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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
In conclusion, clinical decision support systems provide a mechanism for improving the quality of care services when integrated with evidence-based practice and clinical guidelines. These systems would particularly improve health care quality when combined with evidence-based medicine. This process may also include the use of databases and condition-specific clinical guidelines to improve their effectiveness and efficiency.
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
[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.
Woo, A., Ranji, U., & Salganicoff, A. (2008). Reducing medical errors with technology. Retrieved March, 2012, from http://kaiseredu.org
Currently, we use the electronic health record system called Computer Programs and Systems, Inc. (CPSI). CPSI is “a l...
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).
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...
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
this will cause healthcare providers with the training and education needed for clinical documentation improvements to be installed effectively. It is important that having a specialized team who can create solutions towards Clinical Documentation Improvement (CDI) in order to minimize the failures that may occur. In this case, investing in training for the materials/tools necessary for healthcare providers to excel in their work with CDI. Essentially, Clinical Documentation is used throughout the healthcare system for the analysis of care, communication, and medical records. This is important because the information of medical records that healthcare providers are able to access, will help patients track their health conditions. Thus, clinical documentation improvement has a direct impact on patients by providing quality information. On the other hand, the new technological advancements will also be able to address the efficiencies in health care system that differ from paper-based charting. Improving on the quality of information will also have the effect upon the ethical and effectiveness of care that is being provided. This has a significant impact in order to maintain patient care that ensures the documentation is accurate, timely, and reflect within the services provided. Documentation assessments can be utilized so there can be improvements on the education for healthcare providers as they intend implementation standards take effect immediately. In this case, failures must be analyzed so that they will have the ability to comprehend and determine an organization’s strengths and weaknesses
A query process should be developed to simplify interactions between physicians, coders, and CDI professionals. The design should be set up a process to audit and monitor the CDI program constantly. This will enable the CDI team to correct errors easier by allowing them to review errors in real time. The implementation of the CDI program will now be discussed.
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
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.
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