Emerging Technology Brief NUR 514
Emerging Technology Brief NUR 514
Emerging Technology Brief NUR 514
Description:
New healthcare innovations allow the advanced registered nurse to apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging healthcare technology that you think has the potential to overcome current or emerging barriers to care.
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Emerging Technology Brief Paper
Today’s primary concern in healthcare practice is the inefficiency and human errors in medical and health processes like surgery and other intensive care interventions. Medical errors emanating from human issues lead to increased delays, limited access to health care services, and more mortality and morbidity rates.
These issues have necessitated the development of autonomous and semi-autonomous medical equipment like robots through artificial intelligence. The primary purpose of artificial intelligence is to make computers more useful in generating solutions to problematic healthcare issues (Secinaro et al., 2021).
This paper aims to discuss artificial intelligence as a healthcare technology that can potentially address the emerging barriers in healthcare provision.
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Overview of the Emerging Technology and Its Role in Health Care
Artificial intelligence makes computers more essential in solving problematic healthcare issues as they allow providers to interpret data to diagnose chronic conditions like diabetes, Alzheimer’s disease and various types of cancers.
Using AI for trial reasons will assist the healthcare sector in the future to develop biomarkers to detect different types of conditions like cancers during the screening process. AI allows healthcare providers to interpret data, for instance, on the fight against the coronavirus disease 2019 (COVID-19) pandemic.
The next generation of radiology tools is developed through artificial intelligence (AI). Studies show that brain-computer interfaces can drastically enhance the quality of life for patients with terminal conditions like Alzheimer’s disease, strokes and individuals with spinal cord injuries worldwide (Secinaro et al., 2021).
Deep learning models can assist in predicting old and new drugs and treatments that may be effective on COVID-19. Institutions are using AI to develop prototype vaccines and treatment for COVID-19. Therefore, AI is a critical aspect of tackling the COVID-19 pandemic.
Artificial Intelligence can potentially enhance access to care and promote patient safety and quality. AI leverages on interpretation of data to ensure that health care providers make better decisions and take optimal actions to offer the best care and minimize medical errors.
With more computer-based tools and interventions, many patients can access care from remote locations, especially those suffering from terminal conditions like diabetes and strokes (OECD, 2020). Information from COVID-19 tracing apps and applications like DeepMind demonstrate how AI can offer interventions for quality care delivery for patients and health organizations tackling the pandemic.
Ethical and Legal Issues in Incorporation of Artificial Intelligence
AI, as a powerful technology, brings a whole new set of ethical and legal issues concerning different aspects like safety, privacy, and preferences. Patients may not embrace this technology since their information and data are accessible and can be interpreted for different purposes without their explicit authorization.
Many patients are still apprehensive about the current COVID-19 monitoring and tracking apps that different health organizations and governments are using to access their movement. There will be some limits of patients who full do not understand how AI can help improve their health and confer benefits (OECD, 2020).
The implication is that there is a need for increased awareness among providers and patients on the critical role of AI in healthcare and how it can help reduce adverse events for those with chronic conditions like diabetes. The legal aspects of AI also require streamlining to ensure that patient’s health information is not compromised and used for purposes other than healthcare improvement and quality care.
Informatics Nurse’s Role Concerning Artificial Intelligence
The informatics nurse plays a critical role in information dissemination and use of health information technologies for effective care delivery and innovation models. The use of artificial intelligence (AI) in health care demonstrates innovative models that providers and organizations are leveraging to enhance quality care outcomes for patients, especially at this pandemic time (Pee et al., 2018).
Therefore, informatics nurses are experts who advise their organizations and help set up systems to incorporate AI technology for quality care and better services. The nurse informatics role is to ensure that facilities leveraging on AI adhere to the existing legal protocols and laws as well as embrace ethical values to protect patient information (Booth et al., 2021).
Nurse informaticists must use the most appropriate channels to offer better software and hardware to ascertain that AI works for patients and organizations based on the set goals and objectives.
Role of Workflow Analysis, Human Factors & User-Centered Design Concepts
Workflow analysis and human factors are critical to the overall success of artificial intelligence in health care. The study of the workflow allows providers to identify areas that need improvement and can benefit from AI technologies. At the same time, human factors like human resource availability ensure that facilities have the requisite abilities and expertise to roll out better technologies to improve care provision.
The user-centered design concept means that AI should benefit users, especially patients and not the healthcare providers alone (Islam et al., 2021). In this case, the ultimate focus should be increased benefits for all stakeholders based on AI’s features when integrated into the health system and network.
Conclusion
Emerging technologies in healthcare are essential to enhancing quality care and patient outcomes. These technologies, like artificial intelligence, are revolutionizing the overall care experience for patients and helping nurse practitioners and other professionals to offer better interventions and enhance accessibility.
Informatics nurses must ensure that they help implement artificial intelligence in their practice settings to improve overall care delivery as innovative models in healthcare.
References
Booth, R., Strudwick, G., McMurray, J., Chan, R., Cotton, K., & Cooke, S. (2021). The Future of
Nursing Informatics in a Digitally-Enabled World. In Introduction to Nursing Informatics (pp. 395-417). Springer, Cham.
