NURS 6051 LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
NURS 6051 LITERATURE REVIEW THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To Prepare:
- Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
- Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
- Identify and select 4 peer-reviewed research articles from your research.
- For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
- Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
- Include an introduction explaining the purpose of the paper.
- Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
- In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
- Use APA format and include a title page.
- Use the Safe Assign Drafts to check your match percentage before submitting your work.
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Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
Over the past two decades, advancements in the use of technology have transformed the process of care provision. The days of manual
record filling and meticulous charting are dwindling. Clinical systems through electronic health records (EHR) and telehealth have increased the accessibility of patients to their personal health information like never before (Islam, Poly, & Li, 2018). From a global perspective, evidence report that adoption of clinical information system by healthcare organizations has led to enhanced patient outcome, efficiency, safety, and financial performance. Clinical information system has also impacted the work of healthcare providers positively, such as nursing practice, by making it easier to retrieve patient information and even take patient history with reduced errors, hence promoting the accuracy and quality of care provided. The paper demonstrates a literature review on the impact of applying clinical systems to improve the quality and efficiency of care provision.
Literature Review
Islam, M. M., Poly, T. N., & Li, Y.-C. J. (2018). Recent Advancement of Clinical Information Systems: Opportunities and Challenges. Yearbook of medical informatics, 27(1), 083-090. DOI: 10.1055/s-0038-1667075
In this article, Islam, Poly, and Li (2018), discuss the opportunities generated by clinical information systems for the improvement of workflow and patient care. However, they still claim that the healthcare system is still far from perfection. For instance, healthcare providers still face challenges associated with data exchange, integration, and management as a result of a lack of functionality among new systems. Islam et al. (2018), carried out a literature review to determine the current stage in which clinical information systems have impacted healthcare practice, as displayed by the current state of knowledge. They selected 23 papers from EMBASE, and PubMed focusing on three major areas such as ancillary information systems, specialty information systems, and inpatients and ambulatory clinical information systems. Based on their results, Islam et al. (2018), concluded that clinical information systems provide significant opportunities in reducing clinical errors, such as diagnostic and medical errors, and offer support to clinicians by availing updated patient information. They also noted improved workflow, and efficiency of care as a result of electronic health records.
Fu, H., McMahon, S. K., Gross, C. R., Adam, T. J., & Wyman, J. F. (2017). Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: a systematic review. Diabetes research and clinical practice, 131, 70-81. https://doi.org/10.1016/j.diabres.2017.06.016
Fu et al. (2017) carried out a study to evaluate the clinical effectiveness and usability of diabetes mobile applications among adults diagnosed with diabetes mellitus. The study utilized a systemic review of articles retrieved from IEEE XPLORE, COMPENDEX, EMBASE, and MEDLINE. Fu et al. (2017) narrowed it down to ten clinical effectiveness and seven usability studies for their research. The results derived from a measurement of the satisfaction rate from patients and experts revealed a usability percentage ranging from 38% to 80%. The clinical effectiveness was measured by the HgbAIc reduction, which displayed a range from 0.15% to 1.9%. Fu et al. concluded that despite the challenges that might be associated with diabetes mobile application, studies reveal an improved glycemic control among adults with diabetes type 2. The therapeutic impact of the diabetes app can however be improved in terms of usability and effectiveness through the incorporation of principles aimed at changing health behavior.
Arndt, B. G., Beasley, J. W., Watkinson, M. D., Temte, J. L., Tuan, W. J., Sinsky, C. A., & Gilchrist, V. J. (2017). Tethered to the EHR: primary care physician workload assessment using EHR event log data and time-motion observations. The Annals of Family Medicine, 15(5), 419-426. doi: https://doi.org/10.1370/afm.2121
Arndt et al. (2017) conducted a study to assess the time spent by primary care physicians on electronic health records (EHR) and its impact on workflow and care delivery. They utilized a retrospective cohort study design with 42 family medicine physicians as the study participants. The study captured all Epic Systems Corporation EHR interactions from “event logging” records for both non-face-to-face activities and direct patient care. According to their results, clinicians spend about 5.9 hours out of the 11.4 hour workday on EHR. Some of the tasks covered during this time, both clerical and administrative, include order entry, documentation, billing, and coding account for about half of the time they spend on EHR systems. About 85 minutes are spent on inbox management. They concluded that the EHR event logs can be utilized in spotting areas of EHR-related works which can be delegated, hence reducing workload, decrease burnout, and improve professional satisfaction which in turn boosts the quality and efficiency of care provision.
