Complacency In Healthcare

The goal of this paper is to investigate the application of technology to reduce error in healthcare. The Institute of Medicine reports: to Err Is Human: Building a Safer Health System in 1999, which estimates of more than a million injuries and 100,000 deaths attributable to medical errors annually. This numbers of deaths are errors that resulted from medical errors..

But early on in my involvement with these projects, I recognized the pitfalls of this digital transformation. It shifted work from clerks and nurses to physicians, transforming doctors to data entry clerks. Patient visits became so tedious that many felt like they were sentenced to torture with a death by a thousand clicks. Many of my colleagues struggled, especially those who didn 't take Mr. Thayer 's typing class. Many were disillusioned at the prospect of future patient care, feeling stuck behind a computer screen, appearing incompetent in front of our patients, all the time being punished for not keeping up with their charts and inbasket messages.

Decision-making in the workforce is a process of responsibilities used by upper management to implement, enforce rules, regulations, and maintain a successful environment. Decision-making implemented more effectively by making a plan, thinking it through, accepting more than one opinion and determining what is best. However, decision-making often utilized more effectively by opening doors of opportunities for a suggestion, question, discussion, and feedback. Although, more involvement helps improve understanding, utilize behavior skills and present opportunities for better communication. Everyday life consists of decision-making, the right decision may not always be applied, but ensure room for improvement and opportunity. Individuals approached decision-making in many different ways. As stated by (Jones, Graham, & Bateman, 2006) decision making is a procedure used to recognize a problem, weigh the alternatives and evaluate a solution in which, certain situations will require different approaches to become effective.

The lucrative healthcare companies in America have created an immeasurable gap between good healthcare only being for the privileged upper class Americans which has left a horrible effect on the middle and lower class Americans. As modern medicine achieves new heights, the prices of healthcare seem to tread right behind maintaining an unbroken pattern that American classes have grown accustomed to over the past few decades of paying more for less. Leaving many Americans uninsured, underinsured, or even in debt. In a speech Bernie Sanders a U.S. Senator from Vermont spoke at a presidential campaign October of 2015 which he discussed the unruly problematic healthcare trend of price gouging, that is the medical industry getting the most it can from American citizens. In a blog Bernie Sanders states that “46 million Americans today have no health insurance and even more are underinsured with high deductibles and co-payments” (Sanders). 18,000 Americans die every year from preventable illnesses because they cannot cover the cost and don’t go to the doctor when they should. Sanders summed this situation up with this “Health Care is a Right, Not a Privilege” (Sanders). After researching the issue of healthcare, I have come to the conclusion that the American healthcare system is disintegrating due to the ravenousness of modern medical industries, first I will discuss a few reasons to why the healthcare system is failing the modern American

3. The use and characteristics of simulation - assessment in a simulated environment should only be used where evidence in the workplace will not be demonstrated within an

Raymond, a 78-year-old man living in a motel, is found by the housekeeper lying on the floor of his room, semiconscious. The motel manager calls 911, and Raymond is taken to the closest emergency room, where he lies on a gurney in the hallway for 6 hours before a physician examines him. Because it is unclear what is wrong with him and he cannot speak coherently, the physician admits him to the hospital for observation. Later, when it is determined that he had suffered a stroke; he is discharged to an inpatient rehabilitation facility that has no knowledge of his medical history including his current medications for hypertension and high cholesterol. He dies there several weeks later.

The world is not perfect. This is the phrase used by almost all humans because not all humans are perfect. These imperfections may include war, poverty, hunger, and much more. One of the world’s problems and at least in this country deals with women’s health. Health care is one of the imperfections here in the United States. Health care in the United States has been in hot topic both in past and recent years. Access and having adequate health care can be a real struggle for women and other social groups in this nation. There are different types of factors in which effect how certain people experience this type of low quality and inadequate health care.

In the latest survey, Americans rated the health system excellent with 6%as excellent, 27% believed the system is good, 39% graded as fair and 29% gave as poor. It is hypothesized that Americans have been misinformed by the fact that we can pay for top medical research, some of the most progressive technology in the world and the most current training and techniques for our clinicians. All these might unsighted the average American to the matters that are implanted in the health care System. No other advanced country is so displeased with their own healthcare system. Even if more is expended each year on healthcare, discontent steadily grows. Providers are more typically disappointed with the growing population that is being met which a lack of physicians and facilities which puts much more stress on them in the future. Rule makers are dissatisfied with the confrontation being met with citizens when frustrated with government overreach. Even though, rule makers are still persistent for health care modification to address noticeable systemic issues. Inclusive, there is a general disappointment with the American health care system.

