NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Nursing Informatics and Patient Safety
In 2011, Mason General Hospital was named by Hospitals & Health Networks magazine as one of the “Most Wired” hospitals in the United States. What makes this particularly significant is that Mason General is a small, 25-bed, rural hospital in the state of Washington. It credits its success to nurse Eileen Ransomer, director of clinical informatics. Under her leadership, the hospital adopted such innovations as visual smart boards where real-time patient information is always available.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper According to the magazine, those hospitals designated as “Most Wired” “show better outcomes in patient satisfaction, risk-adjusted mortality rates, and other key quality measures through the use of information technology (IT)” (Mason General Hospital and Family of Clinics, 2012).
Developments in information technology have enabled patients and health care providers to collaborate for quality improvement at an unprecedented level, and nurses have consistently been at the forefront of these efforts. This week you focus on the IOM report “To Err Is Human” and consider how health information technology has helped to address the issues of patient safety and quality health care.
Clinical transformation: Blending people, process, and technology
Together with all of the healthcare reform efforts being considered, the massive adoption of electronic health records (EHRs) nationwide is expanding the focus on reducing costs and improving quality. Many healthcare organizations are embracing the concept of clinical transformation to achieve these goals, but they still require the tools and capabilities to make data available in real time and reduce the burden on scarce resources. These are among the key findings from the HIMSS 2011 Clinical Transformation Survey.1 This is the HIMSS organization’s first industry survey to measure clinical transformation. To ensure respondents had a level foundation for their responses, the following definition was developed: NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Clinical Transformation:This involves assessing and continually improving the way patient care is delivered at all levels in a care delivery organization. It occurs when an organization rejects existing practice patterns that deliver inefficient or less effective results and embraces a common goal of patient safety, clinical outcomes and quality care through process redesign and IT implementation. By effectively blending people, processes and technology, clinical transformation occurs across facilities, departments and clinical fields of expertise.
Approximately 175 respondents assessed the degree of clinical transformation within their organizations in terms of measurement, governance and leadership, organizational behavior and data access. Among the key findings: NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
* Key drivers for addressing quality metrics: While meaningful use/ARRA is the influence driving which quality metrics to address, the choices made by healthcare organizations are also driven by other federal efforts, The Joint Commission, and other quality initiatives.
* Improved outcomes: Organizations aren’t only using the analysis of clinical and financial data to improve quality and efficiency of care, but to control costs and improve revenue, as well.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
* Clinical transformation teams: While nurses and physicians are well represented on clinical transformation teams, one-third of respondents noted that these teams were lead by a member of the executive office.
* Organizational changes: As organizations are evaluating how to use IT to effectively implement clinical and quality improvement efforts, more than 80% are evaluating clinical workflow and process.
* Addressing change management: Three-quarters of respondents rely on education and training to address change management issues. NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
According to the survey findings, there are numerous improvements that organizations can make to enhance their ability to use clinical and financial data to improve patient outcomes. For instance, data isn’t always available in a way that facilitates easy access and reporting. Only 35% of respondents presently import data into a data warehouse, and nearly half of respondents noted that they rely on interfaces to assist with integration. Since not all data is available in an electronic fashion with discrete data elements, reviewing charts by hand is still a key means for measuring clinical quality. Having the correct resources in place to improve reporting capability is also an issue. Nearly two-thirds of respondents noted that their organization needs additional resources in order to report appropriately on quality measures.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Although there’s organizational support for clinical transformation, there are gaps and barriers to being able to accomplish goals and objectives in this area. Specifically, nearly three-quarters of respondents noted that they needed additional IT resources to report on quality measures. This was closely followed by additional staff (61%) and more money (58%). Only 4% of respondents indicated that they don’t need additional resources. In addition, two-thirds of respondents directly noted that while they had staff qualified to report on quality measures, the staff simply didn’t have the time needed to create reports. Other respondents (43%) noted that their organization’s priorities were focused elsewhere. NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The role of clinical informatics, including nurse informatics, continues to be a much valued and necessary position in today’s healthcare organization because these experts are essential to the success of quality initiatives, participating in the executive clinical team that analyzes clinical data. Survey results indicate that these human resources are necessary to ensure that clinical transformation efforts benefit from appropriate access to clinical data that is derived from the EHR. NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The recently published IOM report on The Future of Nursing asserts the U.S. healthcare system has the opportunity to transform itself, and envisions nurses as active leaders in this transformation.2 Nurses have already taken a leadership role in embracing technology as a necessary tool to innovate the delivery of healthcare. The report recommends that nurses take on leadership roles to improve safety and efficiency, bring evidence for decision making to the point of care, and empower patients to be involved partners. NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Also recognizing the vital leadership role of nurses in providing quality patient care, the HIMSS Board of Directors approved a position statement this summer describing how to transform nursing practice through technology and informatics.3 Leaders from the HIMSS Nursing Informatics Community, representing over 2,900 members who not only serve the nursing profession, but also, the broader healthcare industry and HIMSS membership at large, developed the following position statement.
