Assignment 3
trooperwarxhw3
Capstoneproject.docxAssignment 1
Part 1: Defining the Problem
Problem Identification
According to Ludwick and Doucette (2009), one of the primary issues in healthcare is the reduced standard of patient care due to the continued non-integration of technology in medical-based facilities. The result is a poor entry of patient data, coupled with a system that cannot be relied upon in the long term. In this context, Black et al. (2011) are of the opinion that it is mandatory for all healthcare facilities to incorporate electronic health records systems and shift from the use of manual-based recording strategies.
Comment by Author: Use all of participating authors the first time listing
Problem Statement
The continued utilization of manual health-based recording system in the contemporary society leads to reduced efficiency. It also negatively affects the overall outcome of healthcare delivery at the expense of the patient.
Problem Description
The continued use of paper-based records in the modern society is inefficient as compared to hospices that use electronic-based recording system. First, the use of the latter focuses on patient-centered care whereby there it leads to reduced repetition of tests, as there is no scattering of test results in various hospitals. In addition, the paper-based recording system is redundant as the access to a patient’s records by a medical health provider is limited by the location of the doctor as well as the time they can access the hospital (Black et al. 2011). However, the latter is not limited by the mentioned entities since data can be sent electronically at any time and place to the doctor. The problem is directly related to my discipline since patients that undergo recording of their personal information through the manual-based recording system are prone to medical errors. According to Ludwick and Doucette (2009), such errors may involve poor drug administration, especially if a patient may prove allergic to various subscribedprescribed medications. Besides, the electronic-based records will result in increased monitoring of a patient, which leads to faster healthcare delivery, which is the objective of studying my discipline.
Purpose Statement
The reduced efficiency coupled with the adverse outcome caused by paper-based recording systems will be obliterated upon the incorporation of the electronic-based recording system. The objective related to the implementation of the project is increased efficiency and improved quality of healthcare delivery to the patients.
Part 2: Defining a Searchable, Answerable Question:
Population/Patient Problem:
1. What are the efficiency rates concerning number of patients that are bound to benefit from the incorporation of the electronic-based records? Comment by Author: Needs to clarify what the rates are referring? Efficiency of what?
2. Does the electronic health recording provide any unique advantages over the manual recording system regarding the health status, of a patient?
Intervention:
1. What factors are to be considered before and after the incorporation of the electronic health recording system?
2. How will the relevant stakeholders react to the introduction of the electronic health records and how will their concerns be addressed.
Comparison:
1. What are alternative methods of recording to be adopted if the electronic-based recording system becomes flawed?
2. What advantages do you perceive the electronic-based recording system will create holistically as compared to the paper-based recording system.
3. How will the electronic health recording system be introduced to the hospital? Is it gradually or immediately?
Outcome:
1. Will the electronic health recording system’s benefits prove to outweigh the demerits
2. What factual evidence has the electronic-based recording system proved to offer in hospitals around the world regarding being cost-effective?
Timeframe:
1. What is the approximate time in which the new system can be adopted in a hospital?
2. What factors have you considered before coming up with a timeframe for the implementation of the plan?
References: Comment by Author: It’s a good idea to include doi when possible. Makes searching for articles easier since not all readers have access to the same database.
Black, A. D., Car, J., Pagliari, C., Anandan, C., Cresswell, K., Bokun, T., ... & Sheikh, A. (2011). The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med, 8(1), e1000387. Comment by Author: Need to include ALL participating authors. Don’t omit: McKinstry, Proctor, and Majeed from listing. Comment by Author: Include doi: 10.1371/journal.pmed.1000387
Ludwick, D. A., & Doucette, J. (2009). Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. International Journal of Medical Informatics, 78(1), 22-31.
Improving the Quality Of Medical Services For Patients
The delivery of quality healthcare services is vital, though it is a progressively difficult challenge. As a result of the complexities of healthcare systems and services, and many other elements are important in informing the stakeholders about health-related issues. Improving patient care should be an important priority for all healthcare providers with the aim of achieving a high degree of patient outcomes and satisfaction. More healthcare regulation, concern about poor outcomes, increasing medical malpractice litigation, as well as the increasing demand for better healthcare are the factors that contribute to this change (Koh, et al
., 2013). Comment by Author: Missing authors. Include all participating authors for the first time using the reference. Afterwards ok to use the format. Comment by Author: Don’t use period with ‘et al’.
Problem Statement
Most people attending the healthcare facilities report that there are insufficient resources to meet the needs of the increasing number of patients on a daily basis. This has led to the quality of services being offered to be compromised. Comment by Author: In-text citation needed here to support the claim.
Description of the Problem Statement
In the healthcare industry, availability of adequate resources is crucial if patients are to be treated well. These resources include the medications, space, hygiene facilities, foodstuffs, bedding, clothing, as well as the human resource. According to research, some patients have stayed in hospitals for many years, yet they have never improved. These patients are part of the population that deplete the resources yet more sick people need to go to hospitals on a daily basis. As the number of patients going to hospitals is increasing, the number of healthcare providers is hardly enough to meet all the needs of the patients. Similarly, other resources such as medicines and clothing are not enough, and in most cases, the patients end up not being in proper hospital uniform. Comment by Author: Whose research? In-text citation is needed here.
