NR599 Midterm / Final Exam Study
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:NR599 Midterm / Final Exam Study
The response accurately and thoroughly describes in detail the project proposed.
The response accurately and clearly identifies the stakeholders impacted by the project proposed.
The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.
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The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why.
The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informatics in the project team.
Includes: 3 or more peer-reviewed sources and 2 or more course resources
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)NR599 Midterm / Final Exam Study
Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)
Mosier, Sammie, DHA, MA, BSN, NE-BC, CMSRN, BC, Roberts, Wm., Dan PhD, RN, et al. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive Leadership. Journal of Nursing Administration, 49, 543-548. https://doi.org/10.1097/NNA.0000000000000815
Alexander, S., Ng, Y. C., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology Initiatives: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209–213.
Sipes, C. (2016). Project Management: Essential Skill of Nurse Informaticists. Studies in Health Technology and Informatics, 225, 252–256.
Nursing Informatics Project Proposal for Quality Improvement (QI) in a Hospital Setting
Nursing informatics is currently a very crucial part of the healthcare infrastructure of any healthcare organization. It is involved with the management of information concerning patients. This information is stored electronically in a special system referred to as the electronic health record (EHR) system. EHR systems are sold by different vendors in the market but basically have the same functionality (McGonigle & Mastrian, 2017). They should be able to allow for the capture of the patient’s biographical data, biometrics, and history. The EHR system should also be able to allow the clinician to enter details of physical examination and prescribed therapies. In the same manner, nurses must be able to enter nursing care notes just as they would have written them on a paper-based cardex. To allow for these different functionalities, an EHR usually has different system subcomponents such as the computerized provider order entry or CPOE (used by the clinician to write treatment orders), the patient data management system or PDMS (can be used by nurses to enter their nursing notes about the patient’s care), electronic medication administration record or eMAR, clinical decision support (CDS), and bar code medication administration (BCMA) amongst others (Alotaibi & Federico, 2017). This paper is about the proposal of a QI nursing informatics project in the form of an upgrade to an existing EHR system for better performance, interoperability, and improved patient outcomes.
The Proposed Project
This project involves the installation of a new upgraded version of the existing EHR system in the organization. It is to replace the old EHR system that had several shortcomings impacting the quality of care, patient safety, and patient outcomes. Some of these drawbacks or bottlenecks that have been witnessed with old system include a lack of interoperability, loss of data after entering it when the system hangs up, and difficulties with access to the system during peak hours when many users are logged in at the same time. It has been agreed that the system is probably becoming obsolete and needs upgrading to keep up the quality of service delivered with the help of the system. The upgrading of the EHR system is to be undertaken as a QI initiative to meet specific quality benchmarks. These benchmarks are to be monitored through the EHR dashboard designed specifically to meet this organization’s specifications. They include quality, performance, and staff engagement benchmarks (Wang et al., 2018). Specific outcome measures to be monitored through the system’s dashboard will include the rates of patient falls, the rates of hospital-acquired infections or HAIs (like central line-associated blood stream infections or CLABSI and catheter-associated urinary tract infections or CAUTI), the rates of in-patient readmissions to the hospital, and the rates of pressure injuries amongst others.
The Stakeholders Impacted by the Project
There are several stakeholders who are impacted by this project. These include the following:
The Patient Outcomes and Patient Care Efficiencies the Project is Expected to Improve
This system upgrade for the existing EHR system is expected to improve several patient outcomes, some of which are described below:
The Technologies Required to Implement the Project
There are technologies that must be present for the proposed project to be implemented effectively and according to plan and specifications. They include:
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Roles of the Project Team Members Including the Nurse Informaticist
The project implementation team members will be as follows (Vant, 2017):
She will be the project manager because of her training and education in informatics. This makes her the most appropriate person with both medical and informatics knowledge to see the project through completion without errors.NR599 Midterm / Final Exam Study
The Application Developer
He is responsible for designing the software exactly the way the organization would like it to be. He is a computer software engineer and does not necessarily need to have a medical background.
The Application Analyst
This team member is a collector and collator of all information from the various stakeholders that need to be technically translated into the system.
The Quality Assurance Test Engineer
He is expected to have a medical background. This is preferable a he is the one who will test the system to see if it functions the way it is supposed to.
Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety. Saudi Medical Journal, 38(12), 1173–1180. https://doi.org/10.15537/smj.2017.12.20631
McGonigle, D., & Mastrian, K.G. (2017). Nursing informatics and the foundation of knowledge, 4th ed. Jones & Bartlett Learning.
Vant, A. (2017). Four crucial members of an EHR implementation team. EHR In Practice. https://www.ehrinpractice.com/four-crucial-members-of-an-ehr-implementation-team-154.html
Wang, Y., Kung, L., & Byrd, T.A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. https://doi.org/10.1016/j.techfore.2015.12.019
NR599 Midterm / Final Exam Study