...Critical Factors in Implementing an IT System in Health Facilities Cynthia Jones Professor Ilisher Ford HSA315 Health Information Systems Strayer University February 3, 2016 CRITICAL FACTORS Critical Factors in Implementing an IT System in Health Facilities Health Care Organizations Reluctant to Implement HER One reason some healthcare organizations have been reluctant to implementing electronic health records is the cost. These systems aren’t cheap ,vendors charge 40,000 to install an electronic record system and 10,000 to 15,000 maintenance annually. It is a hassle and costly to hire staff to enter data and comply with rules and regulations. Another reason some healthcare organizations have been reluctant to implementing electronic health records is privacy. This is a big issue, perhaps the greatest vulnerability of electronic health systems. The system can be hacked into and misused, invading patient’s privacy, revealing sensitive information...
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...opportunity to understand the reason for the occurrence of an event (McEwen & Willis, 2014, p. 413). In different clinical settings, nurses care for patients amidst all the interruption and distraction and therefore are prone to making medical errors despite their best intentions. Medical errors are common in most healthcare settings and more so in the critical care units. According to the 1999 Institute of Medicine (IOM) report, several thousand people die each year from avoidable medical errors. Medical errors have been defined in different ways by various authors but one that captures the essence of this problem is that contained in the IOM report of 1999 which described this issue as “the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim” (IOM, 1999). Medical errors include but are not limited to medication errors, errors associated with medical and surgical procedures, those associated with transcription and charting activities, adverse drug events, restraint-related injuries, or mistaken identities and are more likely to occur in the emergency room, operating room and critical care units (IOM, 1999; Rogers, Dean, Hwang & Scott, 2008). The purpose of this paper is to address the serious problem of medical errors in healthcare in general and specifically the techniques critical care nurses employ to identify, correct and/or interrupt such problems (Henneman, Gawlinski, Blank, Hennema, Jordan & McKenzie,...
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...315 WEEK 4 ASSIGNMENT 1 CRITICAL FACTORS To purchase this visit here: http://www.activitymode.com/product/hsa-315-week-4-assignment-1-critical-factors/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSA 315 WEEK 4 ASSIGNMENT 1 CRITICAL FACTORS HSA 315 Week 4 Assignment 1 Critical Factors in Implementing an IT System in Health Facilities - NEW 2015 Version Write a six to eight (6-8) page paper in which you: Provide at least three (3) various reasons why some health care organizations have been reluctant to implement electronic medical records. Discuss the essential manner in which the Health Insurance Portability and Accountability Act (HIPAA) impacts patient’s medical records. Determine the main advantages and disadvantages of the adoption of The HITECH (the Health Information Technology for Economic and Clinical Health) Act for health care professionals. Next, suggest one (1) strategy that the medical staff members could use in order to mitigate the main disadvantages in question. Review the typical workflow processes within health organizations, and decide the single most significant process that the health organization must eliminate in order to improve the service. Provide a rationale to support your response. More Details hidden... Activity mode aims to provide quality study notes and tutorials to the students of HSA 315 Week 4 Assignment 1 Critical Factors in order to ace their studies. HSA 315 WEEK 4 ASSIGNMENT 1 CRITICAL FACTORS To purchase this...
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...Intensive Care Unit Article Critique of Caring and Technology in an Intensive Care Unit The growing presence of technology in healthcare has changed the way critical care is delivered to patients. Although caring has been synonymous with nursing in the past, the integration of technology in critical care units has somewhat altered these views. The increased dependence on technology has spawned debates directed at the ethical and economical aspects of nursing care. One of the biggest concerns is the appropriateness and cost of new technology used to treat and monitor patients. While studies have shown technology can certainly improve the quality of care, increased utilization of technology in healthcare could also lead to dehumanizing patients. Understanding the effects this phenomenon has on patient care therefore requires an examination of the most current research available. Research Question: What aspects are considered to be troublesome to registered health care professionals’ ability to deliver care services to their patients by the use of technology especially in the critical care unit? The authors of the article have formulated a research question that is aimed at identifying the effect of technology. This is in a bid to come up with a model that is aimed at enhancing medical care for the patients from not only the nurses but also all medical practitioners. It is sufficient in giving compounding results. Literature Review The paper assesses...
