Shaweta SharmaAshish VermaAkhil SharmaShekhar SinghShaik Shafiya Begum
The implementation of electronic health records represents a digital transformation in modern medicine, converting patient information into an electronic format to enhance care quality and workflow proficiency. EHRs are characterised by features that permit instant data access regardless of an individual’s location, with accuracy ensured through validation and integration with various medical systems. In contrast to paper records confined to a single location, EHRs facilitate more coordinated patient care, streamlined administrative processes across departments, and strengthened data security. This chapter explores the clinical and administrative needs of EHRs, including documentation, quality assurance, cost tracking, health record portability, and billing. Successful EHR implementation requires careful planning, which includes stakeholder engagement, needs assessment, vendor selection, and system customisation. During the implementation phase, infrastructure development, data migration, and user training are critical for success, while the post-implementation phase focuses on monitoring, feedback, and system updates. The applications of EHRs extend to administrative tasks, computerised physician order entries, laboratory, radiology, pharmacy, and clinical documentation systems. Emerging trends, such as AI, cloud solutions, and Blockchain, are reshaping EHR technology. Despite the significant benefits, challenges such as cost, interoperability, security concerns, resistance to change, and legal issues must be addressed for effective EHR adoption. This chapter outlines these critical factors, offering insights into the future of healthcare data management.c
R SilvaMedina JaDaher JEAlvarado RMT RecaldeC NoboaI MartilloFelip BurgosYazpik Hernadez VargasStefanie M. FalconiRamirez AMChan GJP Sánchez Alvarez