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Speech Recognition in the EHR Essay

The slow adoption rate of the EHR is as a result of several factors. The complication related to human computer interface and the competence (or lack of it) to input data and navigate the system is one of these factors.  Speed recognition maybe the key to improving the EHR adoption rates by improving the efficiency within the practice and increasing the quality of the patient care provided.

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One major expectation in relation to the implementation of the EHR is that technology will enhance patient care such that it will not be an obstacle to the time-tested clinician work-flows and overburden the medical staff. A number of clinicians believe that narratives are fundamental to a patient’s case of illness, Walsh S. (2004). Plagiarism Free Papers Their argument is that computers are supposed to ease the process of capturing narratives and that clinical documentation and information retrieval should be enhanced by the design of the patient’s record.

Handwriting for clinical data and order entry is perpetually becoming unpopular as the EHR adoptability becomes extensive. Plagiarism Free Papers Most (if not all) clinicians, even those with minimal typing skills, eventually compromise the patient provided information due to their self-editing in the process of documenting a patient’s narrative.

Dictation with transcription is the most efficient way to document patient visits. This will involve a competent transcriptionist. However, the result can hugely vary. The errors of transcription may result in generated inaccuracies in the medical record which will lead to delays in posting the final authenticated and certified note on the EHR. Entry of coded data can consume a lot of time and may fail to convey the accurate meaning of the patient’s condition, which may affect the communication of intricate nuanced clinical information to patients or among clinicians.

There are several benefits of speed recognition in the EHR. Due to the improvements in speed recognition technology accuracy rate, its use has grown steadily among physicians in their quest to improve both the quality of documentation and work-flow processes.

Plagiarism Free Papers More benefits include significant reduction of transcription costs, reduction of document turnaround times and enhanced patient care due to increased accuracy and minimization of errors. Acceptable accuracy rates, complete medical vocabularies, and voice macro creation capabilities (which help in standardizing intricate documentation entry by employing easily-editable templates) are some of the features of speed recognizing technology application that have enhanced their implementation.

Just like any system, speed recognition in the EHR has its share of risks and drawbacks. Initially, clinicians may be adamant to change from a paper-based health record system to an electronic health record. The main obstacle here is the cost of switching.

Plagiarism Free Papers This especially affects those clinicians in the small practices who lack enough financial incentive to switch to computerized records. Other issues relate to comfort and tolerance, that is, how comfortable one is with this new technology of speed recognition in the EHR and how much one is tolerant with the errors and the willingness to correct them.

More research on speed recognition in the EHR is required to improve on the anticipated challenges. Time-saving, enhanced documentation and communication and any other tool that will lead to quality of patient care are the features that a clinician will be looking out for in this technology.

Smoking in Public Places Essay

Public smoking imposes significant health costs on the individual smokers and the secondhand smokers in general. Public smoking is a significant factor in creating mortality disparities for the public who do not smoke. There are arguments to eliminate public smoking including provisions of preempting stringent laws, a significant number of policies have been suggested to decrease nationwide public smoking including bans and increasing the price of cigarettes.

Plagiarism Free Papers According to American Nonsmokers Rights Foundation, several municipalities have passed laws banning smoking in some public areas and such laws are now effective in 43 states (James Colgrove, 2011). This paper will argue for the ban of smoking in public places and place its justification.

Smoking has been banned for various reasons since 1590 when pope Urban excommunicated anyone caught smoking. Plagiarism Free Papers But it was not until the twentieth century that health problems associated with smoking were made public. Businesses provided smokers with a separate location to use so that they could smoke without exposing others the dangers of passive smoking. There are several pros as to banning smoking in public areas.

Smoking in public places should be banned mainly because it is an effective way to reduce secondhand smoking and also reduce smoking among the youth. Plagiarism Free Papers It may have seemed impossible at first but some countries like Ireland, since 2004 made history as the first country to implement a smoking ban in public places like bars and restaurants defying predictions of a ready compliance and decline in business with improved health for the public. Public smoking should be banned as it puts secondhand smokers especially pregnant women and children at risk as well as people with respiratory problems at risk.

Plagiarism Free Papers Reports from the U.S. surgeon indicate that more than 126 million people in the U.S. are exposed to secondhand smoke 22 million of them being children causing around fifty thousand deaths every year (Ediriweera Desapriya, 2009). Another article by James et al. cements the ban going by its data. Farley who is the health commissioner in New York City asserted that data obtained showing that 57 percent of New Yorkers tested positive for a cotinine which is a marker for tobacco exposure despite the fact that only 16 percent of New Yorkers smoked (James, et al., 2011).

Therefore, banning smoking at public places, an act that causes many problems to innocent victims, is in many ways helpful not only to the smoker but also the public. Plagiarism Free Papers This will be an effective way of to reduce to reduce smoking exposure to the public by passing well-designed global legislations that bans smoking in public places. By banning smoking in public places, then the dangers of putting secondhand non-smokers will be eradicated or greatly reduced.

Plagiarism Free Papers Clean air policies including banning smoking in public areas are effective ways to reduce secondhand exposure of smoke and reduce smoking among the youth and adult population. (Rosemarie Henson, et al., 2011). Therefore, the dangers associated with putting innocent non-smoking public at risk of such diseases like lung cancer, acute asthma episodes and heart problems will be greatly reduced. Statistics show that about one fifth of Americans smoke and one third of the smokers are those with incomes below the federal poverty levels.

Plagiarism Free Papers This means that smokers are more likely to be poor and concentrated in public places for enjoyment and recreation. Smokers also need to abstain for their own good; they will greatly improve their physical and mental health since smokers are likely to bear financial brunt from smoking. Banning smokers will thus improve not only their financial health but also their health which is more likely prone to health problems (Ediriweera Desapriya, 2009).

Although it is true that not all the people who engage in public smoking endanger non-smokers lives, it is a fact that smoking per se is a sure way of causing health problems; to the smoker and non-smoker. Given the difficulty of quitting smoking and nicotine’s addictiveness, strategies to ban public smoking raises questions of unwanted negative effects on mental and physical health of smokers. Plagiarism Free Papers  Also, anti-tobacco crusaders find themselves in crossroads; smoking is a leading cause of preventable illness and causes death. The available and most effective way of combating the problem like taxation and public education campaigns have produced have not produced the desired returns.

Plagiarism Free Papers When the New York mayor was pressed to answer where the people should smoke, he replied that “he was not prepared to answer such a question,” this shows how the issue is contentious. In absence of direct health risks to others, then banning of smoking in public may raise questions about acceptable limits for the government to impose on conduct.  But again it will not be enough to argue that either the number of people affected, is small or many, even if it is just one person who is at risk, either the smoker or to a non-smoker, due to public smoking is a justification to ban public smoking (James, et al., 2011). It is therefore the case that smoking in public places should be banned.

Conclusion

Although legal provisions may have been promoted by the tobacco industry to preempt U.S. states from regulating smoking, this should not be effective at all. Plagiarism Free Papers Public smoking should be banned by all means as it causes harm not only to smokers but non-smokers especially children and pregnant women showing that secondhand smokers have a higher risk of developing respiratory problems even more than smokers. It makes a lot of sense to ban an act that does cause problems to innocent people and eradicate the impeding danger.

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