The remedy to poor quality health care services offered to patients is in the hands of the government. The government should allocate adequate resources to the public hospitals as requested by the specific hospitals to finance their operations fully. The government should employ enough medical personnel to a workable ratio, and should also motivate them by compensating them in equal to their expertise and sacrifice that comes with their jobs. On the other hand, the clinicians should be ethical in their practice and serve all patients equally (Barton, 2009). Furthermoe, there is need to educate patients on the kind of services offered in hospitals as well as hospital protocals.
Statement of purpose
By implementing this project, I would make sure that all patients across the country access better and quality health care services whenever they visit the health facilities. It is vital for the patients to be accorded full attention in cases of sicknesses so that they can recover and revert to their daily life. This project would also seek to compel the federal government to allocate sufficient resources to the healthcare facilities to improve their operations; hence quality care services for the patients. The project would also provide an awareness of the code of conduct, and would also remind the health care providers of what is expected of them by the law, as well as the consequences of the failure to oblige (Melnyk & Fineout-Overholt, 2011).
Developing Research Question
P (population or patient or problem) patients seeking health care services
I (intervention or Test or Prognostic Factor or Risk Factor) Allocate more resources
C (Comparison, if one) Sufficient resources
O (Outcome(s)) Improved quality of healthcare service
Foreground question:
Among the patients seeking health care services, will allocating more resources to the health care facilities improve the quality of healthcare services offered?
Analysis and Appraisal
Patient safety and quality: an evidence-based handbook for nurses is an article by Barton (year) that has reviews of a wide range of issues in patient safety as well as quality in the medical system. The author indicate that there are multiple factors that has resulted in poor health care delivery like shortage of nurses. The article offers important statistics regarding the rate of patient satisfaction. It is cited that out of 10 patients who visit medical facilities in the U.S., only 3 percent of them reported satisfaction. The article support my proposed solutions to patient safety, which is the need of the government to invest more in heathcare by improving the infrastructure in hospitals. Comment by Author: In-text citation is needed here to cite your reference with this specific data.
On the other hand, Evidence-based practice in nursing & healthcare: A guide to best practice. Is is an analysis of some of the critical practices in nursing written by Melnyk and Fineout-Overholt (year). This article describes the issue of poor quality care as a big problem in the United Staes Health care system that has resulted in poor patient satisfaction. As indicated by the authors, lack of ethical conduct and poor policies are the major issues resulting in poor health outcome. Some important statistics made include that o infant mortality of 50% between 2001 and 2008 that were linked to poor health are quality. Also, regarding patient literacy of electronic database and the privacy and confidentiality rule, only 27% of patients are cited as to understand the information. In the general population, there is a high rate of infant mortality. The article supports my proposed change of the need for the federal government to increase funding in medical facilities. Also, the authors highlight the importance of clinitians to uphold ethics when administering health sevices.
A proposed ‘health literate care model’would constitute a systems approach to improving patients’ engagement in care is an article by Koh et al (year) discusses the wide range of issues surrounding attaining patient satisfaction due to lack of enough information by patients. Their proposed change concided coincided with mine which is to create awareness among patients regarding what to expect whe seeking medical services. Even though the article does not offer statistical data that suggest the rate of patient’s lack of information, it suggests that the rate at which patients lack the necessary self-mangement skills has relatively resulted in poor health decisions. The article proposes a similar solution to achieving quality care. They suggest that enhancing patient outcomes lies in engaging patient fully in decision making and prevention measures. It is indicated that educating patients is a strategic way of improving patient satisfaction and enhance the quality of care delivered.
High Relaibility Theory
High reliability concept is a theory that will be critical in heling address the issue. This concept aims at avoiding disasters in high risk fields like the medical field. Comment by Author: Not sure of what you intended here.
References
Barton, A. (2009). Patient safety and quality: an evidence-based handbook for nurses. AORN Journal, 90(4), 601-602.
Koh, H. K., Brach, C., Harris, L. M., & Parchman, M. L. (2013). A proposed ‘health literate care model’would constitute a systems approach to improving patients’ engagement in care. Health Affairs, 32(2), 357-367. Comment by Author: Good to include doi. Health Affairs includes doi’s with their articles.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Weick, K. E., Sutcliffe, K. M., & Obstfeld, D. (2008). Organizing for high reliability: Processes of collective mindfulness. Crisis management, 3(1), 31-66.
References
Barton, A. (2009). Patient safety and quality: an evidence-based handbook for nurses. Aorn Journal, 90(4), 601-602.
Koh, H. K., Brach, C., Harris, L. M., & Parchman, M. L. (2013). A proposed ‘health literate care model’would constitute a systems approach to improving patients’ engagement in care. Health Affairs, 32(2), 357-367.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Weick, K. E., Sutcliffe, K. M., & Obstfeld, D. (2008). Organizing for high reliability: Processes of collective mindfulness. Crisis management, 3(1), 31-66.
