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Nursing, Pages: 4, Research paper

Nursing Informatics Project Proposal

Nursing Informatics Project Proposal

The healthcare industry is changing for the better, especially in nursing, due to the advancement in technology. One of the innovations is the Clinical Decision Support System (CDSS), which utilizes AI technology. A CDSS assists caregivers in making the right decisions concerning the care of their patients by analyzing patient data against clinical rules, and guidelines along with forwarding clinical deformation systems in real-time (McGonigle & Mastrian, 2022). This proposal advocates for the implementation of an AI-driven CDSS in our healthcare organization to improve patient safety, increase the precision of treatment, and improve workflow efficiency: Nursing Informatics Project Proposal.

Project Description

The proposed AI-driven CDSS will be added to the system application software of the electronic health record (EHR) system. It will render automatic clinical assistance where health care providers are recommended necessary actions at the moment, intervention or elimination of harmful prescription orders are implemented, and patients prone to complications are flagged. The system will utilize AI/machine learning technologies whereby huge volumes of patient data will be analyzed to assist in diagnosis, treatment recommendation, and preventing negative events from happening. The main goals will be minimizing medication errors, maximizing early detection of a patient’s worsening health state, and delivering customized care to each patient.

Risk scores, treatment suggestions, and alerts for potential complications will all be shown on interactive dashboards that are part of the system. In addition, automated clinical guidelines that account for each patient’s medical history and diagnosis will be delivered to healthcare practitioners. This organization’s objective to provide high-quality, evidence-based care is further augmented with the incorporation of this AI technology. With the use of this system, nurses and physicians can optimize decision-making, reduce errors, and improve patient outcomes.

Key Stakeholders for the Project

For the effective realization of the AI-enhanced CDSS, the integration of different stakeholders and their expertise is needed. The stakeholders impacted by this project consist of the following:

Doctors and Nurses

The system’s default users will receive clinical recommendations and alerts to assist them in making clinical decisions.

Patients and Their Families

Patients will enjoy enhanced safety, a more tailored treatment plan, and reduced chances of encountering medical mistakes.

Hospital Administrators

Administrative officers will manage the implementation of the system while ensuring compliance with organizational policies and budgets.

Nurse Informaticists

This group will be critical in staff training, system integration, and ensuring that the CDSS resides with nursing workflows (McGonigle & Mastrian, 2022).

Information Technology (IT) Department

This department will be in charge of carrying out the requirements of the CDSS, including its use, maintenance, and troubleshooting issues.

Regulatory Agencies

Following healthcare standards, including AI usage bounds as per HIPAA and FDA set guidelines, regulatory agencies will be prioritized to ensure patient information remains secure and ethics is practiced in clinical settings.

Patient Outcomes and Care Efficiencies Targeted

The goal of this AI-powered clinical decision support system (CDSS) is to improve the quality of care and streamline its access in different aspects:

Reduction in Medication Errors

Medication errors are among the most serious harm a patient can suffer. The Institute of Medicine reports that medication mistakes alone claim a portion of the population in the United States, approximately 1.5 million every year (Mosier et al., 2019; Shitu et al., 2020). The CDSS system will work on flagging the EHRs for possible activities great enough for adverse drug events like contraindications, incorrect dosages, and some possible drug interactions based on the patient’s history. Interface with EHRs will help in identifying potential adverse drug events.

Early Identification of High-Risk Patients

The AI algorithm will track data points of the patient which can suggest a risk of developing a particular medical condition, including sepsis, stroke, or heart failure. If healthcare professionals are given advance notice, they can take action to improve intervention timeliness, which reduces complications and increases survival rates. A study by Ng et al. (2018) showed that the integration of mobile health (mHealth) applications into information technology initiatives greatly boosts the accessibility of health care as well as clinical decision-making. Emphasis is put on how smartphones are readily available today; therefore, it is possible to monitor and analyze data in real time. Such activities could help healthcare providers notice early signs of life-threatening conditions and act accordingly.

Optimized Clinical Workflow Efficiency

It is common for nurses and physicians to spend a considerable amount of time manually analyzing patient data. The CDSS will automate clinical decision-making processes, reducing cognitive workload. This allows clinicians to spend more time on direct patient care. As a result, there will be less administrative burden, reduced burnout, and greater job satisfaction among healthcare workers (Sipes, 2016; Sutton et al., 2020).

Standardization of Evidence-Based Practices

Inconsistent variations of evidence-based protocols often stem from peculiarities in clinical decision-making. The CDSS is built to provide pre-set guidelines and recommendations when making clinical decisions, ensuring every patient is appropriately cared for (Shahmoradi et al., 2021). It is anticipated that this will be able to increase treatment effectiveness as well as best practice adoption enterprise-wide.

