Feb 23, 2024 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? 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?
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? 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?
NUR 514 Topic 6 DQ 1
There are a few ways that informatics can help overcome barriers. The first is when patients are being checked in regardless of the location that it is seamless from start to finish. In other words, how patients’ information is taken, that information is kept safe and when that patient transitions from one area to the next the information is shared equally across the interprofessional team.
The second is that technology is available to the interprofessional team that meets their needs such as laptops, tablets, phones etc. so that their care meets the needs of the patient for safe and quality care as well as connected to the overall main system.
Clinical provider order entry (CPOE) and clinical decision support systems (CDSS) can help alert providers with things like drug-drug interaction but as n.d. (2019) states to many alerts can lead to user fatigue and choose to ignore the alerts, leave them unread. NUR 514 Topic 6 DQ 1
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Heuristic principles are important because implementing new systems should be tailored to the user’s way of working. When it is tailored to the users there is increased efficiency and patient safety. Akhoulfi, H. et al. (2019) reviewed use of antibiotic treatment and implementation of CDSS and CPOE systems and concluded that it is also important to provide to the user’s information is to be clear, concise and specific to avoid as much confusion as possible.
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? 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? References:
Akhloufi, H. Verhaegh, S.J.C., Jaspers, M.W.M., Melles, D.C., Van Der Sijs, H., & Verbon, A. (2019). A usability study to improve a clinical support systems for the prescription of antibiotics drugs. PloS One, 14(9), e0223073. https://doi-org.lopes.idm.oclc.org/10.1371/journal.pone.0223073
n.d. (2019). Computerized provider order entry. Agency for Healthcare Research and Quality. Computerized Provider Order Entry | PSNet (ahrq.gov)
REPLY
I agree with you that informatics have improved healthcare services delivery. The fact that healthcare professionals can attend to their patients without visiting healthcare facilities have transformed service delivery. The seamless healthcare services have benefitted most patients, especially, those far from healthcare facilities.
Informatics have also been credited for overcoming different barriers in healthcare environment (Aceto et al., 2020). Healthcare professionals using laptops, tablets and phones have improved their performances. However, less techno-savvy healthcare workers have struggled to use electronic gadgets. Some healthcare institutions have introduced training programs to boast their staff’s competence levels. NUR 514 Topic 6 DQ 1
Implementation of CDSS and CPOE systems is part of technological advancements in healthcare settings (Budd et al., 2020). Clinical provider order entry (CPOE) and clinical decision support systems (CDSS) can help alert providers with things like drug-drug interaction. Therefore, healthcare facilities with CDSS and CPOE systems can track treatment process without physical contact.NUR 514 Topic 6 DQ 1
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? 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? References
Aceto, G., Persico, V., & Pescapé, A. (2020). Industry 4.0 and health: Internet of things, big data, and cloud computing for healthcare 4.0. Journal of Industrial Information Integration, 18, 100129. https://doi.org/10.1016/j.jii.2020.100129
Budd, J., Miller, B. S., Manning, E. M., Lampos, V., Zhuang, M., Edelstein, M., … & McKendry, R. A. (2020). Digital technologies in the public-health response to COVID-19. Nature Medicine, 26(8), 1183-1192.NUR 514 Topic 6 DQ 1
Clinical informatics can help health care providers in several ways, including using the technology to better communicate with the interprofessional team, prevent errors and improve care, measure the quality of care, enhance education and research, improve access to health information, and many more.
Clinical provider order entry (CPOE) refers to the process of providers entering and sending treatment instructions, including medication, laboratory, and radiology, through a computer application instead of paper or fax (HealthIt.gov, 2018 a). CPOE helps reduce errors, improve patient safety, improve efficiency, and improve reimbursement claims. NUR 514 Topic 6 DQ 1
Clinical decision support system (CDSS) provides clinicians, staff, and patients the knowledge and specific information, filtered and presented to enhance health care. These include alerts and reminders, clinical guidelines, order sets, and documentation templates. CDSS significantly impacts health care quality, safety, efficiency, and effectiveness.
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS 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? 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?:
CDSS is sophisticated as it requires biomedical knowledge and an inferencing mechanism to generate information and guidelines for clinicians to support the delivery of care (HealthIt.gov, 2018 b).NUR 514 Topic 6 DQ 1
For a clinical information system to achieve it’s potential benefits, the human factor, user and usability need to be considered. The technology should fit well with human and user characteristics. This is referred to as the human-technology interface. The technology must match the user and the intended context of care.
