Navigating Ethical Issues with Electronic Health Records in Developmental-Behavioral Pediatric Practice

2013 ◽  
Vol 34 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Britt A. Nielsen ◽  
Rebecca A. Baum ◽  
Neelkamal S. Soares
Keyword(s):  
Electronic Health Records ◽  
Ethical Issues ◽  
Pediatric Practice ◽  
Health Records ◽  
Electronic Health

scholarly journals Research using electronic health records: Balancing confidentiality and public good

2018 ◽  
Vol 10 (4) ◽  
pp. 288 ◽  
Author(s):  
Katharine A. Wallis ◽  
Kyle S. Eggleton ◽  
Susan M. Dovey ◽  
Sharon Leitch ◽  
Wayne K. Cunningham ◽  
...  
Keyword(s):  
Electronic Health Records ◽  
Ethical Issues ◽  
Personal Health Information ◽  
Personal Health ◽  
Quality And Safety ◽  
Patient Relationship ◽  
Health Records ◽  
Patient Consent ◽  
Information Research ◽  
Electronic Health

ABSTRACTGeneral practitioners are increasingly approached to participate in research and share de-identified patient information. Research using electronic health records has considerable potential for improving the quality and safety of patient care. Obtaining individual patient consent for the use of the information is usually not feasible. In this article we explore the ethical issues in using personal health information in research without patient consent including the threat to confidentially and the doctor-patient relationship, and we discuss how the risks can be minimised and managed drawing on our experience as general practitioners and researchers.

scholarly journals Electronic Health Records: Then, Now, and in the Future

2016 ◽  
Vol 25 (S 01) ◽  
pp. S48-S61 ◽  
Author(s):  
R. S. Evans
Keyword(s):  
Electronic Health Records ◽  
Medical Information ◽  
Ethical Issues ◽  
New Technology ◽  
Local Area ◽  
International Standards ◽  
Environmental Data ◽  
Health Records ◽  
Other Information ◽  
Electronic Health

Summary Objectives: Describe the state of Electronic Health Records (EHRs) in 1992 and their evolution by 2015 and where EHRs are expected to be in 25 years. Further to discuss the expectations for EHRs in 1992 and explore which of them were realized and what events accelerated or disrupted/derailed how EHRs evolved. Methods: Literature search based on “Electronic Health Record”, “Medical Record”, and “Medical Chart” using Medline, Google, Wikipedia Medical, and Cochrane Libraries resulted in an initial review of 2,356 abstracts and other information in papers and books. Additional papers and books were identified through the review of references cited in the initial review. Results: By 1992, hardware had become more affordable, powerful, and compact and the use of personal computers, local area networks, and the Internet provided faster and easier access to medical information. EHRs were initially developed and used at academic medical facilities but since most have been replaced by large vendor EHRs. While EHR use has increased and clinicians are being prepared to practice in an EHR-mediated world, technical issues have been overshadowed by procedural, professional, social, political, and especially ethical issues as well as the need for compliance with standards and information security. There have been enormous advancements that have taken place, but many of the early expectations for EHRs have not been realized and current EHRs still do not meet the needs of today’s rapidly changing healthcare environment. Conclusion: The current use of EHRs initiated by new technology would have been hard to foresee. Current and new EHR technology will help to provide international standards for interoperable applications that use health, social, economic, behavioral, and environmental data to communicate, interpret, and act intelligently upon complex healthcare information to foster precision medicine and a learning health system.

scholarly journals Ethical issues in electronic health records: A general overview

2015 ◽  
Vol 6 (2) ◽  
pp. 73 ◽  
Author(s):  
Nayer Jamshed ◽  
FouziaF Ozair ◽  
Amit Sharma ◽  
Praveen Aggarwal
Keyword(s):  
Electronic Health Records ◽  
Ethical Issues ◽  
Health Records ◽  
General Overview ◽  
Electronic Health

Identifying and Addressing Ethical Issues with Use of Electronic Health Records

2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Susan McBride ◽  
Mari Tietze ◽  
Catherine Robichaux ◽  
Liz Stokes ◽  
Eileen Weber
Keyword(s):  
Decision Making ◽  
Electronic Health Records ◽  
Clinical Decision Making ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Clinical Care ◽  
The United States ◽  
Unintended Consequences ◽  
Health Records ◽  
Electronic Health

With the passage of the Health Information Technology for Economic and Clinical Health Act in 2009, the United States, as of 2017, has achieved 95% saturation with electronic health records as a means to document healthcare delivery in acute care hospitals and guide clinical decision making. Evidence is mounting that EHRs are resulting in unintended consequences with patient safety implications. Clinical teams confront usability challenges that can present ethical issues requiring ethical decision-making models to support clinicians in appropriate action on behalf of safe, effective clinical care. The purpose of this article is to identify and address ethical issues raised by nurses in use of electronic health records. We provide a case scenario with application of the Four Component Model and describe a study of nurse experiences with the EHR. The nursing Code of Ethics, Nursing Scope and Standards, and Legal Implications are reviewed, and we conclude with recommendations and a call to action.

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