The Influence Of Integrated And Non- Integrated Lab Results On Direct And Indirect Patient Care And Nursing Practice

The Influence Of Integrated And Non- Integrated Lab Results On Direct And Indirect Patient Care And Nursing Practice

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The impact of integrated and non- integrated lab result reporting and review technologies on direct and indirect patient care and nursing practice. Best practices for the field. Advantages and Disadvantages.
The use of electronic medical records (HER) has the potential to ensure the review and follow up of lab results, in the hospital and clinic settings nurses ensure completion of this task. The protocols in place for the reporting of critical lab results with a phone call report to the nurse or ordering physician in the majority of hospitals and clinics. However, numerous studies have addressed the shortcomings for technology that alerts nurses and providers for abnormal lab results review and follow-up. Nurses spend a large amount of their work day on the indirect patient care of paperwork in the form of unlicensed assistive personnel, charting, lab order processing, initial review of lab results, coordination of further testing and follow-up lab testing. In addition the direct patient care task of performing lab draws, education for purpose of lab testing and education of diagnosis and care planning associated with the lab results (Agency for Healthcare Research and Quality, 2015). It is well documented that nurses are responsible for a significant portion of the healthcare provided. Nurses make up the largest group of healthcare providers, with responsibilities for direct patient care, coordination of care and communications (DesRoches, Donelan, Buerhause, & Zhonghe, 2008).
The lack of an integrated alert and reminder system in the EMR presents a disadvantage to continuity of care and the intent of the EMR for improved patient care and outcomes. The ability of lab results to feed into the EMR presents and advantage when this ...


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...data entered, altered or accessed. The ability to use Metadata as a tracking measure for the accomplishment of abnormal lab review and follow-up provides an avenue for risk management assessment.
In conclusion, health care providers and nurses spend a large amount of their daily work involved in the review and follow up of abnormal lab test results. The ability to alert and remind providers and nurses to accomplish this tasking is essential to quality patient care outcomes, the prevention of adverse events and improved work flow. However, in choosing the EMR system providers and nurses must consider their use in the clinical work place, ease of use and the additional ability of quality safety oversight. Keeping in mind the most important aspect, the timely, thorough completion of documentation that results in allowing increased time spent on direct patient contact

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