The Use of Clinical Systems to Improve Outcomes and Efficiencies.

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.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

ORDER A PLAGIARISM-FREE PAPER HERE

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 5 peer-reviewed articles from your research. The Assignment: (4 pages) In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following: Identify the 5 peer-reviewed articles you reviewed, citing each in APA format. 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. References McGonigle, D., & Mastrian, K. G. (2017).The Use of Clinical Systems to Improve Outcomes and Efficiencies. Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287) Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317) Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338) Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355) Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388) https://www.healthit.gov/faq/what-electronic-health-record-ehr Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002 Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032 ***Please feel free to use your own references***

The Significance of Clinical Systems in the Improvement of Patient Outcomes as Well as Fostering Efficacy: A Literature Review

The advent of healthcare informatics heralded the era of artificial intelligence and novel technologies that have made the delivery of healthcare much easier, better, and sophisticated. Of note in inspiring this change of tact from the traditional manpower-based approaches to healthcare service delivery was the revolutionary report by the Institute of Medicine (IOM) published and released in 1999 and titled To Err Is Human (Palatnik, 2016).The Use of Clinical Systems to Improve Outcomes and Efficiencies. This report revealed that as at that time, approximately 98,000 patients were being lost to mortality annually in the United States out of preventable medical errors. One of the several recommendations by the report was therefore that technology should be adopted to lessen the incidents of human error. This means that there was a realization that technology was going to play an important part in facilitating efficacy of healthcare interventions and improving patient outcomes. Following that report, many healthcare institutions started appreciating the importance of having electronic patient records and medical information. Legislation also started targeting implementation of health information systems (HIS) by healthcare organizations. To demonstrate acceptance and compliance, healthcare providers and institutions purchased and installed electronic health records (EHR) systems from the available vendors (McGonigle & Mastrian, 2017). This paper examines five studies hat provide evidence for the important role of electronic health systems in improving patient outcomes and increasing efficiency.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

A Review of the Five Studies

The following are the five studies that were retrieved from databases published in the last five years. They are research studies which are peer-reviewed and demonstrate the role of clinical systems in influencing better patient outcomes and facilitating more efficiency of healthcare professionals as well as the interventions that they use. It is worth noting that all the clinical systems studied in these research endeavors are technology-based.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

  • Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180.Doi: https://doi.org/10.15537/smj.2017.12.20631
  • El-Sawy, H.S., Al-Abd, A., Ahmed, T., El-Say, K.M., &Torchilin, V.P. (2018). Stimuli-responsive nano-architectures drug delivery systems to solid tumor micromilieu: Past, present and future perspectives. ACS Nano, 12(11), 10636–10664. Doi: https://doi.org/10.1021/acsnano.8b06104
  • Fedele, D.A., Cushing, C.C., Fritz, A., Amaro, C.M., & Ortega, A. (2017). Mobile health interventions for improving health outcomes in youth. JAMA Pediatrics, 171(5), 461.Doi: https://doi.org/10.1001/jamapediatrics.2017.0042
  • Islam, M.M., Poly, T.N., & Li, Y.-C. (2018). Recent advancement of clinical information systems: Opportunities and challenges. Yearbook of Medical Informatics, 27(01), 083–090.https://doi.org/10.1055/s-0038-1667075
  • Rao-Gupta, S., Kruger, D., Leak, L.D., Tieman, L.A., &Manworren, R.C.B. (2018). Leveraging interactive patient care technology to improve pain management engagement. Pain Management Nursing, 19(3), 212–221. Doi: https://doi.org/10.1016/j.pmn.2017.11.002

Study Number 1

The study by Alotaibi and Federico (2017) sought to look for evidence that points to the significance of clinical systems based on technology in the improvement of outcomes and facilitation of efficacy. What they found is overwhelming evidence in support of at least 14 clinical systems usually used by different providers to improve performance and the quality of care given to patients. Their passionate recommendation, however, is that the choice of which clinical system to use and from which vendor it is purchased from has to be made very carefully by the provider. This is because their study revealed that not all seemingly innovative clinical systems sold by vendors are evidence-based. Some of the clinical systems for which they found evidence of role in improving outcomes and increasing efficacy are patient data management systems or PDMS, computerized provider order entry or CPOE systems, electronic medication administration record or eMAR, electronic medical record or EMR, patient care portals, bar code medication administration or BCMA, and clinical decision support or CDS systems (Alotaibi & Federico, 2017). The Use of Clinical Systems to Improve Outcomes and Efficiencies.The improvement to outcomes and efficiency demonstrated by this study included proper patient information management (by PDMS), efficient and error-free drug prescription and medication administration (by COPE and BCMA) amongst others. Through it, the most important lesson learnt is that technology can be of great assistance to quality patient care is harnessed well.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Study Number 2

The study by El-Sawy et al. (2018) on its part demonstrated that innovative clinical systems can also be useful in delivering targeted medication to the tissues of cancer patients, thereby improving outcomes. The study showed that smart clinical systems have been developed that can deliver cancer medication with unprecedented specificity to malignant tissues. These same systems were shown by the study to be able to penetrate these tissues much better than through traditional means. The concerned clinical systems make use of nanotechnology which targets treatment of cancer at the molecular level (El-Sawy et al., 2018). The improvement in outcomes and efficiency shown in this study is through greater lengths of survival as well as a better quality of life for cancer patients. Through this, the lesson learnt is that continued technology-oriented medical research is bound to yield even better results in the future for therapeutics.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Study Number 3

The third study reviewed here is that by Fedele et al. (2017). It had the objective of finding out the efficacy of clinical systems based on the technology of mobile phones to deliver interventions such as health education on prevention. This was a powerful meta-analysis that delivered a positive verdict on the important role of mobile telephone-based clinical systems in improving outcomes and increasing service delivery efficiency (Fedele et al., 2017). Improvement in outcomes and efficiency was shown through the marked changed habits of the youth (behavioraland lifestyle change) coming as a result of the mobile phone interventions employed. From this, the most important lesson learned is that as the smartphone becomes almost an inevitable necessity in today’s world, its reach can be harnessed to facilitate clinical systems that are effective, efficient, patient-centered, timely, equitable, and safe.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Study Number 4

The fourth study reviewed is by Islam et al. (2017). It sought to find the significance of clinical information systems (CIS) in facilitating the realization of better patient outcomes and efficiency of the healthcare workforce. The results were unequivocal. Clinical information systems were found to be in reducing clinical and medication errors that would otherwise have been inadvertently committed by healthcare workers such as physicians and nurses (Islam et al., 2017). The improvement in outcomes and efficiency was therefore demonstrated through the reduction of incidents of medical errors, which was the subject of the IOM report mentioned in the introduction – To Err Is Human. The lesson learnt is that technology – through innovative clinical systems – can assist in preventing unnecessary mortality.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Study Number 5

The fifth and last study is by Rao-Gupta et al. (2018) on interactive patient care clinical systems. They were able to show that this system could greatly improve the task of medication administration to the patient. Improvement in outcomes and efficiency was therefore shown through automation and integration of the medication systems (Rao-Gupta et al., 2018). Like in the other studies,the lesson learnt was that well-designed clinical systems improve patient outcomes and provider efficacy.The Use of Clinical Systems to Improve Outcomes and Efficiencies.

Conclusion

Technology in healthcare is and will continue to be an important component of healthcare delivery systems. Particularly, well thought out clinical systems have been shown by peer-reviewed research evidence to be effective in improving patient outcomes and provider efficiency.The Use of Clinical Systems to Improve Outcomes and Efficiencies.