Islam, M., Poly, T., Alsinglawi, B., Lin, M., Hsu, M. and Li, Y. (2021). A State-of-the-Art
Survey on Artificial Intelligence to Fight COVID-19. Journal of Clinical Medicine, 10(9), p.1961. https://www.mdpi.com/2077-0383/10/9/1961/htm
Organization for Economic Co-operation and Development (OECD) (2020). OECD Policy
Responses to Coronavirus (COVID-19): Using artificial intelligence to help combat COVID-19. https://www.oecd.org/coronavirus/policy-responses/using-artificial-intelligence-to-help-combat-covid-19-ae4c5c21/
Pee, L. G., Pan, S. L., & Cui, L. (2019). Artificial intelligence in healthcare robots: A social
informatics study of knowledge embodiment. Journal of the Association for Information Science and Technology, 70(4), 351-369.
Secinaro, S., Calandra, D., Secinaro, A., Muthurangu, V., & Biancone, P. (2021). The role of
artificial intelligence in healthcare: a structured literature review. BMC Medical Informatics and Decision Making, 21(1), 1-23. DOI: https://doi.org/10.1186/s12911-021-01488-9
Write a 500-750 word brief. Include the following:
- Please provide an overview of the emerging technology and its role/function in health care. Consider its potential for improving access to care and promoting patient safety and quality.
- Describe ethical or legal issues that would accompany the incorporation of the technology.
- Explain the nurse’s informatics role in regard to the technology. Provide examples of the roles and job functions.
- Outline the role of workflow analysis, human factors, and user-centered design concepts for your chosen technology example.
Refer to the study materials for samples and resources to help you construct your brief.
You are required to cite three to five sources to complete this assignment. References must be published within the last five years and appropriate for the assignment criteria and nursing content.
Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style, formatting criteria, and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your article.
Prepare this assignment according to the guidelines in the APA Style Guide in the Student Success Center.
This assignment uses a rubric. Please review the title before beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is in Course Materials if you need assistance.
Topic 6 DQ 1
Description:
How can informatics help healthcare providers overcome current or emerging barriers to care and increase access to safe, quality healthcare? In your response, include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care.
Why are heuristic principles (human factors/usability/user-centered design) important for efficient clinical information systems such as CPOE and CDSS?
Topic 6 DQ 2
Description:
Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care. How can workflow analysis be used to identify issues related to interoperability?
Topic 6: Improving Access and Quality Care through Health Care Informatics and Health IT
Description
Objectives:
- Analyze the role of health information technology and informatics in improving access to care and promoting patient safety and quality.
- Analyze the critical role of health information and technology standards and interoperability in improving access to care and exchanging health information.
- Discuss best practices for implementing informatics technologies that impact advanced practice nursing and care delivery, including clinical provider order entry (CPOE) and clinical decision support systems (CDSS).
- Evaluate the role of workflow analysis, human factors, and user-centered design concepts in developing health information technologies.
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Read Chapters 12-14 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Nursing Informatics and the Foundation of Knowledge
Description:
Read Chapters 2, 9-11, and 13 in Nursing Informatics and the Foundation of Knowledge.
EMR vs EHR – What Is the Difference?
Description:
Read “EMR vs EHR – What Is the Difference?” by Garrett and Seidman (2011) on the Health IT Buzz website.
What’s the Difference Between Health Informatics and Health Information Management?
Description:
Read “What’s the Difference Between Health Informatics and Health Information Management?” by the College of St. Scholastica (2019) on the college’s website.
Quality Measures
Description:
Read “Quality Measures,” located on the Centers for Medicare and Medicaid Services (CMS) website (2016).
Writing an Issue Brief
Description:
Read “Writing an Issue Brief,” located on the American Association of Colleges of Pharmacy (AACP) website (2016). This resource will help you complete the Topic 6 assignment.
The Mechanics of Writing a Policy Brief
Description:
Read “The Mechanics of Writing a Policy Brief,” by DeMarco and Tufts, from Nursing Outlook (2014). This resource will help you complete your Topic 6 assignment.
A Usability Study to Improve a Clinical Decision Support System for the Prescription of Antibiotic Drugs
Description:
Read “A Usability Study to Improve a Clinical Decision Support System for the Prescription of Antibiotic Drugs,” by Akloufi, Verhaegh, Jaspers, Melles, van der Sijs, and Verbon, from PLOS ONE (2019).
American Health Information Management Association (AHIMA)
Description:
Explore the American Health Information Management Association (AHIMA) website.
Agency for Healthcare Research and Quality
Description:
Explore the Agency for Healthcare Research and Quality (AHRQ) website.
American College of Nurse-Midwives Library
Description:
Explore the issue briefs available on the ACNM Library page of the American College of Nurse-Midwives (ACNM) website. This resource will help you complete your Topic 6 assignment.
Topic 6 Participation
Description:
New healthcare innovations allow the advanced registered nurse to apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging healthcare technology that you think has the potential to overcome current or emerging barriers to care.
Write a 500-word brief that provides an overview of the technology, its purpose, and how it would function in a healthcare setting, including any ethical or legal issues accompanying the incorporation of the technology. Discuss how this technology could improve access to care and promote patient safety and quality.
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Refer to the Topic 6 materials for samples and resources to help you construct your brief.
You are required to cite three to five sources to complete this assignment. References must be published within the last five years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected. Documentation of sources should be presented using APA formatting guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric before beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Emerging Technology Brief
Healthcare innovations allow advanced registered nurses to use emerging technology to enhance quality patient outcomes. As an emerging technology, electronic health records (EHRs) provide nurses and other healthcare providers with increased benefits in providing care for patients in their clinical settings.
Electronic health records do more than collecting and storing patient information (McBride et al., 2018). Increasingly, these records not only compute but also communicate the data and provide insights that make a difference in the care provision and treatment process. As such, this essay describes electronic health records as an emerging technology whose use continues to expand in health care provision.
Electronic Health Records: Overview, Purpose, and Function in Health Care Setting
An electronic health record (EHR) is a digitized version of a patient paper chart and information. EHRs are patient-centered records that make data available instantly and securely to authorized users. An EHR system is built due to the need to store standard clinical data gathered in a provider’s office and can include a comprehensive view of a patient’s care (Evans, 2016).
Imperatively, EHRs are a critical component of health IT that allows nurses to access evidence-based tools to make decisions concerning a patient’s care. EHRs also automate and streamline providers’ workflow.
These systems also contain a patient’s medical history, medications, diagnoses, and relevant information on allergies, laboratory, test results, and treatment plans. Again, data shared in an EHR system can help clinicians select the proper medication for patients with allergies. Nurses leverage electronic health records to make better and more informed decisions on the kind of care they should provide to individual patients.
The passage of the Health Information Technology for Economic and Clinical Health (HITECH) in 2009 has led to increased use of electronic health records (EHRs) as a means of documenting health care delivery in acute care settings and guiding care decisions made by nurses based on this information and consulting with other providers, especially physicians (Jenkins et al., 2018).
In their study, McBride et al. (2018) assert that electronic health records in health settings have increased with a saturation rate of over 90% as a critical aspect of enhancing care outcomes and patient safety.
Ethical or Legal Issues
The incorporation of electronic health records presents ethical and even legal issues that should be addressed based on existing legal and ethical frameworks by regulatory agencies and professional associations like the American Nurses Association (ANA) (Jenkins et al., 2018).
Studies show that meaningful use of EHRs improves care in many aspects, and nurses experience increased satisfaction by applying the technology (Robin, 2016). However, mounting evidence shows that the same systems can result in unintended impacts impacting patient safety and contribute to the provider’s moral distress.
For instance, nurses and clinical teams encounter usability complications that present ethical issues and need ethical decision-making approaches.
Among the ethical issues concerning EHRs is patient privacy and security risks. As required by Health Insurance Portability and Accountability Act (HIPAA), a breach of confidentiality can lead to legal challenges since providers are not required to share private information concerning a patient (Balestra, 2017). The risk of a breach happening is higher when using EHR systems. Therefore, nurse practitioners must avoid unauthorized access to patient information.
EHRs in Improving Access to Care and Promoting Safety and Quality
At the core of EHR systems is enhancing quality outcomes and health access through easy information availability and sharing with other providers (Jenkins et al., 2018). Further, EHRs are critical in patient safety since they contain information concerning medications and history for effective decision-making and adherence to specific rules to reduce potential medication errors.
Conclusion
EHRs as health and medical technologies are an accepted standard that has led to better decision-making, enhanced quality outcomes, and increased patient engagement in their treatment process. As such, providers should leverage on EHRs to improve quality, make better and evidence-based decisions and interventions, and engage patients to improve care delivery.
Current Law
Laws related to the use of AI focus on the impact of the technology on safety to the patients receiving the care. According to Yu, Beam & Kohane (2018), robots should not be used as replacement for human doctors.
In essence, the machines should guide decisions in care but not be used singly without the intervention of a trained clinician. However, Mamoshina et al. (2018) suggest that the use of AI for diagnosis is a medical malpractice law as it violates the standards of care and due diligence required to realize a standard of care.
In essence, AI machines are likely to yield overwhelming legal as well as ethical pressure that human doctors may not understand. Preliminary evaluation in the use of AI indicates that the technology may be compounded by lack of transparency which can compromise the quality of care.
Background
Organization policy: Improved efficiency by using the latest technology to improve care.
Action:
- The use of robots for surgical procedures
- Use of AI for electronic health records
- Implementation of AI to dispense prescription drugs
Evidence-based: Robots have been successfully used to conduct surgeries, and as the procedures are less invasive due to the use of small incision blades (Verghese, Shah & Harrington, 2018).
Regulatory Framework:
- The use of robots is accepted if it guarantees the safety to patients.
- The use of AI adheres to the ethical practice in the standard of care for patients
References
Jha, S., & Topol, E. J. (2016). Adapting to artificial intelligence: radiologists and pathologists as information specialists. Jama, 316(22), 2353-2354.
