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Although a lot of challenges do seem to exist in different EMR systems, few outweigh the benefits and time-saving strategies when used as expected. A barrier identified by developers is the various aspects related to patient-provider encounters due to the documenting versus or as well as when done during patient engagement (Gianfrancesco et al., 2021). Navigating a new EMR can be challenging and takes time to identify the best workflow and available resources. It appears any change in the workflow can disrupt this process not to say it is easy dealing with constant change but it is an anticipated part of the healthcare system.
Talking a closer look at the pediatric population and how the system promotes safety, improves patient outcomes, and monitors growth and development is evident. That is through better tracking, identifying trends and gaps in care as well as pulling in recommendations from outside sources to ensure adequate growth and development. These recommendations and trends allow the provider to identify the need quicker and adjust the plan of care to ensure the best outcome for the patient. Another benefit seen in the EMR for pediatrics is the ability to select an age group and check boxes to ensure all pertinent questions are asked by age group to address these needs, then in many EMRs, the ability to then pull in the information is easier to read format. This is very helpful to a provider and will help ensure a developmental milestone or growth parameter is not missed.
The goal of the EMR was to remove paper charting and to find a more streamlined method that would allow more time for patient-specific care; but even though this was the idea we continue to see challenges with the implementation of this method and how it corresponds to better patient-provider engagement (Bisrat et al., 2021). Another identified area of concern is related to the discharge planning, or end of visit plan provided to the patient. The idea is real-time documentation and in settings such as acute settings, the lack of discharge dispositions completion raises real concern about the accuracy and efficiency of the plan of care (Pathan et al., 2020). This is a challenge for patients as most of the time without proper written instruction they may forget the plan of care of need for follow up.
In each facility it seems the provider has the choice to provide the discharge recommendations in writing or just verbally. This has shown many problems with a carryover of the plan of care and has resulted in poor outcomes due to treatment plans not being understood or simply forgotten about. When it comes to providing care for the pediatric population, being able to provide instructions to the parent in writing appears to be key to patient outcomes and should be a standard of care rather than an option for providers. Barriers to many providers in different health systems include the lengthy process of documenting and or pulling in resources to the EMR, as not all systems allow easy access to resources. Providing this in writing allows the parent to be able to easily identify what the plan of care was and to know when to follow up proving beneficial.

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