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...Description of Evidence Evidence 1: The first piece of evidence demonstrating the criteria related to critical thinking is a concept analysis paper written on the topic of Critical Thinking in Nursing, completed for NUSC 5003, Theory in Nursing, in the Spring Semester of 2015 (Appendix A). The purpose of this paper was to expand on the interpretations of critical thinking including the analysis of the characteristics or qualities of critical thinking in nursing based on selected literature reviews from multiple disciplines using the Walker and Avant model. Incorporates multiple perspectives in the advanced practice learning process (i.e. diverse ways of thinking, roles). In this paper, I analyzed diverse concepts of critical thinking by...
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...for Vulnerable Populations 20 December, 2010 Dawn Talbert MSN, RN, BC-FNP The purpose of this paper is to develop the awareness of the healthcare disparities for the Hispanic population. The aspects of why the Hispanic population is a vulnerable population will be shown. There are numerous barriers to healthcare for Hispanic patients and the healthcare provider; this paper will discuss only two of these barriers. Two interventions will be shown to aid the healthcare provider in bring down the barriers to efficacious healthcare for Hispanic patients. Three or more concepts from this course will be incorporated into this paper. Awareness of the healthcare disparities is critical to understanding when attempting to take down the barriers to equal healthcare for the vulnerable Hispanic population. The deficiencies are well researched and documented. In 2003, the Institute of Medicine of the National Academies issued Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, which reported that minorities are less likely than whites to receive health services, including clinically necessary procedures, even when controlling for insurance status, patient income, and other access-related factors. Cultural bias can affect clinical decision-making. The authors found evidence that stereotyping, biases, and uncertainty on the part of health care providers can contribute to unequal treatment (Smedley, 2003). It is important to understand that the end...
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...Payment Systems (PPS) help decrease health care spending. Cite references to support your response. HLT 205 Week 7 Topic 7 Discussion 2 In the U.S. health care system, what are the two basic challenges to access which will not be resolved by a mere expansion of health insurance to the uninsured? Cite references to support your response. HLT 205 Week 7 Assignment Policy Interview Analysis Details: Important Notice: It is important for students, as they progress through this program, to learn from those currently working in health care. For this assignment, students will interview a health care professional. It is important that you start a search for potential candidates to interview at the beginning of the course as many health care professionals have limited availability due to their schedules. It is recommended that upon finding a candidate for the interview that you schedule a meeting a few weeks in advance. You may complete the interview face to face, over the phone, or through an e-mail correspondence if necessary. The Interview: Identify at least 10 questions around governmental policy that are critical to understanding current and future issues in specific delivery settings. Refine your questions so that they are relevant to the person or policy that the interview is based on. Conduct the interview at the agreed upon time in a professional manner. Summary Paper: After you have completed the interview, write a 750-1,000 word paper that summarizes your findings. Cite at...
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...Effective Communication Name Class School Name “In any organization large or small depends on the hard work of its employees to be successful” (Effective Communication Paper). “While we spend a lot of time and effort on the skills we need to do our job, such as accounting and finance skills, marketing skills, strategic development skills, improving communication at work requires strong interactive communication skills – and we don’t seem to put as much effort into these as we should to be effective” (Wilhelm). “With communication, employees can coordinate their efforts with other employees and managers to make their hard work seem almost effortless” (Effective Communication Paper). Today, it seems the reason that a company fails is because communication is no existent. “If the staff has not been made aware that there is a goal to attain, they certainly cannot contribute to accomplishing it.” (Effective Communication Paper). I am currently not employed, but I used to work for a tea lounge and spa. At my organization I was the manager and so I had a huge responsibility to uphold. There are many techniques that were effective for sharing ideas and information. In our spa and lounge we had a bulletin board that was out for the public so they could read our new or upcoming promotions. Also we they are able to place flyers for everyone else to view. We also had one just for the staff to make suggestions or post concerns anonymously. Sometimes the staff was nervous to directly...
