Simchart: A Nursing Case Study

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.

Electronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or

Camilli (2014), asserted that educational delivery is being carried out in innovative and convenient ways, including the use of simulation, virtual classrooms, distance education, podcasts, web conferencing, and online assessments. Information and communication technologies (ICTs) can be easily recognized as standard components of the nursing process and daily nursing practice, appearing as electronic assessments. Furthermore, nursing students are gaining increasing exposure to technologies during undergraduate studies which includes increasing volumes of electronic health records (EHR), digital diagnostic tools, health monitoring, and reporting equipment, barcode scanning, as well as mobile and hand-held documentation devices. This skills can be applied to clinical setting such as using EHR to follow up patient laboratory results and relay critical lab values to the physician. Also, barcode scanning can be used to prevent medical errors by giving the correct medications to the patient and also prompts the EHR for any related allergies to the medication that is prescribed during treatment or hospitalization.

Week 9 Overcoming Factors That Impact Informatics Initiatives DB Main Post Informatics impacts the healthcare setting, through the implementation of EHRs. A nurse informaticist not only manages the implementation of technology but follows guidelines set by ANA. Growth in nursing is moving forward as technology is erupting on the scene. The purpose of this paper does nurse impact leadership change for nurses moving into nursing informatics. Can implementation of technological transformation the care of patients, and components of ANCC Magnet health care set?

Since many health information infrastructure systems are relatively new, there is still variability in the implementation stages that different organizations have achieved. Additionally, most systems will have more than one capability that provides value, so the relationship between the system’s functionality and the resulting impact to patient care must be analyzed in order to determine the value it provides (Einstein, Juzwishin, Kushniruk, & Nahm, 2011). Value of health information infrastructures can be assessed in many different ways, including whether the technology allows the availability of useful information, how that information is utilized by staff and patients, and its impact on health outcomes. For information to be of value and influence medical decision making, it must be comprehensive, accessible, useful, and valid (Fitterer, Mettler, Rohner, & Winter, 2011).

Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.

Its determination is to associate patients to their data to improve the capability to generate a simplicity in sharing this data amongst the multiple health facilities patients visit. UPIs engendered by Electron Health Records (EHR) data can be manipulated by other healthcare systems including hospitals, pharmacies, insurance companies, patients, clinical research firms or diagnostic medical devices. These entities allocate data to be encapsulated, assembled, managed and then interconnected together universally. According to the article, Registries for Evaluating Patient Outcomes: A User 's Guide, “PIM has become crucial in order to (1) enable health record document consumers to obtain trusted views of their patient subjects, (2) facilitate data linkage projects, (3) abide by the current regulations concerning patient information–related transparency, privacy, disclosure, handling, and documentation,2 and (4) make the most efficient use of limited health care resources by reducing redundant data collection.” (Gliklich, R. E., & Dreyer, N. A., 2010).

In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR

In the nursing, a variety of technology is utilized within the hospital. For example, computerized charting, computerized monitoring, scanning medications, scanning laboratory medications, and teaching is interactive via the television for the patient and simulation models for the staff. I enjoy technology and with the intervention

While we can be pleased with many benefits that the electronic charting system and patient records keeping system have to offer, don’t you

The health care providers are able to quickly finish the patient charting. The Electronic Medical Records allows you to have flexibility to schedule more patients

3) Wager, Karen A., Frances Wickham Lee, and John P. Glaser. Health Care Information Systems: A Practical Approach for Health Care Management. 2nd edition. San Francisco, CA: Jossey-Bass; 2009. 4) Kawamoto K., Del Fiol G., Lobach.

By charting the information on the database, it allows all of the staffs that are involve with the patient care will be able to access it and communicate through it. With those information, it also allow the patient to have access as well to their health record and see what is going on. It allows patient to ask any question about their health. In our Adult Day Health Program, our database system is not advance to allow patient have access to their file. However, staffs members in the program do have access to the patient online file and can read what is going on from with the patient regarding their health, social service related, and their social interaction activities involvement in the program.

The technological advancements have not only helped nurses to be better informed, but have also helped the clients to be better informed. Informed patients and families can help the nurses and HCPs by speaking up about symptoms they have noticed that the health care team may have been unable to witness or may have look past. Technology being available to everyone is mostly a good luxury, at the same time, many people can be misinformed and cause more trouble demanding treatments or care that are unsuitable for them because they read about it online. 3.

The American Reinvestment and Recovery Act laid out the groundwork for a program designed to equip hospitals and medical practices around the country with electronic health record systems by providing financial incentives (p. 245). However, in some markets such as long-term care facilities the transition to electronic system has been slow. Professional nurses whose careers are in long-term care in our nation will play major role in getting electronic health systems into these settings. It will take nurse advocating for these systems and continuation of research showing evidence that supports widespread adaptation of these systems, but nurse united under one cause, best practice can make anything happen.