The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay
Healthcare systems around the world continue to improve various aspects of the provision of care to meet the needs of the patients and ensure improved health outcomes and patient satisfaction (Manias, 2019). Enhancing the quality of care requires the incorporation of efforts from healthcare providers as well as all stakeholders involved in care. One way of improving patient care is through active engagement of patients and their relatives in care through coordinated care and clear communication. The engagement of patients in care affects treatment adherence, satisfaction, healthcare cost, and self-management. Consequently, there is improvement in the quality of care, safety, and delivery of care provided, as well as reducing the cost of care. Information technology and clinical systems have enhanced patient-centered care in various settings through improved technology (Manias, 2019). Patient Engagement Communication and Technology (PROSPECT) is an example clinical system that can be used to improve patient-centered care. The components of the program include electronic health records, checklist tools, patient portals, and messaging platform (Dykes et al., 2017). This paper is a literature review organized in an annotated bibliography that aims to address the impact of using patient-centered care using various components of the PROSPECT to improve the health outcomes of patients with chronic conditions.
Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S., Donze, J., Fagan, M., Gazarian, P., Hanna, J., Lehmann, L., Leone, K., Lipsitz, S., McNally, K., Morrison, C., Samal, L., Mlaver, E., Schnock, K., … 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. https://doi.org/10.1097/CCM.0000000000002449
The article by Dykes et al. (2017) highlights the importance of patient-centered care in the ICU setting. The article argues that despite most ICU patients being critically ill and unresponsive, engaging their family members in looking after them is also a form of engaging patients. Accordingly, these engagements aim to improve partnerships and the quality and safety of care. The study examined the effectiveness of patient-centered care and engagement program in the medical ICU.
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The intervention includes a patient-centered care and engagement training program and web-based technology that involves a safety checklist, messaging platform, and tools developed to share care plans. Patients and care partners use online portals to access health information and participate in care plans while communicating with providers (Dykes et al., 2017). The findings from the study encouraged the implementation of patient-centered care based on the benefits realized. The intervention led to a reduction in adverse events while markedly improving patient satisfaction (Dykes et al., 2017). The findings of this article are relevant and encourage the implantation of patient-centered care through adopting effective communication strategies to involve patients and family members to improve overall care. Patients feel motivated and appreciated if they understand whatever is happening to them, as discussed by their healthcare providers.
Penedo, F. J., Oswald, L. B., Kronenfeld, J. P., Garcia, S. F., Cella, D., & Yanez, B. (2020). The increasing value of eHealth in the delivery of patient-centered cancer care. The Lancet Oncology, 21(5), e240–e251. https://doi.org/10.1016/S1470-2045(20)30021-8
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This article review presents summarized evidence-based information regarding the impact of eHealth in the care of cancer patients. They argue that the evolution of eHealth ushered in a new era of managing patients with various chronic conditions by improving patient-centered care (Penedo et al., 2020). Through eHealth, traditional in-person care with the adoption of real-time care that is dynamic with improved assessment and delivery of interventions. The review provided a narrative of peer-reviewed articles published within the last 10 years. From the review, using eHealth to achieve patient-centered care is an acceptable practice due to its benefits. eHealth enhances the care of patients through improved diagnosis, planning of care, surveillance, and monitoring of patients.
Improved communication enhanced the assessment of toxicity, improved management, and optimized patient engagement throughout care (Penedo et al., 2020). The article’s findings are important to adding knowledge on the importance of using technology in long-term follow-up of patients. Engaging patients through eHealth can improve various aspects of their life, including improving their quality of life by addressing their symptoms (Manias, 2019). Healthcare organizations should incorporate and implement the use of eHealth to offer care for individuals with chronic conditions such as cancer.
Tebeje, T. H., & Klein, J. (2021). Applications of e-health to support person-centered health care at the time of the COVID-19 pandemic. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 27(2), 150–158. https://doi.org/10.1089/tmj.2020.0201
The surge of Covid-19 got many people unaware, including the healthcare department. The rapid spread of the virus, with associated mortality and morbidity, shook the whole world. Prevention of covid-19 requires the implementation of various measures, including hand hygiene, avoiding social gatherings, and working from home. Restrictions on social gatherings meant that a limited number of people could access healthcare at the same time. Limited access to healthcare, especially for patients with chronic disease, meant their health was in danger as they often required close monitoring. To close the gap in care access while reducing exposure to infections, healthcare departments embraced telehealth, an eHealth technology to help improve patient-centered care to meet patient needs. Telehealth allows for the remote clinician and patient interaction without exposure to Covid-19 (Tebeje & Klein, 2021). This literature review aimed at assessing the effects of telehealth on patient care and outcome during the covid-19 pandemic.
Literature was systematically searched from publications dated January 1 and May 20, with eight studies out of the 60 articles included in the study. The study findings revealed the importance of telehealth and mobile health in improving patient engagement and access to care while at home (Tebeje & Klein, 2021). The quality of care and personalized experience and satisfaction improved while using telehealth. This article is relevant to this literature review and adds more knowledge on the effects pandemics can have on healthcare, as well as providing alternative methods of overcoming the problems. Improving patient-centered care through telehealth is a promising way through which care can be offered in the future to manage chronic conditions, especially for patients in remote settings with a disability who have limited access to care (Lyles et al., 2020).
