Assignment: Module 4 Week 8 The Use of Clinical Systems to Improve Outcomes and Efficiencies
Assignment: Module 4 Week 8 The Use of Clinical Systems to Improve Outcomes and Efficiencies
Use of Clinical Systems to Improve Outcomes and Efficiencies
Medication administration errors comprise a critical issue of concern for most of the healthcare organizations globally. Medication administration errors predispose patients to unintended harm that may worsen their health outcomes. The errors also cause other adverse outcomes that include increase in the cost of patient care, extended hospital stay, and decline in the reputation of an institution. In response to the threat brought by medication errors, health information technologies have been developed for use in minimizing the risk and occurrence of medication administration errors in practice. Therefore, the purpose of this annotated bibliography is to explore studies that have investigated the effectiveness of health information technologies in reducing the risk and preventing medication errors.
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Macias, M., Bernabeu-Andreu, F., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a Barcode Medication Administration System on Patient Safety. Oncology Nursing Forum, 45(1), E1–E13. https://doi.org/10.1188/18.ONF.E1-E13
The above study was conducted with the aim of determining the impact of barcode medication administration on the incidence rate of medication administration errors in patients in an onco-hematology day hospital. The study also sought to identify the characteristics of the medication errors that were experienced in the setting. The study was a between-groups, pre/post-intervention study that used 715 patients that were being treated at the onco-hematology day unit. The researchers focused on the observation of administration errors among patients with solid tumors who were compared with those with the hematologic cancer that acted as the control. The groups were monitored before and after the introduction of the barcode medication administration. The results of the study showed that the use of barcode medication administration was associated with a significant reduction in the incidence as well as severity of medication administration errors. The authors therefore recommended that barcode medication administration is an effective technology that institutions can embrace for medication administration safety. It can be learned from this study that health information technologies have significant efficacy and effectiveness in reducing medication administration errors.
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of Bar-Code Medication Administration and Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11(05), 511. https://doi.org/10.4236/health.2019.115044
The above study was conducted with the aim of determining the impact of bar-code medication administration and electronic medication administration system on medication administration processes. The focus of the authors was on the analysis of the bar-code medication administration and electronic medication administration system on clinical practices, outcomes, practices, and policies that affect the administration of medication by nurses. The study was an annotated review of literature that focused on the interventions. The analysis of the selected sources of data in the research showed that the use of electronic medical administration system and barcode medication administration was associated with increased efficiency in medication administration. The technologies also lead to a significant reduction in the medication administration errors that were reported in healthcare institutions. The improvement in outcomes implied that the use of electronic medical administration systems and barcode medication administration improved the patient safety measures in nursing and healthcare. The authors therefore recommended the need for the adoption of the technologies in healthcare and nursing to reduce medication errors that are attributable to extrinsic as well as intrinsic factors. One of the things that is learned from this study is the benefits of barcode medication administration and electronic medication administration systems. The study shows the enhanced safety and efficiency in patient care with the use of the systems. The article also increases the understanding of the readers on the advantages and disadvantages of the barcode medication administration and electronic medical administration systems in healthcare. As a result, the results of the study inform the decisions made on whether health information systems should be adopted to prevent and reduce medication administration errors.
Ratanto, Hariyati, R. T. S., Mediawati, A. S., & Eryando, T. (2021). The Effectiveness of Electronic Medication Administration Record: A Systematic Review. International Journal of Nursing Education, 13(3), 97–103. https://doi.org/10.37506/ijone.v13i3.16319
The above study was conducted with the aim of examining the effectiveness of the electronic medication administration record in preventing and reducing medication errors. The increase in the rates of medication errors globally informed the need for the study. The study was a systematic review of previous articles that were obtained from scholarly databases that included PsychINFO, CINAHL, EMBASE, and PubMed. The selection of the articles was based on inclusion and exclusion criteria that lead to 23 articles that were used for the study. The analysis of the data obtained from the selected articles showed that nine of the sources of data showed that electronic medication records reduce the incidence of medication administration errors. The remaining studies showed that electronic medication administration use was associated with increase in the average of treatment accuracy, reduction in mortality rates, elevation of documentation process, and decrease in mental load among nurses. The use of the electronic medication records was also found to increase the level of job satisfaction among nurses as well as the perceived workload. The authors therefore concluded that electronic medication records are effective in reducing error incidence in the administration of medications. The authors therefore recommended the need for the implementation of tis use in both community and hospital-based settings. One of the things that are learned from the article is the fact that electronic medical records improve the incidence rate of medication errors. It also improves the health and wellbeing of the healthcare providers by increasing their level of job satisfaction improving documentation and lowering the workload.
