Technology And Medical Information Systems

Addressing the Quality Issues That Color the Actualization of New Reform Aspects Brought About by the Affordable Care Act Using a Clinical Information System Informatics

Medical errors have become one of the major focuses of the health care industry since the Institute of Medicine released its report in the year 1999, The Err Is Human. During that time there was an estimated ninety eight thousand people dying a year in hospitals due to medical errors. Naturally this struck fear into people and caused many to question a lot of things being done in health care facilities. According to more recent studies, it has been noted that as many four hundred and forty four thousand people die each year from a preventable medical error. That is only the death toll as a result of a medical error, not the actual number of individuals that endure a medical error each year. With statistic numbers like these, health care facilities are sacrificing large numbers of patients that equal out to the number people within fairly large cities and states. With this number of people dying alone as a result of

Reducing the incidence of medical error by improving the accuracy and clarity of medical records.

Physicians often reach erroneous diagnoses by following set pathways hard –wired from years of training and experience. ( Wen & Kosowsky, When Doctors Don't Listen: How to Avoid Misdiagnoses and Unnecessary Tests)Doctor’s do not spend enough time with a patient taking a conscientious history. “At least I in every 20 adults who seeks medical care in a Cumulated States emergency room for community health clinics may walk away with the erroneous diagnosis, according to an incipient analysis that estimates that 12 million Americans a year could be affected by such errors.’’ (Raedle, 2014). They rely on anatomical test, such as MRI, CT, and X-rays to make diagnoses. Anatomy is taking pictures. There is no picture of pain. Physicians need to do physiological test, such as instant discogram, facet block, root block, nerve block, bone scan, neurometer studies for sensory nerves, indium 111 scans, PET scan. For example: the medico told my mother that she is suffering from GERD when later in India we ascertained my mom is suffering from cardiomyopathy( enlargement of the heart). By edifying the patient the paramount of providing, the essential information on their illness to the physician, and ascertaining the medico heedfully aurally perceives them, the likelihood that the medico makes the correct diagnoses Increases substantially. With even a supplemental 10 minutes with patients,

There should be non-punitive policy for recording of errors and near-misses. So, that practitioner can disclosed their mistake without any fear (Lambton College in Toronto,2017). Easy and effective incident report system should be implemented to save the time and work load. Provision of training related to reporting system should be there to clear all the doubts of health personnel and improve quality of care (Douglas & Peter, 2010).

According to the report it was estimated “that as many as 98,000 people die in the U.S. every year from avoidable medical errors” (Dephillips, 2007). As an outcome, healthcare industry eventually started to consider the role of technology to prevent medical errors. Most medical errors are predicted to be associated with the patient data. This patient data could be in terms of a medical history, test results, or a reaction to a particular medication.

Wk9 Assignment 9.1 Ernest Prince 10/28/2016 I am originally from Nigeria and where I grew up we were technologically disadvantage the only system I saw at an early age was a typewriter. I remember watching on the television people using computers and the internet I promised to take it on myself to learn if given the opportunity. The first thing I started doing before I had the opportunity to use the system was to personally start educating myself by buying the book titled “computer for dummies”, I started practicing even without a computer to practice on I was not deterred but resumed picturing the image of all keys and functions until the day when I finally got the opportunity to use a computer everyone around me was surprised at my vast level

In the field of Health Information Technology we have to be able to determine the difference between a series of health records and what they are used for. As a Health Information Technician we need to be able to provide legal action or information in civil cases and to be able to understand and follow code of ethics and laws that are in place for a health record. It is important for a Health specialist to protect health information at all times to prevent any illegal threats from occurring. As a health specialist we also have to protect the confidentiality of a client or patient information and what makes a health record a legal health record? However, the law is represented as governing rules that are designed to citizens in a living

As a nurse, I have been diligent in sharing the importance of problem solving, critical thinking and research with the public. I have succeeded in assisting the public to understand actions of nurses, which involves more than just nurturing. I have also helped in surveying and assessing risks, identifying the goals of clients and maintaining, prioritizing care, as well as organizing independent actions. In order to maintain and gain the respect of clients in healthcare, I have emphasized and communicated the skills and knowledge within professional nursing practice (American Nurses Association, 2008). I was obligated to provide reimbursement of nursing services within the requirement that I save live lives, save money, prevent suffering and prevent complications. To achieve access and reimbursement of resources, I have articulated the appropriate cognitive abilities to offer competent care to patients. My professional interests have been in the area of medicine; provision of safety care to clients and promotion of quality health care to patients. This is my area of mandate that seeks to improve the outcomes of patient care (Cesnik & Kidd, 2010). Summarize how informatics has impacted or changed nursing practice. Provide an example from your professional experience.

The majority of diagnostic tests are done using automatic and efficient machines yet so many diagnostic errors are happening therefore we need to find out where are we going wrong. Researchers argue that physicians underestimate the probability of overconfidence as being the cause. Physicians agree that diagnostic errors exist but believe that they are personally unlikely to make a mistake and tend to ignore decision support tools even though they are known to be valuable when used. Medical errors, in general, and diagnostic errors, in particular, are very common and of concern. According to a survey, where the extent to which patients and physicians have encountered such an error was measured, 35% of patients and 42% of physicians reported

Health Informatics created two main categories such as clinical and administrative information systems to meet the needs of one or more department within the health care organization. For the clinical information system, it is set to meet the needs in improving patient care. Therefore, the clinical information system (CIS) categories provide nurses information systems (NIS) that support the way nurses documents the care that given to the patients. However, to improve the delivery of nursing care, the healthcare organization must adopt a computer system that can successfully incorporate tools that will benefit nursing. There is two vendors’ software that implies these characteristics for the

There is a lack of economic information related to establishing, implementing and sustaining the discharge navigation program. It was very difficult to get the project financed. Initially it was difficult to obtain top leadership support for the financing of the program.

A computer program that several doctors and hospitals are now using to manage patient care is a clinical decision support system (CDSS). These programs theoretically will compile the patient’s medical history, access the long term treatments, and help in the diagnosis process with the information accumulated from multiple areas within the program. The four main functions of the program are administrative, managing clinical complexity and details, cost control and decision support. The systems have been created for time management, to retain more precise records and to assist in the diagnosis process for physicians. This allows for consistent and standardized care.

Clinical information systems are used to store, collect, and retrieve information for use in the healthcare delivery process. This is where information such as patient demographics, history, and provider care are stored (Biohealthmatics.com, 2006). Some examples of clinical information systems are patient registration systems, laboratory information systems, emergency medical systems, and clinical decision support systems. Patient registration systems involve the admission, discharge, and transfer of patient demographics and insurance information. These systems must be linked to all departments to increase the quality of patient care. Laboratory information systems are used for reporting test results as well as a wide variety of other tasks

After the enactment of the Affordable Care Act many Americans still remain uninsured. While not completely known why this discrepancy exists, research concludes the Americans who are uninsured may not know or understand how the Affordable Care Act works or healthcare systems altogether due to the complexity of technology and lack of awareness advertised. Consequently this research also proposes efforts to assist in reducing or eliminating the number of uninsured Americans which suggest that, Americans first and foremost must be equipped with a greater understanding of the healthcare system. In addition to bridging the knowledge based gap, healthcare organizations need a collaborative information system that is accessible to healthcare professionals for improved immediate patient care which also provides the patients the ability to access their records.