NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Name Date Informatics and Nursing Sensitive Quality Indicator Greetings, I am —-, and I work as a registered nurse at Valley Hospital. First, I congratulate and welcome you all on your induction day. This audio tutorial will give you brief and concise knowledge of informatics and nursing-sensitive quality indicators. I will discuss these indicators and their role in nursing practices. Then, I will discuss a specific nursing-sensitive indicator, its use by healthcare organizations, and evidence-based practices for nurses to enhance patient safety. Additionally, you will also learn how this information on quality indicators is collected and disseminated across the organization. Let’s brace ourselves and delve into this topic together. Nursing-Sensitive Quality Indicator The American Nurses Association (ANA) established a comprehensive and concise database of the National Database of Nursing-Sensitive Quality Indicators (NDNQI) in 1998 to gather and analyze data relevant to nursing-sensitive quality indicators (NSQI). These NSQI are measures to analyze the nursing care quality and its influence on patient health outcomes. These measuring areas are benchmarks for evaluating nurses’ performance and planning prospective improvements based on the results. The NSQI metrics are classified into three categories: structure (nurse education), process (pain management), and outcomes (patient satisfaction, job satisfaction, and nurse turnover) (Oner et al., 2020). Based on these three classes, various quality indicators can be utilized to evaluate nurses’ performance. By identifying areas of concern, hospitals can improve the quality of care nurses provide. This can include policy changes, promoting nurse staffing standards, and advocating for patient care improvements. The Chosen Quality Indicators and its Importance The nursing-sensitive quality indicator that I have chosen to discuss in detail is hospital readmission rates. Hospital readmission rates refer to the rate at which patients are readmitted to the hospital shortly after discharge. Hospital readmission rates can reflect the quality of care and care transitions. It is essential to monitor this quality indicator as it can inform healthcare organizations about the quality of care being provided to patients. When the hospital readmission rates are higher, patients may not receive appropriate post-discharge care or coordinated care. With escalating hospital readmission rates, the quality of care can be compromised due to disruptions during treatment plans or medication regimens. Moreover, patient safety is further impacted as higher hospital readmissions expose patients to additional risks, such as hospital-acquired infections and adverse events that may take place during subsequent hospital stays. Furthermore, stress and discomfort associated with multiple hospitalizations can also compromise patient safety and overall well-being. Besides, higher rates of hospital readmissions pose various implications, such as added costs to patients and organizations, strained healthcare systems due to increased burden on limited resources, and decreased patient satisfaction (Yeo et al., 2019). NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators New nurses must have adequate knowledge of this quality indicator when providing patient care. They can reduce hospital readmission rates by providing practical, coordinated care to patients before discharge or during care transitions. This will reduce the chances of hospital readmissions as patients are already receiving the right quality of care and showing improved clinical outcomes. If the nurses do not acknowledge this quality indicator, the patient may receive compromised quality of care, increasing the hospital readmission rates. This will ultimately impact nurses as they must provide further care treatments to patients, leading to enhanced burnout among nurses and job dissatisfaction. Therefore, nurses must consider this quality indicator while providing patient care to prevent future hospital readmission rates (Meddings et al., 2023). Role of Interdisciplinary Team in Data Management Let’s delve into the interdisciplinary team’s role in data management, encompassing collection and analysis. I consulted with our hospital administrator to gain a deeper understanding of data collection and management at Valley Hospital. The interview taught me that our organization utilizes Electronic Health Records (EHRs) to gather data on quality indicators like hospital readmission rates. Various interdisciplinary team members include nurses, IT personnel, Quality control department personnel, and hospital administration. The nurses are primarily responsible for accurately reporting data relevant to readmissions, such as discharge diagnoses, follow-up appointments, and patient demographics. Accurate documentation is crucial for estimating hospital readmission rates and analyzing critical areas for improvement. The accurately documented data on hospital readmission rates will enable the proper planning to prevent readmissions by providing high-quality care before patients’ discharge. The IT personnel analyze and disseminate these data by creating dashboards to share with quality improvement department leaders and healthcare administration. The dashboards are analyzed monthly, and interdisciplinary team meetings are conducted. These quality improvement meetings bring together nurses, quality improvement leaders, and healthcare administrators. Their focus is to discuss observed patterns and trends and devise prospective plans to enhance patient safety and the quality of care. The interdisciplinary team plays a crucial role in data collection as a collaboration of nurses and IT personnel in maintaining and using EHR reduces the chances of errors and inaccurate data. This leads to accurate analysis and driving improvements needed in healthcare organizations to improve organizational performance in reducing hospital readmission rates. Use of Nursing Sensitive Quality Indicators by Healthcare Organizations Healthcare organizations use nursing-sensitive