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?

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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?

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Topic 6 DQ 1

Nov 3-5, 2022

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?

REPLY TO DISCUSSION

Jamie Buchanan

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

Jamie Buchanan

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.

Jamie Buchanan

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:

McGonigle, D. & Mastrian, K. (2018). Nursing Informatics and the Foundation of Knowledge. (4th ed.). Jones & Bartlett Learning.

Sara Wood

replied toJamie Buchanan

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.