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The Use of Clinical Systems to Improve Outcomes and Efficiencies

This article covers NURS 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

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NURS 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

NURS 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

The use of technology to leverage care interventions in different clinical settings and facilities cannot be overemphasized because of the critical role that it plays in enhancing patient safety and care outcomes. Clinical systems are essential tools in improving patients’ outcomes and efficiencies in healthcare delivery by reducing medication errors, promoting medication compliance and enabling providers to leverage technology for better decisions and informed interventions (Dykes et al., 2017). Personal health records or portals are some of the critical aspects that providers and healthcare systems use to support patients that have recently been diagnosed with diabetes. These portals offer access to health information from an organization’s electronic health record (EHR) and allow patients to conduct different medical-associated tasks like electronically communicating with their providers and even recording their symptoms (Tapuria et al., 2021). The purpose of this paper is to offer an annotated bibliography of the impact of personal health records or patient portals for individuals newly diagnosed with diabetes.

Coughlin, S. S., Williams, L. B., & Hatzigeorgiou, C. (2017). A systematic review of studies

of web portals for patients with diabetes mellitus. MHealth, 3(6). https://doi.org/10.21037/mhealth.2017.05.05

In this systematic review of studies on the portal for patients with diabetes mellitus, the researchers evaluate the impact of patient health records to improve outcomes from interventions to control glycemic levels. The authors identified 12 studies on the topic that include three cross-sectional and five randomized controlled trials. The researchers required web portals meant for diabetes patients and those tethered to electronic medical records. The findings show that web portals enhance the ability of patients to communicate with their clinicians and attain enhanced glycemic control. The authors emphasize the need for additional research to understand the level of control for patients. However, they are categorical that web portals improve glycemic control for these patients.

The study shows that web portals are essential and improve outcomes for diabetic patients since they enhance communication between them and their clinicians. Through effective communication, clinicians improve efficiencies in care provisions for diabetes patients. The study indicates that providers should leverage technologies and encourage their patients to embrace them to reduce adverse disease outcomes. A critical lesson learned from the use of web portals based on the study is that few patients embrace this technology to enhance diabetes self-management and self-care. Consequently, providers should be trained to leverage its use to improve self-care interventions for patients in remote locations.

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.

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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 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 6051 Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

Module 4: Technologies Supporting Applied Practice and Optimal Patient Outcomes (Weeks 6-8)

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Laureate Education (Producer). (2018). Informatics Tools and Technologies [Video file]. Baltimore, MD: Author.

Learning Objectives
Students will:
Evaluate healthcare technology trends for data and information in nursing practice and healthcare delivery
Analyze challenges and risks inherent in healthcare technology
Analyze healthcare technology benefits and risks for data safety, legislation, and patient care
Evaluate healthcare technology impact on patient outcomes, efficiencies, and data management
Analyze research on the application of clinical systems to improve outcomes and efficiencies

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The Use of Clinical Systems to Improve Outcomes and Efficiencies
The Use of Clinical Systems to Improve Outcomes and Efficiencies


Due By
Assignment
Week 6, Days 1–2
Read/Watch/Listen to the Learning Resources.
Compose your initial Discussion post.
Week 6, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 6, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 6, Day 6
Post at least two peer Discussion responses on two different days (and not the same day as the initial post).
Week 6, Day 7
Wrap up Discussion.
Week 7, Days 1-7
Continue to compose your Assignment.
Week 8, Days 1-6
Continue to compose your Assignment.
Week 8, Day 7
Deadline to submit your Assignment.
Photo Credit: Westend61

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
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
Healthcare Information Management and Systems Society. (2018). Electronic health records. Retrieved from https://www.himss.org/library/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/CC
Download Audio
Download Transcript
Laureate Education (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–
Download Video w/CC
Download Audio
Download Transcript

By Day 7 of Week 8

Submit your completed Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

Click the Week 8 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 8 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Name: NURS_5051_Module04_Week08_Assignment_Rubric
Grid View
List View
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.

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The Use of Clinical Systems to Improve Outcomes and Efficiencies
The Use of Clinical Systems to Improve Outcomes and Efficiencies

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

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