quality indicators to ensure the quality of care delivered to patients is up to mark and evaluate their position in improving patients’ clinical health outcomes. Healthcare organizations can use hospital readmission rates to enhance patient safety, patient care outcomes, and organizational performance reports. For instance, patient safety is enhanced when nurses closely monitor the health status of discharged patients to ensure they do not require further care treatments at hospitals and reduce the risk of hospital-acquired infections on readmissions. Moreover, by utilizing the hospital readmission rates, healthcare professionals analyze whether the care transitions are smoothly accomplished through effective care coordination, medical reconciliation, and patient education before discharge. Lower hospital readmission rates show successful care transitions with enhanced patient safety (Kripalani et al., 2019). By analyzing hospital readmission rates and their root causes, nurses can identify areas for improvement and implement evidence-based interventions
NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Name Date Electronic Medication Administration with Barcoding Electronic medication administration with barcoding is an advanced healthcare information technology that can improve patient safety and medication efficiency. Medication errors account for 7,000 to 9,000 deaths in the U.S. every year. The costs associated with additional treatment due to medication errors exceed $40 billion annually. Moreover, patients who experience medication errors suffer from physical, emotional, psychological, and financial implications, leading to reduced patient satisfaction and distrust in healthcare systems (Tariq & Scherbak, 2023). Given these alarming statistics, I was compelled to explore this healthcare technology’s potential in preventing medication errors and their subsequent consequences. Through barcode medication administration (BCMA), healthcare professionals can enhance patient safety by minimizing medication errors due to wrong drug administration. Moreover, it will improve the quality of care, promote interdisciplinary team collaboration, and enhance patient safety. I used Google Scholar, PubMed, CINAHL, JSTOR, and Scopus to research this technology thoroughly. Moreover, I used different search terms to get broader data on this topic, including “Barcode medication administration,” “Electronic medication administration with barcode,” “Medication errors reduction with BCMA,” “BCMA and patient safety,” and “BCMA and quality of care.” Annotated Bibliography Jessurun, J. G., Hunfeld, N. G. M., van Rosmalen, J., van Dijk, M., & van den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: An uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), 1–8. https://doi.org/10.1093/intqhc/mzab142 This article by Jessurun and colleagues (2021) emphasizes the impact of automated dispensing systems and medication administration using barcode technology on medication administration errors. Moreover, the study highlights how using composite technologies reduces the prevalence of medication errors. Lastly, this study shows that nurses’ satisfaction is enhanced as they utilize this technology to provide an accurate and better quality of care with minimal chances of medication administration errors. According to this resource, rates of medication errors due to wrong doses declined from 3.8% to 2.1%, showing its effectiveness in reducing the probability of medication administration errors from 19.5% to 15.8%. Moreover, it showed that patient safety was improved as nurses used this technology with enhanced quality of care. This technology is relevant to nursing practices as it is directly related to medication administration in which nurses are primarily involved. Moreover, this technology enhances interdisciplinary team collaboration as IT personnel and nurses collaborate in its practical use. Therefore, this resource is helpful for nurses to delve into deeply as it can enlighten them on how to use it to improve patient safety and quality of care while integrating interdisciplinary team collaboration. Küng, K., Aeschbacher, K., Rütsche, A., Goette, J., Zürcher, S., Schmidli, J., & Schwendimann, R. (2021). Effect of barcode technology on medication preparation safety: A quasi-experimental study. International Journal for Quality in Health Care, 33(1). https://doi.org/10.1093/intqhc/mzab043 NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing This annotated bibliography focuses on how barcode technology can reduce medication preparation time and errors. Moreover, the time-based staff performance was also assessed. The results showed that patient safety was greatly enhanced as the wrong medication and dosage errors were declined post-implementation of this technology. After barcode technology use, the time required to prepare medication for a 24-hour was also reduced (from 30.2 min to 17.2 min). This resource shows that using barcode medication preparation and administration enhances patient safety and quality of care while improving nurses’ work efficiency and productivity. This source highlights the relevance of this technology with nursing practices as the nurses’ work productivity is enhanced, and the preparation time is reduced along with a decrease in medication errors from 270 to 190. Interdisciplinary teams collaboratively use this technology for measuring the data of medication errors and driving quality improvements based on estimated data. Hence, this resource is helpful for nurses, health administrators, IT professionals, and quality improvement departments to revise changes accordingly in technology implementation. Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148 This study evaluates the impact of barcode medication scanning on nursing workflow and its potential for patient safety. This source is particularly relevant to nursing practices as medication administration errors occur at nurses’ hands. Using this resource, nurses can learn about the workflow changes after implementing this technology. The interdisciplinary team members, including front-line staff members, leaders, and the quality improvement department, can all collaborate using this technology to ensure patient safety consistently. NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing This is possible when nurses and quality control personnel collaboratively gather data on medication errors and analyze the trends pre- and post-implementation of this technology. Lastly, healthcare leaders must understand that chances of medication errors persist even after full implementation of BCS. The healthcare workforce must read this article to learn more about BCMA, prospective changes that occur after the implementation of BCMA, and measures to take for future improvements. Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2020). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832–841. https://doi.org/10.1016/j.sapharm.2020.08.001 In their systemic review, Zheng and colleagues (2020) studied different healthcare information technologies, including barcode medication administration, focusing on their impact on the safety of controlled medication and work processes. The study also highlighted that BCMA eliminates medication administration from 2% to 0, reducing the risk of adverse drug events. This showed that BCMA enhanced patient safety and improved quality of care as medication errors were eliminated. Moreover, this study relates the use of BCMA with nursing practices as their primary involvement in delivering medications may cause medication administration errors that can be effectively prevented by BCMA use. Furthermore, interdisciplinary team collaboration can be enhanced using
NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice
Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Date Protected Health Information (PHI) and HIPAA Protected health information (PHI) is individually recognizable information related to an individual’s health, or service payment. It includes personal information, medical records, lab results, billing information, etc. HIPAA is the Health Insurance Portability and Accountability Act that maintains the privacy and security of PHI and ensures healthcare providers implement privacy and security rules such as informed consent to prevent breaches or disclosures of PHI (Moore & Frye, 2019). Privacy, Security, and Confidentiality Privacy is the patient’s right to measure how much healthcare professionals can exchange their PHI. Security is the degree to which healthcare professionals are allowed or restricted to access patients’ personal health information. Confidentiality is restricting the access of PHI from stored EHR data by unauthorized persons. Examples Privacy concerns: Revelation of patient health data on EHRs without seeking informed consent, lack of adequate patient access to their medical records on EHR Security concerns: Unsuitable access to patients’ stored information by unauthorized personnel (family, friends) and authorized personnel (sharing passwords) Confidentiality Concerns: Improper exchange of PHI in EHR outside medical staff (Bani Issa et al., 2020). Significance of Interdisciplinary Team in Safeguarding PHI on EHRS Safeguarding patients’ PHI on EHR is a multifaceted concern requiring the comprehensive efforts of the interdisciplinary team. The collaborative efforts of healthcare providers, IT specialists, compliance officers, and legal professionals in health administration are crucial for ensuring the safe use of EHRs. Evidence-Based Strategies to Reduce Data Breaches Related to Social Media Use and PHI Social Media Usage and PHI Interprofessional teams must be aware of the consequences of using social media for sharing patients’ PHI and be vigilant on their social media activities. Following are the breaches of HIPAA regulations and their implications: NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice References Bani Issa, W., Al Akour, I., Ibrahim, A., Almarzouqi, A., Abbas, S., Hisham, F., & Griffiths, J. (2020). Privacy, confidentiality, security and patient safety concerns about electronic health records. International Nursing Review, 67(2), 218–230. https://doi.org/10.1111/inr.12585 Edemekong, P. F., Haydel, M. J., & Annamaraju, P. (2022). Health insurance portability and accountability act (HIPAA). Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK500019/ Kassam, I., Ilkina, D., Kemp, J., Roble, H., Carter-Langford, A., & Shen, N. (2023). Patient perspectives and preferences for consent in the digital health context: State-of-the-art literature review. Journal of Medical Internet Research, 25, e42507. https://doi.org/10.2196/42507 NURS FPX 4040 Assessment 2 Protected Health Information Phi Privacy Security and Confidentiality Best Practice Kerr, H., Booth, R., & Jackson, K. (2020). Exploring the characteristics and behaviors of nurses who have attained microcelebrity status on instagram: Content analysis. Journal of Medical Internet Research, 22(5), e16540. https://doi.org/10.2196/16540 Moore, W., & Frye, S. (2019). Review of HIPAA, part 1: History, protected health information, and privacy and security rules. Journal of Nuclear Medicine Technology, 47(4), 269–272. https://doi.org/10.2967/jnmt.119.227819
NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care
Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Date What is Nursing Informatics? Nursing informatics (NI) is appearing as a new concept. It is important to define nursing informatics to direct the role of nursing informaticist for nurses who are eager to go into this field. This will enable them to take a direction in practice, education, training, and research. Nursing Informatics (NI) is defined by the Australian College of Nursing as the field of nursing science which is formed by the integration of diverse information and analytical sciences. The NI aims at finding, defining, arranging, and communicating information, data, wisdom, and knowledge in the clinical nursing practice. It involves the use of three well-secured scientific areas including information science, computer science, and nursing science (Harerimana et al., 2021). NI has multiple perspectives at different levels as an independent career. It is far more than