Position Statement:Nurses are key leaders in developing the infrastructure for effective and efficient health information technology that transforms the delivery of care. Nurse informatics play a crucial role in advocating both for patients and fellow nurses who are often the key stakeholders and recipients of these evolving solutions. Nursing informatics professionals are the liaisons to successful interactions with technology in healthcare. As clinicians who focus on transforming information into knowledge, nurse informatics cultivate a new time and place of care through their facilitation efforts to integrate technology with patient care. Technology will continue to be a fundamental enabler of future care delivery models and nursing informatics leaders will be essential to transforming nursing practice through technology. NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
In addition to the need for knowledgeable and available leaders, nearly all survey respondents (87%) indicated that their organization leverages technology to standardize and automate practices, such as the format of a discharge summary, to enable additional focus on new quality initiatives. Survey respondents were also asked if they were leveraging data from diverse information sources to measure quality. Approximately half of respondents (53%) noted that they’ve created interfaces to support integration. A third (35%) noted that their organization imports all data into a repository-warehouse. Only 12% reported that the tools they use are fully integrated into their EHR. 55% reported that these tools are partially integrated, and 13% reported that these tools aren’t automated with organizational EHRs. NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
One organizational leader in this area, Catholic Health East (CHE), has launched a massive, multi-year initiative to move forward with the development and implementation of a system-wide evidence-based care/clinical transformation initiative.4 This new delivery model, the ACT (Advancing Clinical Transformation) initiative, was developed in 2008 and introduced throughout CHE in early 2009. The initiative is focused on ensuring excellence in quality and patient safety outcomes-every person, every place, every time. Evidence-based care has been established throughout CHE using core measures, technology assessments, standardized documentation, order sets and computerized provider order entry. CHE will also leverage existing information systems and introduce new system capabilities and industry standard clinical terminology to provide patients with their personal health information and exchange key clinical information with authorized entities and public health agencies.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Nursing technology has transformed the way nurses work and continues to evolve, along with the roles that nurses play in today’s health care arena. According to various studies and surveys, technology in the nursing world has increased patient satisfaction and overall outcomes, reduced clinical errors and decreased the amount of paperwork that nurses were once required to perform.
The outlook for new technology in nursing remains robust, as new devices, computers and robots aim to transform the future of health care. The following technologies are just a few that have made headlines recently as they ease and streamline each nurse’s workload to help them focus on what matters most–their patients.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Accessing patient records, X-rays, medication information and even obtaining a second opinion from another health care professional, can all be done directly from the bedside thanks to new advances in point-of-care technology. Utilizing a wireless network and computer, nurses in many hospitals can now access and receive a wide array of information right from the patient’s room.
Computer and software companies are working to further advance point-of-care technology to include wireless and mobile applications that will enable nurses to have the information they need directly at their fingertips.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Electronic Health Records
Electronic Health Records (EHR) have been a hot topic lately as policymakers work towards establishing a Nationwide Healthcare Information Network (NHIN) that would standardize EHRs. Although paperless health records have been utilized for years, a new Harvard research study showed that fewer than 1 in 5 nurses are using EHRs, although computerized documentation was linked to nursing excellence and better patient outcomes.
As more hospitals began to implement EHRs, experts predict that there will likely be fewer medical errors, an increase in quality care and satisfaction, and an overall increase in accuracy.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Electronic Lift Systems, Smart Beds and Computerized Staff Schedules
Many of the health care technologies we see today have been put in place to make a nurse’s everyday routine safer and more efficient. Electronic lift systems operated by remote control and other wireless technologies have greatly reduced injury and stress for both patients and nurses.
Smart beds and computerized staff scheduling systems have also improved general nursing efficiency. Smart beds, such as those developed by Hill-Rom, work in conjunction with other point-of-care technology to obtain and analyze patient information such as weight, temperature and head and neck elevation. New staff scheduling systems improve efficiency by enabling nurses to set up coverage and even schedule their shifts remotely.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Patient and Staff Identification Systems
Patient and staff identifiers in the hospital setting have become increasingly important in light of patient mix-ups and unauthorized people entering a facility or accessing patient records. Bar codes, wristbands and radio frequency identification (RFID), all work to track and identify patients in an effort to reduce errors while also keeping the hospital population safe.
New palm vein technology, eye scans and microchips have also been introduced as a way to identify both patients and healthcare professionals, and to cut down on unauthorized access to patient files.
As new technologies continue to emerge, nurses’ roles will continue to evolve, with each advance, bringing a safer and healthier future for both nurses and the patients in their care.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Technology in Nursing
The technology involved in nursing today would likely surprise even the most devoted gadget freak. Nurses must increasingly master a host of complex technologies, from “smart” medical devices to tablet PCs.
“There’s no way to get around it,” says Carol Bickford, PhD, RN, BC, a senior policy fellow in the department of nursing practice and policy at the American Nurses Association. “You need to know the tools, and new ones are coming in right and left.”
Nursing Tech Types
The technology nurses encounter on the job falls into two broad categories — clinical and other information systems, and smart medical devices, often with integrated computer chips and screens. Specific technologies include:NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
- Clinical Information Systems: These systems bring together an organization’s patient records, lab results, pharmaceutical data, medical research resources and other information, providing nurses and other caregivers with integrated, PC-based tools to help them input and retrieve information.
- Electronic Health Records: Patient records in this format provide instant access to a patient’s medical history, improve communication between caregivers and offer flags and alerts to prevent conflicts over prescriptions and tests.
- Drug Retrieval-and-Delivery Systems: These utilize several technologies, including bar codes and automated dispensing machines, to ensure patients receive the correct medications and dosages.
