NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care

Topic 6 DQ 2

Nov 3-7, 2022

Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care. How can workflow analysis be used to identify issues related to interoperability?

REPLY TO DISCUSSION

Jamie Buchanan

Nov 10, 2022, 12:58 PM

Read

Class:

What are the implications for nursing education as the EHR becomes the standard for caring for patients?

Thank you for sharing!

Take care,

Dr. B

Jamie Buchanan

Nov 8, 2022, 10:09 AM

Read

Class:

Identify a workaround that you have used and analyze why you chose this risk-taking behavior over behavior that conforms to a safety culture.

Thank you for sharing!

Take care,

Dr. B

Keli Selberis

replied toJamie Buchanan

Nov 8, 2022, 7:16 PM

Read

I have to admit the phrasing of this writing prompt made me immediately anxious. I think that is the way most nurses would respond to this somewhat uncomfortable self-reflection. I haven’t encountered anyone (yet) who goes to work with the intention of doing something unsafe for their patients. That being said, all workarounds do alter the safety precautions built into EHRs and can result in unintended consequences (Fraczkowski, et al., 2020). One workaround I have admittedly used in the past is entering a trauma patient as an alias prior to arrival. I chose this course because it allowed medications such as rapid sequence intubation (RSI) drugs to be at the bedside on patient arrival if EMS indicated the patient was a severe trauma in need of airway stabilization. Weighing risk versus benefit to the patient, it seemed a worse safety choice to delay access to medications need to stabilize the patient’s airway while waiting for patient information to be entered by registration, which was not always possible in cases of severe trauma where the patient’s identity is unknown. Ultimately, the organization recognized this issue in the ED and why it was occurring. It was not uncommon at the time. Now there is a dedicated pharmacist at the bedside for all trauma alerts and they have RSI drugs on hand eliminating the need for the nursing workaround thankfully.

References

Fraczkowski, D., Matson, J., & Lopez, K. D. (2020). Nurse workarounds in the electronic health record: An integrative review. Journal of the American Medical Informatics Association: JAMIA, 27(7), 1149-1165. https://doi.org/10.1093/jamia/ocaa050

Amber Dehority

replied toJamie Buchanan

Nov 9, 2022, 9:53 PM

Read

Being in the emergency department, nurses do not have to scan the emergency room meds, only the floor meds of our hold patients. This has caused some turmoil among staff and I can see why. Me, myself, I am a huge scanner, because I will catch little mistakes, so it saves me time and energy. On the other hand, I can see why nurses get annoyed because it can slow them down if they are in hurry. My point being of this story is that I scan my meds before administrating, therefore I will grab multiple patients’ meds at the same time. During nursing school, we were always taught to grab one patient at a time, administer, and then move on to the next patient. This can really slow me down; as to why it is important to scan all meds.

Jamie Buchanan

Nov 4, 2022, 9:12 AM

Read

Class:

Healthcare organizations integrate a variety of clinical and administrative types of information systems. Fichman, Kohli, and Krishnan (as cited in McGonigle & Mastrian, 2018, p. 189) identified six important elements of health care that influence the development and implementation of information systems:

The stakes are life and death
Healthcare information is highly personal
Healthcare is highly influenced by regulation and competition
Health care is professionally driven and hierarchical
Healthcare is multidisciplinary
Healthcare information system implementation is complex, with important implications for learning and adaptation

Select one and describe how it influences the development and implementation of information systems.

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.

LaChrisa Ginn

replied toJamie Buchanan

NUR 514 Topic 6 DQ 2 Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care

Nov 6, 2022, 2:14 PM

Read

The stakes are life and death. As I gotten older and have experienced many health care situations in my immediate family, I can see now the benefits of sharing health information. As I discussed in my topic 6 DQ 2 earlier, polypharmacy has become rampant and now physicians have the capability to see a patients complete medication list from a shared portal. In addition to medications, we place in our health care records family history. My son will likely have problems caught earlier if his physicians have instant access to both his parents and grandparents health history. This brings me comfort to know that years of trying to diagnose something may be eliminated just by having access to a complete health record accessible at their fingertips.

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 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?