Page<\/p>\n
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\nTitle of the Paper
\nStudent Name
\nCollege of Nursing, Walden University
\nCourse Number, Section, and Title
\n(Example: NURS 6051 Section 01, Transforming Nursing and Healthcare Through
\nTechnology)
\nInstructor
\nDue Date (Month, Day, Year)<\/p>\n
2 3 4 5 6 7 8 9 10 Page of 10 ZOOM 1 Title of the Paper Student Name College of Nursing, Walden University Course Number, Section, and Title (Example: NURS 6051 Section 01, Transforming Nursing and Healthcare Through Technology) Instructor Due Date (Month, Day, Year) 2 The Use of Clinical Systems to Improve Outcomes and Efficiencies This type of assignment is considered […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[13],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/1999"}],"collection":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/comments?post=1999"}],"version-history":[{"count":0,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/1999\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/media?parent=1999"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/disciplines?post=1999"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/paper_types?post=1999"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/tagged?post=1999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nThe Use of Clinical Systems to Improve Outcomes and Efficiencies
\nThis type of assignment is considered an “Annotated Bibliography”.
\nYou should review
\nthe sample Annotated Bibliography from the writing center to help you complete
\nthis
\nassignment. You do not need a reference page as you will cite each article
\nbefore discussing it. If
\nyou cite additional sources in the introduction or conclusion (it is not
\nnecessary to cite additional
\nsources), you would include a reference page which lists only the additional
\nsources. In this
\nassignment, you will review 4 research studies focused on the application of
\none type of
\nclinical system of your choosing.
\nListed below are examples of clinical systems:
\n\u00b7<\/span><\/span> Inpatient Electronic
\nHealth Records (EHR)
\n\u00b7<\/span><\/span> Outpatient EHRs
\n\u00b7<\/span><\/span> Computerized Provider
\nOrder Entry (CPOE)
\n\u00b7<\/span><\/span> Specialty Systems:
\no Emergency Department Information System
\no ICU Information System
\no Cardiology Information Systems
\no Operating Room Information System
\n\u00b7<\/span><\/span> Ancillary Information
\nSystems
\no Laboratory Information Systems
\no Pharmacy Information Systems
\no Radiology Information Systems
\n\u00b7<\/span><\/span> Electronic Medication
\nAdministration Record (eMAR)
\n\u00b7<\/span><\/span> Bar Code Medication
\nAdministration (BCMA) Systems,
\n\u00b7<\/span><\/span> Smart Pumps
\n\u00b7<\/span><\/span> Care Planning Systems
\n\u00b7<\/span><\/span> Messaging Systems
\n\u00b7<\/span><\/span> Alerts and Clinical
\nDecision Support Systems
\n\u00b7<\/span><\/span> Telehealth Systems
\n\u00b7<\/span><\/span> Patient Portals
\n\u00b7<\/span><\/span> Patient Tracking Systems
\n\u00b7<\/span><\/span> Remote Monitoring Systems
\n\u00b7<\/span><\/span> Artificial Intelligence
\nSystems
\n\u00b7<\/span><\/span> Patient Education Systems<\/p>\n
\nAfter selecting one type of clinical system, you will conduct a search for
\nrecent (within the
\nlast 5 years) research studies that examined the improvement in outcomes and\/or
\nefficiencies.
\nThese studies need to report on the results of a research study and appear in a
\nscholarly journal,
\nyou should not use studies reported in conference proceedings. The research
\nstudies should
\nprovide evidence to support the use of the clinical system to improve outcomes
\nand\/or
\nefficiencies, such as \u201cthe use of personal health records or portals to support
\npatients newly
\ndiagnosed with diabetes.\u201d For example, if you selected patient portals as the
\nclinical system, you
\nwould use the following search terms: patient portals and outcomes. Searching
\non outcomes
\nusually returns results on efficiencies as well.