Downes, E., Horigan, A., & Teixeira, P. (2019). The transformation of health care for patients: Information and communication technology, digiceuticals, and digitally enabled care. Journal of the American Association of Nurse Practitioners, 31(3), 156–161. https://doi.org/10.1097/JXX.0000000000000109
Downes et al. (2019) provide an insight into the role of information and communication technology (ICT) in transforming healthcare systems. The presence of innovative technology such as wearable technology, patient portals, remote monitoring, mobile applications, and new services such as virtual visits and telemedicine. The literature review aimed at preventing the use of digitally enabled tools and ICT in patient care. By applying the aforementioned technology in patient care, the quality of care and patient experience improved. ICT helps in improving communication while enhancing patient engagement in their care. Patient-centered care improves health outcomes, curtails care costs, and enhances patient experience (Downes et al., 2019) e. Understanding the various ICT options is important when determining which type to adopt to enhance patient-centered care (Manias, 2019). This article is relevant in educating healthcare providers about the different ICT options and how to apply these technologies in improving effectiveness and efficiency in patient care.
Conclusion
Technology is an integral aspect of patient care, as proven by the evidence. Using technology to improve patient-centered care is associated with various benefits in improving health outcomes, reducing the cost of care, improving the patient experience, as well as patient satisfaction. Enhanced communication and engaging patient in making decisions increases treatment adherence and improve self-management. Therefore, healthcare providers should adopt appropriate information technology that positively impacts patients` outcomes.
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References
Downes, E., Horigan, A., & Teixeira, P. (2019). The transformation of health care for patients: Information and communication technology, digiceuticals, and digitally enabled care. Journal of the American Association of Nurse Practitioners, 31(3), 156–161. https://doi.org/10.1097/JXX.0000000000000109
Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S., Donze, J., Fagan, M., Gazarian, P., Hanna, J., Lehmann, L., Leone, K., Lipsitz, S., McNally, K., Morrison, C., Samal, L., Mlaver, E., Schnock, K., … 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. https://doi.org/10.1097/CCM.0000000000002449
Lyles, C. R., Nelson, E. C., Frampton, S., Dykes, P. C., Cemballi, A. G., & Sarkar, U. (2020). Using electronic health record portals to improve patient engagement: Research priorities and best practices. Annals of Internal Medicine, 172(11 Suppl), S123–S129. https://doi.org/10.7326/M19-0876
Manias, E. (2019). A patient-centered care and engagement program in intensive care reduces adverse events and improves patient and care partner satisfaction. Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses, 32(2), 179–181. https://doi.org/10.1016/j.aucc.2018.10.001
Penedo, F. J., Oswald, L. B., Kronenfeld, J. P., Garcia, S. F., Cella, D., & Yanez, B. (2020). The increasing value of eHealth in the delivery of patient-centered cancer care. The Lancet Oncology, 21(5), e240–e251. https://doi.org/10.1016/S1470-2045(20)30021-8
Tebeje, T. H., & Klein, J. (2021). Applications of e-health to support person-centered health care at the time of the COVID-19 pandemic. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 27(2), 150–158. https://doi.org/10.1089/tmj.2020.0201
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.”
- 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.
By Day 7 of Week 8
Submit your completed Assignment.
Submission and Grading Information
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Rubric Detail
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Name: NURS_5051_Module04_Week08_Assignment_Rubric
| 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. | 18 (18%) – 20 (20%)
The response identifies 4 peer-reviewed research articles for the Assignment. |
16 (16%) – 17 (17%)
The response identifies 3 peer-reviewed research articles and one peer-reviewed article for the Assignment. |
14 (14%) – 15 (15%)
The response identifies 4 or less peer-reviewed articles |
0 (0%) – 13 (13%)
The response identifies less than 4 peer-reviewed articles or peer-reviewed articles are missing |
||
| · 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. | 36 (36%) – 40 (40%)
The response accurately and thoroughly summarizes 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 response. |
32 (32%) – 35 (35%)
The response summarizes 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 response provided. |
28 (28%) – 31 (31%)
The response is missing one or two of the required elements or summaries are superficially addressed. |
0 (0%) – 27 (27%)
The response is missing three or more required elements or the summaries are superficially addressed. |
||
| · Synthesize the findings from the 4 peer-reviewed research articles in a cohesive conclusion. | 23 (23%) – 25 (25%)
Response includes a synthesis of the findings in an exceptionally well-written conclusion. |
20 (20%) – 22 (22%)
Response includes a synthesis of the findings in a well-written conclusion. |
18 (18%) – 19 (19%)
The response is missing a synthesis of the findings or the conclusion is superficial. |
0 (0%) – 17 (17%)
The response is missing a synthesis of the findings and the conclusion is not accurate or is 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 (3%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. |
0 (0%) – 2 (2%)
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 (3%) – 3 (3%)
Contains several (3-4) grammar, spelling, and punctuation errors. |
0 (0%) – 2 (2%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. |
||
| Written Expression and Formatting – APA: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, 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 (3%) – 3 (3%)
Contains several (3-4) APA format errors. |
0 (0%) – 2 (2%)
Contains many (≥ 5) APA format errors. |
||
| Total Points: 100 | ||||||
Name: NURS_5051_Module04_Week08_Assignment_Rubric
Learning Resources
Required Readings
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
- Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)
- Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
- Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)
- Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)
- Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)
HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from
https://www.healthit.gov/faq/what-electronic-health-record-ehr
Required Media
Walden University, LLC. (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author.
Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript
Walden University, LLC. (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.
Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript
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