1). Decision making by healthcare professionals is based on the assimilation of data, information and knowledge to support patient care. Organizing data, information and knowledge for the processing by computers is accomplished through the use of information technology and information structures (Newbold, 2008). The first level is data which “…are recorded (captured and stored) symbols and signal readings” (Liew, 2007, Definitions). Data is bits of information though to just have data is not meaningful to decision making. The second level is information which is organized, interpreted and communicated data between machines or humans. “Characteristics of quality information are: complete and clear in its descriptions, accurate, measurable, preferably by measurable objective means such as numbers, variable by independent observers, promptly entered, rapidly and easily available when needed, objective, rather than subjective, comprehensive, including all necessary information, appropriate to each user’s needs, clear and unambiguous, reliable, easy and convenient form to interpret, classify, store, retrieve and update” (Theoretical issues, 1998, Concepts). Knowledge is the third level of the model and is the collection of information that is obtained from several sources to produce a concept used to achieve a basis for logical decision-making. The information needs to be

Clinical Decision Support System (CDSS) has potential chances to enhance general security, quality what's more, cost-adequacy of human services. The CDSS has existed for over four decades, yet its selection rate by therapeutic groups is not empowering even in the nations that have been a pioneer in creating them. At numerous locales, it was hazardous, slowed down in the arranging stages or never at any point endeavored. To date, CDSS is considered as an incompletely effective framework. A few current difficulties have not been enough tended to amid the improvement of CDSS. According to most recent research, the arrangements of difficulties are: enhance the human-PC interface,

In the United State, hospitals, less than two-thirds of hospitals have any type of CDS. (Byrne et al., n.d.). We might be wondering why the use of CDC is low among health care provider, based on my study the following are some of the barriers in implantation of CDS: Usability issues (Byrne et al., n.d.). This include rate of the process of information, user what the information that he or she wanted as fasted rate as possible, it graphical User Interface is not as friendly as it should be. Secondary ,the CDS Alarms functionality include lists of possible diagnoses, drug interaction alerts, or preventive care reminders and the overused of theses alarm may lead to the clinician not paying too much attention to them as it would be seen as normal sound (Bolch, 2012).These are some of the way, in which these barrier can be remove, need for better user friendly design , if the interface is well design and easy to use more physician who like to use it in making clinical decision, There is needs for the vendor and researcher to address this design failure ("Clinical Decision Support (CDS) Initiative | AHRQ National Resource Center; Health Information Technology: Best Practices Transforming Quality, Safety, and Efficiency," 2014). It is imperative to customize CDS after it is implemented failure to do this can lead to failure. For example, disabling some of the alarm system that is redundant or lack practical value, and constantly training of clinician to ensure important reminder do receive necessary attention (Bolch,

The Carr (2008) article “Is Google Making Us Stupid?” examines if the use of computer tools for search, decision support, changes critical thinking skills in unintended, and potentially harmful, ways. In healthcare, the transition from paper-based records to electronic health records (EHRs) has not been a seamless endeavor. Further, what was once described as a revolutionary system that will transform patient care and enhance connectivity, now largely has a reputation for being time consuming and cumbersome. Ultimately, to date, EHRs and accompanying systems like EPIC have not lived up to their hype. During a 15 minute interview with a subject matter expert (SME), a tenured nurse, I asked questions pertaining to how the transition from paper-based records to an EHR has affected their daily work and whether she feels this technology has changed their clinical decision-making processes. Further we discussed issues related to patient confidentiality and whether or not their clinical problem solving and critical thinking skills were negatively affected.

The United States’ health care system is spiraling out of control as the years pass. Health care costs are increasing, causing more Americans to fall into debt.1 In 2012, the cost per hospital day in the United States was over $12,000 as compared to other countries such as Australia and France, whose cost per hospital day were $1472 and $853 respectively.1 “If the United States health care system was a country, it would be the sixth largest economy on the entire planet.”1 In the comparison of health care and gas, a family of four spends roughly $21,000 on health care while only spending $3000 on gas per year.1 While the cost of health care is rising in the United States, the health of Americans is not increasing. In 2016, the life

The health care industry is constantly evolving and is one of the most complex industries in modern business. Changes in the health care is influenced by political forces, the economy, and advancements of technology. The demand for improved access to high quality health care services and the number of the uninsured population have increased the need for political forces to intervene to ensure equal access to affordable health care. Political forces establish the laws and policies that have shaped the delivery of health care for the population in an effort to improve access and quality while emphasizing cost containment. For example, the Affordable Care Act (ACA) of 2009 increased access to health care by making health insurance affordable for the insured and uninsured,

The patchy and skewed state of the U.S. health care system has become an advocate for payment and delivery system reforms. Traditional fee-for service (FFS) payment structures increase volume rather than quality care, and lead to a provision of medical services across the disjointed provider scenery. Despite several attempts to recover care delivery, health care costs continue to escalate. The Accountable Care Organization (ACO) model seeks to reverse the trends by stimulating a synchronized restructure of the payment and delivery systems to attract higher quality, lower cost care.