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Initiation of Capstone Project

Initiation of Capstone Project

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Implementation of Electronic Health Record (EHR) systems has resulted in challenges as all healthcare settings are adopting the it. HER systems have been from simple computerized generation to the current integrated one which give potential negative impact on its successful implementation. Sunrise Emergency Care (SEC) is an information system that is comprehensive in the emergency department that was proven to impact clinical outcomes. Electronic Health Record (EHR) implementation project initiated for the Emergency Room at North Shore University Hospital. The platform tracks important processes such as medications, current orders, documentation and results as the patient goes through different environments. Documentation has been perceived by nurses how it takes more time that could be spent with the patients. Integrated activities that occur in emergency room also make it difficult to locate the position and subsequent progress in the department, but with this SEC most of these issues were addressed, although there are still some notable issues.

There are issues that have been pointed out from the beginning of implementation, such events occurred during the Nursing Informatics Practicum experience was the inability to track the patient’s temporary locations’ in the SEC software program produced by All-Scripts. In the Emergency Room (ER), there are several different locations where a patient might temporarily be, such as Triage- Walk-in Area, Triage Ambulance Arrival Area, ER Holding Area (admitted patients are waiting to be assigned to a bed), CDU Area (patients are being observed), Rapid Access Area, Red Area, Midway, Gold Area and so forth. The ER is always crowded as well. Therefore, finding a patient when there is no temporary location assigned to the patient in the SEC system is a problem.

Managing location of patient and waiting time at EC being a major concern of SEC performance, many recommendations have been suggested to improve the efficient handling of patients and order in EC. The study indicates that ER clinicians are in a better position to access information from the system instead of choosing from different systems manually (Rezaee et al, 2014). Recommendation was to enable all systems in a facility to be integrated from both departments to enable free flow of information at every point, and a new computer system that includes patient tracking. The tracking that will include real time, alerts will be visual to every end user to coordinate as the patients are admitted, assessed and admitted. Professionals in nursing should consider these changes as a victory as the system would have simplified their working conditions. A web- based patient tracking system that will allow data to be entered in various ways, including by RFID, Bar Code, PDAs, Ultra- mobile personal computers, or regular keyboards at checkpoints. The study found that RFID- based tracking gives clinicians the instant information that allows them to work efficiently and track patients for better safety (Sullivan & Williams, 2013).

This integration of the of RFID patient tracking is most valuable when there are disease outbreaks like Severe Acute Respiratory Syndrome (SARS), because it can make prevent medical errors and patient adverse events due to medications not being matched to the right patients.

Recording and accessing information mayhem that is reported by the ER clinicians will be well handled as a new computer system that includes patient tracking will be able to record the information on every stop of the patient. The ER clinicians were more likely to access information in the system when they did not have to manually choose patients from a different system. My study describes potential factors that were investigated during system implementation that has a negative impact on efficiency of emergency department (ED) and benefit of the outcome after repairing it. The report has pointed out different contributions that were suggested to handle ED efficiently by observing the performance of the HER system after its implementation.

REFERENCE

Carpenito-Moyet, L. (2012). Nursing diagnosis: Application to clinical practice (14th ed.). Philadelphia, PA: Lippincott, Williams, & Williams.

Hastings, C., & Fisher, C.A. (2014). Searching for proof: Creating and using an actionable PICO question. Nursing Management, 45 (8), 9-12. Retrieved on April 4, 2015 from: http:// www.nursingcenter.com/Inc./JournalArticle? Article_ ID= 2525912

Rezaee, M Baslyman, D Amyot, A Mouttham (2014) Procedia Computer Science


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