- Tablet Computers, Wall-Mounted PCs and Mobile Carts: These computer-based tools allow nurses to enter and retrieve information housed in a facility’s information system without leaving the bedside. The systems can operate wireless and connect to databases containing care guidelines and other clinical resources.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
- Medical Devices: Devices such as infusion delivery systems and ventilators often have “brains built into them,” says Joyce Ramsey-Coleman, vice president of nursing and patient-care services at Children’s Healthcare of Atlanta. These electronic brains assist nurses by flagging problems and helping to avoid errors.
- Personal Digital Assistants: PDAs with add-on software can help nurses research conditions and check medication doses.
Furthermore, wireless tech integrates information from disparate sources and delivers data faster, so nurses don’t need to be tied to a specific workstation to get the necessary information.
Boon and Burden
While nurses acknowledge the advantages of using technology, they also say training is sometimes inadequate, IT systems occasionally force them to rethink how they do their jobs, and technological snafus can impede their work.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
But without a doubt, the introduction of new technologies may bring considerable changes to nurses’ day-to-day work. Consider the experience of Texas’s Baylor Medical Center at Achievable after touch-screen computers were installed in the emergency department. The system has helped improve efficiency and patient care in a number of ways, says Mike Beaning, RN, the emergency department’s day supervisor. With the system in place:
- Nurses don’t have to find a doctor to get a patient’s chart.
- Charts are easier to read, minimizing potential errors.
- Lab results are available in real time.
- Various departments communicate better.
“Because of the time that is saved by using this system, it gives the nurses more time for more personalized care,” Behning says.
But new technologies don’t always result in more time for patients. Bar-code scanning, Bickford notes, can serve as part of a check-and-balance system for catching errors, but the bar-code systems aren’t always convenient and can take up nurses’ time. The same goes for automated medication systems, which may be designed more for the convenience of the pharmacy than for use during nurses’ daily duties, she says. “Many times the technologies are imposed on nurses,” Bickford explains. “There has not been thoughtful consideration about the work processes or the business processes.”NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Bickford expresses concern about losing the “sounds and touch” of nursing when dealing with screens and nursing equipment. While technology can improve patient care, she acknowledges that “sometimes it’s burdensome.”
TECHNOLOGIES THAT CHANGED NURSING FOREVER
Anyone who has been in the nursing field for an extended period of time will tell you that a lot has changed. In fact, the twentieth century brought – literally – a technological “invasion” to nursing.
According to Kaplan Nursing, from small advances, like digital thermometers, to sophisticated strides, like laser surgery, health care as a whole has been on quite a roller coaster – and nurses have been along for the ride.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Medical advancements and information technologies of the twentieth century have not only changed the face of the nursing – they have become part of the intricate fabric of the field.
But what are the technologies responsible for this monumental transformation?
One nursing professional – and author of a site called The Nurse Lady- offers these 19 technologies that changed nursing forever.
1.Electronic IV monitors
There was a time when IVs had to be administered with a nurse’s constant attention to ensure a steady flow. Manual IVs were highly sensitive to a patient’s movement and the flow of the IV could be sped up or slowed to a crawl by a subtle movement. To prevent this, nurses had to directly administer an IV from beginning to start. With the advent of IV pump infusion and electronic monitoring, nurses are freed up to initiate an IV and allow a machine to monitor and regulate the process. If there is an error, the system tries to correct it, and otherwise contacts the nurse via remote monitoring.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The sphygmomanometer is simply a fancy term for electronic blood pressure cuffs that also measure heart beat rate automatically. Gone are the days when a nurse had to measure blood pressure manually. According to one nurse, this is the technological change that makes the biggest daily difference.
As computer technologies become the primary means of managing patient information, nurses have had to adapt their record-keeping practices and increase their computer skills. Nursing informatics is a specialty that has emerged, combining IT skills and nursing science.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
4.The portable defibrillator
Manual CPR can only do so much and for the longest time this was the only method available to many nurses for reviving someone’s heart. Now, even school nurses stand a fighting chance to save the life of a person whose heart has failed. The few minutes after heart failure are critical, and the portable defibrillator allows for immediate resuscitation action.
Sturdy, portable IT devices
Tablet computers and mobile wireless computer stations are now a standard part of the day-to-day methods of delivering care to patients. Charts are updated continuously, in real time, providing nurses with immediate access to essential patient information.
6.Readily accessible base of information
Wireless Internet connections quickly make reference materials available. This can prove very helpful for diagnosis, especially when using a resource like Web MD.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Ultrasound devices provide nurses working with pregnant patients the ability to see inside the womb. Ultrasound has been nothing short of revolutionary in the field of Women’s Health and pregnancy, allowing nurses and doctors to noninvasive identify the health of the baby throughout pregnancy. Now, with the advent of 4-D ultrasound, unprecedented detail is available for diagnosing fetal well-being. In addition to pregnancy monitoring, sonogram technology also offers many other new diagnostic advances such as the ability to easily identify cancer tumors in the bladder, and to tell whether the liver is enlarged.
8.Local wireless telephone networks
These systems significantly reduce communication delays. Not only is this type of communication technology being utilized between nursing staff, but also between patients and staff, changing the dynamics of the relationship between patients and their nurses.
9.Hands-free communication devices
Hands-free devices such as Vocera’s Call Badge provide the ultimate in communication while a nurse is engaged in active patient care or associated tasks.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
It is not uncommon for patients and nurses (and doctors) to communicate via e-mail or even web cam; a practice that is becoming common for parents of children in neo-natal intensive care units.
