcome to Healthcare Matters, Craig.
Craig Brodsky: Good morning.
Mike: We’d like to start today discussing electronic health records. And with the Affordable Care Act moving the healthcare delivery system to this digital format, how has it affected best practices for entering data into a patient’s chart? And what guidance would you give to physicians, so that they’re using best practices when entering data into their electronic medical record?
Craig: I think one of the difficult things about electronic medical records, is that there’s some user time that people need to learn how to use the systems. And so, the best advice we can give to physicians, and other people who are entering data into it, is take the time to learn the system. Learn the drop-down menus, learn the fields, learn what’s populated automatically versus what is populated through user entry. And that’ll help you get the right information into the records, at the right time. Make everything clear, and as things move forward and information moves forward in the record, that allows the correct information to be put in. Electronic medical records have been very helpful, in certain areas. It’s great in terms of medication administration, things that we have in terms of side-effects of medication, medication interactions. But it’s difficult, from a human standpoint, in terms of learning the technology.