NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care?
Sample Answer for NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Included After Question
NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe quality health care
Topic 6 DQ 1
In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response. Why are heuristic principles (human factors/usability/user centered design) important for efficient clinical information systems such as CPOE and CDSS?
A Sample Answer For the Assignment: NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care?
Title: NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care?
REPLY TO DISCUSSION
JB
Nov 8, 2022, 10:09 AM
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Class:
Describe a current technology that you use in patient care that would benefit from human factors engineering concepts. What are some ways this technology could be improved?
Thank you for sharing!
Take care,
Dr. B
REPLY
JB
Nov 7, 2022, 4:02 PM
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Class:
In an ideal world, we would all work together to create systems that are integrated within our own organization while having the interoperability to cross organizational boundaries and unite the healthcare delivery system to realize the common goal of improving the quality of care provided to consumers. Every organization’s situation is unique. Your technology journey may not match with someone else’s and you may not find another organization that mirrors your organizational challenges. Your needs will be unlike others’, just as your patient population is diverse and the community you serve is different (Health Information and Management Systems Society, 2018).
Review one of the following case studies:
- The Oregon Clinic: https://www.himss.org/library/interoperability-case-study-oregon-clinic
- Atrium Health: https://www.himss.org/library/interoperability-case-study-atrium-health
What trial and errors did you witness in each of these case studies? What barriers did they face? What were their successes?
Thank you for sharing!
Take care,
Dr. B
References:
Health Information and Management Systems Society. (HIMSS, 2018). Interoperability and health information exchange. https://www.himss.org/library/interoperability-health-information-exchange.
REPLY
JB
Nov 6, 2022, 9:14 AM
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Class:
Computerized physician (provider) order entry (CPOE) solves the safety issues associated with poor handwriting and unclear or incomplete medication orders. As with any technology integration, introduction of CPOE is associated with a resistance and a learning curve to gain proficiency, and users must learn to trust the system (McGonigle & Mastrian, 2018). What resistance have you noted in your workplace to these changes and how has your organization or unit handled them?
Thank you for sharing!
Take care,
Dr. B
References: NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care?
McGonigle, D. & Mastrian, K. (2018). Nursing Informatics and the Foundation of Knowledge. (4th ed.). Jones & Bartlett Learning.
REPLY
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SW
Sara Wood
Nov 6, 2022, 12:50 PM
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When I worked as a nurse in labor and delivery, there was one physician who was older and refused to use the CPOE system for orders. He insisted on continuing to hand write orders and having the nurses enter the orders in the CPOE system, despite the electronic health record and CPOE systems having existed in this hospital for over five years. This created a significant increase in workload for any nurses taking care of patients being cared for by this doctor. This physician’s refusal to use the CPOE system not only created more work for the nurses, but also risked patient safety as the provider did not benefit from any of the CDSS algorithms that the computer prompts the physicians with when they are entering orders.
In the current hospice home care agency I work at now, I often hear some of the nurses who have worked at the agency since before the electronic health record was implemented lament about how they miss paper charting. They state that the paper charting for physician orders was easier and less time consuming than electronic documentation. I do believe that it probably was faster, but I think this has a lot to do with user capabilities. If a nurse is not proficient in typing or using a computer, then paper documentation is of course faster. As someone who has had the privilege of growing up with technology, documenting electronically is faster for me than paper documentation as I type much faster than I am able to write. I think often the resistance to changing from paper documentation to electronic documentation has to do with the fact that if nurses or physicians are used to performing their job one way it is uncomfortable and challenging to change that workflow. Once healthcare professionals get past the initial learning curve, however, I think they often find that the benefits of the new technology outweigh the challenges of the change implementation process.
REPLY
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EP
Nov 6, 2022, 9:21 PM
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I have worked in hospitals with CPOE and hospitals with out CPOE. Back in the Bahamas when I started nursing, we were still utilizing written documentation. This system is still in placed at the government operated facilities. During my rotation in the Dialysis Unit, the nurse manager wanted to implement a computerized charting system for the unit however, the medical director didn’t want the change. He was a mature doctor who had practiced for many years and was comfortable with the written documentation. That was very challenging because the technology was included with the new dialysis machines but it was only utilized by the nursing staff. So nurses still had to decipher through poorly written orders to gave patient care. Eventually, the technology was abandoned and we went back to the written documentation.
NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Grading Rubric Guidelines
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Check Out Also: NUR 514 Topic 5 DQ 2 Explain the role of the nurse leaders in implementing innovative care models
NUR 514 Topic 6 DQ 1 In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care?
Technology is an indispensable part of today’s health practice, with many procedures giving way to machines and programmed software. Amid this, the evolutionary impacts of informatics are far-reaching, with the overall health practice outcomes improving immensely. Informatics reduces wastage, increases patient participation in health care delivery, and enhances coordination, among other significant outcomes. It is an evolution that will be critical in health care delivery for a long time as health care providers continue to seek ways of improving patient outcomes.
Concerning informatics’ role in overcoming barriers to care and increasing access to safe, quality health care, medication errors have been greatly reduced through informatics. With the consequences of misdiagnosing a patient or the wrong drug prescription being regretful, informatics prevents harmful treatment and prescription errors. Doing so prevents incomplete treatment of diseases and other medical-related harms such as improper use of medical equipment and incorrectly reading patient data (Stanhope & Matthews, 2019). In medication error reduction, clinical provider order entry (CPOE) systems are usually integrated with clinical decision support systems (CDSS) to enhance patient safety. Here, errors related to medical ordering and dispensing are avoided to improve safety. A typical CDSS identifies the values of drug doses and administration routes, among other sophisticated features (Patient Safety Network, 2019). However, the process also experiences some challenges. For instance, higher rates of adverse drug events are experienced in some hospitals despite using computerized order entry systems. In other cases, usability testing reveals that CPOE systems and CDSS still allow the entry and processing of some unsafe orders.
Generally, informatics is vital in enhancing safety and quality of care by reducing medication errors. Skochelak (2020) described informatics as a way to patients’ knowledge since it improves understanding of patients’ problems through knowledge sharing. It also helps to personalize care and increase coordination. Such outcomes are instrumental in the provision of safe and quality care.
References
Patient Safety Network. (2019, Sep 7) Computerized provider order entry. https://psnet.ahrq.gov/primer/computerized-provider-order-entry
Skochelak, S. E. (Ed.). (2020). Health systems science e-book. Elsevier Health Sciences.
Stanhope, V., & Matthews, E. B. (2019). Delivering person-centered care with an electronic health record. BMC Medical Informatics and Decision Making, 19(1), 1-9. https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-019-0897-6