11.Patient remote monitoring
In addition to high-tech and ultra-sensitive vital signs monitoring equipment, web cams and other technologies make the close monitoring of multiple patients much easier, changing how environments are staffed and operated.
RFID-enabled devices make monitoring hospital assets easier, ranging from drugs and equipment to records and patients. They also enhance safety and security with less effort and lower long-term cost.
NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
13.Compact, portable medical devices
Combined with portable IT and communication equipment, these small, high-tech types of devices allow well-equipped nurses to take their skills on the road. They can travel to patients’ homes and treat conditions that once had to be treated on an in-patient basis.
Neo-natal nursing advancements
New, more affordable portable devices for the care of tinier and more health-compromised babies.
15.Drug management technologies
High-tech systems of medication retrieval and delivery, such as bar coding and verification, have greatly reduced the potential for dangerous error. Infusion equipment advances have made the delivery of slow-administer drugs much easier, with computerized machines able to control dosages and rates.
16.Configurable nursing environments
Configurable work spaces increases efficiency and safety, reduces stress, and prevents accidents and injuries.
The availability of individual and off-site learning opportunities and degree programs, via specialized software and online classes, allows for more rapid career advancement.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The ability to interact with nursing professionals throughout the world, through such means as video conferencing, offers advantages and opportunities like never before, both in terms of the further development of the nursing profession and the continued improvement in patient care outcomes.
Medical technologies have brought changes to the process of life and death and the role of the nurse. The Internet allows nurses to share their experiences and feelings. As technology transforms the profession, nurses adapt and change as well. The big question is: What will the rest of the twenty-first century bring?
What Technology Do Registered Nurses Use?
Modern nursing care has been called a mixture of high tech and high touch, a way to describe the traditional nurturing and compassion of a nurse in combination with the advanced health care technology of the 21st century. Technology, such as computers and monitoring equipment, is used in nearly every aspect of nursing. Many of the applications nurses use are wireless.Today’s nurses must not only know how to care for patients, but how to use technology safely and appropriately in their day-to-day work.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Computer technology is one of the most common applications used in nursing. Nurses use computers to schedule staff, for timekeeping, to order medications or supplies, and for research and email. In some organizations, nurses use computers for all patient care documentation, using systems called electronic health records or electronic medical records – EHRs and EMRs. A nurse who uses an EMR may document medication dosages, administration, dressing changes and other treatments in the computer, rather than on paper.
Monitoring systems are technological devices that allow a nurse to obtain patient information. These devices include fetal monitors, which can show the heart rate of a baby still in the uterus; heart monitors that display the electrical rhythm and pattern of a patient’s heart; and vital sign machines that automatically take the patient’s blood pressure, pulse and respiration. Other monitoring systems measure pressure inside the heart or brain or the amount of oxygen in a patient’s blood. Systems built into the hospital bed report a patient’s weight or movement during sleep.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Hospital patients often have intravenous lines that are threaded through technological devices that control the flow and sound an alarm if the line becomes kinked or plugged. Other alarms warn the nurse if the IV bag or bottle is getting empty. Some machines can even switch back and forth from a a primary IV solution to a separate IV antibiotic solution without human intervention. A patient in an intensive care unit may be attached to several IV monitors at once.
Safety in medication administration dictates the use of bar-coding and scanners in many hospitals. In the past, human vigilance was the only protection against medication errors. Now medications come prepackaged with a bar code that the nurse scans prior to administration. Patient armbands are also bar-coded, and the patient’s band is scanned as well. The system will sound an alert if the patient is allergic to a medication or if the nurse selects the wrong medication or patient.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Important Technological Advancements for Nurses
Looking back over the past few years, many people would have never been able to understand how significantly technology would affect the way we work, live, and play. The healthcare industry has been one area that technology has helped. Patient care has been drastically improved by these advances, as have the nurses and doctors who use new measures. The job of a nurse today looks nothing like it did 10, 20 or even 30 years ago.
RN’s and Nurse Practitioners have changed the way they administer patient care. They are able to increase their workflow all while limiting their human errors. In return, it makes their job safer, and it is also less challenging on their bodies. Over the years, there have been seven major enhancements that have changed the nursing field Today, these advancements are being used at top hospitals and health care facilities across the world. These practices have made nursing a better profession to be a part of.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
1. Enhanced Communication
When nurses received pagers back in the 1980-1990’s, they were able to increase patient care. Fast forward nearly 20 years and each nurse carries a cell phone with the ability to order a pizza and medicine all at the same time. Most hospitals have advanced communication systems. Use smart phones and apps, nurses can receive text messages and receive alarms from their patients through their phones. Forget those old-fashioned pagers. The entire nursing staff is more in touch with their patients and with each other. It’s efficiency at its finest and the nursing staff of today wouldn’t know how to do it any other way.
2. Electronic Records
Piles of endless paperwork consumed the nursing staff for decades. Physical paper charts and faxing medical records is pretty much a thing of the past. Hospitals and medical care centers have switched to electronic records. This allows everyone in the hospital to access the patient’s information with the touch of a button. A nurse can quickly see what medications the patient is taking and which ones they are allergic too. They can look up test results and see all sorts of other data. Doctors can put notes that the nurse needs to see about the patient’s needs. Even things like religious preference can be recorded. It’s one way that nurses are connecting with their patients without hours of paperwork.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
3. GPS tracking
Hospital efficiency has been increased through GPS tracking. Tagging and tracking medical equipment is much easier than it was before. Radio frequency identifications tags help nurses find the nearest blood pressure machine or another piece of equipment. It sounds like a simple matter, but being able to centrally monitor equipment has increased bed management and patient care incredibly.
