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Importance of evidence based practice
The impact of evidence based practice in healthcare
Importance of evidence based practice
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Looking back in time over the last 40 years even computers were huge, bulky, and unsightly. Few homes had them and individuals had no idea what capabilities could arise. After the evolution of the internet, and computers becoming more popular, physicians had been able to use these tools to improve the quality of patient care. However with the recent mandate the government has put on electronic health record systems (HER), one key objective is to optimize the use of Clinical Decision based support systems (CDSS). By utilizing such systems, better care at a cheaper rate can be provided to patients saving both time and money.
Major components of a CDSS
Looking into major components of a CDSS there are two major ones. These include diagnostic support tools, and treatment support tools. Diagnostic support helps physicians make a better diagnosis based on the patient symptoms, medications, and medical records according to Yuan, (2011). Diagnostic errors are means for lawsuits among health care professionals so information needs to be accurate. Helping physicians to avoid common keystroke errors is common ground for dismissing a malpractice lawsuit (Yuan, 2011).
Patient treatment relies on clinicians to stay compliant with treatment guidelines and make the
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At the same time, evidence-based medical practices have become intensely popular and highly promoted. According to Sims and Gorman (2012), “Evidence-based medicine is the management of individual patients through individualized expertise which is integrated with conscientious and current evidence clinical care research” (Journal of American Medical Informatics Association, pp. 527, para. 1). Evidence-based medicine therefore substantially will improve health care quality based on the best available scientific
Generally, the development and adoption of Clinical Decision Support (CDS) systems is based on the necessity and essence of technical standards in enhancing healthcare. However, the various health IT tools must comply with some data interchange standards in order to enhance access to clinical records, lessen clinical errors and risks to patient safety, and promote innovation in “individual-based” care (Hammond, Jaffe & Kush, 2009, p.44). The need for compliance with standards is fueled by their role in enabling aggregation of informa...
For years now, the healthcare system in the United States have managed patient’s health records through paper charting, this has since changed for the better with the introduction of an electronic medical record (EMR) system. This type of system has helped healthcare providers, hospitals and other ambulatory institutions extract data from a patient’s chart to help expedite clinical diagnosis and providing necessary care. Although this form of technology shows great promise, studies have shown that this system is just a foundation to the next evolution of health technology. The transformation of EMR to electronic heath record system (EHR) is the ultimate goal of the federal government.
Introduction “Health informatics is the science that underlies the academic investigation and practical application of computing and communications technology to healthcare, health education and biomedical research” (UofV, 2012). This broad area of inquiry incorporates the design and optimization of information systems that support clinical practice, public health and research; understanding and optimizing the way in which biomedical data and information systems are used for decision-making; and using communications and computing technology to better educate healthcare providers, researchers and consumers. Although there are many benefits of bringing in electronic health systems there are glaring issues that associate with these systems. The
Woo, A., Ranji, U., & Salganicoff, A. (2008). Reducing medical errors with technology. Retrieved March, 2012, from http://kaiseredu.org
[15]Garg AX, Adhikari NK, Mcdonald H, (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 293(10): 1223-1238.
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Currently, we use the electronic health record system called Computer Programs and Systems, Inc. (CPSI). CPSI is “a l...
Errors caused by system problems can be prevented by working with your vendor to reset user preferences as needed. In order to preserve data quality and protect patient safety, it is very important that all medical records contain correct information for the safety and treatment of the patient. It is very important to note any cha...
Clinical Documentation Improvement ensures that their health care system provides the accurate recording of medical records. The health information management industry (HIM) thrives over the improvements towards clinical documentation as medical assistance validates healthcare and optimizes their medical processing system. Clinical documentation specialist (CDS) is essential in order to alter the medical landscape in a positive measure as they provide detailed documentation and medical coding. Documentation requirements for Health Information Management (HIM) professionals intend on making the healthcare data obtainable from the additional diagnoses, which will require an enhancement of the documentation system. Thus, the ICD-10 is a new tool
How does CAC Work? Computer-assisted-coding uses a natural language processor (NLP) to electronically read and interpret text-based clinical documentation from patient charts to identify key words, analyze their context, and suggest
In order to plan properly I will need the cooperation of physicians, and health information management staff. A council of CDI professionals, HIM managers, and medical staff will be convened to look into the benefits of establishing a CDI program. All the various departments listed above will have to be on the same page. The design of the CDI program should focus on providing education to HIM and physicians in proper CDI documentation procedures.
This also identifies whether diagnoses are still active or inactive. It is important to also note in this section any allergies to both food or medication, the patient’s immunization status and well checkup status, as well as current meds the patient may be
There are various clinical information systems and these are some: -Clinical Decision Support: clinical decision support will provide knowledge and information for clinicians, patients, nurses and for the whole staff of the healthcare facility. Clinical Decision Support will provide tools for providers so they can use, apply, and display for easier, accurate, time and correct decision making, avoidance of errors, cost benefit for both patients and clinicians and increases the care for patients during and after the clinical workflow. Tools examples are computerized alerts, reminders, clinical guidelines, documentation templets, and reference information. -Electronic Medical Records (EMR): here providers will have both standard medical data and
One of many nationwide initiatives to help reduce the occurrence of unnecessary medical errors and adverse events is the use of the integrated Clinical Decision Support System (CDSS). A CDSS is a system that provides the right information to the right person in a right format through a right channel at the right time of workflow to facilitate better decision-making by clinicians, reduce errors, and also to prevent adverse events (AHRQ, 2008). This proposal is a case based CDSS system that provides point of care clinical decision support, ensures five rights of medication administration (right person, right drug, right dose, right time and right route), and is designed to prevent or reduce the occurrence errors and adverse events at Perpetual Order of Saints Hospital (POSH).
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.