Kruse, C. S., & Beane, A. (2018). Health information technology continues to show a positive effect on medical outcomes: a systematic review. Journal of medical Internet research, 20(2), e41. doi: 10.2196/jmir.8793
In this article, Kruse and Beane (2018) reviewed the positive impact of health information technology (HIT) on the medical outcome. Recent studies published between 2013 and 2018 were utilized in this research, retrieved from Medical Literature Analysis and Retrieval System Online (MEDLINE) and Cumulative Index of Nursing and Allied Health Literature (CINAHL) databases. The review was conducted in accordance with the Assessment for Multiple Systematic Reviews (AMSTAR). Out of the 3636 papers that were arrived at, only 37 met the inclusion criteria for their literature review. The results displayed at least one improvement in medical outcomes concerning the adoption of HIT in 81% of the reviewed literature. Three categories of the outcome and twelve categories of HIT were consistent in the studies about 65 and 38 times respectively. As a result, Kruse and Beane concluded that there is substantial evidence supporting the positive impact of HIT on the effectiveness of medical outcomes.
Conclusion NURS 6051 LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
The current healthcare system has greatly transformed towards the adoption of advanced technology in promoting the quality, safety, effectiveness, and outcome of care provision. The current clinical system promotes the utilization of EHR and HIT by healthcare personnel in improving the efficiency of workflow and reduce incidences of burnouts. All the four studies summarized above reveal the positive impacts associated with technology in care provision for effectiveness and improved outcomes. For instance, Islam et al. (2018) and Arndt et al., (2017) revealed the impact of EHR in reducing medical errors and improving workflow and efficiency in the care delivery system. Fu et al. (2017) on the other hand provide evidence supporting the use of diabetes app in improving outcomes among diabetes mellitus patients. Lastly, Kruse and Beane, (2018) provides evidence associated with different aspects of improved medical outcome and effectiveness as a result of HIT. Further advancement in the clinical systems is however expected for further improved outcome and efficiency.
References NURS 6051 LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
Top of Form
Arndt, B. G., Beasley, J. W., Watkinson, M. D., Temte, J. L., Tuan, W. J., Sinsky, C. A., & Gilchrist, V. J. (2017). Tethered to the EHR: primary care physician workload assessment using EHR event log data and time-motion observations. The Annals of Family Medicine, 15(5), 419-426. DOI: https://doi.org/10.1370/afm.2121
Fu, H., McMahon, S. K., Gross, C. R., Adam, T. J., & Wyman, J. F. (2017). Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: a systematic review. Diabetes research and clinical practice, 131, 70-81. https://doi.org/10.1016/j.diabres.2017.06.016
Islam, M. M., Poly, T. N., & Li, Y.-C. J. (2018). Recent Advancement of Clinical Information Systems: Opportunities and Challenges. Yearbook of medical informatics, volume:27 number:01 year:2018 pages:083-090. DOI: 10.1055/s-0038-1667075 Bottom of Form
Kruse, C. S., & Beane, A. (2018). Health information technology continues to show a positive effect on medical outcomes: a systematic review. Journal of medical Internet research, 20(2), e41. DOI: 10.2196/jmir.8793
I completely concur with your response. Telehealth represents one of the most promising technological innovations that has a beneficial impact on
nursing practice. To meet the patients’ needs and with the current nursing shortage, many homecare agencies have to look at innovative ways to care for the
increasing numbers of patients. Telehealth technology offers productivity improvement for nurses by reducing travel time to remote areas, through increasing
the average daily caseload. Telenursing offers an access to care and the ability to export nursing care using technology. It is a powerful tool for overall
improvement in healthcare. Several measures should be taken for telenursing implementation into practice for all nurses (Glinkowski et al., 2013). In terms
of providing better patient outcomes, nurses are often a patient’s first point of contact when seeking healthcare and a patient’s primary source of health
education and long-term health monitoring. In many institutions, nurses have also taken the lead on integrating telehealth services into patient care (Southern
New Hampshire University, 2020). In all, through telenursing, nurses can provide monitoring, education, follow-up, remote data collection and interventions,
pain management, family support, and multidisciplinary care in an innovative way. It is a good tool to deliver care in remote regions and to facilitate practice
(Glinkowski et al., 2013).
There are several healthcare technology trends that have been observed in the healthcare industry in recent years. These include the use of electronic health records (EHRs), telemedicine, and wearable technology.