Risør, B. W., Lisby, M., & Sørensen, J. (2018). Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. International Journal for Quality in Health Care, 30(6), 457–465. https://doi.org/10.1093/intqhc/mzy042
The above study was conducted with the aim of evaluating the effectiveness of two automated medication systems in reducing medication administration errors. The researchers utilized a controlled before and after study to determine the effectiveness of the medication systems. The data for the study was collected during a 3-week period as the baseline and two subsequent periods at 10 as well as 20 months. The research was conducted in two Danish acute medical units. The medication systems that were compared included complex automated medication systems consisting of an automated dispensing cabined and barcode medication administration and non-patient-specific automated medication spectrum that had automated unit-dose dispensing and barcode medication administration. The focus was on the occurrence of medication errors and procedural errors. The results of this study showed that the use of comples automated medication systems had an overall improvement in risk of medication administration errors. It also had significantly reduced procedural errors and clinical errors. The authors concluded that technological interventions for medication administration are effective in reducing medication errors. It can be learned from this article that the use of health information technologies reduces significantly medication errors in healthcare.
Conclusion
The analysis of the presented data in the selected studies shows that medication errors have adverse effects on the health of the patients, providers and organizational performance. Health information technologies used for medication administration were shown to be effective. The technologies such as electronic medication administration system, barcode medication administration and complex automated medication systems reduce the incidence of medication errors significantly. The also lower the workload, increase the accuracy of documentation, job satisfaction among nurses, and reduce the clinical and procedural errors in practice. Therefore, healthcare organizations should consider embracing health information technologies for medication administration to promote safety, quality and efficiency in patient care.
References
Macias, M., Bernabeu-Andreu, F., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a Barcode Medication Administration System on Patient Safety. Oncology Nursing Forum, 45(1), E1–E13. https://doi.org/10.1188/18.ONF.E1-E13
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of Bar-Code Medication Administration and Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11(05), 511. https://doi.org/10.4236/health.2019.115044
Ratanto, Hariyati, R. T. S., Mediawati, A. S., & Eryando, T. (2021). The Effectiveness of Electronic Medication Administration Record: A Systematic Review. International Journal of Nursing Education, 13(3), 97–103. https://doi.org/10.37506/ijone.v13i3.16319
Risør, B. W., Lisby, M., & Sørensen, J. (2018). Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. International Journal for Quality in Health Care, 30(6), 457–465. https://doi.org/10.1093/intqhc/mzy042
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Use of Clinical Systems to Improve Outcomes and Efficiencies
Medication administration errors comprise a critical issue of concern for most of the healthcare organizations globally. Medication administration errors predispose patients to unintended harm that may worsen their health outcomes. The errors also cause other adverse outcomes that include increase in the cost of patient care, extended hospital stay, and decline in the reputation of an institution. In response to the threat brought by medication errors, health information technologies have been developed for use in minimizing the risk and occurrence of medication administration errors in practice. Therefore, the purpose of this annotated bibliography is to explore studies that have investigated the effectiveness of health information technologies in reducing the risk and preventing medication errors.
