Creating a Standardized Electronic Process to Meet core Measure Compliance in Review Education of Sepsis

Sepsis
Name:
Institution:
Course:
Date:
Current Situation
The fact that there is need to maintain accurate medical records in some of the cases drives medical professional to follow the documentation protocols more than they rely on the medical research. This is relative to the fact that whatever procedure they take into is going to largely affect the element of documentation. Ideally due to the fact that most of the medical professions require that there are accurate medical records, there is an element of the records overrunning the need to follow modern research practices ("What is medical auditing?", 2016). In other cases, medical professionals will be forced to use the practices that are easily documented and ones that allow for ease of recording.
It is important to note that medical records are a crucial part of the health care systems. This is relative to the fact that the records play a vital role in the diagnosis of the health conditions of a patient in latter procedures. This means that, when there are accurate medical records on a patient relative to past medical conditions and treatment plans along with other medical interventions carried out, the current condition can easily be identified and dealt with in an accurate manner. This further comes in handy as part of good medical practices ("What is medical auditing?", 2016). It is also important to note that the element of keeping accurate medical records comes in handy relative evidence of care. This is to mean that, the records are a basis for evidential background. Any other medical professional or even the patient can easily follow up on the various medical interventions that were used and the various reactions that the body brought about. It is also the official method of communication. When a nurse put on record whatever interventions that that were administered on a patient, this is a means of communicating with the rest of the medical professionals. Ideally, any other medical professional that is going to interact with the patient at the hospital or another hospital will have access to the previous medical records that pertains to the patient ("What is medical auditing?", 2016). It is through this form of communication that medical teams are able to bring about proper diagnosis on a patient.
Historical relevance
The medical records systems are largely referred to as health information systems. And their history can be traced back to the 1920s (Brooks, 2016). This was at a time when medical professionals realized the benefits of keeping medical records relative to them and the patients. At this time the medical professional had realized that they were able to treat the patient with accurate medical records which further helped with diagnosis. Later on the element of safety came to the health care sector and more emphasis was placed on quality of care. To standardize the records that were kept by the different health care professionals and facilities, an organization was established namely the American association of record librarians of professional association. Later the organization was rebranded to American health information management association (Brooks, 2016). At the time most of the records were done on paper which explains the medic...