data breach occurs. Besides the threat to privacy concerns, patients have shown stress as they hardly know the information their doctors put into the system the worry of if their data is private and what was necessary. Most patients are curious and want to know what the providers include in their records. While applying EHR has been associated with easy and effective access to billing systems, for instance, improving the recognition or identification of clinical problems and changing of the provider practice has shown a great challenge. Users may find themselves caught up with workload when the number of patients increases. That means, they have shown ineffectiveness whereby the users or providers suffer burnout and fatigue. In such instances, there may be wrong information recording as the providers may be in a hurry to finish their work. For example, there may be errors in the billing system or filling the patient demographic credentials like. Computers have been known for autocorrections, and incorrect data may be computed without the notice or knowledge of the user. Burnout is associated with technical errors which may result in cases of wrong procedures or any other human errors like misdiagnoses hence risk to health and lives of the patients. Uses of EHR has been associated with more cases of technical and human errors as compared to the paper records. The end-users of the EHR are also faced with the challenge of technical ability. Computer literacy with the constantly advancing technology has become a significant issue in the healthcare system. According to Health Resources and Service Administration in U.S connectivity in the rural settings is difficult which impacts the physicians in such hospitals (Jha et al. 2010). As a result, a challenge of buy-in, as well as resist to change, may occur where the providers of the healthcare are not ready to accept the new changes in the system operations. Some of the providers who have used paper records for long may also show doubt of the
18 capability of the EHR system. Due to the technical ability required by the users, training is also needed for the end-users and personnel to ensure the best usage and practice for all staff members. Patients should also be oriented about the uses of the EHR system to eliminate the doubt or worry of their privacy. Solution One major solution for the two issues is implementing a staff training and education program. Before changing policies for instance on the implementation of EHR systems, the management has to train and educate. Additionally, changing the healthcare facility policies will improve the buy-in of the EHR system by the administration. This will ensure that there are adequate resources and competent authority to ensure implementation of the system. The training should include the policies in the facility, for instance, the security guideline, ways of detecting a cyber threat, the type of data to be protected and mode of transferring and storing it, password setting and email guidelines and compliance policies.
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