The Use of Clinical Systems to Improve Outcomes and Efficiencies

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.

ORDER NURS_5051 Module 04 Literature Review Assignment
To Prepare for NURS_5051 Module 04 Literature Review Assignment:
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 5 peer-reviewed articles from your research.
The Assignment: (4-5 pages)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.
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.
NURS_5051 Module 04 Literature Review Assignment Rubric Detail
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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. Be sure to address the following:

· Properly identify 5 peer-reviewed articles selected.
· 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. 77 (77%) – 85 (85%)
The responses accurately and clearly identify 5 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 5 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 5 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 5 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 Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings for NURS_5051 Module 04 Literature Review Assignment 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. doi:10.1016/j.pmn.2017.11.002 Note: You will access this article from the Walden Library databases. Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032 Note: You will access this article from the Walden Library databases. Required Media Laureate Education (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author. Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author. Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript ORDER NOW Assignment Template The Use of Clinical Systems to Improve Outcomes and Efficiencies This type of assignment is considered an “Annotated Bibliography”. You should review the sample Annotated Bibliography from the writing center to help you complete this assignment. You do not need a reference page as you will cite each article before discussing it. In this assignment, you will review research studies focused on the application of one type of clinical system of your choosing. Listed below are examples of clinical systems: Inpatient Electronic Health Records (EHR) Outpatient EHRs Computerized Provider Order Entry (CPOE) Specialty Systems: Emergency Department Information System ICU Information System Cardiology Information Systems Operating Room Information System Ancillary Information Systems Laboratory Information Systems Pharmacy Information Systems Radiology Information Systems Electronic Medication Administration Record (eMAR) Bar Code Medication Administration (BCMA) Systems, Smart Pumps Care Planning Systems Messaging Systems Alerts and Clinical Decision Support Systems Telehealth Systems Patient Portals Patient Tracking Systems Remote Monitoring Systems Artificial Intelligence Systems Patient Education Systems After selecting one type of clinical system, you will conduct a search for recent (within the last 5 years) research studies that examined the improvement in outcomes and/or efficiencies. These studies need to report on the results of a research study and appear in a scholarly journal, you should not use studies reported in conference proceedings. The research studies should provide evidence to support the use of the 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.” For example, if you selected patient portals as the clinical system, you would use the following search terms: patient portals and outcomes. Searching on outcomes usually returns results on efficiencies as well. The Assignment: (4-5 pages) – NURS_5051 Module 04 Literature Review Assignment In a 4- to 5-page paper, synthesize the peer-reviewed research studies you reviewed. Be sure to address the following: Identify the 5 peer-reviewed research articles you reviewed, citing each in APA format. The articles should appear in alphabetical order in your paper. After the citation, you would discuss each article. For each study, you will briefly summarize the study, explain the improvement to outcomes and/or efficiencies, and discuss lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. Each study should be discussed in approximately one page. In summary, you need to select one type of clinical system and find 5 current research articles, published in scholarly journals, that examined outcomes and/or efficiencies related to the clinical system you chose. On the next page is the beginning of the shell of the paper. I purposely chose five articles on CPOE that were not current. The Use of Clinical Systems to Improve Outcomes and Efficiencies Annotated Bibliography Fortescue, E. B., Kaushal, R., Landrigan, C. P., McKenna, K. J., Clapp, M. D., Federico, F., Goldmann, D. A. & Bates, D. W. (2003). Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics, 111(4), 722-729. In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods. In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies. In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system. King, W. J., Paice, N., Rangrej, J., Forestell, G. J., & Swartz, R. (2003). The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients. Pediatrics, 112(3), 506-509. In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods. In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies. In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system. Potts, A. L., Barr, F. E., Gregory, D. F., Wright, L., & Patel, N. R. (2004). Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics, 113(1), 59-63. In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods. In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies. In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system. Upperman, J. S., Staley, P., Friend, K., Neches, W., Kazimer, D., Benes, J., & Wiener, E. S. (2005). The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital. Journal of Pediatric Surgery, 40(1), 57-59. In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods. In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies. In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system. Walsh, K. E., Landrigan, C. P., Adams, W. G., Vinci, R. J., Chessare, J. B., Cooper, M. R., Hebert, P. M, Schainker, E. G., McLaughlin, T. J., & Bauchner, H. (2008). Effect of computer order entry on prevention of serious medication errors in hospitalized children. Pediatrics, 121(3), e421-e427. In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods. In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies. In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system. NURS_5051 Module 04 Literature Review Assignment ORDER NOW Conclusion The conclusion should synthesize the major results of all five research studies, examining and relating the findings of all studies to one another. Do not introduce new ideas in this paragraph; the conclusion should interpret what you have written and what it means in the bigger picture

 

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