Paper or Computer Based Medical Records
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The medical record field record keeping systems have been divided into two distinct areas of storage. While there are many advantages to both paper and computer storage of medical records, there are disadvantages as well.
Paper based has the advantage of being real time so to speak. The provider is recording/writing as the information is obtained or observed, therefore, reducing the cost involved in transcription of records. Additionally, all a patients medical paper records can been viewed at one time, without the cost or knowledge of computers, how to operate them , compatibles or format issues or finding the information contained in other than paper format(Skurka, 2003).
Lack of backup in case of damage, fire, theft or other types of harm are the largest disadvantage to the paper based medical record storage systems. Additionally, moving records from one office to another is time consuming and costly. Furthermore, records that do require transcription take additional time and effort, as does the proper storing of the paper records. Space, money, and staffing can become problems using the paper-based system.
Overall, the computer based medical records system has more options for fortification from loss due to theft, fire, and damage, due to the ease of back up; multiply storage options and means of storage (Skurka, 2003). The computer-based records are much easier to read, require less space and time to enter the data and keeping track of patients or conditions are quicker, and require less effort. Additionally, computer programs work together to provide ease of moving records from one provider to another.
The security issues of computer records are and will be an ongoing issue. There are many ways to provide security to these records, however there is a need for constant monitoring to insure safety and privacy are intact. The cost of the computer based systems of record keeping and the training involved in the proper operation of the systems along with the conversion process are the largest disadvantages to this method of record keeping. Proper selection of all aspects of computer based storage systems; cost involved and maintenance are the main things to consider when deciding to make the switch.
My feeling are that computer based records are well organized, competent and efficient with many options to help the medical professionals do a quality job of providing patient care, treatment and diagnosis. Looking at each individual case with the option to compare cases to assist in identifying needed information allows for more time to be spent in care rather than starting from scratch. Computer based records are also a huge savings of time, labor and confusion in meaning or improper abbreviations or penmanship. Finding a way to keep the information safe, while easy to find for the professionals that need it, and maintaining the personal aspect of care are the issues to keep in mind here.
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