Macias, M., Bernabeu-Andreu, F., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a Barcode Medication Administration System on Patient Safety. Oncology Nursing Forum, 45(1), E1–E13. https://doi.org/10.1188/18.ONF.E1-E13
The above study was conducted with the aim of determining the impact of barcode medication administration on the incidence rate of medication administration errors in patients in an onco-hematology day hospital. The study also sought to identify the characteristics of the medication errors that were experienced in the setting. The study was a between-groups, pre/post-intervention study that used 715 patients that were being treated at the onco-hematology day unit. The researchers focused on the observation of administration errors among patients with solid tumors who were compared with those with the hematologic cancer that acted as the control. The groups were monitored before and after the introduction of the barcode medication administration. The results of the study showed that the use of barcode medication administration was associated with a significant reduction in the incidence as well as severity of medication administration errors. The authors therefore recommended that barcode medication administration is an effective technology that institutions can embrace for medication administration safety. It can be learned from this study that health information technologies have significant efficacy and effectiveness in reducing medication administration errors.
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of Bar-Code Medication Administration and Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11(05), 511. https://doi.org/10.4236/health.2019.115044
The above study was conducted with the aim of determining the impact of bar-code medication administration and electronic medication administration system on medication administration processes. The focus of the authors was on the analysis of the bar-code medication administration and electronic medication administration system on clinical practices, outcomes, practices, and policies that affect the administration of medication by nurses. The study was an annotated review of literature that focused on the interventions. The analysis of the selected sources of data in the research showed that the use of electronic medical administration system and barcode medication administration was associated with increased efficiency in medication administration. The technologies also lead to a significant reduction in the medication administration errors that were reported in healthcare institutions. The improvement in outcomes implied that the use of electronic medical administration systems and barcode medication administration improved the patient safety measures in nursing and healthcare. The authors therefore recommended the need for the adoption of the technologies in healthcare and nursing to reduce medication errors that are attributable to extrinsic as well as intrinsic factors. One of the things that is learned from this study is the benefits of barcode medication administration and electronic medication administration systems. The study shows the enhanced safety and efficiency in patient care with the use of the systems. The article also increases the understanding of the readers on the advantages and disadvantages of the barcode medication administration and electronic medical administration systems in healthcare. As a result, the results of the study inform the decisions made on whether health information systems should be adopted to prevent and reduce medication administration errors.
Ratanto, Hariyati, R. T. S., Mediawati, A. S., & Eryando, T. (2021). The Effectiveness of Electronic Medication Administration Record: A Systematic Review. International Journal of Nursing Education, 13(3), 97–103. https://doi.org/10.37506/ijone.v13i3.16319
The above study was conducted with the aim of examining the effectiveness of the electronic medication administration record in preventing and reducing medication errors. The increase in the rates of medication errors globally informed the need for the study. The study was a systematic review of previous articles that were obtained from scholarly databases that included PsychINFO, CINAHL, EMBASE, and PubMed. The selection of the articles was based on inclusion and exclusion criteria that lead to 23 articles that were used for the study. The analysis of the data obtained from the selected articles showed that nine of the sources of data showed that electronic medication records reduce the incidence of medication administration errors. The remaining studies showed that electronic medication administration use was associated with increase in the average of treatment accuracy, reduction in mortality rates, elevation of documentation process, and decrease in mental load among nurses. The use of the electronic medication records was also found to increase the level of job satisfaction among nurses as well as the perceived workload. The authors therefore concluded that electronic medication records are effective in reducing error incidence in the administration of medications. The authors therefore recommended the need for the implementation of tis use in both community and hospital-based settings. One of the things that are learned from the article is the fact that electronic medical records improve the incidence rate of medication errors. It also improves the health and wellbeing of the healthcare providers by increasing their level of job satisfaction improving documentation and lowering the workload.
