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Patient centered care philosophy
Patient centered care philosophy
Patient centered care philosophy
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The technological development and digitization of our current healthcare system, has revolutionized our current healthcare environment. Therefore, the healthcare industry is going through a drastic shift where patients are becoming more and more involved. Also, these patients are gradually transforming from passive learners to active learners for their own healthcare. Furthermore, all these changes have lead to the emergence of a patient-centered care from a hospital centered care.
Main Points of the Article
With the increase in accessibility to the internet, today’s patients are more knowledgeable and empowered than those in the past (Murphy, 2011). So, patients approaching a healthcare provider for a treatment as increasingly being seen
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CDSS has been defined as an “automated process for comparing patient-specific characteristics against computerized knowledge base for clinical decision making” (Bryan & Boren, 2008). With the use of web-based CDSS users can quickly access clinical information from any location (Ozel, Bilge,Zayim,& Cengiz, 2013). Healthcare is such a busy environment where there are a number of patients being seen from a day to day basis. Therefore, in such a fast pace environment the likelihood to make medical errors also increases (Ozel et al., 2013). In such a scenario, to limit medical errors and provide effective care, physicians need to make decisions as fast and decisively as possible especially in the intensive care unit (ICU). So, in other words decision-making “requires a quick access to clinical inputs and medical references”(Ozel et al., 2013). Therefore, CDSS plays an important role in expedited the decision-making process while being efficient tool for improving patient care(Ozel et al., …show more content…
With the digitalization of the healthcare, it has become almost essential to also implement technology when it comes to pharmacy needs. This tool is a great strategy to help keeping patient medication records safe and well managed (Falconer, Nand, Liow, Jackson, & Seddon, 2014). Also, PIS can potentially reduce medical costs and medical errors (Falconer et al. 2014). For instance, the patient has an allergic reaction to a certain medication by having the PIS linked with the EMR such medical errors can be prevented. Another benefit was satisfied pharmacist and technicians as they can eliminate the not legible handwritten notes by the healthcare providers. One of the biggest challenge faced is having enough funds to support such a collaborative IT interface (Falconer et al. 2014). Also, there is a risk to patient’ healthcare
Similar to Global Positioning Systems (GPS) provide drivers with directions, detours, alternative routes, and alerts, Clinical Decision Support (CDS) systems provide health care professionals with guidance for important decisions associated with patient care. These systems have many capabilities including synthesizing patient information, suggesting diagnostic tests, providing alerts for life-threatening situations, recommending treatment options, and providing relevant evidence and best practices. Nonetheless, just as GPSs, CDS systems are not usually perfect as evident in the ongoing evolution of their design specifications and functionalities. Some of the major issues that are still evolving for CDS systems include alert fatigue and integration of evidence-based practice (EBP) resources and clinical guidelines. One of the major areas that can benefit from the adoption and integration of clinical decision support systems is community health nursing. These systems can be used together with evidence-based medicine to help improve the quality of health and patient care in community health nursing.
This technology assist the nurse in confirming patients identify by confirming the patients’ dose, time and form of medication (Helmons, Wargel, & Daniels, 2009). Having an EHR also comes with a program that allows the medical staff to scan medications so medication errors can be prevented. According to Helmons, Wargel, and Daniels (2009) they conducted an observational study in two medical –surgical units one in the medical intensive care (ICU) and one in the surgical ICU. The researchers watched 386 nurses within the two hospitals use bar code scanning before they administrated patients’ medications. The results of the research found a 58 % decrease in medication errors between the two hospitals because of the EHR containing a bar code assisted medication administration
The preliminary effects of the Meaningful Use Program have began to have an impact on improving the quality of care and its’ safety and efficiency. I gained a greater understanding of information technology and it’s role and importance to my current and future practice. I learned the goal of the Meaningful Use Program isn’t just to install technology in facilities across the nation its so much more. The goals are to empower patients and their families, reduce health disparities and support research and health data. The EHR can prevent medication errors, reduce long term medical costs, improve population health and through the Meaningful use program the vision of this program is becoming reality.