Mamoshina, P., Ojomoko, L., Yanovich, Y., Ostrovski, A., Botezatu, A., Prikhodko, P., … & Ogu, I. O. (2018). Converging blockchain and next-generation artificial intelligence technologies to decentralize and accelerate biomedical research and healthcare. Oncotarget, 9(5), 5665.
Verghese, A., Shah, N. H., & Harrington, R. A. (2018). What this computer needs is a physician: humanism and artificial intelligence. Jama, 319(1), 19-20.
Yu, K. H., Beam, A. L., & Kohane, I. S. (2018). Artificial intelligence in healthcare. Nature biomedical engineering, 2(10), 719.
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Course Code Class Code Assignment Title Total Points
NUR-514 NUR-514-O501 Emerging Technology Brief 125.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Emerging Technology Brief 100.0%
The Emerging Technology, Its Purpose, and How it Would Function in a Health Care Setting, Including Any Ethical or Legal Issues That Would Accompany the Incorporation of the Technology 35.0% A discussion of the emerging technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology, is not included.
A discussion of the emerging technology, its purpose, and how it would function in a healthcare setting, including any ethical or legal issues accompanying the incorporation of the technology, is present, but it lacks detail or is incomplete.
A discussion of the emerging technology, its purpose, and how it would function in a healthcare setting, including any ethical or legal issues accompanying the incorporation of the technology, is present. A discussion of the emerging technology, its purpose, and how it would function in a healthcare setting, including any ethical or legal issues accompanying the incorporation of the technology, is clearly provided and well-developed.
A comprehensive discussion of the emerging technology, its purpose, and how it would function in a healthcare setting, including any ethical or legal issues accompanying the incorporation of the technology, is thoroughly developed with supporting details.
Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 10.0% Surface errors are pervasive enough to impede meaningful communication. Inappropriate word choice or sentence construction is employed.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. The sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader.
Diverse and correct sentence structure and audience-appropriate language are employed. The prose is essentially free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. The writer is clearly in command of standard, written, academic English.
Required Sources 5.0%
Sources are not included. The number of required sources is only partially met. Several sources needed is met, but authorities are outdated or inappropriate. Several required sources are met. Sources are current, but not all citations are appropriate for the assignment criteria and nursing content. A number of required resources are met. Sources are current, and appropriate for the assignment criteria and nursing content.
Presentation 10.0%
The piece is not neat or organized and does not include all the required elements. The work is not neat and includes minor flaws or omissions of necessary elements.
The overall appearance is general, and major elements are missing. The overall appearance is generally neat, with a few minor flaws or missing elements.
The work is well presented and includes all required elements. The overall appearance is neat and professional.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 10.0% Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are written, as appropriate to the assignment and style, although some formatting errors may be present.
Sources are documented as appropriate to the assignment and style, and the format is mostly correct. Sources are completely and correctly documented, as appropriate to the assignment and style, and format is free of error.
How This Technology Improves Access to Care and Promotes Patient Safety and Quality 30.0% A discussion of how this technology improves access to care and promotes patient safety and quality is not included.
A discussion of how this technology improves access to care and promotes patient safety and quality is present, but it lacks detail or is incomplete.
A discussion of how this technology improves access to care and promotes patient safety and quality is present.
A discussion of how this technology improves access to care and promotes patient safety and quality is clearly provided and well-developed.
A comprehensive discussion of how this technology improves access to care and promotes patient safety and quality is thoroughly developed with supporting details.
Writing an Issue Brief
Writing an Issue Brief
The issue brief is a short, written document that:
- states the issue for consideration;
- indicates a recommendation for action;
- provides supporting information relevant to the issue and recommendation;
- lists references for the supporting information and other resources as necessary; and provides contact information.
To be effective the length of an issue brief should be no more than two pages (front and back of one sheet of paper). That is why they are sometimes referred to as one-pagers.
If the issue brief is to be used among members of an organization the information presented in the issue brief should be consistent with and reflect any organizational policy or agenda.
The information presented in an issue brief can be assembled by using the information used in the development of an organizations advocacy agenda.
The Framework of an Issue Brief
Issue
State the issue for consideration. Briefly state what is important to you in the context of a current public policy issue and the relevance of the issue to your intended audience.
Recommendation
State the action you seek in connection with the above-stated issue. The recommendation may indicate the issue’s continuation, elimination, or amending.
Current Law
List any current law or regulatory framework that authorizes or supports the issue.
Background
Provide supporting information relevant to the issue and recommendation:
- List any organizational policy that supports or is relevant to the issue;
- List the actions you employ or activities in which you engage in that demonstrate the importance of that issue to you;
- List the current evidence base that supports your actions or activities or suggests that these actions or activities lead to a given outcome; and
- List the evidence base used to establish the laws or regulatory framework listed above.
References/Resources
- List the appropriate citations for the evidence-base you provide within the issue brief.
- List any additional resources that you deem important to support your recommendation.
Contact Information
List the individuals the recipient of the issue brief can contact for more information about the issue.
Topic 6 DQ 1
How can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response.
Nursing informatics refers to a “specialty that combines nursing science with numerous information and systematic sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice” (McGonigle & Mastrian, 2018). Nursing informatics help improves nursing practice and enhances the quality of care.
