Healthcare Informatics

  Consider the ways in which technology and informatics are used to support evidence-based practice. Please address each of the following questions in your discussion response for this week: 1. Choose a specific evidence-based practice (examples: CAUTI reduction, sepsis protocol, SCIP protocol, bedside shift report, etc.). • Describe how technology and informatics are used to support the interventions used in practice? • Describe how employing evidence-based practice guidelines improve patient outcomes? 2. What benefits and challenges have you experienced with (the integration of) information technology in your practice? 3. What strategies did you, or could you, use to overcome these challenges?  

Sample Solution

    I will choose the central line-associated bloodstream infection (CLABSI) reduction as my example of an evidence-based practice. CLABSIs are a serious complication of central line placement that can lead to sepsis, organ failure, and death. How technology and informatics are used to support the interventions used in practice? Technology and informatics can be used to support the interventions used in CLABSI reduction in a number of ways. For example, electronic health records (EHRs) can be used to track central line insertion and maintenance, and to identify patients who are at risk for CLABSI. EHRs can also be used to generate reports that track CLABSI rates and identify areas for improvement.

Full Answer Section

    In addition, clinical decision support (CDS) systems can be used to remind nurses to follow CLABSI prevention guidelines. For example, a CDS system could remind a nurse to decontaminate their hands before and after inserting a central line, or to change the dressing on a central line every 24 hours. How employing evidence-based practice guidelines improve patient outcomes? Employing evidence-based practice guidelines can improve patient outcomes by ensuring that patients receive the best possible care. CLABSI prevention guidelines, for example, have been shown to reduce the incidence of CLABSIs by up to 50%. This means that by following CLABSI prevention guidelines, nurses can help to prevent serious infections and improve patient outcomes. 2. What benefits and challenges have you experienced with (the integration of) information technology in your practice? I have experienced both benefits and challenges with the integration of information technology in my practice. Benefits:
  • Information technology can help to improve communication and collaboration among healthcare providers. For example, EHRs can be used to share patient information between different healthcare settings, and to facilitate communication between nurses, doctors, and other healthcare professionals.
  • Information technology can help to improve the quality of care. For example, CDS systems can remind nurses to follow evidence-based practice guidelines, and EHRs can be used to track patient outcomes.
  • Information technology can help to reduce costs. For example, EHRs can be used to eliminate the need for paper records, and CDS systems can help to prevent errors.
Challenges:
  • Information technology can be expensive to implement and maintain.
  • Information technology can be difficult to use, especially for nurses who are not comfortable with computers.
  • Information technology can create new security risks.
  • Information technology can disrupt workflow.
3. What strategies did you, or could you, use to overcome these challenges? To overcome the challenges of integrating information technology into practice, I have used the following strategies:
  • Get buy-in from leadership: It is important to get buy-in from leadership before implementing any new information technology system. This will help to ensure that the system is properly funded and supported.
  • Provide training: It is important to provide training to nurses on how to use new information technology systems. This will help to ensure that nurses are comfortable using the system and that they are able to get the most out of it.
  • Make the system user-friendly: The system should be user-friendly and easy to navigate. This will help to reduce the frustration of nurses who are not comfortable with computers.
  • Provide technical support: There should be technical support available to nurses who need help using the system. This will help to ensure that nurses are able to get the most out of the system and that they are able to troubleshoot any problems that they encounter.
  • Involve nurses in the design of the system: Nurses should be involved in the design of new information technology systems. This will help to ensure that the system meets the needs of nurses and that it is easy to use.
By using these strategies, I have been able to overcome the challenges of integrating information technology into my practice. I believe that information technology can be a valuable tool for improving the quality of care, and I am committed to using technology to its fullest potential.

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