Health Information Exchange Professor Crossley Ebony Drummond October 21, 2013 Health Information Exchange The Electronic health information exchange helps medical professionals such as Nurses, doctors, pharmacist and other health care providers. This system also allows patients to properly access and safely shares the patient’s medical records efficiently, bettering speed, quality and the cost of patient care. Electronic health information exchange cannot replace intercommunication between the patient and the patient’s physician, but it can greatly improve the completeness of patients medical record in which cam effect the care positively, current medications and other information that is carefully abstracted during visits. Sharing patient records properly will better inform decision making at a certain point of care. This can allow providers to avoid re-admission, avoiding medication errors, lower duplication testing and improve diagnosis.
Recognizing at restraint use is a nursing speciﬁc indicator can help the staff in this situation develop an appropriate care plan. Having a set care plan makes it possible to easily identify when care is beginning to deviate from the care plan, resulting in lower quality patient care as well as risking patient safety. Quality indicators should be used to standardize all care for patients in restraints, making it less likely for the staff in this situation to experience issues. Another important indicator that can be used in this scenario is the prevention and management of pressure ulcers (Montalvo 2007). Nurses play an important role in the prevention of pressure ulcers.
However, when speaking to a client, using jargon and medical terms can be considered as inappropriate and confusing for the people involved. When Patients come into a hospital, they are concerned with their health and they would want to know as much information as a nurse can give them. By using the correct language, and knowing how much information to divulge, a nurse can positively contribute to the care of their client. (Wright, Lorraine M.; Leahey, Maureen. 2009).
In customary cases, a nurse will ensure that the right body part is marked. However, in this case there seemed to be lack of communication somewhere along the lines. When a wrong-site surgery takes place, a high-performance team is constructed and analyzes where the error in communication occurred. In this paper I will discuss the importance and roles of the high performance team. I will also discuss how open communication among the high performance team, and healthcare organization can reduce risks of errors.
For this assignment the poor and positive communication skills demonstrated by staff towards a vulnerable patient, and inter-professionally will be identified and analysis. The paralinguistic elements of communication such as the volume, tone and pitch of the voice, in addition to the speed at which the speaker speaks are all important to convey a message, as well as any attached emotions or attitudes (McCabe and Timmins, 2006). In this scenario the loud volume, high tone and pitch of the staff nurse’s voice is inappropriate when she communicates with the patient. The staff nurse comes across as very confrontational, and instead needed to employ a much quieter, softer and lower tone to create a more positive nurse-patient interaction. The Department of Health’s Essence of Care (2010) Benchmarks for communication states “All staff must demonstrate effective interpersonal skills”.
Confidentiality, integrity and availability of computerised patient information. Within this assignment I am going to explain the meaning of confidentiality, integrity, and availability in relation to the management of electronic patient records with in the NHS. These terms and their enforcement are imperative to patient record management. I will demonstrate via a scenario how easy it is to breach or lose patient information and these vital aspects of record management. For the purpose of patient safety (NMC 2009), and data protection all names and locations have been changed or omitted to maintain anonymity in accordance with the Data Protection act (1998).
Nursing Sensitive Indicators: Organizational Systems Gleidis Angeles Western Governors University Nursing Sensitive Indicators: Organizational Systems The knowledge of nursing sensitive indicator can be helpful in providing the patient care which meets the quality and ethical standards. Nursing sensitive indicators rely on evidence to take patient care decisions (Patrician, 2010). According to Patrician (2010), Evidence Based Nursing is the use of personal expertise and research to take decisions on patient care. In case of Mr. J, there is a clear lack of evidence based nursing. Mr. J was kept in restraint without considering that Mr. J was not trying to get out of bed by himself.
During my observation in placement I found it to be more applicable to older adult complaining to the nurses how constipated the feel. Therefore this project will be based on constipation among older adult with mental health. I will be discussing and analysing in line to clinical practise, followed by reflection and conclusion. I took it upon my interest to know how constipation affect older adult with mental health in line with the following; causes, medication, activities and nutrition. John (2003) reflection is a window through which I can view and focus self within the context of experience in ways that enable to comfort,understand and resolving the contradictions within practice of what is desirable and actual practise.
Additionally, because many medications have similar names illegible handwriting can cause the wrong medication to be dispensed; this type of error can also occur when prescriptions are given verbally since many medication names sound similar. Medication errors can also occur when the prescribed medication is contraindicated due to a patient’s other health conditions including allergies or other medications the patient is currently taking (Academy of Managed Care Pharmacy). Prevention Preventing medication errors is crucial to patient safety. Computerized physician order entry is a key technology in the prevention of medication errors. Through the use of this technology prescribers enter the prescription into the computerized patient chart.
The question is what role do nurses play when it comes to medication safety? Nurses play many different roles in the world of medicine; however the most important role is to assure that patients are receiving their medication safely. One of the recommendations to reduce medication errors and harm is to use the “Five rights: the right patient, the right drug, the right dose, the right route, and the right time” (Choo, Hutchinson & Bucknall, 2010, p.854). Verifying the patient’s identity ensures that the correct patient is receiving the medication, confirming that the medication written on the order is the same medication being prepared, ensures the right drug, dose and route is given. Some medications must be given at specific time, so it imperative to provide the medication to the patient at the correct time.