4. Enhanced Diagnostic Devices
Most of the technological advancements are to help doctors, nurses, and the patients. Take for instance diagnostic exams. These can now be performed non-invasive. There are more options for nurses and doctors to choose from rather than the old-school tests and treatments. Not only does it improve the cost-effective nature of testing, but it also lowers the risks of infections. Handheld biosensors have the ability to detect all sorts of diseases. It just requires a small body specimen to give a definitive result. Another tool is ultrasound technology. When needing help placing an IV, an ultrasound machine can pinpoint the exact location to minimize patient distress.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
5. Drug Delivery
Numerous hospitals have implemented drug delivery systems that come in an implantable device form. These devices release medication into the patients at the required times. An RN can schedule the dosing and make sure that their patient gets the medications they need, in the correct dosing, at the appropriate time. This reduces the chance of a patient error, potential lawsuits, and also allows the nurses to focus on other areas that need their attention.
6. Smarter Alarm Systems
Go in any hospital across the country and there will be the sound of beeps coming from the patients’ rooms. These beeps kept the nurses from running from room to room trying to see what was going on. However, many times these alarms were false or a machine was just beeping to be reset. It caused what is known as “alarm fatigue.” These beeping devices take the nurse’s attention away from important tasks for things that are not of a trivial matter.
In an effort to correct this problem, smart alarm technology is used to monitor vital signs for the nursing staff. All vitals run through one system. Checking blood pressure or pulse rates has never been so easy. This integrated system measures physiological indicators. If there is a real cause for alarm, the machine will let the nurse know. These alarm systems are more modernized and efficient.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
7. Lifting Patients with Ease
According to the Veteran’s Administration, each year more than 2,400 nurses are injured by lifting their patients. Most of the injuries are debilitating and cause the nurse to lose work time and money. If the patient is of a larger size and the nurse smaller, it can be a real challenge to safely move them about. However, in 2008 things began to change. when the VA took notice of all their nursing injuries.
The VA spent over $200 million dollars to create a program that would come up with devices and training for nurses to be able to handle their patients in a safer manner. After much trial and error, new devices have come on the scene that allows nurses to use lifting technology that saves their backs. Now, many hospitals are using such technology in their patients’ rooms. According to a report from the VA, they saw a 40 percent drop in nursing injuries since they implemented this technology.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Technology is ever changing and constantly evolving into new and better methods that can make the life of a nurse easier. However, a nurse must stay up to date on these methods, as well as work in a center that is open minded and willing to invest in technological advances. By keeping up with the trends, a nurse who is well versed in these new technologies will maintain their creative edge and be eligible for career advancement.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Technology is turning images from science fiction into reality, but how is technology changing nursing? From a nurse’s standpoint, technology is eliminating extra steps by monitoring patient vitals and alerting the nurse when there is a problem. It is automatically recording patient data, entering it into the electronic health records system, and making the jobs of nurses easier in many other ways. Perhaps, though, the most exciting advances are those that directly affect the patient.
Advances in Genetics Enable Early Diagnosis and Treatment of Diseases
According to the website OJIN most diseases and treatments have their foundation in genetics. We, humans, come programmed with a host of possible mutations that could result in illness. Our lifestyles and environments can trigger those changes and mutations. Advances in genetics enable doctors to find these conditions and treat them sooner, even in utero. These advances also mean that nurses need to be more educated about genetics and their impact on illness and treatment.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Advances in 3D Printing Open New Doors in Organ Replacement
3D printers can assemble, layer-by-layer, tissues that form organs. Using the patient’s own genetic materials, the risk of rejection can be reduced. 3D printers have already made skin, heart tissue and blood vessels, with the possibility of printing more complete organs expected in the future. 3D printing will change the duties of a transplant nurse, signs of transplant success and failure are sure to change.
Advances in Robotics Range from Animations to Microscopic Cameras
Bio computing is resulting in artificial intelligence; computers are “learning” to make complex decisions based on programming. Experts predict that by the 2020s people will have robots in their homes just as we now have computers. The excitement, though, is about their use in medicine. Some android-type robots will assume simple patient care. Nano-robots will someday be injected into patient bloodstreams to locate and fix problems. Robotic mini-cameras and microphones could someday enable blind people to see and deaf people to hear. Robots caring for patients will free nurses for more challenging tasks, one of which will be assisting with the advanced robotics used to help treat patients.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Advances in Data Management Streamline Record Keeping
Electronic health records are making patient data more secure and facilitating easier coordination between medical practitioners, resulting in greater consistency in care. Electronic records also allow health records to be available at all times by all parties who may need them. That means pharmacists have data on drug sensitivities or interactions with other patient medications when they fill prescriptions, even in the middle of the night or on weekends. Nurses enter and interpret data much faster and with less errors than with hand-written notes. Adding to the efficiency of EHRs, bio metrics is making the data safer by introducing fingerprint bio metrics as a way to securely access the information.
