Electronic Record Keeping in Healthcare

Evolution of Record Keeping

  • Healthcare record keeping is important.
  • Documentation empowers professionals.
  • Effective management of archives fosters therapy.

Record keeping in healthcare is an important factor due to the monitoring of patients’ performance and improvement based on the treatments. Human evolution posed a solution to the management of the archives within the sector over the physical registers (Kombe, Dida & Sam, 2018).

Comparison between Digitized and Conventional Record Keeping

  • Digital health records improve accessibility.
  • Conventional records foster bulk in filing records.
  • Documentation enhances the monitoring of patients’ behavior.

The documentation empowers professionals in the medical field with data focused on the effect of certain therapeutical aspects.

Differences between Dynamic Health Records

  • The electronic health record is a digitized patient’s chart.
  • Electronic medical record entails individual health details.
  • The personal health record is data for patient care.

There is a significant difference between personal and electronic health records based on the attributable management process. Healthcare is largely premised on evidence-based practice (EBP), which aims at delivering safe patient-centered treatment and permits nurses to contribute with knowledge crucial in clinical decision-making (Jalghoum et al., 2021).

The Difference in Health Record Systems and Service Delivery

  • Nursing quality relies on technology resources.
  • Human evolution demands advancement in therapy.
  • Physicians’ responsibility is to protect patients’ lives.

The quality of the nursing practice is shaped by the evidence obtained from research works, which is critical to improving health outcomes because it’s enhancing both patient and health personnel experiences and decreasing geographic variation in care. In this regard, research in healthcare produces both external and internal evidence, which significantly contributes to the improvement of clinical operations and practice.

Information Systems

  • The clinical information system is for specific use.
  • The administrative information system provides programming and technical support.
  • Information systems contribute to hospital operationalization.

The structures formed a foundation for the marginalized care concept regarding the balance between interaction with clients and the feeding of records (Zalloum & Alamleh, 2020). Although the controversy lies in the service experience, the incorporation of the clinical and administrative information systems enhances the optimal therapy among the participants, mainly under the spectrum of metaparadigm nursing.

Effect of Information Systems

  • It fosters proficiency in patient data management.
  • Technology is a resource tool for administration.
  • The resource influences service delivery.

The incorporation of information systems fosters the prominent management of details based on the easy accessibility of the patients’ records across the institution. The technology provides a platform utilized in the administration of a clinic. It is an initiative that empowers the employees with adequate knowledge and skills during service delivery due to the provision of adequate insights.

Systems Used in The Organization

  • The organization utilizes a clinical information system.
  • The management utilizes an administrative information system.
  • The electronic health record is another system mainly utilized.

The utilization of the dynamic components fosters the improvement in performance among the staff in the delivery due to the ability to provide in-depth and objective details regarding the alternative solutions to certain problems.

The distinction between Information and Support Systems

  • Information systems deal with data management.
  • Support systems foster the analysis of data.
  • Both resources contribute to effective operations.

Decision-making is an essential factor within an organization due to the necessity to align operations upon attaining the business goals.

Impact of Support Systems

  • Practitioners utilize technology to boost care services.
  • A decision-support system renders objectivity among physicians.
  • Effective recovery relies on metaparadigm care.

Different organizations utilize dynamic approaches to solving the challenges encountered within the company. One of the institutions that demand the participation of the employees in establishing alternative aspects in the healthcare sector. The physicians access the database to attain insight based on the best options to exploit objectively while enhancing the quality of recovery provided to the patients.

Rating of the information technology

  • The score for information technology is 7.
  • The information system boosts the operations.
  • The systems assist in effective decision-making.

The information system plays a vital role in the elevation of the operations across the organization. Apart from the management optimizing the analytics to determine the problems and solutions, the employees utilize the database to establish the key value for patient care and an effective recovery process.

The difference in Performance of Information Systems

  • A decision-support system assists management.
  • Clinical information system assists in Medicare.
  • Health records contribute to advanced research.

An excellent example of an industry that encounters a proficient increment in the level of care is healthcare. There are different types of software and platforms that facilitate the supervisory exercise, such as clinical decision, executive, and decision support systems (Lakshmanaprabu et al., 2019).

Strengths of Information Systems and Weaknesses

  • Information system assists management in decision-making.
  • Technology empowers employees’ expertise.
  • Optimal information sharing boosts service delivery.

The personnel should focus on utilizing available resources to determine the best and most effective treatment process.

Weaknesses of Information Systems

  • Technology intensifies dependence by employees.
  • Technology compromises patient-practitioner interaction.

It is the responsibility of the medical practitioners to protect the life of the clients. One of the software that is a form of a clinical decision support system is the Laboratory Information program (Lakshmanaprabu et al., 2019).

The Significance of Technology to Quality of Care

  • Modernism threatens people’s health.
  • A sedentary state causes lifestyle diseases.
  • Technology provides solutions for data management.

Technology rendered an optimal impact on the sufficiency in the investigation of emergent matters such as the increasing rate of lifestyle diseases and the alternatives to the disparities in the accessibility of the services.

Expectations in Healthcare Sector

  • Prominent nursing and care.
  • Optimal research using patients’ database.
  • Determining the best treatment option.

Over the decades, the integration of technological advancements with an institution’s activities and engagements with employees fostered dynamic elevation in the quality of services.


Jalghoum, Y., Tahtamouni, A., Khasawneh, S., & Al-Madadha, A. (2021). Challenges to healthcare information systems development: The case of Jordan. International Journal of Healthcare Management, 14(2), 447-455.

Kombe, C., Dida, M. A., & Sam, A. E. (2018). A review on healthcare information systems and consensus protocols in blockchain technology. Web.

Lakshmanaprabu, S. K., et al. (2019). “Online clinical decision support system using optimal deep neural networks.” Applied Soft Computing, 81.

Zalloum, M., & Alamleh, H. (2020). Privacy Preserving Architecture for Healthcare Information Systems. In 2020 IEEE International Conference on Communication, Networks and Satellite (Comnetsat) (pp. 429-432). IEEE.

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NursingBird. (2022, September 3). Electronic Record Keeping in Healthcare. Retrieved from https://nursingbird.com/electronic-record-keeping-in-healthcare/


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"Electronic Record Keeping in Healthcare." NursingBird, 3 Sept. 2022, nursingbird.com/electronic-record-keeping-in-healthcare/.


NursingBird. (2022) 'Electronic Record Keeping in Healthcare'. 3 September.


NursingBird. 2022. "Electronic Record Keeping in Healthcare." September 3, 2022. https://nursingbird.com/electronic-record-keeping-in-healthcare/.

1. NursingBird. "Electronic Record Keeping in Healthcare." September 3, 2022. https://nursingbird.com/electronic-record-keeping-in-healthcare/.


NursingBird. "Electronic Record Keeping in Healthcare." September 3, 2022. https://nursingbird.com/electronic-record-keeping-in-healthcare/.