Computerized provider order entry systems, or CPOE, was designed as a computer application that would allow physicians to input their medical orders over a secured network and transmit the data to other healthcare professionals to carry out the orders. This system has the capabilities to include standard physician orders, clinical decision support for patient specific conditions, safety alerts, point of care utilization, and a method to securely keep permanent records (Moniz, 2009). With the safety guards provided by CPOE it has the potential to reduce the number of medical errors thus increasing the medical field’s efficiency in patient care. CPOE’s main focus surrounds the nursing utilization of electronic medical administration records,
Having an ethical mind while considering safe medication administration proves crucial for nurses around the world. Certain actions may promote or obstruct medication safety and nursing care. While I further my career in the field of nursing, I will need to be sure to practice safe medication administration skills to keep my patients
Healthcare Management: First Student’s Response: The use of technology in the patient care field is mainly for preventing errors and undesirable events such as miscommunications, medication errors, and treatment delays. The earliest use of technological devices in health care was primarily in administration, particularly computerized budgeting and fiscal planning. However, during this period, clinical offices used computer programs that were specifically developed to meet their needs (Bhaskar, 2009). While these earlier systems contributed to several benefits in healthcare, they were associated with certain weaknesses and shortcomings. Some of these weaknesses included the fact that standardization of record keeping and assimilation of computer systems through electronic clinical patient records delayed.
Even if a patient’s internal factors and/or state of well being keep him from being positive and engaged in his treatment, the environment and nursing care provided for him will make the difference in his attitude. This in turn will give him the energy and willingness to assist in his/her own recovery and get better. Professional values that are incorporated into my nursing practice include veracity, kindness, support and understanding. It is important to be honest with patients and help them set realistic goals during their recovery process. It is also important to be kind to those that are ill, as they may not have the best attitude at tim... ... middle of paper ... ... they can accomplish, can affect the outcomes of their actions.
Bedside emergency chest reopen should be done by the surgeon or a trained healthcare provider when a patient undergone a post cardiac surgery suffer a cardiac arrest for example temponade , as the impact on performing this procedure can delay death. Dunning J and Nandi J (200... ... middle of paper ... ...h and Garneau (2011) it is more flexible to adapt the changing roles of nursing if the NM apply democratic styles in management and leadership to change the organization. They will feel worthy and valued in an organization if the NM is able to empower the staffs in making decision or share their power to promote a positive attitude and work environment (Kane-Urrabazao 2006). Therefore it is very important for the organization or the hospital to have a NM with good leadership skills which can influence people and make changes. A good communication skill is needed by the NM in dealing with the organization and it is very vital especially in managing change.
The research conducted in these articles highlighted the fact that educating staff led to improved patient outcomes in relation to nosocomial CLABSIs. This is a small change that can have a huge impact and would be advantageous to providing quality patient care by decreasing the risk of developing CLABSIs in patients across all nursing care areas of practice. Change comes with disadvantages and challenges which can be difficult to overcome. People are creatures of habit and often find it difficult to adapt to new methods of doing things. Implementing a new change also requires time to research the best policy, time to educate staff, cost to retrain staff, and possibly cost for new equipment needed to implement the change.
The data from putting the two together is used to improve the care provided in the hospital. The second principle was to focus on the patient and his or her needs (U.S. Department of Health and Human Services, 2011). This is very important for patient safety because if the improvement the organization is making does not benefit the patient and fulfill their needs then there are multiple risk factors for medical mistakes. The improvement should include patient access, care that is given to the patient should be evidence-based, patient safety, encourage patient participation, and patient involved communication. The third principle was team effort.
One is being work-arounds of the system that staff may exercise which cause lead to different or increase of errors. Ignoring overrides warnings as they displayed to the user could create issues as well. Medication errors are still likely to happen during the medication process however barcode technology can help reduce the frequency by providing a safety net within the process. The main goal for the nurse during medication administration is that the patient receives the correct medications with no adverse reaction and barcode technology can assist preventing errors during the process (Seibert, Maddox, Flynn, & Williams 2014).
Healthcare organizations are committed to providing clients with quality service and experience while promoting safety, health, and healing. Nurses have the biggest impact in providing safe client care and are known for their commitment in improving or increasing client health. However, this ethical commitment may not always be met due to breakdowns in healthcare delivery. Deviations such as adoption of unsafe practices or behaviors can lead to sentinel events. Any disconnects or disruptions can be a detriment to client care.
The main quality initiative affected by this workaround is patient safety. The hospital switched to computer medication administration as opposed to paper medication administration documentation because it is supposed to be safer. So, when the nurse gets the “wrong medication” message the computer thinks something is wrong, this is a safety net that is built into the computer system. If the nurse were just to administer the medication without any further checks, he or she would be putting patient safety on the line. The policy involved that pertains to this workaround is the “8 rights of medication administration”, which are: right patient, right medication, right dose, right route, right time, right documentation, right reason, and right response (LippincottNursingCenter®, 2011).