The role of the professional nurse is evolving. To keep up with these changes, schools are introducing new technical and ethics courses to ensure nurses are prepared for the technology they will encounter in their jobs. Along with the advances come questions of ethics, and these also constitute new training grounds for students. While technology is changing nursing, it is generally for the better.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Basics of Health Information Technology
Though health information technology is vast in form and function, at its core is the ability to better store and transmit information. One primary component of health information technology is the Electronic Health Record, or EHR. This record contains an individual patient’s complete medical history and should include everything from past treatments to allergies and current prescriptions. A well-developed EHR can provide a comprehensive outlook on a patient’s medical history and physical makeup. However, this type of data collection only scratches the surface of how information technology systems can be applied to health care. Applications exist that allow health care institutions to perform overarching functions such as tracking operations, scheduling staff, maintaining communication with both staff and patients, keeping real-time inventory information, and more. A health information technology system could affect every facet of a health care center’s operations.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Five Benefits of Health Information Technology
- Increased Patient Safety: Health information systems can not only store and display but synthesize patient information. This makes it possible to, for example, program security checks that could alert medical personnel of adverse effects the patient might experience on a certain medication before it is prescribed. Being able to store all of a patient’s information, including lab results, medical imaging, and more in one place can also help avoid costly mistakes that arise when not all relevant information is available during decision-making.
- Efficient Care Coordination: Information technology systems allow multiple medical professionals simultaneously involved in a patient’s care to record, disseminate, and share updates, logs, and findings. The nonprofit health system Catholic Health Initiatives, operator of more than ninety hospitals across multiple states, utilizes a robust information system that allows its staff to document and share every facet of a patient’s treatment and data. This cross-disciplinary information sharing has drastically improved patient satisfaction as well as helping coordinate care and case management to create a more seamless experience for caretaker and patient alike.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
- Enhanced Performance Analysis: Utilizing technology could allow a host of avenues by which staff performance, patient care and stability, and institution efficiency could be tracked. Health information technology could compute staffing decisions based on individual skillets. It could also allow treatment decisions to be made proactively based on past performance data. Patients could submit anonymous feedback regarding their level of care, providing administrators with better feedback on staff qualifications and fit. And governing bodies could utilize performance metrics to more accurately analyze institution effectiveness.
- Increased Patient Information Accessibility: Health information technology systems could allow seamless and instant access to patient records for every medical professional working with a particular patient, allowing lab technicians, specialists, physicians, and nurse practitioners to access pertinent information and better inform treatment. But not only do they enable better access for medical professionals, but for patients as well. Digital versions of patient files (including their entire EHR) could potentially be accessed from anywhere at any time, allowing patients to be more involved in their treatment plans and stay better informed about their conditions and care.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
- Reduced Operational Costs: Information technology systems allow health institutions to more strategically allocate resources and save significant amounts of money, energy, time, and supplies. One example of this is utilizing comprehensive data concerning the specific needs of admitted patients and combining it with information about individual staff skills, availability, and even up-to-the-minute information including fatigue levels when applicable, to more effectively staff and arrange medical personnel to best serve patients. In addition to staffing arrangements, technology systems can allow better management of supplies. Inventory, refrigerator contents, equipment check-outs, and infinitely more can be tracked, viewed, and updated in real time with information systems. The Certification Commission for Health Information Technology reports that an estimated 50 percent of health finances may be wasted each year due to system inefficiencies, and that hospitals could save potentially millions of dollars by utilizing better health information technology.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Information technology systems are revolutionizing every industry in America today, and health care is no exception. Utilizing ever-increasingly robust systems in our medical institutions and procedures could not only increase efficiency but improve the experiences of staff, patients, and families and even save countless lives.
Common Uses of Healthcare Information Technology
Health IT has been used sporadically for decades in the form of electronic medical records (EMRs), which are digital versions of patient charts and medical histories from a single provider. In 2014, the federal government disbursed more than $19 billion in incentives for hospitals to use EMRs. Since then, the number of providers using EMRs skyrocketed.
As of 2016 (the most recent data), more than 95 percent of all eligible hospitals have demonstrated “meaningful use of certified health IT,” the HHS’s Office of the National Coordinator for Health Information Technology (ONC) said.
In addition to EMRs, health IT is commonly used in other areas of healthcare:
- Electronic health records (EHR)
EHRs have a similar function to EMRs but EHRs refer to records kept on the patient’s overall health from a multitude of providers. The ONC said EHRs “go beyond standard clinical data collected in the provider’s office and are inclusive of a broader view on a patient’s care.”
- Patient portals
Patient portals allow patients to access their EMRs, EHRs and other pertinent information such as lab results, immunization records, prescription records and information about recent medical visits. Some portals also allow patients to download information and request new prescriptions or prescription refills.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Electronic prescribing, or e-prescribing, allows providers to use electronic tools to write and submit prescriptions. When used in conjunction with EMRs and EHRs, providers can better determine the best prescriptions for treatments. One study linked e-prescriptions to better health outcomes in diabetic patients.
- Patient scheduling
Patient scheduling is considered an essential step in providing care, but studies show effective scheduling is lacking. A 2016 survey by the AHRQ found 10 percent of adults said they frequently have difficulties getting timely appointments with providers.