On the other hand, health informatics is the acquisition, storage, retrieval, dissemination of healthcare information to promote quality patient care” (USF Health, 2020). Health Informatics fosters safe patient care as it allows healthcare providers to access patient data. It also encourages better collaboration among a patient’s numerous healthcare providers.
There are many ways that health informatics improves patient care. One way is maintained medical records: the development of electronic health records (EHR) has made the management of patient records convenient and safe because healthcare providers can access the data easily. The second way is the reduced cost.
EHR helps reduce medication errors and prevents replication of tests and labs because providers can check the database to ensure that the intended tests have not been completed recently, thus reducing the cost.
The third way that EHR improves care quality is by lessening trial and error. With EHR providers, and pharmacists can easily reconcile medications, therefore, reducing medication interactions, allergic reactions due to polypharmacy. Patients can easily self-manage their illnesses. The EHR allows patients to access their health information easily.
Utilizing CPOE helps improve patient care as it is efficient, cost-effective, and prevents medical errors. With the CPOE, the computers remind the providers “what to do, what they already know how to do, and what they want to do, in a manner that makes it easy to implement, resulting in an efficacious computerized decision support system”(Kroth, 2016). For instance, CPOE auto-populates order sets for the providers which, are efficient and effective.
References
McGonigle, D., Mastrian, K. (2018). History and Evolution of Nursing Informatics. Nursing Informatics and the Foundation of Knowledge (4th ed., pp. 104-116). Burlington, MA: Jones & Bartlett Learning. doi:https://viewer.gcu.edu/mQmVy7
Kroth, P. J. (2016). Health Information Technology. In DeNisco. M. S., Barker, A. M. (Eds.), Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed., pp. 323-348). Burlington, MA: Jones & Bartlett Learning. doi:https://viewer.gcu.edu/Tce3cz
USF Health, Morsani College of Medicine (2020). What is Health Informatics? Retrieved December 16, 2020, from https://www.usfhealthonline.com/resources/key-concepts/what-is-health-informatics/
Topic 6 DQ 2
Re: Topic 6 DQ 2
Electronic Medical Records (EMRs) and Electronic Health Records (EHRs) are not the same. Though they are only one letter apart, EMRs and EHRs actually have very different functions.
Both are digital programs that house patient information, thus significantly decreasing the reliance on physical paper copies. Both can be used for data tracking and to ensure patients receive proper preventative care, such as immunizations and screenings (Garrett & Seidman, 2011).
An EMR is a digitized version of a patient’s medical chart from one specific facility. It includes provider notes, diagnoses, and treatments, all of which occurred at that one clinic in particular (Garrett & Seidman, 2011). EMRs are not easily transferrable to other facilities and often may need to be printed out for the information to be shared outside of the clinic/facility (Garrett & Seidman, 2011).
While an EMR focuses on the “medical” aspect, an EHR focuses on “health” as a whole, which is a much broader view (Garrett & Seidman, 2011). EHRs can do everything an EMR can do, and more. They can house information not just from one specific clinic or facility, but from all providers a patient may see, providing a holistic look at the patient’s care as a whole (Garrett & Seidman, 2011).
Information can be shared between facilities without the cumbersome process of printing and faxing, providers can collaborate with confidence knowing they’re seeing the same information, and the EHR moves with the patient wherever they go (Garrett & Seidman, 2011).
There are more than 800 certified commercial EHRs for inpatient facilities (DeNisco & Barker, 2016). A commonly used EHR is Epic, which is what my hospital system just switched to, from Cerner/ORCA. We made the switch to Epic for our inpatient facilities because our outpatient clinics were already using it, and Epic and Cerner did not share information with each other.
While switching to Epic was not a smooth transition and we are still working through ongoing issues months later, it was a move made in the name of interoperability, patient quality, and access to care. Having out outpatient and inpatient systems talk to each other provides invaluable information when a patient finds themselves inpatient.
Providers and care teams can be confident that they see the holistic picture of the patient’s medical care, instead of having to fill in holes in records and spend time piecing together the history.
DeNisco, S.M., & Barker, A.M. (2016). Advanced practice nursing. Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
Garrett, P., & Seidman, J. (2011). EMR vs EHR—what is the difference? The Office of the National Coordinator for Health Information Technology. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference
The drastically advancing technology in the evolving world plays a significant role in solving healthcare problems and improving the quality of care provided at a reduced cost. Recent technology has not only been beneficial to the healthcare providers in their line of duty but also improves the well-being of the diverse population. Such advanced technology utilized in healthcare include genomics, robotics, wearable sensors, management system, and telehealth (Wang, & Kricka, 2018). One point of focus is the utilization of three-dimensional (3D) printing as an emerging technology that has displayed significant impact in overcoming current healthcare barriers.