Risør, B. W., Lisby, M., & Sørensen, J. (2018). Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. International Journal for Quality in Health Care, 30(6), 457–465. https://doi.org/10.1093/intqhc/mzy042
The above study was conducted with the aim of evaluating the effectiveness of two automated medication systems in reducing medication administration errors. The researchers utilized a controlled before and after study to determine the effectiveness of the medication systems. The data for the study was collected during a 3-week period as the baseline and two subsequent periods at 10 as well as 20 months. The research was conducted in two Danish acute medical units. The medication systems that were compared included complex automated medication systems consisting of an automated dispensing cabined and barcode medication administration and non-patient-specific automated medication spectrum that had automated unit-dose dispensing and barcode medication administration. The focus was on the occurrence of medication errors and procedural errors. The results of this study showed that the use of comples automated medication systems had an overall improvement in risk of medication administration errors. It also had significantly reduced procedural errors and clinical errors. The authors concluded that technological interventions for medication administration are effective in reducing medication errors. It can be learned from this article that the use of health information technologies reduces significantly medication errors in healthcare.
Conclusion
The analysis of the presented data in the selected studies shows that medication errors have adverse effects on the health of the patients, providers and organizational performance. Health information technologies used for medication administration were shown to be effective. The technologies such as electronic medication administration system, barcode medication administration and complex automated medication systems reduce the incidence of medication errors significantly. The also lower the workload, increase the accuracy of documentation, job satisfaction among nurses, and reduce the clinical and procedural errors in practice. Therefore, healthcare organizations should consider embracing health information technologies for medication administration to promote safety, quality and efficiency in patient care.
References
Macias, M., Bernabeu-Andreu, F., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a Barcode Medication Administration System on Patient Safety. Oncology Nursing Forum, 45(1), E1–E13. https://doi.org/10.1188/18.ONF.E1-E13
Naidu, M., & Alicia, Y. L. Y. (2019). Impact of Bar-Code Medication Administration and Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11(05), 511. https://doi.org/10.4236/health.2019.115044
Ratanto, Hariyati, R. T. S., Mediawati, A. S., & Eryando, T. (2021). The Effectiveness of Electronic Medication Administration Record: A Systematic Review. International Journal of Nursing Education, 13(3), 97–103. https://doi.org/10.37506/ijone.v13i3.16319
Risør, B. W., Lisby, M., & Sørensen, J. (2018). Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. International Journal for Quality in Health Care, 30(6), 457–465. https://doi.org/10.1093/intqhc/mzy042
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Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
To Prepare:
• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.â€
• Identify and select 4 peer-reviewed research articles from your research.
• For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
• Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
• Include an introduction explaining the purpose of the paper.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
• In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
• Use APA format and include a title page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.
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Learning Resources
Required Readings
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
• Chapter 14, “The Electronic Health Record and Clinical Informatics†(pp. 267–287)
• Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes†(pp. 293–317)
• Chapter 16, “Patient Engagement and Connected Health†(pp. 323–338)
• Chapter 17, “Using Informatics to Promote Community/Population Health†(pp. 341–355)
• Chapter 18, “Telenursing and Remote Access Telehealth†(pp. 359–388)
Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449
HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from
https://www.healthit.gov/faq/what-electronic-health-record-ehr
Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221.
Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40.
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Name: NURS_5051_Module04_Week08_Assignment_Rubric
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Excellent Good Fair Poor
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
· Properly identify 4 peer-reviewed research articles you reviewed.
· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles. 77 (77%) – 85 (85%)
The responses accurately and clearly identify 4 peer-reviewed research articles for the Assignment.
The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.
Specific, accurate, and detailed examples are provided which fully support the responses. 68 (68%) – 76 (76%)
The responses identify 4 peer-reviewed research articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.
Accurate examples are provided which support the responses provided. 60 (60%) – 67 (67%)
The responses vaguely or inaccurately identify 4 or less peer-reviewed articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate.
Examples provided to support the responses are vague or inaccurate. 0 (0%) – 59 (59%)
The responses vaguely and inaccurately identify less than 4 peer-reviewed articles for the Assignment, or are missing.
The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing.
Examples provided to support the responses are vague and inaccurate, or are missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors. 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%)
Uses correct APA format with no errors. 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors. 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors. 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_5051_Module04_Week08_Assignment_Rubric