Final answer:
When developing policies for electronic health records, it is essential to address questions related to interoperability, secure sharing of records, and a thorough cost-benefit analysis, while maintaining structured field note entries as primary documents.
Step-by-step explanation:
Electronic record entries made within the first 24 to 48 hours of patient care are considered primary documents that are crucial for ensuring accurate and timely medical information. When developing policies for electronic health records (EHRs), particular attention must be given to the balance between costs of treatments and diagnoses, patient quality of life, and the risks to individual privacy. Here are three pertinent questions that must be addressed when considering these factors:
- How can we ensure the interoperability of health records while safeguarding against unauthorized access and breaches of confidentiality?
- What protocols will enable the seamless sharing of digital records among health providers without compromising sensitive patient information?
- In what ways can the cost-benefit analysis of EHRs be structured to reflect not just economic efficiency but also the ethical implications of patient privacy and care outcomes?
Each entry for the field notes should follow a structured model to maintain consistency and reliability of the data recorded:
[Your last name], [Your first name]. Field notes. [Name of the department you are affiliated with], [Name of your university], Day Month Year. Raw data. Secondary Research and Other Written and Published Information.