Overview of 3D Printing
The 3D printing technology, previously referred to as rapid prototype technology, enables customized fabrication of three-dimensional constructs based on images obtained from magnetic resonance imaging (MRI) and computed tomography (CT) or the computer-aided design (CAD) software. The main purpose of this technology in healthcare is the fabrication of anatomical replicas. Models produced by the 3D printing machines are currently utilized by healthcare professionals in enhancing disease diagnosis, treatment clarification, and practice in certain surgical interventions to enhance outcomes. The models also help in promoting patient education as clinicians utilize them in demonstrating certain medical conditions and the available interventions for the treatment of such conditions (Hornick, 2017). 3D printing is also utilized in orthopedics, in manufacturing custom-made prosthetic limbs which help in promoting movement hence improving the quality of life of the patient. The prosthetic ensures that the specifications of the model match the actual anatomical structure of the user.
Ethical Issues
Despite the benefits associated with 3D printing in the current healthcare system, the technology tends to raise several ethical issues. The main ethical issue is justice and access, as most 3D products are costly, hence only affordable by the rich, such as prosthetic limbs. The other ethical issue is safety. Medical professionals are trained to adopt the evidence-based practice to enhance the safety of the patient and promote well-being (Ripley et al., 2017). However, limited studies have revealed the safety of custom-made prosthetics despite their effectiveness in solving current healthcare problems. As such, more studies need to be conducted to ascertain the safety of 3D products such as prosthetic limbs among patients across all ages, from children to the geriatric population.
Improving Access to Care, Patient Safety and Quality
Several advantages are associated with 3D printing in the current healthcare system. However, with maximum utilization of this technology, patient safety and access to quality and effective care can be attained. For instance, enhancing pre-surgical practice using 3D models can help hasten the surgical procedure with increased accuracy and safety of the patient (Wang & Kricka, 2018). Additionally, the technology will help shorten theatre time per patient hence increasing the accessibility for more patients undergoing similar procedures. Lastly, 3D printing can help enhance the patient outcome, as demonstrations using actual models that are similar to the patient’s anatomical structure can help boost their understanding.
Conclusion
The incorporation of technology in the current healthcare system has played a significant role in solving healthcare problems. Different forms of technology have been utilized in promoting the safety and quality of care provided at a reduced cost. For instance, the utilization of 3D printing has helped enhance diagnostic procedures, surgical interventions, and the use of prosthetic limbs for those who have undergone amputation. Further advancements are expected in the future to attain safe and readily accessible healthcare services.
References
Hornick, J. (2017). 3D printing in Healthcare. Journal of 3D printing in medicine, 1(1), 13-17. https://doi.org/10.2217/3dp-2016-0001
Liaw, C. Y., & Guvendiren, M. (2017). Current and emerging applications of 3D printing in medicine. Biofabrication, 9(2), 024102. DOI: 10.1088/1758-5090/aa7279.
Ripley, B., Levin, D., Kelil, T., Hermsen, J. L., Kim, S., Maki, J. H., & Wilson, G. J. (2017). 3D printing from MRI data: harnessing strengths and minimizing weaknesses. Journal of Magnetic Resonance Imaging, 45(3), 635-645. https://doi.org/10.1002/jmri.25526
Wang, P., & Kricka, L. J. (2018). Current and emerging trends in point-of-care technology and strategies for clinical validation and implementation. Clinical chemistry, 64(10), 1439-1452. https://doi.org/10.1373/clinchem.2018.287052
Emerging Technology Brief
Technology has greatly revolutionized health care delivery by automating processes, reducing errors, and fostering collaboration between patients and healthcare professionals. To reap the benefits of technology in health care delivery, clinicians must embrace it and ensure they are ready for opportunities realized through informatics. As primary care practitioners, advanced registered nurses should understand the potential of emerging technologies in the current practice and the challenge they pose to patients and providers. Besides, nurse informaticists and leaders should be ready for new roles as technologies necessitate. The purpose of this paper is to discuss an emerging health care technology with the potential to overcome barriers to care.
Overview of the Emerging Technology and Its Role/Function
Artificial intelligence (AI) is among the technologies gaining relevance in the evolving health practice. Broadly, AI represents a machine’s ability to perform tasks often reserved for humans (Wahl et al., 2018). Defining characteristics of AI include flexibility in changing environments and learning from experience. In health practice, AI can perform different clinical tasks, including diagnostics, medication administration, and imaging (Gerke et al., 2020). As a result, they can play a supplemental role and enable health care practitioners to be more productive. Over time, access to care has been a huge problem in health care delivery. Minority populations and rural communities are highly disadvantaged due to a shortage of nurses in rural areas. AI increases access to care by supporting health programs in low-resource settings (Wahl et al., 2018). It achieves this goal by performing tasks that would have required a nurse or a physician. Concerning patient safety and care quality, AI reduces physical contact, which is instrumental in reducing transmissions. Health care practitioners can also use AI to study disease patterns and customize care according to patient needs. Increased access to care and optimal safety improves care quality significantly.
Ethical Issues Accompanying the Incorporation of AI
The use of AI in health care can transform many practice areas but also raises many ethical issues. Among many issues, informed consent is a pressing issue that clinicians must address to ensure the effective use of AI. Gerke et al. (2020) suggested that patients should be educated on forms of AI, data inputs, and other complexities. However, it is not explicit under which circumstances a patient should be educated. The other ethical issue is the safety and transparency of AI. Gerke et al. (2020) noted that AI has the potential for unsafe and incorrect use due to algorithm errors. Such challenges are detrimental to patient care since inaccuracies in data interpretation can cause misdiagnosis and mistreatment.