DNPs and Healthcare Leaders Using Health Information Technology
While nursing leaders are increasingly using health IT in clinical practice, a lot remains to be accomplished. Barriers that include capital costs, inadequate staff training and unfamiliarity of the benefits of health IT have hindered progress in some areas, the AHRQ said. To increase the use of IT for quality improvements, the AHRQ made the following recommendations:
- Share samples of exemplary use of health IT to inspire staff
- Develop and refine high-functioning IT tools
- Empower staff with the knowledge, guidance and tools to maximize the use of IT
- Expand the availability of financial incentives for IT use.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Healthcare leaders say DNP-prepared nurses can take on advanced roles in IT through a DNP curriculum that examines and evaluates the importance of technology in nursing leadership. In 2012, Jason T. Shuffitt, DNP FNP-BC, recommended that DNP education programs develop “innovative and creative ways of integrating healthcare informatics throughout the curriculum.” His recommendations resonate today.
“These clinicians are on the front line of care delivery and must have not only the knowledge and skills necessary to provide competent and quality clinical care but also the ability to manage care effectively in an information-centric and ever evolving complex healthcare system,” he said in the Online Journal of Nursing Informatics.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
APRNs considering advancing their careers with a DNP degree have an opportunity to utilize a DNP curriculum that includes coursework in healthcare information systems, leadership and safety initiatives. Duquesne University’s online DNP program allows APRNs to delve into health IT and other topics for a well-rounded education.
The health care industry is facing the third evolutionary wave of IT digital technologies with implications so profound analysts believe it is a new era of global computing. Indeed, for all organizations, digital transformation will be galvanized by foundational technologies such as mobility, Internet of Things (IoT), Web 3.0, PaaS/SaaS, Big Data and Unified Communications (UC). During the next 10 years, a “digital thread” will unleash a seamless flow of data ranging from health care records and systems to patients interacting with care teams at any time and from anywhere. With the advent of the Internet as the bulwark of our modern economy, and mobile usage growing exponentially, all industries, including health care, are poised to benefit from the ubiquitous and real-time access to contextual information facilitated by the new technologies that are driving the digital transformation narrative.
What is the promise of digital transformation? It can transform operations, reduce costs and improve the quality of patient services and care. Health care organizations that leverage mobility, Big Data, UC and IoT will enhance the entire health care service-delivery chain from diagnosis to post-care while improving the relationship between patients, caregivers and other leveraged partners. Processes will be more automated, efficient – and mobile.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The Impact of dIgital HEALTHCARE AND CUSTOMER EXPERIENCE
Why are the mandates of digital transformation so vital to the health care industry? The short answer is that this digital revolution will impact how health care providers diagnose, monitor, manage and track patient health. But how? What are the elements at work that have caused, and will cause, such quantum shifts that will impact an entire industry? The essential purpose of digital transformation is to provide “agility” that will enhance and refine operational processes, and improve patient experience while reducing costs. The digital services so integral to health care include electronic medical records (EMR), electronic health records (EHR) and enterprise resource planning (ERP) systems. Also, Oracle® databases, Microsoft Exchange® email services, UC, bring-your-own-device (BYOD) initiatives and Voice over IP (VoIP) coupled with telemedicine are indispensable as well and are taxing networks, servers and databases like never before.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
These digital services are inextricably linked in the health care service-delivery chain. Everything from portable medical imaging to wellness to portable diagnostic tools to crowd-sourcing, genomic applications like decoding one’s DNA on a portable device – are revolutionizing the industry. The end result will ultimately be better patient care.
Digital transformation velocity and its myriad number of digital services are driving health care, but risk is everywhere from infrastructure and application integration to disaster recovery and provisioning of services. As such, improving network visibility and understanding the interrelationships of service delivery components with actionable intelligence are vital.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Moreover, maintaining an evolving service delivery infrastructure is important but service performance issues can extend mean time to knowledge (MTTK) and mean time to repair (MTTR), potentially costing millions.
HEALTHCARE INDUSTRY: Patient Demands and Expectations
Health care organizations can’t ignore the new digital reality. Delays in EMR performance tasks, for example, which are initiated literally millions of times a day from opening charts to scheduling clinical tests to administering medication to reviewing and updating patient records, can diminish clinical efficiency. That undermines patient care.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Some of the specific problems IT professionals in the health care industry face with the insurgence of digital transformation include:
- Maintaining an evolving service delivery infrastructure
- Pinpointing service performance issues
- Ensuring 24/7/365 availability of clinical applications
Patient empowerment, too, is driving dramatic change in health care. Today, consumers expect personalized health services to provide diagnoses, cost-effective disease prevention guidance and with all of it underscored by secure, back end record keeping and billing. IoT factors into this trend too as consumer adoption of wearable, health monitoring devices is flourishing with several million utilizing such devices in their daily life.1 In fact, according to Goldman Sachs, IoT technology alone will save health care providers billions in the near future.2NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
The Solution to Your Digital transformation and Service Assurance Needs
Confidence in delivering the best patient care is only possible with timely access to information. That’s why continuous monitoring of traffic-based data and real-time analytics is so paramount to determining the best treatment pathways and achieving successful patient outcomes.
One of the critical components for health care providers is the continuous monitoring of EHR transactions. The ability to assess performance metrics and EHR transaction status is crucial for successful clinical practice and health services, and now with the passage of the Affordable Care Act, it is a regulatory requirement.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Digital Transformation Trends in Healthcare
Technology pretty much touches all facets of mankind. But the most positive impacts of technology are evidently visible in the healthcare industry.
Over the decades, technology has seeped into every aspect of healthcare, literally transforming the industry digitally.