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...Running head: FAILURE TO RESCUE Failure to Rescue Barbara Combes Breckenridge School of Nursing ITT Technical Institute July 15, 2014 FAILURE TO RESCUE Abstract This paper describes failure to rescue (FTR), according to recent studies. Failure to rescue is discussed in terms of importance to nursing. The paper speculates on how knowing about failure to rescue may help in the nursing course studies and critical thinking skills. FAILURE TO RESCUE Introduction According to a 2007 article in Med Care, use of failure to rescue as an indicator of hospital quality and patient safety has increased over the past decade. Researchers have used different sets of complications and deaths to define this measure. (Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG, 2007). This paper gives a description of failure to rescue, discusses the importance to nursing and nursing students, in regards to course studies and critical thinking skills. References for this paper are research studies that used the “original” FTR (using all deaths) description. Description Failure to Rescue is generally defined as the inability to save a hospitalized patient’s life when he/she experiences a complication. A complication is a condition that is not present on admission, such as cardiopulmonary arrest/shock, pneumonia, upper GI bleed, venous thromboembolism (VTE), and sepsis. Failure to rescue does not necessarily imply wrong doing. (Silber, JH, 2007) Importance to Nursing ...
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...advanced degree nurses with their BSN or higher. The evidence behind having more nurses educated at a higher level is patient centered care. The differences in education between an associate degree nurse and a baccalaureate prepared nurse will be looked at thru this paper. The second item that will be addressed in this paper is how the care for patients differs between the ADN and BSN prepared nurse. Differences in education A person wants to go to school for nursing but are overwhelmed with a decision does this person obtain an associate’s degree in nursing or continue on further for a baccalaureate degree prior to entering the field of chosen study. This dilemma has been debated on for many years. The obvious difference between the two educations is the length of study. Both are able to sit for the same board exam the NCLEX at the end of study and they are both technically skilled for an entry level position. One may think then that there is really no difference in education other then the last three letters behind their name. The baccalaureate student not only studies for a longer period of time but there is an emphasis on evidence-base clinical practice and leadership within the curriculum. Numerous research studies have showed that the skill between ADN and BSN competency upon graduation, however, within a year the BSN nurse shows greater critical thinking skills, better problem solving, and the development of clinical...
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...Health Care Provider and Faith Diversity: Final Draft Grand Canyon University Spirituality in Healthcare HLT310 Mathew Hampton August 1, 2013 Abstract The medical field brings many different people of many faiths in contact with health care providers. Spiritual care is a crucial aspect of patient care spiritually allows patients to continue to practice their religious beliefs in the hospital setting is important for the overall healing of the patient. This paper will give comparison on the Christianity Faith and Buddhism, Hinduism, and Islam faiths and healing methods. Every health care provider needs to be aware and respect the many religious and or spiritual needs a patient may have in order to allow optimum healing. Health Care Provider and Faith Diversity: Final Draft Spirituality is essential to holistic practice as a health care professional (Faulkner, 2012, p. 77). Health care providers in all fields come in contact with multiple faiths and healing techniques. Multiple beliefs require medical personnel to have the basic knowledge of multiple faiths and religious beliefs. It is imperative for patients religious beliefs be respected and or allowed to practice during their hospital stay. Christianity is one of a few mainstream faiths. Other religions such as Buddhism, Hinduism, and Islam are not as well known. This paper will discuss and compare Buddhism, Hinduism, and Islam with Christianity’s healing approaches and beliefs as well as the author’s personal...