\nThe articles need to be primary sources, according to the syllabus \u201cA research
\nreport is
\nprimary, and you can tell because it includes materials and methods
\ndemonstrating how the
\nresearch was done\u201d. Literature reviews, systematic reviews, narrative reviews
\nand integrative
\nreviews are secondary sources and are not appropriate for this assignment.
\nQuality improvement
\nprojects are not research studies. Studies which examine the predictive
\naccuracy of tools or
\nalgorithms are also not appropriate as they do not provide evidence of
\nimprovements to
\noutcomes\/efficiencies. Abstracts and conference proceedings are not considered
\npeer-reviewed
\narticles. The journal, Studies in Health Technology and Informatics,
\nrepublishes papers and
\nabstracts presented at conferences. Refrain from using the conference
\nproceedings republished in
\nthis journal. The studies need to provide evidence that the clinical system
\nimproved
\noutcomes\/efficiencies after the clinical system was implemented, which involves
\ncomparing the
\noutcomes\/efficiencies before the clinical system was implemented to the
\noutcomes\/efficiencies
\nafter the clinical system was implemented. The results of the studies need to
\ndemonstrate<\/p>\n
\nstatistically significant improvements to outcomes\/efficiencies after the
\nclinical system was
\nimplemented.
\nHere are two links to help you find and identify research articles.
\nResearch Articles
\nhttps:\/\/academicguides.waldenu.edu\/library\/evaluating\/researcharticles
\nHow to Find Research Articles https:\/\/academicanswers.waldenu.edu\/faq\/73303
\nThe Assignment: (4-5 pages)
\nIn a 4- to 5-page paper, synthesize the peer-reviewed research studies you
\nreviewed. Be sure to
\naddress the following:
\n\u00b7<\/span><\/span> Identify the 4 peer-reviewed
\nresearch articles you reviewed, citing each in APA format.
\nThe articles should appear in alphabetical order in your paper. After the
\ncitation, you
\nwould discuss each article.
\n\u00b7<\/span><\/span> For each study, you will
\nbriefly summarize the study, explain the improvement to
\noutcomes and\/or efficiencies, and discuss lessons learned from the application
\nof the
\nclinical system each peer-reviewed article described. Be specific and provide
\nexamples.
\nEach study should be discussed in approximately one page. In the conclusion you
\nwill
\nsynthesize the studies.
\nThe aim of this assignment is to find 4 research studies that are primary
\nsources (original studies)
\nthat provide evidence that a clinical system improved outcomes\/efficiencies. A
\ngood example of
\nevidence from a research study that demonstrated improvements was the Dykes et
\nal. (2017)
\nstudy that is a required reading in Module 4.
\nDykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M.,
\nCollins, S.
\n…Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention
\nto improve
\noutcomes in intensive care: The Promoting Respect and Ongoing Safety Through
\nPatient<\/p>\n
\nEngagement Communication and Technology Study Download Prospective evaluation
\nof a
\nmultifaceted intervention to improve outcomes in intensive care: The Promoting
\nRespect and
\nOngoing Safety Through Patient Engagement Communication and Technology Study.
\nCritical
\nCare Medicine, 45(8), e806\u2013e813. doi:10.1097\/CCM.0000000000002449
\nThey identified, “The primary outcome was the aggregate rate per 1,000
\npatient days of selected
\nAEs, defined as failed processes of care and\/or unintended consequences of
\nmedical care that can
\nlead to patient harm (2, 17). To avoid outcomes ascertainment bias, we included
\nonly those AEs
\nthat are routinely reported within established organizational surveillance
\nprocesses (and there-
\nfore captured and vetted independently of the study team):
\nfalls, pressure ulcers, catheter-associated urinary tract infections, central
\ncatheter-associated
\nbloodstream infections, and ventilator-associated events. Secondary outcomes
\nwere patient and
\ncare partner satisfaction, care plan concordance (e.g.,
\nagreement on the care plan) between the patient and providers,
\nand healthcare utilization”.