From patient registration to smart diagnosis and self-care tools, the healthcare sector has transformed magically; and with time, it’s only getting a notch higher.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Here are the top five trends in healthcare that are leading to a massive digital transformation.
We’ve come a long way from providing standard, generic medicine to now offering personalized medicine. The development of personalized medical treatments lies on the fact that each individual carries unique genes and therefore our diseases may have varied characteristics. This revolution in life sciences has been possible because of genomics and advanced analytics, creating a strong way to fight rare diseases.
The advancements in telecommunication have led to the breakthrough concept of telemedicine. Telemedicine is the remote delivery of healthcare services like assessment or consulting without meeting the patient in person. It’s a convenient and quick way to avail healthcare at home through telecommunication channels. By 2021, the global telemedicine market is expected to grow significantly.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Mobility and Cloud Access
The increasing use of mobile applications and cloud technology in delivering healthcare services is enhancing accessibility for patients and medical professionals. Mobile applications allow patients to access reports, monitor health and communicate with professionals at any given hour. Hospitals are moving to cloud storage solutions to store patient records, medical reports and other critical information. Mobility and cloud are reducing significant operational costs for healthcare enterprises.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Wearable technology is taking over the healthcare industry in multiple ways. From fitness bands to smart watches and headbands, people are widely using wearable devices to effectively track and maintain their fitness. Also, medical professionals, especially surgeons, are adopting wearable devices like surgery goggles to help them clearly understand CT or X-Ray images. Wearable s are the new face of modern healthcare and are expected to spread out even farther in the near future.
Healthcare enterprises are making use of artificial intelligence to catch up with the growing trends of the 21st century. AI-powered chat bots and virtual assistants enable round the clock communication with patients and ensure improved customer interaction. Additionally, artificial intelligence also plays a major role in accurate diagnosis of diseases and better clinical documentation.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
We’ve reached an era where technology is the power. Sooner or later, all businesses and all industries will transform digitally. Healthcare is one of the major industries to have undergone a sea change with technology advancements. These five digital transformation trends are ruling the healthcare industry today and are completely reinventing the way healthcare is provided globally.
The hard part of digital transformation in healthcare is challenging how we work right now and establishing why we maintain the status quo. In other sectors such as retail, travel and banking, society has benefited from a very data driven technological approach. In those sectors they’ve redefined the customer experience in a way that hasn’t been realized in healthcare.
Healthcare is ready for digital disruption
Whilst progress has been made in digital healthcare, it hasn’t necessarily been transformational and in many cases is a simple conversion of analogue to electronic. Certainly the areas of e Referral, e Prescribing and e Health Records haven’t undergone revolutionary change, they’re simply the transference of what were analogue forms and processes into electronic versions of the same. In healthcare transformation so many processes remain ripe for digital disruption.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
We’re heading into the post-digital era where healthcare organizations will need to adopt new and emerging technology. These new technologies will drive change in an environment where the sector already has a multitude of existing digital tools. The new technology that is already appearing in healthcare includes artificial intelligence, distributed ledger technology, extended reality and quantum computing.
Most industries that have undergone digital transformation have done so by adopting a data-driven approach. In healthcare we’re entering an era where data will be generated at scale. Through genomics, IoT and citizen facing applications, alongside traditional health data, new data points will emerge with patterns that were not previously identifiable. This also provides us with an unparalleled opportunity to prevent illness and offer treatment with much greater precision.
Other sectors have all been through this disruptive change whether that was consumer banking, mobile telecommunications or online retail, they’ve all had to overcome new entrants to the market that are not part of legacy, but more importantly these new entrants will redefine healthcare as we know it.
Challenging traditional approaches to health tech
In all likelihood it’ll be technology that redefines healthcare and this will be driven by data. However the approach is unlikely to try and incrementally fix yesterday’s problems but instead create a new endpoint with a new way of getting there. This will challenge traditional ways of approaching healthcare technology and will almost certainly threaten the very linear delivery models of the past.NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Technology needs to normalize as part of healthcare delivery, for example Natural Language Processing technology is often perceived as standalone technology but it’s power will emerge when it’s incorporated into other digital products and it moves from processing to aiding actions and supporting decisions.
Our health system in the UK is very much designed around reacting to illness, the very origins were to treat illness, so it’s not surprising that this is how the system has evolved. Much of our framework for digital transformation has been about making small incremental gains in managing illness and its associated workload. If the system could pivot to one which is based on prediction then some of the illness may be prevented before it progresses and equally some of the workload may not exist in the same way.
Empowering the patient
The components of a healthcare system haven’t changed very much, they still consist of doctors and other clinicians, in a physical location with waiting areas for patients. Whilst we may now use computers instead of physical appointment books, the concept and the model hasn’t changed very much in the last 100 years. If we could redefine healthcare, how much of it would we put back in the hands of a patient? Could our delivery model and physical healthcare spaces be re imagined?NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
Digital transformation in healthcare is reliant on a new approach to digital development. The technology can’t be viewed as being separate to the delivery of services but must be seen as part of the service. The relationship between citizen and healthcare needs to be redefined so that the underlying components of healthcare can be re-engineered.
I hope we’ll look back one day from a point where the challenge isn’t faster ambulances or waiting time in the emergency department, but instead the techniques through which we process mass data to predict and prevent the event from occurring. NURS 6051 – Transforming Nursing and Healthcare Through Technology Essay Paper
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