Accuracy in the recording of pressure ulcers and prevention after implementing an electronic health record in hospital care

Abstract

The accuracy in pressure-ulcer recording improved in the EHR compared with the paper-based health record. However, there were still deficiencies, which mean that patient records did not serve as a valid source of information on pressure-ulcer prevalence and prevention.

Review of the Current Management of Pressure Ulcers

“…System solutions such as electronic medical record programs, which prompt providers to document results of pressure ulcer screening every shift or day, are of great importance in diagnosing pressure ulcers early and preventing progression. 24 A variety of pads are available, which are designed to specifically cover pressure points such as the sacrum and heels as well as foam pads designed to wrap around body parts at risk (especially feet). 25 However, it is important to note that some pads can actually be detrimental.…”

Who Is Turning the Patients? A Survey Study

“…9, 10 Although EHRs have been shown to improve documentation of PU, less is known about how the EHR may have influenced PU prevention. 11 …”

Parent report and electronic medical record agreement on asthma education provided and children’s tobacco smoke exposure

“…Yet, they found low and inconsistent use of technology to record Education encounters in their study. Similarly, under-documentation of patient symptoms and care has been reported in other studies [26,27]. Regarding patient education, Cook et al conclude that this missing patient information may lead to potentially inappropriate continuity of health education.…”