\nThey looked at the primary and secondary outcome measures before and after the
\nintervention and found that “There was a 29% relative reduction in the
\naggregate rate of
\nAEs, from 59.0 per 1,000 patient days (95% CI, 51.8\u201367.2) to 41.9 per 1,000
\npatient days (95%
\nCI, 36.3\u201348.3), p value of less than 0.001 (Table 3) and pre-post, p value
\nequals to 0.049 for
\nthe interrupted time series. This translates into a reduction of 17.1 AEs per
\n1,000 patient days.
\nAlso, results were very similar using weighted estimating equations to account
\nfor missing
\ndata. The percent of patients who reported a top box score (9 or 10 on the 0\u201310
\nHCAHPS
\nquestion [19]) for their overall hospital rating significantly improved from
\n71.8 (95% CI, 61.1\u2013
\n82.6) to 93.3 (95% CI, 88.2\u201398.4), p value of less than 0.001. Care partner
\nsatisfaction with the<\/p>\n
\nICU experience also improved significantly from 84.3 (95% CI, 81.3\u201387.3) to
\n90.0 (95% CI,
\n88.1\u201391.9), p value of less than 0.001. Care team concordance with patient\u2019s
\ncare plan and
\nresource utilization was unchanged”. This is a great example of a study
\nthat found improvements
\nin outcomes. They looked at the differences in the outcome measures before and
\nafter the
\nintervention (which included a web-based tool kit) and found the above
\nimprovements.
\nLessons learned are based on the knowledge gained from conducting the study.
\nThey
\ngenerally highlight the strengths and weaknesses of the study that impacted the
\nprocess of
\nconducting the study to share knowledge of what had a positive and negative
\nimpact on the
\nstudy. They can also include directions for future research based on the
\nfindings of the study.
\nIn summary, you need to select one type of clinical system and find 4 current
\nresearch
\narticles, published in scholarly journals, that examined outcomes and\/or
\nefficiencies related to
\nthe clinical system you chose. On the next page is the beginning of the shell
\nof the paper. I
\npurposely chose four articles on CPOE that were not current.<\/p>\n
\nThe Use of Clinical Systems to Improve Outcomes and Efficiencies
\nInclude an introductory paragraph designed to inform the reader of what you
\nwill cover in
\nthe paper. Include a purpose statement with all the topics you will address.
\nThe purpose of this
\npaper is…
\nAnnotated Bibliography
\nFortescue, E. B., Kaushal, R., Landrigan, C. P., McKenna, K. J., Clapp, M. D.,
\nFederico, F.,
\nGoldmann, D. A. & Bates, D. W. (2003). Prioritizing strategies for
\npreventing medication
\nerrors and adverse drug events in pediatric inpatients. Pediatrics, 111(4),
\n722-729.
\nIn the first paragraph you will summarize the study. Briefly describe the aim
\nof the study,
\nthe sample and setting, and the methods.
\nIn the second paragraph you will identify the outcomes and\/or efficiencies
\nexamined in the study and explain the results related to improvements in the
\noutcomes
\nand\/or efficiencies.
\nIn the third paragraph, you will discuss lessons learned from the findings of
\nthe
\nstudy and relate the lessons learned to the application of the clinical system.
\nPotts, A. L., Barr, F. E., Gregory, D. F., Wright, L., & Patel, N. R.
\n(2004). Computerized
\nphysician order entry and medication errors in a pediatric critical care
\nunit. Pediatrics, 113(1), 59-63.
\nIn the first paragraph you will summarize the study. Briefly describe the aim
\nof the study,
\nthe sample and setting, and the methods.
\nIn the second paragraph you will identify the outcomes and\/or efficiencies
\nexamined in the study and explain the results related to improvements in the
\noutcomes
\nand\/or efficiencies.<\/p>\n
\nIn the third paragraph, you will discuss lessons learned from the findings of
\nthe
\nstudy and relate the lessons learned to the application of the clinical system.
\nUpperman, J. S., Staley, P., Friend, K., Neches, W., Kazimer, D., Benes, J.,
\n& Wiener, E. S.
\n(2005). The impact of hospitalwide computerized physician order entry on
\nmedical errors
\nin a pediatric hospital. Journal of Pediatric Surgery, 40(1), 57-59.
\nIn the first paragraph you will summarize the study. Briefly describe the aim
\nof the
\nstudy, the sample and setting, and the methods.
\nIn the second paragraph you will identify the outcomes and\/or efficiencies
\nexamined in the study and explain the results related to improvements in the
\noutcomes
\nand\/or efficiencies.
\nIn the third paragraph, you will discuss lessons learned from the findings of
\nthe
\nstudy and relate the lessons learned to the application of the clinical system.
\nWalsh, K. E., Landrigan, C. P., Adams, W. G., Vinci, R. J., Chessare, J. B.,
\nCooper, M. R.,
\nHebert, P. M, Schainker, E. G., McLaughlin, T. J., & Bauchner, H. (2008).
\nEffect of
\ncomputer order entry on prevention of serious medication errors in hospitalized
\nchildren. Pediatrics, 121(3), e421-e427.
\nIn the first paragraph you will summarize the study. Briefly describe the aim
\nof the
\nstudy, the sample and setting, and the methods.
\nIn the second paragraph you will identify the outcomes and\/or efficiencies
\nexamined in the study and explain the results related to improvements in the
\noutcomes
\nand\/or efficiencies.
\nIn the third paragraph, you will discuss lessons learned from the findings of
\nthe
\nstudy and relate the lessons learned to the application of the clinical system.<\/p>\n
\nCriteria in the Rubric: Summarizing the 4 Research Studies
\n1. Summarize each study, explaining the improvements to outcomes, efficiencies,
\nand
\nlessons learned from the application of the clinical system each peer-reviewed
\narticle
\ndescribed. Be specific and provide examples.
\nTo earn an excellent rating the rubric requires:
\n\u00b7<\/span><\/span> The response accurately
\nand thoroughly summarizes in detail each study
\nreviewed, explaining in detail the improvement to outcomes, efficiencies, and
\nlessons learned from the application of the clinical system each peer-reviewed
\narticle described.
\n\u00b7<\/span><\/span> Specific, accurate, and
\ndetailed examples are provided which fully support the
\nresponse.
\nConclusion
\nThe conclusion should synthesize the major results of all four research
\nstudies,
\ncomparing and contrasting the findings of all studies and highlighting
\nsimilarities and differences
\nin the studies. Here are links to Walden\u2019s Writing Center on Synthesis:
\nhttps:\/\/academicguides.waldenu.edu\/writingcenter\/evidence\/synthesis
\nhttps:\/\/academicanswers.waldenu.edu\/faq\/358645
\nAlthough the use of systematic reviews are not appropriate for this assignment;
\nthe
\nresults, discussion, and\/or conclusion section(s) of systematic reviews are
\ngood example
\nsynthesizing the studies’ findings. Here is an example of systematic review
\nwith a great synthesis
\nof the results: Han, H.R., Gleason, K.T., Sun, C.A., Miller, H.N., Kang, S.J.,
\nChow, S.,
\nAnderson, R., Nagy, P. & Bauer, T. (2019). Using patient portals to improve
\npatient outcomes:
\nsystematic review. JMIR Human Factors, 6(4), e15038.
\nhttp:\/\/doi.org.10.2196\/15038.<\/p>\n
\nCriteria in the Rubric: A Conclusion with a Synthesis of the 4 Studies
\n1. Synthesize the findings from the 4 peer-reviewed research articles in a
\ncohesive
\nconclusion.
\nTo earn an excellent rating the rubric requires:
\n\u00b7<\/span><\/span> Response includes a
\nsynthesis of the findings in an exceptionally well-written
\nconclusion<\/p>\n","protected":false},"excerpt":{"rendered":"