The Nurse’s Informatics Role Regarding the Technology
Nurse informaticists play an instrumental role in promoting technology integration into patient care. Regarding AI, nurse informaticists should help organizations control ethical and legal challenges to ensure safe and effective use. As Murdoch (2021) suggested, ethical and security issues associated with AI and related technologies hamper safe usage. Health care professionals also fear using technologies associated with ethical and legal issues. Understanding this, nurse informaticists should ensure organizations have appropriate policies and structures for the safe and ethical use of AI. Users should be trained where necessary, and patient education should be prioritized to ensure patients understand AI and consent to it.
Role of Workflow Analysis, Human Factors, and User-Centered Design
Workflow analysis helps identify areas that can benefit the most using AI. In this case, it would help clinicians and nurse informaticists to identify workflow hitches that could be fixed using AI. Human factors include user knowledge and attitudes toward AI. Many nurses without technology prowess have negative attitude towards technology-driven practice (Lera et al., 2020). As a result, such factors should be addressed to maximize AI’s potential in patient care. User-centeredness includes intuitive designs that encourage clinicians to use technologies. It should also be a priority when designing and implementing AI-related designs.
Conclusion
Emerging technologies have the potential to transform health practice in many dimensions. AI’s potential is huge since it can improve access to care and overall quality. However, its use is hampered by ethical challenges such as informed consent, safety, and transparency. As a result, nurse informaticists should help organizations to develop appropriate interventions to address barriers to the integration of AI into patient care.
References
Gerke, S., Minssen, T., & Cohen, G. (2020). Ethical and legal challenges of artificial intelligence-driven healthcare. Artificial Intelligence in Healthcare, 295–336. https://doi.org/10.1016/B978-0-12-818438-7.00012-5
Lera, M., Taxtsoglou, K., Iliadis, C., Frantzana, A., & Kourkouta, L. (2020). Nurses’ attitudes toward lifelong learning via new technologies. Asian/Pacific Island Nursing Journal, 5(2), 89–102. https://doi.org/10.31372/20200502.1088
Murdoch, B. (2021). Privacy and artificial intelligence: challenges for protecting health information in a new era. BMC Medical Ethics, 22(1), 1-5. https://doi.org/10.1186/s12910-021-00687-3
Wahl, B., Cossy-Gantner, A., Germann, S., & Schwalbe, N. R. (2018). Artificial intelligence (AI) and global health: how can AI contribute to health in resource-poor settings?. BMJ Global Health, 3(4), e000798. http://dx.doi.org/10.1136/bmjgh-2018-000798
Rubric Criteria
| Criterion | 1. Unsatisfactory | 2. Insufficient | 3. Approaching | 4. Acceptable | 5. Target |
|---|---|---|---|---|---|
| Overview of Emerging Technology Overview of Emerging Technology | 0 points An overview of the emerging technology is omitted. | 15 points An overview of the emerging technology is only partially discussed. | 16.5 points An overview of the emerging technology is presented. Its role and function in health care are summarized. Potential for improving access to care and promoting safety and quality is outlined. | 17.25 points The emerging technology and its role and function in health care are discussed. Potential for improving access to care and promoting safety and quality is included in the narrative. | 18.75 points The emerging technology and its role and function in health care are clearly discussed. Potential for improving access to care and promoting safety and quality is detailed. The narrative is well supported. |
| Ethical or Legal Issues Ethical or Legal Issues | 0 points Ethical or legal issues that would accompany the incorporation of the technology are omitted. | 15 points Ethical or legal issues that would accompany the incorporation of the technology are only partially discussed. | 16.5 points Ethical or legal issues that would accompany the incorporation of the technology are summarized. | 17.25 points Ethical or legal issues that would accompany the incorporation of the technology are described. | 18.75 points Ethical or legal issues that would accompany the incorporation of the technology are accurate and thoroughly described. |
| Role of Nurse Informatics Technology Role of Nurse Informatics Technology | 0 points The informatics role of the nurse regarding the technology is not discussed. | 15 points The informatics role of the nurse regarding the technology is only partially discussed. | 16.5 points The informatics role of the nurse regarding the technology is outlined. Some general examples of the roles and job functions are presented. | 17.25 points The informatics role of the nurse regarding the technology is explained. Examples of roles and job functions are presented. | 18.75 points The informatics role of the nurse regarding the technology is clearly explained. Well supported examples of roles and job functions are presented. |
| Outline Role of Workflow Analysis, Human Factors and User Centered Design Concepts Outline Role of Workflow Analysis, Human Factors and User Centered Design Concepts | 0 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is omitted. | 20 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is only partially discussed. | 22 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is outlined. There are some omissions or inaccuracies. | 23 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is outlined. Some detail or information is needed for clarity or accuracy. | 25 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is clearly outlined. The narrative is well supported. |
| Required Sources Required Sources | 0 points Sources are not included. | 3 points Number of required sources is only partially met. | 3.3 points Number of required sources is met, but sources are outdated or inappropriate. | 3.45 points Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. | 3.75 points Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content. |
| Appendix Appendix | 0 points The appendix and APA Writing Checklist are omitted. | 2 points The APA Writing Checklist is attached, but an appendix has not been created. The paper does not reflect the use of the use of the APA Writing Checklist during development. | 2.2 points The APA Writing Checklist is complete and attached in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality. | 2.3 points The APA Writing Checklist is complete and attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper. | 2.5 points The APA Writing Checklist is complete and attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development. |
