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?

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

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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:

What trial and errors did you witness in each of these case studies? What barriers did they face? What were their successes?

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
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

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

  • 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

  • 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.

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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? Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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