Application Project Case Study Case Study

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Nursing

As technology becomes more sophisticated the effects of new technologies affect all aspects of our lives. Technological advances affect many different occupations as well, especially the field of health care. As a result the advancements in technology have impacted the field of nursing as well. For instance, advances in technology affecting the nursing affects almost every aspect of the field including daily routine tasks such as charting. The use of electronic charting has resulted in an increase in the safety of patients and a subsequent decrease in the time nurses utilize for documentation. For many nurses advances in technology have made their jobs easier, for the most part. However, as with any advancement there is a trade-off in efficiency with other areas. In is impossible to list all the effects of technology of nursing within the confines of this paper. Therefore the primary discussion for this paper will be limited to the effects of computerized reporting systems and their effects on nursing.

Literature Review

There can be little doubt that advancements in computerized technology have lead to more efficient patient care. For instance, before the implementation of IV pump infusions and electronic IV monitors a patient who needed an IV of any type had it administered under the care and attentive eye of their nurse as the old manual IVs were prone to stopping or flowing too quickly. Thus, a nurse often was needed to remain near the patient's side when they were in need of an IV. Given how often patients need IVs this new innovation has made a nurse's job much easier and allowed them time to attend to other duties while patients have IVs (Kaplan & Harris-Salamone, 2009). The nursing specialty that investigates the involvement of computers and how it affects the practice of nursing is called Nursing Informatics (Hardwick, Pulido and Adelson, 2007). Nursing Informatics can be defined as the interaction of nursing and information management with information processing and communication technology to support the health of patients. Thus, Nursing Informatics makes clinical documentation readily available for evaluation by making information technology available at the patient's bedside (Hardwick, Pulido and Adelson, 2007).

Computerized documentation has been viewed as a major innovation in healthcare and has assisted nurses with organization of information, saved time, and led to an overall improved workflow (Lee, 2007). However, technology changes and when there is an implementation of a new computerized documentation system this can lead to a disruption in the established routine. At first it is typically very time consuming to learn and chart in a new system. The stress of learning a new format, sometimes needing to acquire new typing skills, the unavoidable mistakes and other issues can result in job dissatisfaction, lapses in patient care, stress-related issues for everyone. Therefore it is very help to involve the nurses in the early stages when implementing a new system so they can be involved in the process of providing input regarding the design and potential snags to a smooth transition (Lee, 2007). Courtney, Demiris and Alexander (2005) advise that new information technology (IT) innovations should be flexible as to allow a type of dual change. In other words, new technologies should lead to changes in nursing practices; however, nursing practices should also result in shaping IT changes and innovations. The changes implemented by new IT should therefore be bi-directional. These computerized systems have other potentials in addition to assisting the nurse with documentation. For example, computerized prompts or computerized reminders for patient care interventions can be quite beneficial. Moreover, the use of computer guided interventions can be linked to the diagnosis entered by the nurse into the system to make them readily available to nurses and physicians on the spot (Lee, 2007).

As stated above the use of computers has resulted in improved speed and more efficient documentation by nurses. The use of portable handheld devices is also often incorporated into the electronic medical record system (EMR). Potable handheld devices or wireless computerized systems allow the nurse to enter the patient's vital signs and other documentation while at the bedside. Moreover, these devices allow the nurse to read a patient's laboratory values, any new orders from physicians, and view other important information without ever leaving the patient while at bedside (Hardwick, Pulido, & Adelson, 2007). These portable IT devices have been truly amazing. There has also been empirical evidence that such real time documentation results in a potential minimization of omission errors and communication errors (Strople & Ottani, 2006).

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One study found that utilizing an EMR and potable documentation devices such as handheld devices or a wireless computer system reduced vital sign documentation errors by more than 50% when compared to the use of traditional pen and paper charting methods (Gearing et al., 2006).

Even when not used in integration with an EMR, the new handheld devices can be helpful for patient documentation by taking the place of the traditional clipboard. The use of a handheld device in place of a clipboard can allow a nurse to enter information directly and efficiently at the patient's bedside and later either transpose the information to a paper chart or upload it into a computer (Hardwick, Pulido, & Adelson, 2007). Strople and Ottani (2006) found that the use of personal digital assistants (PDAs) use decreased the time nurses spend documenting their activities by nearly two hours, led to greatly improved efficiency in overall patient care, and have a positive impact on patient safety and overall patient outcomes.

The use of electronic handheld devices offers other resources for nurses. For example, many of the portable devices have access to reference materials. This allows a nurse to look up information such as drug lists, drug interactions or side effects, and other important clinical references without ever having to return to their office or go to the nursing station. Many of the new handheld devices, such as PDA's, offer other tools that can be of assistance. Many also include applications such as clocks, timers, calendars, schedules, etc. that can be used as medication or treatment reminders. Hardwick, Pulido, and Adelson (2007) point out several different ways that such tools and applications can be helpful not only in the hospital but also in the home healthcare setting.

In 2006 The Joint Commission on Accreditation of Health Care Organizations (JCAHO) identified communication failures as the leading cause of sentinel events in healthcare settings and found that a major contributing factor to these failures was the shift report (Strople & Ottani, 2006). The standard practice for these reports is the use of memory and the chart when giving report. This can lead to the omission of important information as memory is unreliable (Hardwick, Pulido, & Adelson, 2007; Strople & Ottani, 2006). The use of paper worksheets could be replaced by a PDA device. This way the information would be permanently documented and readily available making it much less likely that important information would be missed. Moreover as discussed earlier using these handheld devices or another type of electronic reporting would increase the amount of time of direct patient care which has been demonstrated to reduce issues such as the rate of UTI, medication errors (Bradley, Stelenkamp, & Hite, 2006), and pulmonary compromise (Strople & Ottani, 2006). EMR use can increase the quality, effectiveness, and efficiency of a patient-centered shift report.

Observations and Possible Futures

The use of an EMR has made it easier for nurses on the units I have been involved with to go about their routines. However, at first changes or the implementation of an EMR is very awkward and takes some time to get used to. Once the adjustments are made and the transition complete it is very effective. The implementation of an EMR system has the potential to increase patient safety in other areas besides the ones covered in the research. Using computerized physician orders can really lead to a decrease in transcription errors we commonly see when someone takes the order over the phone. A dual phone and computerized physician order system could lead to the provision of additional information that would reduce ordering errors related misreporting, a lack of drug knowledge, redundant medication orders, a lack of patient information, or rules violations. Most of the medication errors that occur are often due to an inability to correctly read written orders, medications being written for the wrong patient, or redundant orders. For instance Bradley, Stelenkamp, and Hite, (2006) have stated as a result of their review that the majority of medication errors are actually preventable. In studies following the implementing of a computerized ordering system the identification of medication errors increased and the level of patient harm fell dramatically. Even so there were still errors noted in computer entry like orders being placed for the wrong patient, but these mistakes were recognized more quickly. It appears that the use of a computerized order entry system leads to an increase in the recognition.....

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