merely utilizing health technologies. Nursing informatics expertise has significantly grown over the last three decades among the health care systems and nursing practices. A study reported against the literature available on NI showed various nursing informatics competencies such as nursing informatics expertise for students, novice nurses, or generalist nurses, competencies related to nursing informatics for nurses with specific duties, suggestions for agreement on describing basic nursing informatics expertise globally and estimating the competencies of nursing informatics in future with emerging nursing responsibilities (Kleib et al., 2021). Role of Nurses in Nursing Informatics Nurses play an important role in the continuum of care in healthcare organizations and makeup one of the biggest health services providers. Moreover, nurses are responsible for information exchange and patient data transmission within the healthcare organization to enhance cooperation and collaboration among other healthcare professionals. Nowadays nurses work as nurse informaticists by directly involving in information systems and information technology for performing various functions. They use IT services for evidence-based practices, clinical decision support (CDS) systems, and electronic health records (EHR). According to American Nursing Informatics Association, nurses who are specialized in informatics utilize nursing, computer, and information science for the collection, processing, and management of data. This collected data then provides the rules of nursing, clinical care, education, and research and generates nursing knowledge. This leads to better patient care provision and improved patient health outcomes (Zareshahi et al., 2022). Nurse informaticists also serve as educators, connectors, and advocators by using multiple strategies such as communicating system updates, describing the use of telehealth, connecting healthcare professionals to resources, assisting in education, and finding IT inaccuracies (Strudwick et al., 2019). By the identification of statistics related to patient data and health outcomes and conveying the results of these statistics to nurses and other healthcare professionals, nurse informaticists can help improve patients’ health outcomes (Brixey et al., 2020). NURS FPX 4040 Assessment 1 Nursing Informatics in Health Care Nurse informaticist promotes decision-making through direct and indirect participation in nursing responsibilities by gathering, drawing, accumulating, investigating, and predicting standardized data by the use of evolving data science rules and strategies. By the nursing records, nurse informaticist shares patient care plan and information within a healthcare organization. They are also able to communicate with other nurses and clinicians which results in better quality and continuity of care provided to patients. The growing use of electronic health record (EHR) systems are a means of expanding knowledge regarding nursing practices with the help of patient data.. Nurse informaticist also provides a positive impact on the safety of services and quality in hospitals. This is done by decreasing the incidences of adverse drug events. The adoption of a documentation strategy by nurse informaticists is a means of providing error-free records of patients’ status and requirements at a certain time (Park & Park, 2022). Nurse informaticists can contribute to playing effective roles in nursing documentation systems and clinical decision support systems. They can also serve in the patient monitoring and observation systems to collect and evaluate patient monitoring data. Nurse informaticists can contribute to warning devices and call systems, patient follow-up, and tracking systems. Moreover, telenursing and simulations with evolving technology are also areas in which nurse informaticists can take part. In short, Nurse informaticists can optimize nursing healthcare services to further improve patient safety, patient satisfaction, quality of care, and data availability (Şendi̇r et al., 2019). Interprofessional Collaboration of Nurse Informaticists Nurses in general are great collaborators as they have to remain connected to health care professionals and patients to provide appropriate and accurate care treatment. They need to estimate the health improvement in patients’ disease status by continuously evaluating health outcomes. Afterward, they are to send the evaluated data to clinicians for further planning of treatment based on evaluated health outcomes. They collaborate with patients’ families, making communication one of the competencies in their professional role. Nurse informaticists specifically collaborate with healthcare professionals in terms of providing patient data and disease status. They also work with technologists for the effective working of health information systems and accurate data extraction. The teamwork of nurse informaticists with technologists, fellow informaticist nurses, registered nurses, clinicians, and lab technologists improves the quality of patient care by providing accurate patient care according to their needs (Şendi̇r et al., 2019). In a study report, the interdisciplinary collaboration of nurse informaticists in epigenetic research showed that optimized lifestyle choices could be brought in to prevent cancer growth with the help of nurse informaticists. (Milner et al., 2023). Interdisciplinary collaboration can improve patient safety, and health outcomes as all the healthcare team members along with technologists and nurse informaticists can put in medical and non-medical joint efforts. The patient-centered care as a result of the interprofessional collaboration will optimize patient health outcomes with improved patient safety. Need for Nurse Informaticist in Health Care Organizations With the advancements in health information technology (HIT), healthcare organizations need to utilize the HIT in both the diagnosis-treatment systems and clinical information systems. These emerging advancements in HIT have created more roles for nurses to take upon such as nursing informatics specialists. This can enable nurses