One trend that has been widely adopted in healthcare organizations is the use of EHRs. These systems allow healthcare providers to access patient medical history, diagnoses, treatments, and test results in a single, digital location. While EHRs can improve the efficiency of care and coordination between healthcare providers, there are potential challenges and risks associated with their use. One challenge is the high cost of implementing EHR systems, which can be a barrier for smaller organizations. Another risk is the potential for data breaches, which can compromise patient privacy.
One potential benefit of EHRs is the ability to improve patient care outcomes using data analytics. By analyzing patient data, healthcare providers can identify trends and patterns that can inform treatment decisions and help predict patient outcomes. However, there is also a risk that the use of data analytics could lead to biased decision-making if the data is not properly analyzed or if the algorithms used to analyze the data are biased.
Telemedicine is another healthcare technology trend that has gained traction in recent years after the start of the pandemic. One potential benefit of telemedicine is the ability to improve access to care for patients in underserved or rural areas. However, there are also risks associated with telemedicine, such as the potential for data breaches or the possibility that patients may receive inadequate care if the technology is not used correctly.
Wearable technology, such as fitness trackers and smart watches, is another trend that has gained popularity in healthcare. These devices allow patients to track their health and wellness data, such as steps taken and sleep patterns, and share that information with their healthcare providers
“Marketers should communicate the effectiveness of healthcare wearable technology in improving consumers’ health, whilst addressing health concerns. This can contribute to improved user understanding of health, and potential usefulness of healthcare wearable technology.” (Chau, et al, 2019). One potential benefit of wearable technology is the ability to improve patient engagement and self-management of chronic conditions. However, there are also risks associated with wearable technology, such as the possibility of data breaches or the potential for the data to be used for non-medical purposes.
One healthcare technology trend that I believe has the most promise for impacting nursing practice is the use of artificial intelligence (AI) and machine learning. AI and machine learning have the potential to improve patient care outcomes by enabling healthcare providers to analyze large amounts of data and make more accurate diagnoses and treatment recommendations. For example, AI algorithms could be used to analyze medical images and detect abnormalities that may not be visible to the human eye. This could lead to earlier diagnoses and more targeted treatment plans, improving patient outcomes “These technologies have the potential to transform many aspects of patient care, as well as administrative processes within provider, payer and pharmaceutical organizations” (Davenport, Kalakota, 2019). AI and machine learning could also be used to improve efficiencies in healthcare organizations by automating tasks such as data entry and scheduling.
Overall, while there are potential risks and challenges associated with healthcare technology trends, there are also many potential benefits that can improve patient care outcomes, efficiencies, and data management. The healthcare technology trends that are most promising for impacting nursing practice are those that leverage data analytics, AI, and machine learning to improve patient care and increase efficiencies in healthcare organizations.
References
Chau, K. Y., Lam, M. H. S., Cheung, M. L., Tso, E. K. H., Flint, S. W., Broom, D. R., Tse, G., & Lee, K. Y. (2019). Smart technology for healthcare: Exploring the
antecedents of adoption intention of healthcare wearable technology. Health psychology research, 7(1), 8099.
https://doi.org/10.4081/hpr.2019.8099Links to an external site.
Davenport, T., & Kalakota, R. (2019). The potential for artificial intelligence in healthcare. Future healthcare journal, 6(2), 94–98.
https://doi.org/10.7861/futurehosp.6- Links to an external site.2-94
NURS 6051 LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES Rubric
NURS_5051_Module04_Week08_Assignment_Rubric
| NURS_5051_Module04_Week08_Assignment_Rubric | ||||||
| Criteria | Ratings | Pts | ||||
| This criterion is linked to a Learning OutcomeIn a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:· Properly identify 4 peer-reviewed research articles you reviewed. |
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20 pts | ||||
| This criterion is linked to a Learning Outcome· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. |
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40 pts | ||||
| This criterion is linked to a Learning Outcome· Synthesize the findings from the 4 peer-reviewed research articles in a cohesive conclusion. |
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25 pts | ||||
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. |
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5 pts | ||||
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation |
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5 pts | ||||
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. |
|
5 pts | ||||
| Total Points: 100 | ||||||
NURS 6051 LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three or more of the following elements
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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Presentation of information is unsatisfactory in three of the following elements
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| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 3 of the following:
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Demonstrated 2 of the following:
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Demonstrated 1 or less of the following:
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| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
AND/OR
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The following was present:
AND/OR
AND/OR
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| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
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Failed to demonstrate the following:
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| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |