INFORMATION SYSTEMS IN HEALTHCARE

March 6, 2022

INFORMATION SYSTEMS IN HEALTHCARE

INFORMATION SYSTEMS IN HEALTHCARE

INFORMATION SYSTEMS IN HEALTHCARE

Question description

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  1. Research, compose, and type a scholarly paper based on the scenario described below, and choose a conclusion scenario to discuss within the body of your paper.

Patient safety is a subset of healthcare and is defined as the avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the processes of health care. In 1999 the Institute of Medicine’s (IOM) report “To err is human” called for developing and testing new technologies to reduce medical error, and the subsequent 2001 report “crossing the quality chiasm” called for using information technology as a key first step in transforming and changing the healthcare environment to achieve better and safer care.

Healthcare information technology (HIT) has been defined as “the application of information processing involving both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making”.

Health information technology includes various technologies that span from simple charting, to more advanced decision support and integration with medical technology. Health information technology presents numerous opportunities for improving and transforming healthcare which includes; reducing human errors, improving clinical outcomes, facilitating care coordination, improving practice efficiencies, and tracking data over time. Since the original IOM report was published, there has been an accelerated development and adoption of health information technology with varying degrees of evidence about the impact of health information technology on patient safety.

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This review is intended to summarize the current available scientific evidence on the impact of different health information technologies on improving patient safety outcomes. This review might be useful for clinicians and healthcare policy makers when making evidence based decisions on procurement and implementation of such technology to improve patient safety. This review

INFORMATION SYSTEMS IN HEALTHCARE

INFORMATION SYSTEMS IN HEALTHCARE

considered studies that were conducted in the healthcare settings both inpatient and community setting, with an intervention of any of the following; electronic physician’s orders (CPOE), clinical decision support (CDS), E-prescribing, electronic sign-out and hand-off tools, bar code medication administration (BCMA), smart pumps, automated medication dispensing cabinets (ADC), electronic medication administration record (eMAR), patient data management systems (PDMS), retained surgical items detectors, patient electronic portals, telemedicine, electronic incident reporting, and electronic medical record (EMR). Our primary outcomes of interest were patient safety, medical errors, adverse events, medication errors, adverse drug events, and mortality. The priority was given to systematic reviews, meta-analysis and randomized clinical trials. If such studies were not identified then other types of experimental studies or epidemiological study designs including; non-randomized controlled trials, quasi-experimental, before and after studies, prospective and retrospective cohort studies and case control studies.

Studies were excluded if they met any of the following criteria: high risk of bias, studies that were conducted in non-clinical settings, cointerventions with non-health information technology interventions, not evaluating patient safety outcomes, qualitative or narrative studies.

The search strategy was conducted to find both published and unpublished studies. The search strategy included Medline, Embase, Cochrane Database. Studies published until January 2017 were considered for inclusion in this review. Initial keywords used were: Electronic Medical Record (EMR), Electronic Physician’s Order entry (CPOE), Clinical Decision Support (CDS), E-prescribing, Electronic Sign-out and Hand-off, Bar Code Medication Administration (BCMA), Closed Loop Medication Administration, Patient Data Management Systems (PDMS), Retained Surgical Items Detectors, Patient Electronic Portals, Telemedicine, Electronic Incident Reporting, Intelligent Infusion Devices, Smart Pump, Programmable Pump, Automated Medication Dispensing, medication error adverse events, adverse drug events, adverse drug reactions, patient safety, medical errors. Studies were assessed for methodological validity and risk of bias using the Cochrane methodology prior to inclusion in the review.

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Posted in nursing by Clarissa