Responding
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Lee.Johnson_MO81.pptxHow The Impact of Technology Improves Patient Outcomes
LeeAnn Johnson
Aspen University CIS450
Professor Sara Lease MSN, RN
May 23, 2019
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How The Impact of Technology Improves Patient Outcomes
OBJECTIVES
Identify various types of technology
Discuss how safety improves patient outcomes
Explain how electronic health records improve outcomes
Discuss how big data and data mining improve treatments
Identify wearable health monitoring devices
Understand how public health uses data
Identify ethical and legal issues with technology
Explain future technology advances and public policy
Discuss a plan for implementation of change
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How The Impact of Technology Improves Patient Outcomes
Types of Technology Enhancements
Electronic Health Records (EHR)
Smart Infusion Pumps
Medication Dispensaries (Pyxis)
Glucose Monitors
Vital Sign Monitors
Telemetry Monitors
Workstation on Wheels (WOWs)
Vein Finders
This Photo by Unknown Author is licensed under CC BY-SA
Clip art from Microsoft online
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How The Impact of Technology Improves Patient Outcomes
Improved Safety Equals Improved Outcomes
Electronic physician orders
Bar code administration
Reduces medication errors by 50% to 80%
E-prescribing
Care coordination improved
Data tracking
Evidence-based practices
Clinical decision support
(Alotaibi & Federico, 2017)
This Photo by Unknown Author is licensed under CC BY-SA
Clip art from Microsoft online
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How The Impact of Technology Improves Patient Outcomes
Electronic Health Records
Improves Patient Safety
Facilitates communication between clinicians
Improves medication safety
Increases access to medical information
Encourages patient-centered care
Reduces medical errors
Reduces healthcare costs
This Photo by Unknown Author is licensed under CC BY-SA-NC
(Foisey, 2017; Alotaibi & Federico, 2017)
Clip art from Microsoft online
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How The Impact of Technology Improves Patient Outcomes
Big Data & Data Mining Lead to Improved Treatments
Big data – various sources
EHRs, biometric data, clinical trials, patient reports etc.
Artificial intelligence
Can help identify trends in data
Algorithms
Determine connections in data
Real-time analytics
Drug alerts, suggested interventions
(Lee & Yoon, 2017; Hebda, Hunter, & Czar, 2019)
This Photo by Unknown Author is licensed under CC BY-SA-NC
How The Impact of Technology Improves Patient Outcomes
Wearable Health Devices
Home/remote/clinical environments
Vital signs, EKG, CGM, capnography
Cardiac implantable devices
ECG T-shirt
Internal storage/wireless communication
Smart watches
Health status monitoring
Provides early treatments/diagnosis
Real-time/offline monitoring
This Photo by Unknown Author is licensed under CC BY
(Dias & Cunha, 2018)
EKG/ECG electrocardiogram, CGM continuous glucose monitoring
Clip art from Microsoft online
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How The Impact of Technology Improves Patient Outcomes
Public Health Use of Data
Surveillance of communicable diseases
Air/Water/Food safety
Environmental factors
Antibiotic resistant microorganisms
Chronic disease monitoring
Cancer registries
Immunization registries
Improve early treatments
(Haston & Pickering, 2019; Hebda et al., 2019)
This Photo by Unknown Author is licensed under CC BY-SA-NC
Clip art from Microsoft online
8
How The Impact of Technology Improves Patient Outcomes
Ethical & Legal Issues
Informed consent for data shared
Secondary use of data for marketing purposes
Privacy versus confidentiality
Hackers, spyware, ransomware
HIPAA violations
Social media violations
Access to care restricted due to lack of insurance
Failure to document/inaccurate documentation
(Balestra, 2017)
This Photo by Unknown Author is licensed under CC BY-ND
Clip art from Microsoft online
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How The Impact of Technology Improves Patient Outcomes
Plan for Implementing a Change
Teach clinicians to make eye contact with patients
Nurses must use WOWs facing patients
Incorporate in new employee training
Annual customer service skills class
Explain to patients reason for technology
Explain to patient benefits of using technology
Include costs in orientation piece for new employees
This Photo by Unknown Author is licensed under CC BY-NC
How The Impact of Technology Improves Patient Outcomes
Public Policy Changes Needed
Urgent need for data not to be localized
Need more federal funding
Improve collaboration between clinical & public healthcare
Expand infrastructure at state & national levels
Improve extraction techniques of data
Integrate specific data to show correlation
Political commitment to obtain resources
Real time monitoring
(Frieden, 2014; Hebda et al., 2019)
How The Impact of Technology Improves Patient Outcomes
Technology Advances in Future
Artificial Intelligence
Telehealth to increase
Virtual healthcare visits
Nanotechnology/devices
3-D Printing
Biomonitoring tools
Wearable devices
This Photo by Unknown Author is licensed under CC BY
(Matthews, 2019)
How The Impact of Technology Improves Patient Outcomes
Conclusion
Current & future technology will advance healthcare to lower costs
EHR continues to improve outcomes with increased clinician collaboration
Big data & data mining are important in improved treatments and public health surveillance
Wearable health devices reduce healthcare costs with early treatment and diagnosis
Changes in public policy is needed to have access to more data
Implementation of change for interacting with patients using technology will improve patient satisfaction and outcomes
How The Impact of Technology Improves Patient Outcomes
References
Balestra, M. L. (2017). Electronic health records: Patient care and ethical and legal implications for nurse practioners. Journal for Nurse Practioners. 13(2). (pp. 105-111). Retrieved from https://doi.org/10.1016/j.nurpra.2016.09.010
Dias, D., & Cunha, J. P. S. (2018). Wearable health devices-vital sign monitoring, systems and technologies. Sensors. 18(8). Retrieved from doi:10.3390/s18082414
Foisey, C. Q. (2017). 4 ways technology is improving patient safety. Health IT Outcomes. Retrieved from https://www.healthitoutcomes.com/doc/ways-technology-improving-patient-safety-0001
Frieden, T. R. (2014). Six components necessary for effective public health program implementation. American Journal of Public Health. 104(1). (pp. 17–22). Retrieved from doi:10.2105/AJPH.2013.301608
Haston, J. C., & Pickering, L. K. (2019). CDC’s disease surveillance system critical for public health. AAP News and Journals. Retrieved from https://www.aappublications.org/news/2019/03/08/mmwr030819
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals. (6th Ed.). (pp. 370-434). New York, NY: Pearson. ISBN: 978-0134711010
Lee, C. H., & Yoon, H. J. (2017). Medical big data: promise and challenges. Kidney Research and Clinical Practice. 36(1), (pp. 3–11). Retrieved from doi:10.23876/j.krcp.2017.36.1.3
Matthews, K. (2019). 6 healthcare advancements paving way for future. Healthcare in America. Retrieved from https://healthcareinamerica.us/6-health-care-advancements-paving-the-way-for-the-future-9a158453b28d