Technological Equipment Critical To Deployment

The successful implementation of the AI-enhanced CDSS requires several important technologies to be put in place:

Integration into Electronic Health Records

The existing EHR system must be incorporated within the CDSS so that it may obtain real-time patient data as well as clinical documentation.

Artificial Intelligence and Machine Learning Algorithms

Advanced datasets will be processed and analyzed with the aid of AI models to make predictive analytics and personalized suggestions possible.

Cloud Computing and Data Storage

Patient information can be compiled with, stored, processed and secured within a secure cloud-based framework and remain compliant with healthcare privacy regulations.

User-Friendly Interface

A good graphical interface well written will help clinicians to easily understand and respond to the system’s recommendations.

Cyber Security Controls

Strict encryption, along with access limits, will be enforced to protect sensitive patient data from breaching and illicit purchasing.

Project Team and Role of Nurse Informaticist

The integration of an AI-based CDSS system necessitates an extremely advanced project organized into many various phases and requires serious interdisciplinary engagement. The main project participants are, but not limited to, the following:

Project Manager

The project manager rolls the project timeline, expenses, and management of stakeholders into one timeline.

Nurse Informaticist

Nurse informaticist acts as a link between the IT department and the clinical staff by making sure that the system improves nursing processes and patient care. The informaticist also conducts training, evaluates the impact of the system on operations, and generates recommendations to improve the system.

IT Specialists and Data Scientists

IT specialists and data scientists Develop and implement AI models, administer the implementation of the system, and ensure cyber security infrastructure for the system.

Physicians and Nurses

Physicians and nurses give feedback on the clinical needs, accept or reject the recommendations, and assess if the system enables or obstructs the delivery of patient care.

Improvement and Compliance Quality Officers

Improvement and compliance quality officers check whether the system follows the regulatory laws and evidence-based care regulations.

Healthcare Administrators

Administrators oversee operations from a business and high-level approach, provide budgeting, and allocate essential resources for project execution.

Implementation Plan and Timeline

The project will be implemented in four phases over six months:

Phase 1 (Weeks 1-6): Needs Assessment and System Development

  • Conduct stakeholder meetings to assess requirements.
  • Collaborate with vendors to customize the CDSS based on organizational needs.
  • Develop AI models using historical patient data for predictive accuracy.

Phase 2 (Weeks 7-12): System Integration and Testing

  • Integrate the CDSS with the EHR system.
  • Conduct pilot testing in selected hospital units.
  • Collect feedback from frontline staff for adjustments.

Phase 3 (Weeks 13-18): Staff Training and System Optimization

  • Provide training sessions for nurses, physicians, and administrators.
  • Optimize system algorithms based on real-world testing feedback.

Phase 4 (Weeks 19-24): Full Implementation and Continuous Monitoring

  • Roll out the CDSS across all hospital departments.
  • Establish a monitoring team to assess system performance and user satisfaction.
  • Implement continuous quality improvement measures based on collected data.

Conclusion

There is a great scope for improving patient safety, decreasing medical errors, and improving clinical workflow efficiency by integrating AI-powered Clinical Decision Support Systems into the healthcare organization. The prognostic and descriptive analytics informatics system will assist the practitioner’s decision-making with the sole objective of improving patient outcomes. The success of the implementation relies on an intermixed team, especially the nurse informatics will be vital. This investment fits into the organizational focus on the provision of high-quality and evidence-based care to the patient.

References

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing nursing informatics solutions: The role of executive leadership. JONA: The Journal of Nursing Administration, 49(11), 543-548.

Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of mobile health applications in health information technology initiatives: Expanding opportunities for nurse participation in population health. Computers, Informatics, Nursing, 36(5), 209-213.

Shitu, Z., Aung, M. M. T., Tuan Kamauzaman, T. H., & Ab Rahman, A. F. (2020). Prevalence and characteristics of medication errors at an emergency department of a teaching hospital in Malaysia. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-4921-4

Sipes, C. (2016). Project management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 225, 252-256.

Sutton, R., Pincock, D., Baumgart, D., Sadowski, D., Fedorak, R., & Kroeker, K. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. NPJ Digital Medicine, 3(1), 1–10. https://doi.org/10.1038/s41746-020-0221-y

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Question

The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
  • Use APA format and include a title page and reference page.
  • Use the Turnitin Drafts to check your match percentage before submitting your work.

Resources