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...Leading and Managing Nursing Care Introduction This assignment will examine and reflect upon a critical incident that occurred whilst on placement. The incident will be analysed using relevant management concepts and an action plan formulated, which will propose a change in practice. Minghella and Benson (1995) cited by Ghyae, T and Lillyman, S (1997) identifies that ‘critical incident analysis has been espoused as a valuable method of promoting reflective practice in nursing and it can be used as a tool in developing curriculum content’ (p770). The Reflective Cycle of Gibb’s (1988) (appendix 1) will be used as a framework to conduct this assignment. My reasoning for choosing Gibb’s can be explained by [anon] (2006) ‘Gibb’s reflective cycle is fairly straight forward and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, and analysis to make sense of the experience’. The assignment will also be organised into sections based on the reflective cycle. Pseudonyms will be used to maintain anonymity and confidentiality in accordance with clause five of the NMC (2004). The critical incident which I have chosen is an inappropriate assessment and application of mouth care in a pre-operative patient. ‘Oral assessment is required in planning effective care, and that the incidence of oral complications was reduced by the frequency of care’ Ginsberg (1961) cited by Mallett, J and Dougherty, L (2000 p361). I have chosen...
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...developing acute skills for nurses in critical care wards. In this section of the literature review, we will discuss policies in the nursing profession, case studies and various approaches to work based acute skills learning programmes. For our purposes we conducted a literature search using popular medical databases and terms such as ‘acute skills’ ‘learning programmes’ and ‘critical care learning’. Our review highlights on the several important approaches to work based learning ranging from reflective practice to experiential learning and work based formal practical training to enhance professional skills. A learning programme for acute ward nurses responsible for caring of critically ill patients has been the central focus of nursing practice development. According to Coad et al (2002), a work-based learning approach has been found to empower ward staff with the necessary skills of nursing and the authors studied the efficacy of a five-day competency based high dependency skills course in enhancing professionalism and quality of care in nursing. The aims of comprehensive critical care are developing leadership potential and enhancing networking opportunities for nurses within critical care and acute ward areas. Critical care is the most challenging aspect of nursing care and acute skills in nursing are enhanced not just by work-based learning programs but also from first hand nursing and emergency experiences. Titchen (2003) describes emergency care in which one professional learns...
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...that all Intensive Care Units (ICUs) throughout the world have to face and address. In the Current Opinion in Critical Care, Vol 16, No 6, December 2010, p. 640, Dixon-Woods and Bosk, writing on the topic of “Death, dying and other ethical dilemmas” under the journal’s section of ‘Ethical, legal and organizational issues in the ICU’, have stated that “Recent ethnographic work suggests that ethical dilemmas associated with end-of-life care in ICU clearly persist, even if clinicians are now more open about patients’ chances of surviving. An Australian study identified how decisions and actions made outside the ICU—such as proceeding with surgical procedures with very poor prognosis or admitting moribund patients who had sustained severe respiratory or cardiac arrest—led to a higher than expected rate of non-booked admissions. Staff believed these to be the result of futile interventions by staff outside the ICU that then resulted in ICU staff having to manage the patient and family through the dying process. ICU staff believed that this practice was detrimental to families by offering false hope of recovery, and that they were left to ‘clear up the unfinished work of medical staff’. Other studies have also documented the problems faced by staff confronted by patients whose potential for recovery is, at best, marginal, or when patients’ ‘significant others’ seek to influence ICU priorities and distribution of resources. Tensions exist between the critical care clinician’s view of...
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...Critical Analysis Critical Analysis As the nursing profession grows the need for increase knowledge exists, nurses are relying on evidence base practices to improve the profession. Nurse researchers continue to determine ways to improve the profession by identifying problems within the profession, that directly and indirectly affect the nurse as an individual and the profession on a whole. In this paper this author will critically analyze a nursing research conducted on methodological and ethical challenges in investigating the safety of medication administration. The paper will focus on problem statement, purpose and research question, literature review and examine the conceptual and theoretical framework of the study. Problem Statement The problem statement signifies the importance of the research to the profession it serves in this case the nursing profession. The problem statement identifies the specific gap in the knowledge needed for practice (Burn, Grove 2010). The research clinical problem was identified as safety of medication administration. What was not known was the methodological and ethical challenges faced by a researcher who attempted to conduct the research on this issue. The research significance was supported by position statement from the World Health Organization and the Department of Health noting the increase prevalence of research into patient safety and the methodical approaches used in research regarding patient’s safety, there were...
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