There is a great need in the nursing world to ensure that quality and safety are focused and stressed upon in nursing education. The Quality and Safety Education for Nurses (QSEN) address the issues of effectively teaching, in regards to quality, and safety competencies in education (Dolansky & Moore, 2013, ¶ 1). The QSEN was developed to provide nursing education from the focus of individual patient care to the focus of care of the health care system. The QSEN recommends ways to educate and calculate heath care system thinking (Dolansky & Moore, ¶ 1). QSEN really is asking for the nursing profession to move away from individual patient care frame of thinking and prepare graduating nurses with the knowledge, skills, and attitudes (KSA) to really look detailed at the health care system as a whole.
Intermountain Healthcare has encircled analytics to improve operations in order to achieve better health care outcomes and make a big difference in patients’ lives.
There are many different aspects of Advance Practice Nursing (APN) make that make the nursing profession unique and valuable. The competencies that comprise each advanced practice nursing discipline are vital in creating a solid foundation for clinical nursing. They prepare you to conquer challenges in the clinical setting and cultivate innovation to establish processes for clinical practice.
I am excited to be a part of Nursing Informatics. I was not sure what to expect, as this is my first online class. Since starting, I was suprised to see how Nursing Informatics applies to me at work. As I was taking the assessment, I discovered how much I enjoy working in the Electronic Medical Record. The Cerner program I use at the hospital gives me quicker access to patient information, improves efficiency, and reduces the potential for drug errors. I am able to document and share with patients and staff data such as lab results in real time. The Medication Administration Record helps me record and dispense medication in a correct and timely manner. The MAR also helps me provide patient education using references that are specific to that medication. I am able to access the information as I am talking with patients and provide copies of that information to patients for future use. I enjoy using the Cerner EMR program because it helps me provide information using different technologies to improve patient care and safety at the bedside.
The impact is not only financial. It also produces consequences in the quality and safety of patient care. Health institutions and care providers should not continue to allow an increase in deaths due to medical errors.
I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system. Physicians, nurses, billers, coders, schedulers, referral specialists, and administration work on it together. It produces internal reports and external reports. I usually deal with internal reporting. Data analytics comprise 25% of my work load. Below is some of my work that requires data analytics to improve healthcare quality and revenue cycle.
With ICD-9 in place now in the health care industry there is a huge volume of fraud being committed in the coding and billing department. Patients are being over charged for procedures that cost half the price, or charged for procedures that were never performed on them. This is costing health insurance companies
In my opinion, I think that physician order entry help reduce errors and save patients time. Ther is research that shows CPOE can reduce 48% compared with paper based orders. Computerized Physician Order Entry is a process that allows health care providers to use a computer to directly enter medical orders electronically as well as laboratory, admission, radiology, referral, and procedure orders. The primary benefit of CPOE is that it can help reduce errors related to poor handwriting or transcription of medication orders (Margaret Rouse, 2014). In hospitals, CPOE essentially eliminates the need for paper, handwritten orders and achieves cost savings through greater efficiency. CPOE systems with clinical decision support systems can improve
Standardization is a hot topic in today’s healthcare industry. Data standardization is the critical process of bringing data into a common format
Makary, M. A., & Daniel, M. (2016). Medical error-the third leading cause of death in the US. BMJ: British Medical Journal (Online), 353.
The advancement in science and technology has helped to improve the healthcare services tremendously; beyond what even doctors thought was impossible years ago. Technology has also improved the understanding of illnesses and the development of new treatments. Up to date, healthcare scientists and doctors are still working hand in hand in trying to develop new technologies in order to improve the healthcare services as well as offer the best and most appropriate treatment to patients in the future. Advancement in healthcare has been observed fields such as pharmacology, oncology, neurology, psychology, however, for the purpose of this assignment, part one will focus on advances in medical diagnostics, bioinformatics and reproductive health.
In the reading completed in class, To Err Is Human: Building a Safer Health System by the Institute of Medicine, medical errors that take place in the hospital setting are discussed. Today, a hospitals main focus is to get patients out as soon as possible. Hospitals make more money by increased bed turn over rates. As the article states, there are several strategies for improvement to achieve a better safety record, such as new information technology. I think that as long as hospitals continue to ignore the problems the errors will continue to happen. It is important to figure out why these errors are being made in the hospital setting, and use the available technology to help prevent future errors. While I believe overall that these tools are vital in aiding nurses complete their responsibilities, this technology is not something that nurses can rely on absolutely. Nurses have the skills to complete the seven rights before administering medications and it is necessary that nurses utilize both technological tools as well their own intellect before administering any medications. As our society becomes more reliant on technology everyday, I am certain that I will personally be using bar coding medication administration systems as well as other
In many cases, ED nurses are the first health care provider to assess patients; therefore, it is essential that they have the clinical knowledge necessary to identify those at risk for sepsis, or exhibiting signs of early or even late sepsis. Quality improvement initiatives in the ED should include thorough educational efforts to ensure that nurses understand the sepsis condition in relation to the pathophysiology; the clinical triggers; its progression and implications; and the appropriate treatment that is best supported by evidence based research. Additional quality improvement measures should include the implementation of tools, processes, protocols/guidelines, and procedures required to assist nurses in the early identification and treatment of sepsis. Frontline nurses play an important role on the health care team, and perhaps are the key to reducing the morbidity and mortality of septic patients. The purpose of this quality initiative is to provide measures necessary to facilitate the frontline ED nurses in the early identification and treatment of sepsis. The clinical question for this scholarly project is as follows: “In the emergency department, will quality improvement initiatives, improve the frontline nurses’ early recognition and treatment of
The following scenario will best reflect my practice and use of informatics. The scenario is not representative of a particular patient but is a combination of daily events in my position so that no patient rights are violated.
Developing education and evaluation tools are essential steps when implementing a proposed intervention or evidence-based practice (EBP). According to Marschall et al. (2014) educational tools provide the key stakeholders with the necessary awareness, knowledge, understanding, and how to effectively utilize proposed intervention to eliminate a problem or improve patient care. This in turn will increase the likelihood of competency, compliance, and a successful implementation (Marschall et al., 2014). Equally important are evaluation tools because they assess the effectiveness of the new intervention or EBP and then compares the outcomes to the previous practice. However, a variety of methods to evaluate the effectiveness of a the EBP or intervention