Narrative Review of Electronic Health Record Systems in Anesthesia: Benefits, Risks, and Medico-Legal Considerations in the United States of America.
Electronic health records (EHRs) have transformed healthcare delivery and documentation by accurately capturing routine care and critical events through automated data recording. EHRs also enable clinical decision support, quality improvement initiatives, and large-scale research. A narrative review...
| Publicado en: | Journal of Medical Systems Vol. 49; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Springer Nature
6/23/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186104640&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186104640 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: 6/23/2025 vid: 49 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 186104640 186104640 186104640 10.1007/s10916-025-02221-z 186104640 ppf: 1 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Narrative Review of Electronic Health Record Systems in Anesthesia: Benefits, Risks, and Medico-Legal Considerations in the United States of America. aug: au: Tewfik, George Minzter, Beth Chiao, Franklin Zivot, Joel Wecksell, Matthew Simpao, Allan F. O'Reilly-Shah, Vikas Berg, Kent Wang, Ellen Tan, Jonathan M. Ondecko, Kristin Banoub, Mark Pesce, Michael Khatib, Reem Abola, Ramon E. affil: https://ror.org/014ye1258 Rutgers New Jersey Medical School, Newark, NJ, USA sug: subj: Electronic Health Records Legislation and Jurisprudence Electronic Health Records Ethical Issues Anesthesia Documentation United States Decision Support Systems, Clinical Privacy and Confidentiality Consent Communication Liability, Legal Government Programs Negligence Legislation and Jurisprudence Metadata Audit Government Regulations Ethical Issues Organizational Policies Quality of Health Care Clinical Documentation Improvement ab: Electronic health records (EHRs) have transformed healthcare delivery and documentation by accurately capturing routine care and critical events through automated data recording. EHRs also enable clinical decision support, quality improvement initiatives, and large-scale research. A narrative review has been constructed using relevant research regarding medicolegal liability associated with EHRs, related to anesthesia care. EHRs have created new liability exposures through alert fatigue, system errors, and inappropriate use of functions such as copy-and-paste. Ethical issues and concerns with EHRs include privacy, informed consent, and secondary data uses. Metadata, "data about the data", provides insight into record authenticity, clinician involvement in care, and communication between providers. However, EHR metadata is legally discoverable, and courts have compelled its release to plaintiffs despite hospital objections. This narrative review covers the benefits of EHRs in anesthesiology practice, discusses medicolegal liability and ethical concerns, and highlights a method for assessing medicolegal risks using the EHR. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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