It should also be user-friendly and not complicated nor require multiple steps which then becomes time-consuming for users instead of promoting efficiency (McGonigle & Mastrian, 2018).NUR 514 Topic 6 DQ 1
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? 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? References:
HealthIT.gov (2018). Computerized provider order entry: The basics. https://www.healthit.gov/faq/what-computerized-provider-order-entry
HealthIt.gov (2018). Clinical decision support. https://www.healthit.gov/topic/safety/clinical-decision-support
McGonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett LearningNUR 514 Topic 6 DQ 1
REPLY
It is true that clinical informatics is useful in healthcare environment. Healthcare providers have prevented several medication errors as a result of using clinical informatics. Also, using informatics have improved care and accessibility to health information. Healthcare facilities have intensified their efforts to implement technology and clinical informatics (Dang et al., 2019).
However, incompetence among some healthcare workers have troubled the implementation process. Clinical provider order entry (CPOE) and Clinical decision support system (CDSS) have transformed healthcare services delivery in most healthcare facilities. CPOE helps reduce errors, improve patient safety, improve efficiency, and improve reimbursement claims (Mutlag et al., 2019).
CDSS provides clinicians, staff, and patients the knowledge and specific information, filtered and presented to enhance health care. The implementation of CPOE and CDSS systems have been a problem to other healthcare organizations due to financial constraints.
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? 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? References
Dang, L. M., Piran, M. J., Han, D., Min, K., & Moon, H. (2019). A survey on internet of things and cloud computing for healthcare. Electronics, 8(7), 768. https://doi.org/10.3390/electronics8070768
Mutlag, A. A., Abd Ghani, M. K., Arunkumar, N. A., Mohammed, M. A., & Mohd, O. (2019). Enabling technologies for fog computing in healthcare IoT systems. Future Generation Computer Systems, 90, 62-78. https://doi.org/10.1016/j.future.2018.07.049
Topic 6 Discussion Post 1
Informatics is intertwined in healthcare institutions and is part of nursing daily duties, and will continue to be embedded in core processes. Informatics has provided opportunities for healthcare innovation and improved patient outcomes. Informatics provides opportunities to implement safety measures and provide more efficient care.
Two key resources are Clinical provider order entry (CPOE). McGonigle and Mastrian (2018) define CPOE as an “electronic process or system that automates the way that orders have traditionally been initiated for patients. It allows a healthcare provider to enter orders electronically and to also manage the results of those orders” (p 778). The second resource is clinical decision support systems (CDSS).
CDSS is defined by McGonigle and Mastrian (2018), as “a computer-based program designed to assist clinicians in making clinical decisions by filtering or integrating vast amounts of information and providing suggestions for clinical intervention” (p 773).
These two programs help provides efficiency by gathering information and guiding clinical decisions that provide best-practice interventions. They provide a way to keep mass amounts of patient-specific information organized per patient. Essentially, these programs provide safety measures to flag orders or interventions that are counter-indicated for the patient and their plan of care.
The programs combined offer automated safety checks to help mitigate errors and provide efficient ordering processes. A downside to these programs is relying on the safety checks of the system and skipping additional safety steps. Each patient requires customized care and consideration of the many variables that affect their overall care.
The programs such as CPOE and CDSS are protocols and algorithms that provide little customizations. These factors can lead to errors and being too reliant on the system to make clinical decisions. It is important to not still take the time to consider all variables and not skip the five rights to administering patient 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? 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? Reference
McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of
knowledge (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284121247
RESPOND HERE
SHAE I concur with you that informatics is intertwined in healthcare institutions and is part of nursing daily duties. Healthcare organizations are embracing technology as they seek to improve healthcare services (Qadri et al., 2020). Clinical informatics is part of technology advancements in healthcare environment that has transformed service delivery.
The reduction of medication errors and improvement of healthcare services are among the benefits of clinical information. Similarly, clinical informatics have increased accessibility to health information. Informatics provides opportunities to implement safety measures and provide more efficient care (Orji & Moffatt, 2018).
Unfortunately, less techno-savvy healthcare workers have failed to benefit from clinical informatics. Other healthcare institutions have introduced training programs to improve their staff’s competence levels. CPOE is an “electronic system that automates the way that orders have traditionally been initiated for patients. The system reduces possibility of medication errors.
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? 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? References
Orji, R., & Moffatt, K. (2018). Persuasive technology for health and wellness: State-of-the-art and emerging trends. Health informatics journal, 24(1), 66-91. https://doi.org/10.1177/1460458216650979
Qadri, Y. A., Nauman, A., Zikria, Y. B., Vasilakos, A. V., & Kim, S. W. (2020). The future of healthcare internet of things: a survey of emerging technologies. IEEE Communications Surveys & Tutorials, 22(2), 1121-1167. DOI: 10.1109/COMST.2020.2973314
Topic 6 DQ 1: Informatics
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.
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? 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? 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
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.
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? 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? References
Patient Safety Network. (2019, Sep 7) Computerized provider order entry.
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