Page 21 - 2020 Risk Reduction Series Effective Systems_Part 1_Flipbook
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SVMIC Risk Reduction Series: Effective Systems
PITFALL: Combination of paper and electronic
records
TIP: Using both paper and EHR can lead to
scattered, disjointed records. Important history or
clinical information may be overlooked if the physician
is unsure where to look for information. If the medical
recordkeeping relies on a combination of EHR and
paper records, pay special attention to the safety of
follow-up systems. Scan the relevant paper records so
there is only one source of information.
PITFALL: Physician or other provider “hold-out”
(declining to transition to EHR)
TIP: Connect the provider with a super-user, provide
additional training, or employ a scribe.
PITFALL: Results entered into the patient’s record
without provider review
TIP: If tests or reports are received via hard copy,
they should be reviewed and initialed by the
physician and the patient notified of the results before
they are scanned into the record.
TIP: If the tests or reports are scanned prior to the
physician’s review or uploaded directly into the
electronic record, they should be:
• Flagged as received and tasked to the physician,
thereby necessitating review electronically along with
notification to the patient;
• Reassigned to another provider to review when the
ordering provider is not in the oice (i.e. sick,
vacation, etc.); and
• Periodically reviewed by the administrator/manager
to verify that tasks in provider inboxes are addressed
timely.
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