{"id":15287,"date":"2019-05-29T15:04:49","date_gmt":"2019-05-29T15:04:49","guid":{"rendered":"https:\/\/www.vydence.com\/?p=15287"},"modified":"2019-05-29T15:04:49","modified_gmt":"2019-05-29T15:04:49","slug":"prontuario-eletronico","status":"publish","type":"post","link":"https:\/\/www.vydence.com\/pt-br\/prontuario-eletronico\/","title":{"rendered":"Tudo o que voc\u00ea precisa saber sobre prontu\u00e1rio eletr\u00f4nico"},"content":{"rendered":"\n[et_pb_section fb_built=”1″ _builder_version=”3.23.3″][et_pb_row _builder_version=”3.23.3″][et_pb_column type=”4_4″ _builder_version=”3.23.3″][et_pb_text _builder_version=”3.23.3″]

Prontu\u00e1rio eletr\u00f4nico \u00e9 uma modalidade do prontu\u00e1rio m\u00e9dico que concentra os registros sobre a sa\u00fade de um paciente no formato digital. Esse documento \u00e9 sigiloso, cient\u00edfico, e possui como um dos objetivos a comunica\u00e7\u00e3o entre a equipe multiprofissional e a continuidade da assist\u00eancia prestada ao indiv\u00edduo.<\/span><\/p>\n

O avan\u00e7o da Medicina e o progresso da inform\u00e1tica na \u00e1rea de sa\u00fade fez com que o prontu\u00e1rio eletr\u00f4nico ganhasse mais espa\u00e7o. Conhe\u00e7a melhor seu funcionamento!<\/span><\/p>\n

<\/span><\/p>\n

Como funciona o prontu\u00e1rio eletr\u00f4nico?<\/span><\/h2>\n

O prontu\u00e1rio eletr\u00f4nico \u00e9 objeto da <\/span>Lei n\u00ba 13.787\/2018<\/span><\/a>. Ela \u201cdisp\u00f5e sobre a digitaliza\u00e7\u00e3o e a utiliza\u00e7\u00e3o de sistemas informatizados para a guarda, o armazenamento e o manuseio de prontu\u00e1rio de paciente\u201d. A lei estabelece que o processo deve assegurar a integridade, a autenticidade e a confidencialidade do documento digital, o que deve ser feito por meio de certificado digital emitido pela ICP-Brasil. <\/span><\/p>\n

O prontu\u00e1rio eletr\u00f4nico funciona de forma semelhante ao prontu\u00e1rio f\u00edsico. Ele deve conter identifica\u00e7\u00e3o do paciente, anamnese, exame, hip\u00f3teses diagn\u00f3sticas, diagn\u00f3sticos definitivos e tratamentos efetuados.<\/span><\/p>\n

Por isso, a lei prev\u00ea a possibilidade de exclus\u00e3o do prontu\u00e1rio impresso ap\u00f3s 20 anos a partir do \u00faltimo registro. Alternativamente, ele poder\u00e1 ser devolvido ao paciente.<\/span><\/p>\n

<\/span><\/p>\n

Quais s\u00e3o seus benef\u00edcios?<\/span><\/h2>\n

Adotar o prontu\u00e1rio eletr\u00f4nico traz benef\u00edcios para os m\u00e9dicos e para os pacientes.<\/span><\/p>\n

Para os m\u00e9dicos<\/span><\/h3>\n

O n\u00famero de processos contra m\u00e9dicos cresceu muito nos \u00faltimos anos no Brasil. O acesso \u00e0 informa\u00e7\u00e3o fez com que os pacientes procurassem saber sobre erro m\u00e9dico. Mas existem muitas formas de se prevenir, e uma delas \u00e9 adotar o prontu\u00e1rio eletr\u00f4nico.<\/span><\/p>\n

