Tag Archives: EHR Software

The Shakespearean World of ICD-10 Mental Disorders

William Shakespeare’s works are known for their universality. His plays and characters are relatable to every time and age. These plays reflect the depravity of society that manifests in the form of human mental disorders including psychopathology.

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For More Information: https://blog.curemd.com/the-shakespearean-world-of-icd-10-mental-disorders/

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Can you copy-paste in an EHR software?

While copy-pasting helps us do a lot more in a lot less time, the same doesn’t apply to the healthcare industry and more specifically, electronic health record (EHR) software.

Copy-pasting patient data into patient records can have very serious consequences including increased risk of medical errors and possible breaches of CMS regulations.

 

According to a recent AHIMA report, 79-90% of physicians use the copy/paste function in their EHRs, and somewhere between 20-78% of physician notes are copied text. With so many physicians relying on the tactic, it’s not surprising to see a growing number of errors made within EHR systems.

So where does the true danger lie for physicians? Let’s discuss.

Dangers of copy-pasting

Imagine an intensive care unit (ICU), where a patient is in delicate condition and any small change in treatment or medications could affect the outcome of the case. Using the previous day’s treatment plan the following day is often routine.

However, the previous day’s plan may not include the most up-to-date information, and copying over old charts could put the patient in fatal risk if crucial new data is lost during the process.

Should doctors copy paste?

The good news is that there are times when using the copy paste functionality to streamline workflow are appropriate. The command should be applied for copying demographics, regular patient medications, problem lists, long standing allergies, and labs.

However, appropriate use of functionality is important. It is always best to manually input medical data of every new patient and must be verified for accuracy.

These are such minute things which you need to be aware of when entering patient data in your EHR software. Remember, it may save you time, but it should not be at the cost of a patient life.

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Can copy and paste jeopardize your practice?

There is a great feeling of happiness for anyone who learns how to   use the copy and paste function. It is like a world of possibilities opened up for you and you no longer have to type those words over and over again. But with ability like this comes a great responsibility. When using the copy and paste option in EHRs then there are some serious risks of errors being made.

According to an AHIMA report about 79-90% of physicians use copy/ paste function in their EHRs and around 20-78% of the physician notes are copied from text. Thus it is not shocking to see a large number of errors being made in the EHR systems.

Dangers of Copy and Pasting

 Imagine an intensive care unit (ICU) where patient is in critical condition and any minute changes in the treatment of the patient could have adverse effects. Whereas previous day plans are often used in the following day.

The previous day plans may not contain the updated information and copying the old charts can put the patient in fatal risk if the current data is lost. If an ICU unit copies a medical procedure from previous days while updating the treatment plan then the procedure can be coded twice and it can lead to overpayment.

Does doctors need to copy and paste at all?

There are certain times when the copy/paste function is recommended in order to streamline the workflow. The copy/paste command should be used for copying the demographics, regular medications, lists of problems, labs and allergies.

Clinicians and physicians need to use the copy/paste function appropriately and carefully. Whenever a new condition arises the best way is to manually enter the data and verify it in order to ensure accuracy.

Many of us would agree that copy/paste function is a blessing. But this blessing comes with a warning, so physicians and clinicians need to be careful when using this functionality. As it can get them into a trouble faster than they can imagine.