| Thesis Development and Purpose Communicates reason for writing and demonstrates awareness of audience. | 0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident. | 7 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience. | 7.7 points The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated. | 8.05 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience. | 8.75 points The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience. |
| Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development. | 0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered. | 8 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose. | 8.8 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose. | 9.2 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose. | 10 points The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose. |
| Evidence Selects and integrates evidence to support and advance position/purpose; considers other perspectives. | 0 points Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer. | 5 points Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present. | 5.5 points Relevant evidence that includes other perspectives is used. | 5.75 points Specific and appropriate evidence is included. Other perspectives are integrated. | 6.25 points Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively. |
| Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc. | 0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout. | 5 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent. | 5.5 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted. | 5.75 points Few mechanical errors are present. Suitable language choice and sentence structure are used. | 6.25 points No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout. |
| Format/Documentation Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline. | 0 points Appropriate format is not used. No documentation of sources is provided. | 5 points Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident. | 5.5 points Appropriate format and documentation are used, although there are some obvious errors. | 5.75 points Appropriate format and documentation are used with only minor errors. | 6.25 points No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated. |
Healthcare providers may engage in the use of Informatics to overcome current or emerging barriers to care. This may be achieved by optimizing and streamlining the services provided using CPOE and CDSS (McGonigle & Mastrain, 2018). Nursing informatics uses different approaches, such as new technologies, to manage health concerns better. It determines the possibilities of having a better collection of data and record-keeping for the information by minimizing challenges related to medical errors and offering services safely.
Clinical Provider Order Entry (CPOE) refers to all digital systems that may help electronically enter medications and other diagnostic tests. This can be crucial in regulating errors and controlling misinterpretation and accuracy. This enhances patient safety by alerting any possible medical errors, drug interactions, and allergies. Upon implementation, there are challenges in the workflow, such as the possibility of failure because of organizational impact on successful health informatics. Failure to have proper human cooperation may result in affected technology.
Clinical Decision Support Systems (CDSS) refer to computerized algorithms or databases that support analyzing patient information to offer quality care and make money-informed decisions. These are helpful to reduce errors and influence dispensing stages of drug administration to enhance safety. It is vital to provide possible drug interactions and recommendations for diagnostic tests. They offer reminders on making follow-ups by providing care to the patients and having informed decision-making in the form of evidence-based guidelines. Challenges to CDSS include being complex, individuals feeling fatigued, and ignoring alerts (Hayavi-haghighi et al., 2021).
Heuristic principles are essential for efficient clinical information systems, including CPOE and CDSS. This includes human factors, the use of a centered design, and usability. All these factors can be significant, making it easier to use enhancing structures that are likely useful in navigating and understanding. Support on workflow within the clinic may be through technologies supporting the best patient care services. In supporting the user-centered design principle, different recommendations can target specific patient needs (CDC, 2021).
References
CDC Website. (2021). Implementing Clinical Decision Support Systems. https://www.cdc.gov/dhdsp/pubs/guides/best-practices/clinical-decision-support.htm
Hayavi-haghighi, M. H., Alipour, J., & Dehghani, M. (2021). Nursing errors and Computerized Provider Order Entry (CPOE). Informatics in medicine unlocked, 25,100648. https://doi.org/10.1016/j.imu.2021.100648
McGonigle, D. & Mastrian, K. (2018). Nursing Informatics and the Foundation of Knowledge. (Fourth Edition). Jones & Bartlett.
Open and clear communication is essential for the effective functioning of interprofessional teams in healthcare, as it directly impacts patient care and safety. Communication technologies play a crucial role in enhancing coordination among team members, ensuring timely and accurate information exchange. One such technology that has significantly contributed to improving communication within interprofessional teams is the use of secure messaging platforms.
Secure messaging platforms, such as HIPAA-compliant messaging apps or integrated communication systems within electronic health records (EHRs), facilitate real-time communication among healthcare professionals while adhering to privacy and security regulations. Secure messaging allows team members to communicate instantly, enabling the quick exchange of information about patient status, treatment plans, and any other relevant updates. This immediacy is crucial in emergency situations or when quick decisions need to be made. These platforms allow interprofessional teams, including physicians, nurses, pharmacists, and other healthcare professionals, to collaborate seamlessly, discussing patient cases and ensuring that everyone is on the same page regarding the care plan. Quick and efficient communication leads to faster decision-making processes. Many secure messaging platforms allow for the documentation of communication within the patient’s electronic health record. This documentation ensures that all team members have access to the same information, reducing the risk of miscommunication or missing critical details (McGonigle & Mastrian, 2021).
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