Neste documento, h\u00e1 registro de todas as condutas realizadas, com um registro cont\u00ednuo do hist\u00f3rico do paciente, o que fundamenta a tomada de decis\u00f5es. H\u00e1 tamb\u00e9m um controle de acesso, permitindo que somente profissionais autorizados pela institui\u00e7\u00e3o e pelo paciente acessem as informa\u00e7\u00f5es do prontu\u00e1rio. Isso tamb\u00e9m evita falsas alega\u00e7\u00f5es sobre acesso indevido.<\/span><\/p>\n

Al\u00e9m disso, o prontu\u00e1rio \u00e9 mais pr\u00e1tico de preencher, possui acesso e leitura facilitados, confere maior seguran\u00e7a \u00e0s informa\u00e7\u00f5es. \u00c9 um boa forma de <\/span>otimizar o tempo das consultas<\/span><\/a>.<\/span><\/p>\n

Para os pacientes<\/span><\/h3>\n

Os <\/span>pacientes<\/span><\/a> tamb\u00e9m usufruem de vantagens com o prontu\u00e1rio eletr\u00f4nico. Todas as informa\u00e7\u00f5es sobre sua sa\u00fade s\u00e3o reunidas em um \u00fanico lugar. E esses dados s\u00e3o prestados com maior clareza e legibilidade, evitando confus\u00f5es a respeito da caligrafia do profissional. \u00c9 preciso destacar tamb\u00e9m a seguran\u00e7a de acesso que ele confere.<\/span><\/p>\n

<\/span><\/p>\n

Como come\u00e7ar a usar o prontu\u00e1rio eletr\u00f4nico?<\/span><\/h2>\n

Para come\u00e7ar a usar o prontu\u00e1rio eletr\u00f4nico, o m\u00e9dico, a cl\u00ednica ou a institui\u00e7\u00e3o de sa\u00fade deve procurar um software de prontu\u00e1rio ou um software de gest\u00e3o que possua a funcionalidade. Ele pode ser <\/span>baseado em nuvem<\/span><\/a> (recomend\u00e1vel, porque permite o acesso de qualquer dispositivo com conex\u00e3o \u00e0 internet) ou n\u00e3o.<\/span><\/p>\n

Ser\u00e1 preciso despender recursos para esse investimento e ter tempo para realizar a migra\u00e7\u00e3o dos dados (porque \u00e9 bem demorado). No entanto, ap\u00f3s finalizar tal processo, \u00e9 s\u00f3 usufruir dos benef\u00edcios. <\/span><\/p>\n

 <\/p>\n

Se voc\u00ea ainda n\u00e3o utiliza o prontu\u00e1rio eletr\u00f4nico, saiba que est\u00e1 perdendo tempo e produtividade. Sua <\/span>gest\u00e3o <\/span><\/a>pode ser ainda melhor e mais pr\u00e1tica.<\/span><\/p>\n

Quer acompanhar nosso novos conte\u00fados sobre gest\u00e3o m\u00e9dica? <\/span>Curta nossa p\u00e1gina no LinkedIn<\/span><\/a>!<\/span><\/p>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"

Prontu\u00e1rio eletr\u00f4nico \u00e9 uma modalidade do prontu\u00e1rio m\u00e9dico que concentra os registros sobre a sa\u00fade de um paciente no formato digital. Esse documento \u00e9 sigiloso, cient\u00edfico, e possui como um dos objetivos a comunica\u00e7\u00e3o entre a equipe multiprofissional e a continuidade da assist\u00eancia prestada ao indiv\u00edduo. O avan\u00e7o da Medicina e o progresso da inform\u00e1tica […]<\/p>\n","protected":false},"author":1,"featured_media":15252,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[43],"tags":[],"class_list":["post-15287","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-consultas"],"yoast_head":"\nTudo o que voc\u00ea precisa saber sobre prontu\u00e1rio eletr\u00f4nico - VYDENCE<\/title>\n<meta name=\"description\" content=\"Prontu\u00e1rio eletr\u00f4nico \u00e9 uma modalidade do prontu\u00e1rio m\u00e9dico que concentra os registros sobre a sa\u00fade de um paciente no formato digital. 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