The four main issues that arise when storing electronic information on individuals are: privacy and confidentiality, security breaches, system implementation, and data inaccuracies. The purpose of documentation through electronic media remains the same even today that is to support patient care. EHRs have several advantages over paper records. Production of legible records reduces many problems of wrong prescriptions, doses and procedure. Security breaches threaten patient privacy when confidential health information is made available to others without the individual’s consent or authorization. Security measures such as firewalls, antivirus software, and intrusion detection software must be included to protect data integrity. Specific policies and procedures serve to maintain patient privacy and confidentiality. Health care organizations encounter major challenges in the course of EHR implementation these challenges result in wasted resources, frustrated providers, loss of confidence by patients and patient safety issues. The development, implementation, and maintenance of EHRs requires adequate funds and the involvement of many individuals, including clinicians, information technologists, educators, and consultants. Improperly designed user interface fail to deliver the much needed quality of care, which lead to user dissatisfaction. The faulty user interface issue, which was small earlier on, increases over a period of time that leads to abandonment of EHR. Maintenance and testing of these interfaces on a routine basis is essential in controlling this major risk. Practice disruption during EHR implementation can negatively impact the quality of care or endanger patient safety along with financial loss. Integrity assures that the data is accurate and has not been changed. EHRs serve as a way to improve the patient’s safety by reducing healthcare errors, reduce health disparities and improve the health of the public. However, concerns have been raised about the accuracy and reliability of data entered into the electronic record. Inaccurate representation of the patient’s current condition and treatment occurs due to improper use of options such as “cut and paste”.