I have been an RN for several decades, and have been up and down the pecking order of positions in large metropolitan hospitals. I have always had my heart in ICU.
Currently I am working in a small rural hospital as staff ICU. Our hospital, and 3 others (plus a pharmacy to cover after hours orders) have just linked electronically with a computer system (MediTech). Now all four hospitals can exchange medical and financial information to make transferring between institutions smoother. I am very uncomfortable with the set up; not the day to day use. Though it's not nurse friendly I can work with it. (No choice)
I have several concerns:
(1.) Accuracy, narrative is not encouraged
(2.) time delays inherent in the system though in a court of law I'm sure all entities would cover themselves. Culpability of an off campus, 3rd party pharmacy hasn't been explained. They are a stand in pharmacy for 48 hospitals. The next step in the modernization is that the MD's will have access to clinical test results and be able to put in orders from any computer anywhere.
For the first time in my career I have purchased professional liability insurance (AACN -$114 with 2 million / 4 Million in coverage).
Am I just paranoid or is computer charting a positive. I know that if I were an "ambulance chasing medical lawyer" I would look hard at hospitals using computers. We have already been told that capturing charges is more difficult in a computer system.
An aside questions: Do MD malpractice insurance rates increase with a computer system