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Reply 1:

Electronic health records are clinical and medical history containing information about a
patient’s health. It also has the function to affect the health care services provided to the
patient, and improve the quality of patient outcomes. Medical notes are included in the
electronic health record by different healthcare professionals such as a physician,
nurse, and pharmacist. It is data that is systematic for healthcare professionals to create
the needs and considerations for the patient to improve the patient’s quality of life.
There are benefits of implementing electronic health records such as the quality of care,
the clinical processes, it makes it easier to access clinical- patient communication, fewer
medical errors and improved medical practice(Wilson, 2019). The speed of accessing
and filtering information is another advantage. It helps facilitate teamwork between the
medical, laboratory, pharmaceuticals and other hospitals. There are disadvantages
when implementing electronic health records such as privacy and security concerns,
communication barriers, and errors that potentially threat patient safety. Medical faults
are challenges that increase through the use of the electronic health records because of
the misuse made by unprepared users. Electronic health records can cause medical
faults placing doctors at a higher risk for lawsuits. For example, if a procedure is carried
by a doctor and it was wrongfully recorded, the second doctor may diagnose the patient
based on the previous doctor’s documentation. This causes challenging outcomes for
both the healthcare team and patient. Electronic health records have advantages and
disadvantages, but in the near future electronic health records should be utilized safely
and carefully to avoid consequent risk(Lúcia Raposo, 2015).

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Reply 2:

Advancement of technology that limits physical contact and promotes paperless/
cashless transactions play a current critical role, especially these times that we are
faced with pandemic globally. Every modality at use in our society strongly requires
modernization so that people can still access the basic services despite precipitating
physical and social restrictions. The health sector, in particular, is forced to adapt and
embrace changes that would compensate for the current limitations, given the fact that
the need for health services keeps increasing over time. This real-time scenario invokes
greater tasks and greater manpower. It is indeed a great thing that Electronic Health
Records (EHR) has been introduced. With the use of information technology in the
health industry, both patients and healthcare providers benefit from a great range of
medical, structural, and communal aftermaths (Hoden, 2020). An EHR is a digital form
of a patient’s clinical register that contains important data relevant to a patient’s care
plan that is kept and maintained by a certain health provider. These stored data are

governed by implementing rules and regulations in lieu of protecting the patient’s
privacy and can only be accessed and retrieved when needed through an Information
Technology (IT) specialist.

EHR benefits the health care industry because of its lessened effort in a quicker
review of patient data, lesser time spent in prompting appointment schedules, and
readily available templates for documentation and charting. EHR engagements also
reduce the consumption of paper and lesser the need for record cabinets, which
eventually maximizes space for other purposes. Organizational efficiency as an
advantage is financially rewarding and time and energy saving, like in the billing
processes where there’s improved collaboration among the members of the health care
team (Hedges, 2019). Furthermore, more readable and organized notes, patient
accessibility, safer medical record storage, and quicker command initiation can be
achieved with the system (Cervinski, 2019). Through these advantages, a promising
improvement in the quality of care is highly achievable because of reduced error and
misinterpretation tendencies.

On the other hand, some drawbacks that need extra attention must be
considered. Since all computerized systems are prone to cybersecurity issues, there is
a potential danger that hackers can take some personal and delicate patient
information. There is also a need to update the system from time to time; otherwise,
accuracy and updated information cannot be obtained by other care team members.
The capacity of the patient to access their health information poses a danger for panic
and fright, as the patient may instantly conclude and interpret without much knowledge
on the data retrieved, hence may eventually lead to unsuitable actions. Several
negligences and accountability concerns can also take place during the process of
transferring data from the usually printed one to that of EHR format. Data needs to be
preserved since it serves as the basis for the physician’s diagnosis and orders. Full
implementation of EHR entails a great deal of time and money since the more advanced
the software is, the higher the cost. There would also be a need to hire an IT expert who
is knowledgeable about the operation, and more time is needed for staff and other team
members to be trained on its use. In some instances, inconvenience and inefficiency
can be encountered when the system requires an upgrade, which is necessary to keep
the data stored consistently updated (Hoden, 2020). Overall, given these advantages
and the challenges, the urgency of digitalized applications outweighs whatever
drawbacks that may come along with its implementation. After all, the challenges can be
surpassed and adapted over time with continued training and mastery, but the demands
of a changing world are inescapable.

Requirement:
1. Write 100-125 words per each on you own word
2. Do you find any interested on the post
3. Do you agree and why
4. Do you want to add any comment
5. Deliver within 12 hours
6. Must include at least 2 professional APA in-text citation and reference with the link

Reply 1:

Informed consent for involvement in the study is a significant value of moral clinical
practice and protects a person’s right to autonomy. Patients under the age of 16 years
are not legally allowed to permit their involvement in clinical trials of medication
treatments. However, the United Nations Convention on the Rights of the Child, global
legislation, and research rules acclaim that children must be involved in
decision-making procedures in a way that is age suitable to the patient and the situation
of their family. The term assent is generally used and states when a child’s desires are
taken into consideration in research decision making. It is endorsed that assent is
required from children beforehand they participate in medical research, where informed
consent is not possible, even though the role of assent has been disapproved for being
uncertain in research discussions with children (Roper, L., Sherratt, F. C., Young, B.,
McNamara, P., Dawson, A., Appleton, R., Woolfall, K., 2018).

I believe that Informed consent in pediatrics should be part of practice in the United
States. It will be important to have a good relationship for both parents, caregivers,
children, and healthcare providers in able to decide what is the best way and best
treatment for the underage patient. “Pediatric practice is unique in that developmental
maturation allows, over time, for increasing inclusion of the child’s and adolescent’s
opinion in medical decision-making in clinical practice and research (Katz, A., Webb, S.,
2016).”

Some challenges clinicians may experience and may limit providing care to an
underage patient are when parents disagree about end-of-life treatment goals; when
there is a conflict between parents and the clinical team; and when the family is
demanding resuscitation when it is clear that the child will not benefit.

Reply 2:

In a legal point of view, children are not allowed to give informed consent until they turn
18. There is a requirement to have permission from the parent to allow consent for any
procedure or for volunteered research. There are two elements to obtaining an informed
consent they include the guardians permission and child assent (Anderson, 2016).
Parents may feel fear when trying to decide what is best for their children especially
when it comes to the maturity of the child because they are still developing.. (Al-Sheyab,
et al. 2019). However, when it comes to a certain procedure, treatment or for research
purposes, children should have an active role to make those decisions that concern
their body. There are no age limits that are put in place when involving children in their
decisions, but in consideration for autonomy and the context of the procedure it is
suggested that they should be involved when the child turns 12(Anderson, 2016). When

including your child in decision making it promotes empowerment and compliance in
their care. Physicians should make the effort to maximize the understanding of any
procedure to both parent and child regardless of maturity level(Informed Consent in
Decision-Making in Pediatric Practice, 2016). There are three circumstances when a
minor can make decisions based on diagnostic care, maturity of the minor, and legal
emancipation(Katz & Webb, 2016). When it comes to parents making the decisions they
should always keep the children’s thoughts in mind even when the final decision does
not come from them.

Requirement:
1. Write 100-125 words per each on you own word
2. Do you find any interested on the post
3. Do you agree and why
4. Do you want to add any comment
5. Deliver within 12 hours
6. Must include at least 2 professional APA in-text citation and reference with the link