The Use of Clinical Systems to Improve Outcomes and Efficiencies Application of Clinical Systems Literature Review

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies Application of Clinical Systems

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
Application of Clinical Systems

Clinical systems are information systems applied in the clinical settings to enhance the various operations and clinical interventions in the healthcare environments. When applied in the clinical settings, the clinical systems improve elements such as efficiencies and the qualities of care provided to the patients. In this context, it is important that health information system managers understand the various perspectives connected to the clinical systems. The purpose of this paper is to review the different studies on the clinical systems and highlight how the findings can be applied by health organizations in improving the quality of care and patients’ satisfactions.

Dean, N. C., Jones, B. E., Jones, J. P., Ferraro, J. P., Post, H. B., Aronsky, D., . . . Haug, P. J. (2015). Impact of an Electronic Clinical Decision Support Tool for Emergency Department Patients with Pneumonia. Annals of Emergency Medicine, 66(5), 511-520. doi:10.1016/j.annemergmed.2015.02.003

In this study, the authors sought to study the impacts of real-time, emergency department, electronic clinical decision support tool which offers clinicians with the guideline-recommended decision support for performing diagnosis, disposition, antibiotic selection, and severity assessment in pneumonia patients. According to the findings of the study, the real time electronic clinical decision support tool enhanced health outcomes pneumonia patients in the emergency departments (Dean et al. 2015). The use of the clinical decision support tools enabled clinicians adequately prioritize patients and provide the relevant health interventions. One of the efficiencies that the use of the clinical decision tool in the study demonstrates is the classification severely ill pneumonia patients. The electronic clinical decision support system enabled the clinicians recognize severely ill pneumonia patients based on set criteria of symptoms (Dean et al. 2015). With the recognition of the needs of the patients, their health outcomes were also improved. Prompt delivery of care is another efficiency that the study highlights to be critical. From the study, an important lesson that emerges is that the information system managers in the emergency departments should implement real time electronic clinical decision support systems to help them in assessing patients comprehensively. Health practitioners should also exploit the real time nature of the clinical systems to evaluate the trends in the health responses from the patients.

Holt, T. A., Dalton, A., Marshall, T., Fay, M., Qureshi, N., Kirkpatrick, S., . . . Fitzmaurice, D. (2017). Automated Software System to Promote Anticoagulation and Reduce Stroke Risk. Stroke, 48(3), 787-790. doi:10.1161/strokeaha.116.015468

The study investigated the effect that automated software system had in promoting anticoagulation and reducing the incidences of stroke risks. The AURAS-AF [Automated Risk Assessment for Stroke in Atrial Fibrillation]) was used to identify patients who were at risks of developing stroke but not receiving the relevant health interventions to minimize the risks (Holt et al., 2017). From the results of the study, the authors gathered that the application of the software improved the diagnosis rates for ischemic attacks in patients admitted at the emergency departments. The efficiencies of the AURAS-AF software revolved around the precision of the diagnosis and the reminders and initiation of early treatments that helped to reduce the incidences of ischemic strokes in the clinical settings (Holt et al., 2017). From the results of the study, one of the important lessons learned is that the use of the clinical support systems can help with the detection of patients at risks of developing strokes. The implementation of the clinical systems in the emergency departments where such patients are many is thus beneficial. This benefit is evident from the observation that the system reduced the risks of ischemic stroke significantly. Another crucial lesson that can be learned from the study is that while implementing the clinical systems, focus should be made on those systems that have the capacities to improve the decision-making processes of the clinicians. In other words, the clinical systems should be those that have the capacities to add value to the interventions that healthcare providers use.

Mcginn, T. G., Mccullagh, L., Kannry, J., Knaus, M., Sofianou, A., Wisnivesky, J. P., & Mann, D. M. (2013). Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices. JAMA Internal Medicine, 173(17), 1584-1587. doi:10.1001/jamainternmed.2013.8980

The objective of the research study was to investigate the effect of a customized –clinical system in the management of respiratory infections and to establish how the application influenced the adoptions of evidence-based practices at the point of care. The researchers used Walsh rule for streptococcal pharyngitis and the Heckerling rule for pneumonia as the clinical prediction rules in the study (Mcginn et al., 2013). The findings of the researchers demonstrated that the application of the clinical system enhanced the decision-making processes and improved the efficacies of the interventions used in primary care for managing respiratory infections such as pneumonia. With the adoption of the clinical system in the healthcare facility, there were noticeable improvements in the managements of the respiratory infections. One element of efficiency that the clinical decision support provides when used in primary care is the use of evidence-based practices to guide the interventions for patients. This feature shows that the clinical system facilitates the clinical decision-making processes on the respiratory infections. Another point of efficiency that the clinical system shows when used in primary care relates to diagnosis. The authors report improvements in the diagnosis for the respiratory conditions which is an important step toward the realization of effective management of the respiratory conditions. From the study, a significant lesson learned is that the clinical systems can be used to target specific health issues that contribute to morbidity and mortality such as the respiratory infections. In this sense, health information system managers should identify health issues of concerns so that the clinical systems can then be used to promote positive outcomes.

