Emerging Priorities in Patient Safety Essay

The 1999 Institute of Medicine (IOM) report To Err Is Human is recognized for having influenced the advancement of technology in the healthcare sector and its application to raise the bar for patient care (Bates & Singh, 2018). There had not been any notable use of technology in the healthcare industry up until that point. According to the IOM analysis, medical errors in US hospitals at the time of the report resulted in about 98,000 avoidable deaths annually. The IOM suggested that adopting technology would help reduce the rampant errors by medical personnel in healthcare settings. The purpose of this essay is to determine the role the nurse informaticist plays in implementing new technology in healthcare settings. Emerging Priorities in Patient Safety Essay

Context

After the IOM study, another ten years would elapse before regulations mandating the use of technology for the gathering, preservation, and manipulation of patient data and records was passed by the federal government (Layman, 2020; Sweeney, 2017). All healthcare establishments are required by law to utilize an electronic health record (EHR) system that is certified and compatible. This database keeps track of patent details in addition to health history data, including demographics, treatment information, test results, imaging scans, and other data. Clinical decision support systems, or CDSS, are renowned for their creative and legendary versatility because they can be linked into EHR systems (Kwan et al., 2020). These assist medical professionals in reaching treatment decisions without making mistakes.

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Given all of these developments, it quickly became clear that a special kind of nurse staff—one who understood both computers and medicine—was required to keep an eye on these technical characteristics. The role of nurse informaticist was created at this period. In terms of education and training, the NI must have postgraduate education and training. According to McGonigle and Mastrian (2021), the job of the NI is to oversee and manage any EHR-related duties as well as any other associated technological issues within the medical facilities.  Emerging Priorities in Patient Safety Essay

The Systems Development Life Cycle (SDLC) and the Nurse Informaticist

The nurse informaticist is in charge of all technology initiatives implemented by the healthcare institution. As the project manager, they are in charge of all of these initiatives. Every new technology initiative that a healthcare institution wants to implement must go through a procedure called the SDLC. From conception to implementation, the technology project goes through five phases in total. Every one of these five stages involves the nurse informaticist (Vivian & Edward, 2019). The following examination of these highlights the role of the NI.

1. Planning and Requirements Definition

Gathering every resource required to ensure the project is carried out successfully is known as planning. These resources include money as well as material and human resources. It is necessary to document both the unique user requirements of the company and the specifications of the new system. The most qualified person to complete this work and plan the process of obtaining feedback from other staff members is the nurse informaticist. They are more aware of what needs to be done to meet the needs of end users and patients while also meeting clinical requirements. By putting together the team for execution, developing the budget, and consulting with others to determine the appropriate timetable, the nurse informaticist now performs the dual roles of project manager and team leader. Emerging Priorities in Patient Safety Essay

1. Analysis Stage

At this stage, the nurse informaticist works with the other team members to analyze the project’s particulars, challenges, and facilitators. They then devise backup strategies that would kick in should unanticipated circumstances affect the project schedule. This is the moment to make any changes to the budget and schedule.

1. Design of the New System

The task of actually constructing the new system will go to the software engineers. They will follow the instructions provided by the nurse informaticist when creating the software programs. But since they are the ones who have to ensure that everything stays clinically relevant and compliant, the nurse informaticist will be involved at every level of the design process.

1. Implementation Stage

The NI and their crew now activate the completed system in compliance with the selected installation method. This could be a straight cut-over, parallel approach, phased strategy, or pilot strategy, according to St. Augustine’s College (n.d.). Depending on the intended method, the system could be implemented immediately throughout the entire firm, adopted gradually as the old one is phased out, or piloted with a small group of end users to see if it meets the organization’s needs and goals. Emerging Priorities in Patient Safety Essay

1. Post-Implementation Support Stage

After deployment, there would be a number of teething issues that need to be troubleshot during this period. The firm’s contact with the vendor is now the nurse informaticist. They guarantee that any problems are promptly fixed and do not impede clinical practice.

Conclusion

The SDLC process is a prerequisite for any technological endeavors to be realized. In all five of its stages, the nurse informaticist’s role is important. This paper has discussed the five phases of the change project framework and the role of the nurse informaticist in each. Emerging Priorities in Patient Safety Essay

References

Bates, D.W., & Singh, H. (2018). Two decades since To Err Is Human: An assessment of progress and emerging priorities in patient safety. Health Affairs, 37(11), 1736-1743.
https://doi.org/10.1377/hlthaff.2018.0738

Kwan, J.L., Lo, L., Ferguson, J., Goldberg, H., Diaz-Martinez, J.P., Tomlinson, G., Grimshaw, J.M., & Shojania, K.G. (2020). Computerised clinical decision support systems and absolute improvements in care: Meta-analysis of controlled clinical trials. BMJ, 370(m3216), 1-11. http://dx.doi.org/10.1136/bmj.m3216

Layman, E.J. (2020). Ethical issues and the electronic health record. The Health Care Manager, 39(4), 150–161. https://doi.org/10.1097/HCM.0000000000000302

McGonigle, D., & Mastrian, K.G. (2021). Nursing informatics and the foundation of knowledge, 5^th ed. Jones & Bartlett Learning.

St. Augustine’s College (n.d.). Methods of installation of new or updated systems. https://sddhsc.wordpress.com/hsc/9-1-development-and-impact-of-software-solutions/9-1-2-application-of-software-development-approaches/methods-of-installation-of-new-or-updated-systems

Sweeney, J. (2017). Healthcare informatics. Online Journal of Nursing Informatics (OJNI), 21(1). https://www.himss.org/library/healthcare-informatics

Vivian, S., & Edward, B. (2019). Building informatics-savvy health departments: The systems development life cycle. Journal of Public Health Management and Practice, 25(6), 610-611.  Emerging Priorities in Patient Safety Essay

To Prepare:
• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation Sample Essay.
The Assignment: (2-3 pages)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Emerging Priorities in Patient Safety Essay

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READING/RESOURCES
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
Chapter 12, “Electronic Security” (pp. 229–242)
Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261)
Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference

Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
• Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 175–187)
• Chapter 12, “Electronic Security” (pp. 229–242)
• Chapter 13, “Workflow and Beyond Meaningful Use” (pp. 245–261) Emerging Priorities in Patient Safety Essay

Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference

Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. Retrieved September 27, 2018, from https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

Required Media

Louis, I. (2011, August 17). Systems development life cycle (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8

Laureate Education (Producer). (2018). Interoperability, Standards, and Security [Video file]. Baltimore, MD: Author. Emerging Priorities in Patient Safety Essay