Clinical Decision Support Paper

CPOE systems with clinical decision support systems can improve

For instance, wrong medication, wrong surgical site, administering contaminated drugs to patient or sexual abuse of a patient within a health care facility. In most instances, these events are preventable but upon their occurrence, they are costly, both financially and reputation-wise to the affected healthcare institutions and the patient. Therefore, never events can be prevented by finding out the source of error or the near misses and developing mechanisms to prevent these events from occurring. Working through the four steps of the data, information, knowledge, wisdom continuum Moen and

Since many health information infrastructure systems are relatively new, there is still variability in the implementation stages that different organizations have achieved. Additionally, most systems will have more than one capability that provides value, so the relationship between the system’s functionality and the resulting impact to patient care must be analyzed in order to determine the value it provides (Einstein, Juzwishin, Kushniruk, & Nahm, 2011). Value of health information infrastructures can be assessed in many different ways, including whether the technology allows the availability of useful information, how that information is utilized by staff and patients, and its impact on health outcomes. For information to be of value and influence medical decision making, it must be comprehensive, accessible, useful, and valid (Fitterer, Mettler, Rohner, & Winter, 2011).

Bedside reporting has been shown to improve communication and quality of handoff between nurses. It is also credited to promote patient safety and improve patient satisfaction. Patient satisfaction, patient safety and nursing communication and quality of report from a 32 bed surgical hospital in Dallas, Texas is to be evaluated using various surveys, HCAHPS scores, incident reports, and call light logs. Data will be collected 2 months prior and 6 months following the implementation of bedside report. Scores and communication survey results will be reviewed in this time period to determine increases or decreases from pre-implementation results using traditional nurse-to-nurse report..

The Institute of Medicine (IOM) published a report in 2000 that estimated there were around 100,000 deaths each year in American hospitals from medical errors. IOM results were mostly based on errors of comission. In ICUs, the errors of omission are much larger as compared to the errors of commission. The number of patients dying becomes even higher if these errors are included. The follow-up report by IOM in 2001, provided a direction towards the need for making the basic changes in the health care delivery.

The patient is a 52 year old female who presented to the ED via EMS with bizarre behaviors. Per documentation neighbors found the patient screaming in her house. Per documentation LEO found the patient attempting to drink a closed bottle of alcohol hand sanitizer fluid. Patient presents with disorganized thoughts and irrelevant subject matter when asked questions about behavior upon arrival. Nursing staff was asked about status before the assessment and reports improvements in the patient bizarre behavior.

Florence F. Odekunle Spring Semester BINF 7510 Home Work 1 Decision Support Systems Decision support system (DSS) is gaining increased recognition in healthcare organizations. This is due to an increasing recognition that a stronger DSS is crucial to achieve a high quality of patients care and safety.1,2 DSS is a class of computerized information system that supports decision-making activities.2 It uses patient data to provide tailored patient assessments and evidence-based treatment recommendations for healthcare providers to consider.2,3 DSS can vary greatly in design and function, undergoing a constant evolution of their scope and application.4 My favorite DSS is Isabel; I preferred this DSS to other DSSs based on the following reasons:

In medical coding and billing being certified is very important not just for the office you work for but the biller itself. I will be talking about why certification is important, the top companies for certification in today’s life, benefits, 10 reasons why should enter medical coding field, AAPC vs AHIMA and salary of certified coder. Why get certified and Benefits of certification It’s very important for coder to get certified. A medical billing or coding certification is a good way to add qualifications to your resume, and also a higher pay.

Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will

Technology is a massive part of our society today and it is continuously changing. It can help solve issues and increase sufficiency. One safety issue that technology can help improve is medication administration errors that occur in hospitals and other health care settings. A medication administration error is defined as any preventable event that could possibly result in unsuitable medication use or harm to the patient while the health care professional is in control of the medication. The most common type of medical error is medication errors.

Goals which include improving staff communication, patient identifiers, and medication safety helps to improve quality care; by improving quality measures we can also reduce costs p4. For example Medicare has stopped payments for hospital based medication errors, measure have been implemented and pressure has been placed of providers to prevent costly errors. As a preventative measure hospitals have placed into effect a computerized physician order entry (CPOE), electronic medication administration record (eMAR), smart pumps and designated areas where nurses can prepare medication

Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems

Healthcare organisations can implement strategies such as structured communication tools (e.g., SBAR - Situation, Background, Assessment, and Recommendation), team huddles, and interprofessional collaboration to promote effective communication and enhance teamwork. This enables healthcare professionals to share important information, coordinate care, and prevent misunderstandings or gaps in communication that could lead to adverse events. Implementing Error Reporting Systems and Learning from Incidents: Establishing a robust system for reporting and learning from incidents, errors, and near misses is essential. It encourages healthcare professionals to report incidents without fear of blame or punishment, allowing for a comprehensive understanding of the root causes and contributing factors. Analysing and learning from incidents help identify system weaknesses, implement corrective actions, and prevent similar occurrences in the

What is a Health Information Specialist? Health information specialist is a blanket term that is applied to a variety of technical positions. Almost all of these jobs involve medical data, information technology, electronic health records and health information management systems. The BLS states that the job outlook for health information technicians is expected to continue growing at 15 percent, which is much faster than average.

Computerized Clinical Decision Support (CDS) aims to aid decision making relating to the health care providers and the public. It provides a mechanism involving easy accessibility of health-related information at any point and time, when needed.  Natural Language Processing (NLP) is instrumental in using free-text information stored in database over cloud to drive CDS. Thus, representing clinical knowledge and CDS interventions in standardized formats, which is widely acceptable and understood by everyone. The early innovative NLP research of clinical narrative was followed by a period of stable research conducted at the major clinical centers and a shift of mainstream interest to biomedical NLP.