Wednesday, April 11, 2007

Current oppurtunities and barriers to creat an effective health care information infrastructure

Patient safety is a well documented priority for healthcare organization.This focus provides an oppurtunity for healthcare organizations to evaluate the use of information technology and the related infrastructure to deliever safe ang effective patient care.
Computerized provider order entry (CPOE), clinical information systems and bar coded medication management are three top applications for healthcare organizations in the next several years as reported in the survey of nurse informatics.
The extensive clinical background of nurse informatics is valuable, as nurses have an intimate understanding of the workflow, environment and procedures that are necessary to achieve success.
Another opportunity and potential barrier for creating an effective healthcare information infrastructure relates to leadership and a clear strategic vision.The complexity of creating a healthcare information infrastructure is immense and can only be developed once it has been defined. Many efforts in this direction both at the conceptual level to the detailed data level.
Yet the missing link may be the discussion about how to destill this information into practical, usable models that can be applied to improve the work environment of the nurse and improve patient safety.Once an effective healthcare information infrastructure is defined, it could be recognized and promoted from both a nursing and collaborative care model.
The survey of nurse informaticists identified financial resources as the largest barriere to success in their role of implementing health care information infrastructures. Lack of user acceptance or administrative support, and software design that ignores current workflow processes were also described as barriers

Two types of data are available related to the ROIs (Returns on Investment) of nurses utilizing information systems in the delivery of patient care.Researchers began evaluating the value of computer terminals at the bedside or at the point of care.In one study of the impact of bedside terminals on the quality of nursing documentation the researchers found that completeness of documentation measured by the presence or absence of components of the record was better with bedside terminals.In addition they found that timeless of documentation was improved closer to the actual time when care was delivered.Other benefits of nurses using computers to document practise were the integration of care plans with nursing interventions, calculation of specific acuity and automatic bills for nursing services.

In conclusion I would say, that nursing informatic systems are an improvement,if the software design supports the workflow process and acceptance and administrative support are existent.

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