Electronic prescribing or known as e-prescribing is the transmission, using electronic media, of prescriptions or prescription-related information from a prescriber (physician, nurse practitioner, etc.) to a pharmacy (Fincham, 2009). The information may flow to a number of parties in addition to the pharmacy, such as a pharmacy benefit manager, health plan, or an intermediary, such as an e-prescribing network (a large centralized system to process electronic prescriptions)(Bloche, 2011). In its simplest form, e-prescribing involves two-way transmissions between the point of care and the pharmacy. E-prescribing is intended to replace writing out, faxing, or calling in prescriptions, and its many proposed benefits include safer, more efficient, and more cost-effective care (Fincham,2009). Because of potential benefits, the federal government has put in place major incentives for providers to adopt e-prescribing and to adopt electronic health records through the meaningful use incentives (Sanders & Buchanan, 2012). But in today’s world where technology is growing rapidly in the healthcare, medication errors through e-prescribing is not getting any better. Medication errors are one of the most common types of medical errors and one of the most common and preventable caus...
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.
Patient-centered care recognizes the patient or designee as the source of control and full partner in
The person pursues healthcare service with great expectations such as quality health care, latest technological interventions and low cost for their service. Nowadays, one of the challenges facing by the health care providers is providing appropriate care and identifying their needs in a cost effective and comprehensive way without compromising the quality of care. Center for Medicare and Medicaid Services (CMS) reported “an rise in healthcare spending from $2.34 trillion in 2008 to $ 2.47 trillion in 2009, the largest one year increase since 1960” (Pickert, K, 2010). “The action to improve the American health care delivery system as a whole, in all of its quality dimensions such as efficiency, effectiveness, equitability, timeliness, patient-centeredness, and safety for all Americans” (IOM, 2011).
Tan & Payton (2010) describe the electronic health record (EHR), which dates back to the 1950s. These computer-based patient records have evolved into complex systems with many capabilities. They were designed to provide healthcare professionals with a comprehensive picture of a patient’s health status at any time and are meant to automate and streamline the workflow of the healthcare professional (Tan & Payton,
The ability of healthcare to provide patients with a well rounded care process that integrates various services and tracks them over time is becoming more crucial to patients as new approaches using alternative interventions and new technology become more available. The ambulatory care continuum consists of many disciplines including outpatient testing, outpatient surgery, home healthcare, physical therapy service, and more. Patients are gaining access to new information within the ambulatory care continuum and with the advent of e-health, it is important that providers give patients the opportunity to utilize all new methods of care that organizations may provide.
Patient-centered care is a broad topic that can be discussed on a daily basis within the healthcare world. Patient-centered care is when healthcare providers and facilities provide care that is respectful to the patient’s preferences, needs and values. It can also be described as physicians who practice patient-centered care can improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals (Rickett, 2013). Unfortunately, ideal patient-centered care is hard to come by, especially in all 50 states because there is a shortage of money and proper resources needed
Information Systems/Technology and patient care technology for the improvement and transformation of health care is an important part of the DNP. Technology has transformed every aspect of human life in positive ways. Technology brought efficiency and improved healthcare deliverance system. Healthcare technologies enabled practitioners to better understand disease process and how to implement best treatment plan. DNP programs across the country embrace information systems and technology in their nursing curriculum because, it prepares nursing students to be innovative and deliver best care (AACN, 2006). DNP graduates must have the ability to use technology to analyze and disseminate critical information to find solutions that
What does it mean to be a “patient” in future healthcare? To answer this question, the medical communities, including doctors, nurses, educators, and policymakers, all have to agree on the designation of a person/patient and what patient-centered care is. When all concede, then and only then, can patient-centered care (PCC) be mapped out for the future? Specifically, in regards to nursing and PCC, Cody and Parse believe that the Human Becoming principal is a guide to practice where nurses are “…with persons” as they enhance their own quality of life (Cody 1994 & Par...
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
Also, these studies question those who are effected; in this case, those who are most effected, is everyone. Doctors and nurses spend the most time working within these systems, but the information that is put into these systems effects every individual in America, because it is their information. Because nurses are often considered “both coordinators and providers of patient care” and they “attend to the whole patient,” their opinion is highly regarded (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh, 2007, p. 210). It is clear that the use of these new systems is much debated, and many people have their own, individualized opinion. This information suggests that when there is a problem in the medical field, those who address it attempt to gather opinions from everyone who is involved before proceeding. It has been proven by multiple studies that this system of record keeping does in fact have potential to significantly improve patient health through efficiency, and it is because of this that the majority of hospitals have already completed, or begun the transfer from paperless to electronic (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh,
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.