NURS FPX 8022 Assessment 1 Using Data to Make Evidence-Based Technology Recommendations
NURS FPX 8022 Assessment 1 Using Data to Make Evidence-Based Technology Recommendations Student Name Capella University NURS-FPX8022 Nursing Technology and Advanced Healthcare Information Systems Professor Name Submission Date Using Data to Make Evidence-Based Technology Recommendations The concept of evidence based technology recommendations is imperative in the healthcare sector, as decision-making relies on data to assist a healthcare institution in understanding how to invest their money into technology which will directly translate to a patient and work efficient outcome in their care. By systematically examining the clinical outcomes, safety data and workflow factors, technology leaders can make informed decisions based on clinical data, rather than relying on vendor’s claims. The evidence-based strategy helps prevent implementation problems, ensure resources are used to their greatest extent, and ensures new technologies are connected to the quality improvement goals within the organization. At some point, innovations with measurable benefits and return on investment, and that offer better ways to deliver care, are adopted as a result of informed decision making. There will be a focus on the application of technology in real practice situations and use of performance information to generate technology advice, based on evidence in the assessment area. Evaluation of Technology in Use The Medical University of South Carolina University Medical Center (MUSC) has seriously underperforming with a fall rate of 0.774 per 1,000 patient days, compared with 0.000 for the Top performers, indicating there is a serious patient safety issue occurring at MUSC (Leapfrog, n.d.). The institution score on medication communication is 74 which is well below the top ranked hospitals with score of 88, indicating that there is lack of education to patients regarding their medication regime and side effects of the medicine they take. Incorporating strategic technology, combined with overall staff training programs, are crucial steps towards achieving perfection in patient safety and communication outcomes, and communication performance on discharge is on average below national standards (82) but better than other low performing facilities (67). Patient education systems and medication dispensing systems that can be interacted with by the patients and medication that can be dispensed automatically can lead to a significant increase in medication communication and discharge planning in a healthcare facility. With the technological interventions, doctors will be able to provide the same trainings on the discharge and provide guidance on the medications with visual learning materials, on touch screen displays.The systems eliminate communication strategies differences and prescribe the systematic process of understanding patients’ adherence to medications and post-discharge care. Adopting technology solutions to standardise communication and medication workflow, will enhance patient safety and help to reduce the risk of preventable adverse events. While the potential benefits of using advanced communication technologies in health care institutions are significant, the uptake of these technologies has been hampered by numerous barriers, such as institution related priorities, resource constraints and human issues within institutions when implementing. Patients’ education platforms are known for requiring staff to work harder and have limited experience with digital interfaces, which has raised a lot of opposition from staff. However, the process of buying automated systems for medication delivery and making investments in them to train employees, particularly by smaller healthcare facilities, is hindered by a lack of funds. Technological problems that occur when implementing the new communication platforms along with the current EHR systems can disrupt work routines and clinical functions of the old system. Navigating the touchscreen-based education systems could be a difficult task for patients who aren’t technologically literate, creating digital disparities in health care. In various health care settings, there are many central factors that make or break the success of health care technology implementation, such as planning and providing long-term administrative support. As is now, the MUSC’s existing medication communication/discharge processes include the involvement of the providers, who place the orders for medication in the patient’s chart, and the nurses, who receive the medication as instructed through the standard pharmacy delivery process. Nurses provide verbal medicine education in standardized education protocols; however this varies in quality based on individual nurses’ approach to the delivery of the information and time constraints. For efficient communication, there should be structured methodologies that would help in the various patient learning needs and preferences, particularly when delivery of patient education will be provided by a nurse using technology. The discharge instructions typically are provided to the patient in a written form, which includes a schedule of medication use, adverse effects and follow-up appointments. Documentation in the electronic health record system (EHR) ensures continuity of care by providing patient education contacts and discharge planning tasks that are sent to the EHR, generating lasting records. The present flow of the Work is given in Appendix A. Patient Safety Areas Identified Health facilities use two main assessment systems: Leapfrog safety ratings and Medicare assessment tools for comparing performance. In overall safety measures (e.g., adherence to protocols, infection control, clinical outcomes) Leapfrog assigns letter grades (A-F).Medicare compare studies so much more than the scope of aspects of the delivery of healthcare and satisfaction with regards to that, which makes it possible to study in the comparison to choose the provider. The three fundamental purposes of the evaluation systems are for transparency in operations, quality improvement systems, and to provide consumers with evidence-based information which they can use to make informed decisions about health care. The standardized monitoring frameworks are based on comparable assessment criteria and when combined, they help ensure a high-quality healthcare system that offers accountability and choice to consumers. In the mentioned health care unit, the indicators of patient safety and communication quality exist and there are critical gaps in them. Medication communication scores (74) and discharge communication scores (82) are acceptable, but scores are not as high as those of the top facilities which are rated at 88 and 94, respectively (Leapfrog, n.d.). The discrepancies in performance provoke some basic questions about whether the medical center strives to develop a set of comprehensive standards of patient safety and provide evidence-based interventions in educating the patients. Table 1
