QSEN and Effective Management of Care

Informatics and its implication for care coordination and care management

Informatics is a quality and safety education for nurses (QSEN) competency that relates to utilization of information and technology to manage knowledge, communicate, support decision making and mitigate error in order to promote safety and care. According to Stoichen and Gregg (2015), coordination of patient care is crucial for numerous reasons entailing delivery of consistent recommendations and guidance, prevention of needless and duplicative testing along with ensuring opportune access to health services. QSEN and Effective Management of Care

Care coordination necessitates an effective flow of responsibility and information between providers. Electronic health records in combination with other health information technologies such as health information exchange, personal health records and patient portals can be utilized in studying or improving care coordination and provision of patient-centered care (Stoichen & Gregg, 2015). Patient-centered care implies offering care that is responsive to and respectful of patient values, needs and presences, and making sure that the values of the patient direct a very clinical decision. Patient centeredness creates an objective as well as a scheme of coordination of care which is that the patient is a distinct partaker of care activities and coordinated care is focused on patient’s needs (Demiris & Kneale, 2015).


Other aspects of patient-centeredness include integration and coordination of care, education, communication, access to information and engagement of friends and family at the level aspired by the patient. Specifically, in regard to care integration and coordination, a major challenge that majority of health care systems face relates to the disintegration of health care service where patients along with their families come across sporadic encounters with numerous health care organizations that function as silos (Demiris & Kneale, 2015).

Health information technology offers a chance for organization of disparate sources of data into lone unified patient-centered record. In addition, it enhances the patients’ engagement, promote collaboration between and with care givers and lead to safe and efficient personalized care. Health information technology enhances health information sharing, including health care plans, personal health records, pre-visit evaluations and discharge instructions and summaries amid patients, professional caregivers and informal caregivers (Stoichen & Gregg, 2015).

How informatics can and will promote safety and quality of care

Health information technology has the potential to promote safety and quality of care. Health information technology includes numerous technologies ranging from simple recording to more complex decision support and incorporation with medical technology. Health information technology has potential for changing and promoting healthcare, including minimizing human errors, tracking data and promoting practice efficiencies. Computerized physician order entry (CPOE) scheme improve medication orders’ safety and also permit ordering of tests, consultations and procedures electronically (Stoichen & Gregg, 2015).

According to Stoichen and Gregg (2015), CPOE systems are normally combined with medical decision support scheme, which functions as a tool for preventing error by directing prescribers on the ideal drug frequency, dose and route of administration. In addition, some CPOE schemes prompt prescribers to patient allergies, drug to lab, and drug to drug interactions (Stoichen & Gregg, 2015).Use of electronic sign-out tools in combination with electronic medical records ensures patient information is structurally transferred during handoffs. Electronic tools that support physician shift-shift handoffs leads to improvements in the handover process, less omissions in crucial patient information as well as lessened transference time(Alotaibi, & Federico, 2017). QSEN and Effective Management of Care

Alotaibi and Federico (2017) claim that bar code d medication administration (BCMA) schemes aims at promoting patient safety via incorporation of patient’s medical administration record to ensure that the right medication is administered to the right patient at the appropriate time. Automated medication dispensing cabinet is a tool for managing medication inventory that assists in automation of dispensation of medication process through lessening workload on the pharmacy and tracks patient billing and medication dispensing (Alotaibi & Federico, 2017).


Alotaibi, Y., & Federico, F. (2017). The Impact of health information technology on patient safety. Saudi Medical Journal, 38(12): 1173-1180.

Demiris, G., & Kneale, L. (2015). Informatics Systems and Tools to Facilitate Patient-Centered Care Coordination. Yearbook of Medical Informatics, 10(1): 15-21.

Stoichen, O., & Gregg, W. (2015). Health Information Technology Coordination to Support Patient-centered Care Coordination. Yearbook of Medical Informatics, 10(1): 34-37.

QSEN and Effective Management of Care

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