Roshanov, P. S., Fernandes, N., Wilczynski, J. M., Hemens, B. J., You, J. J., Handler, S. M., . . . Haynes, R. B. (2013). Features of effective computerized clinical decision support systems: Meta-regression of 162 randomized trials. Bmj, 346 (Feb14 1). doi:10.1136/bmj.f657

In this research, the objective was to underscore the different features that defined the successful clinical systems when used in the care settings. The authors analyzed the outcomes of various studies that report the impacts of clinical systems when used in the care facilities. The study underscored three important features as being fundamental to the successes of the clinical systems. First, the authors observed that implementation of the clinical systems by integrating them through order entry or electronic charting was linked with high rates of failures. Second, clinical systems that prompted the practitioners and clinicians to offer reasons for overlooking advice also had better outcomes (Roshanov et al., 2013). Third, systems that offered advice to both patients and practitioners also had high success rates. From the findings, an area of improvement that can be identified is that of the systems to provide relevant advice to patients and practitioners. As such, the clinical systems help both the practitioners and patients to make better and relevant decisions in connection to the health issues of concerns. On efficiency, the features identified from the study illustrate that the clinical systems provide platforms for promoting evidence-based practices for the health issues affecting patients. As to the lessons learned, the outcomes of the study suggest that the health information system managers should stress on the features that drive success of the clinical systems. Beyond that, health information system managements should perform continuous evaluations of the systems to validate if they are demonstrating the desirable features in practice. It is from such evaluations that the effective systems can be identified and be implemented in the organizations.

Conclusion

Clinical systems are information systems that help practitioners improve the qualities of care they provide to patients. From the clinical systems, providers receive valuable suggestions that can be used to manage the different health issues affecting patients. Despite the benefits that the clinical systems offer, it is also worth noting that clinical systems efficacies depend on certain practices and factors. Consequently, health information system managers should be proactive in identifying the desirable features of the clinical systems before, during and after the implementations. It is also necessary that continuous evaluations should be performed on the systems to identify gaps that may hinder the efficacies of the systems. The clinical systems are most likely to be beneficial when their implementations are accompanied with the best practices.

References

Dean, N. C., Jones, B. E., Jones, J. P., Ferraro, J. P., Post, H. B., Aronsky, D., . . . Haug, P. J. (2015). Impact of an Electronic Clinical Decision Support Tool for Emergency Department Patients with Pneumonia. Annals of Emergency Medicine, 66(5), 511-520. doi:10.1016/j.annemergmed.2015.02.003

Holt, T. A., Dalton, A., Marshall, T., Fay, M., Qureshi, N., Kirkpatrick, S., . . . Fitzmaurice, D. (2017). Automated Software System to Promote Anticoagulation and Reduce Stroke Risk. Stroke, 48(3), 787-790. doi:10.1161/strokeaha.116.015468

Mcginn, T. G., Mccullagh, L., Kannry, J., Knaus, M., Sofianou, A., Wisnivesky, J. P., & Mann, D. M. (2013). Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices. JAMA Internal Medicine, 173(17), 1584-1587. doi:10.1001/jamainternmed.2013.8980

Roshanov, P. S., Fernandes, N., Wilczynski, J. M., Hemens, B. J., You, J. J., Handler, S. M., . . . Haynes, R. B. (2013). Features of effective computerized clinical decision support systems: Meta-regression of 162 randomized trials. Bmj, 346(Feb14 1). doi:10.1136/bmj.f657

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
Identify and select 4 peer-reviewed research articles from your research.
For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies
The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
Include an introduction explaining the purpose of the paper.
Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
Use APA format and include a title page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.

NURS_5051_Module04_Week08_Assignment_Rubric

Grid View
List View
Excellent Good Fair Poor
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
· Properly identify 4 peer-reviewed research articles you reviewed.
· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

77 (77%) – 85 (85%)
The responses accurately and clearly identify 4 peer-reviewed research articles for the Assignment.
The responses accurately and thoroughly summarize in detail each study reviewed, explaining in detail the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Specific, accurate, and detailed examples are provided which fully support the responses.

68 (68%) – 76 (76%)
The responses identify 4 peer-reviewed research articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described.

Accurate examples are provided which support the responses provided.

60 (60%) – 67 (67%)
The responses vaguely or inaccurately identify 4 or less peer-reviewed articles for the Assignment.
The responses summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described that is vague or inaccurate.

Examples provided to support the responses are vague or inaccurate.

0 (0%) – 59 (59%)
The responses vaguely and inaccurately identify less than 4 peer-reviewed articles for the Assignment, or are missing.
The responses vaguely and inaccurately summarize each study reviewed, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described, or are missing.

Examples provided to support the responses are vague and inaccurate, or are missing.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.
0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
5 (5%) – 5 (5%)
Uses correct APA format with no errors.
4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
Name: NURS_5051_Module04_Week08_Assignment_Rubric

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our Guarantees

Money-back Guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism Guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision Policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy Policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

4-hour deadlines

Your urgent tasks will be completed within 4 hours. Your discussion responses and late orders will be will be handled fast and we still maintain our quality.

Read more
error: