Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Electronic Clinical Documentation with Clinical Decision Support
Clinical decision support systems encompass computerized and non-computerized clinical interventions or tools that are essential in the care delivery processes. These systems offer tools for managing information and are essential to electronic health records. These systems thus act as medical information filters that narrow providers’ focus to the relevant information required for clinical remedies (Berner, 2016). This is the reason I selected this topic. Care efficiency is dependent on the flow of information. Accuracy, precision, and shorter downtime during medical information handling are necessary for ensuring efficient care, and electronic health records with clinical decision support systems can guarantee this. This paper seeks to analyze papers targeting electronic documentation and CDSS. These research papers were drawn from databases such as PubMed and Google Scholar. The keywords used were “clinical decision systems” and “electronic documentation.” Several papers obtained were further scrutinized to obtain four sources that are annotated in this paper.
Annotated Bibliography
Baumann, L., Baker, J., & Elshaug, A. (2018). The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy, 122(8), 827-836. DOI: 10.1016/j.healthpol.2018.05.014
This research paper is a systematic review whose primary focus is to establish the impacts electronic health record system has on the time taken to document health records. The authors of this research paper state that the utilization of electronic health records has increased immensely globally over the recent past, with hospitals across many states having fully implemented these systems in their normal operationalization. The impact this electronic system has brought on the time taken to document health information remains unknown. In this review, the authors make a comparison between the time taken for documenting health records before the rollout of this system and after the rollout of this system.
Health records documentation remains a crucial component of healthcare delivery processes. The healthcare providers from all cadres often do documentation. Traditionally, paperwork has been the widespread modality of documentation, with the providers having to document on paper their care processes and clinical outcomes. A review of the time taken on the entire processes by (Baumann, Baker & Elshaug, 2018) of care provided by hospital staff before and after the implementation of this system reveals that this system shortens the documentation time of hospital procedures in the long term.
Electronic health records are digitalized systems that are utilizable in the hospital documentation processes. With their implementation, information flow from the patient to the provider is carried out electronically and, therefore, doesn’t need the time paperwork recording. The benefits of this system are evident in shorter documentation times and, hence, the efficiency of the care process. Additionally, this system maintains a high level of accuracy and reproducibility of medical information by minimizing the loss of information during the relay process. This technology is thus helpful in nursing practice as it preserves information and ensures that the information they get maintains a high degree of validity. It is also crucial to other caregivers as it reduces conflicts that may be attributable to loss or alteration of information during the information relay process.
This publication is essential because it highlights the significance of electronic health records. Its findings reinforce the need for rolling out this system in all healthcare centers. By giving a detailed exhibition of how this system has shortened documentation time, this paper underlines the positive attributes of this system and its ability to enhance the efficiency of the care process.
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). DOI: 10.1038/s41746-020-0221-y
This research paper gives detailed information on the clinical decision support system (CDSS), highlighting its benefits as well as the risks and strategies for the success of its utilization. As mentioned in this paper, CDSS are electronic tools that offer targeted health information and clinical knowledge to care providers, thus enhancing clinical decision-making. The utilization of these systems is often at the point of care, with their significance in enabling the condensation of medical and patient information into a narrower spectrum to which a clinical decision can be made evident. These systems are often combined with electronic health records to enhance the efficiency of the care process further.
According to Sutton et al., 2020 CDSS enhances patient safety by effectively minimizing medication-related errors that would have otherwise been dangerous to the patients. Such errors as medication-related and provider-related errors are reduced since these systems often run checks that pick drug interactions, toxicity profiles, and even patient factors that may be implicated in harmful drug effects. CDSS has also helped the clinical management of patients by ensuring that care providers strictly abide by the various treatment guidelines. They have also offered cost containment measures by proposing cost-effective measures that maintain higher levels of efficacy. Their utilization in diagnostics support also underlines their relevance. The consequence of these attributes is enhanced safety of the patients and general improvement in the quality of care.
They, however, have been implicated in several shortcomings. Such shortcomings include inappropriate alerts and disruptive workflows. Nursing practice aims at concentrating vast nursing knowledge into real-time practice for better patient outcomes. These systems will enable them to achieve that by offering helpful guides to their practice. This is also similar to other healthcare providers as these guides are utilizable in various points of care. This publication is essential since it details the utility and significance of CDSS. Findings from this publication will inform the need to fully implement these systems in hospitals and other care provision centers.
Bennett, P., & Hardiker, N. (2016). The use of computerized clinical decision support systems in emergency care: a substantive literature review. Journal Of The American Medical Informatics Association, 24(3), 655-668. DOI: 10.1093/Jamia/ocw151
This paper evaluates the impacts computerized clinical decision support systems (CCDSS) have had on the care process of patients presenting at the emergency department. The paper is a systematic review that utilized literature drawn from various databases to establish the impacts of CCDSS on patient interactions at the emergency department. Bennett & Hardiker, 2016 draw findings reveal that utilizing these systems at the emergency department offers more solutions to the clinical complexities of the emergency department.
The utility of CCDSS in clinical decision-making gives them considerable significance in an emergency setup. This is due to the variation and diversification of clinical cases in this setup. Often, fast and accurate decision-making is required to save lives. These systems are thus suitable for life preservation and quality care improvement. Nurses being critical components of care provision, these tools remain essential to their practice. They offer a basis of reference to these nurses, thus enabling them to minimize clinical errors. The systems are also crucial in informing the decisions of healthcare teams as they often give all perspectives of the care process. This publication is essential since it strengthens the need for CCDSS. By revealing how these tools offer a first-hand advantage to healthcare providers and nurse practitioners, this study supports their utilization.
Amland, R., & Hahn-Cover, K. (2016). Clinical Decision Support for Early Recognition of Sepsis. American Journal of Medical Quality, 31(2), 103-110. DOI: 10.1177/1062860614557636
This paper seeks to determine the clinical performance of a cloud-based CCDSS in the understanding of the epidemiology of sepsis. This research is based on result collection from the cloud-based CCSDSS with the capabilities of identifying patients susceptible to septic infections. This system abstracts information from the electronic health record data and is activated when susceptible patients visit the hospital. According to Amland & Hahn-Cover, 2016, this cloud-based CCDSS has been impactful in the early detection of sepsis. Early detection of sepsis informs the best course of action and ultimate preservation of life. The system is thus impactful in patient safety maintenance and quality care enhancement.
The goal of nursing is the preservation of life and provision of care; these systems enable nurses to achieve this goal by fast-tracking their disease diagnosis process and initiation of therapy. This is also important to other medical disciplines as it minimizes radical therapies that may not be helpful to the patients. This research gives meaning to otherwise underexploited areas of clinical management of patients. It shows how cloud-based technology can be tapped into better healthcare outcomes.
Conclusion
Technological advances in healthcare have positively impacted the health provision processes. Technologies such as electronic clinical documentation with clinical decision support have the utility in promoting safe and quality care. Their rollout has, however, been unexpectedly slower, owing to their significance. This is because of bureaucratic factors such as health policies, lack of commitment by healthcare providers to utilize these modalities fully, and the complexities in their utilization. Their implementation, as evident in the mentioned scientific papers, confers significant benefits to healthcare providers. Their ability to enhance the efficiency of care, enhance the safety of the patients, and improve the quality of care reinforces the need to integrate them into the mainstream healthcare provision system fully.
References
Amland, R., & Hahn-Cover, K. (2016). Clinical Decision Support for Early Recognition of Sepsis. American Journal Of Medical Quality, 31(2), 103-110. DOI: 10.1177/1062860614557636
Baumann, L., Baker, J., & Elshaug, A. (2018). The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy, 122(8), 827-836. DOI: 10.1016/j.healthpol.2018.05.014
Bennett, P., & Hardiker, N. (2016). The use of computerized clinical decision support systems in emergency care: a substantive literature review. Journal Of The American Medical Informatics Association, 24(3), 655-668. DOI: 10.1093/Jamia/ocw151
Berner, E. (2016). Clinical Decision Support Systems. Cham: Springer International Publishing.
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). DOI: 10.1038/s41746-020-0221-y
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Question 
Before developing the assessment, you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and count towards course engagement.
Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing
Rapid changes in information technology go hand-in-hand with progress in quality healthcare delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the healthcare field uses technology to provide care to patients across multiple settings:
Patient monitoring devices.
Robotics.
Electronic medical records.
Data management resources.
Ready access to current science.
Technology is essential to advancing the nursing profession, maintaining quality care outcomes, patient safety, and research.
This assessment will allow you to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.
Demonstration of Proficiency
By completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
Competency 4: Recommend using technology to enhance quality and safety standards for patients.
Describe organizational factors influencing the selection of a technology in the health care setting.
Justify the implementation and use of a selected technology in a healthcare setting.
Competency 5: Apply professional, scholarly communication to facilitate the use of health information and patient care technologies.
Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
Follow APA style and formatting guidelines for all bibliographic entries.
Preparation
To complete this assessment, perform the following preparatory activities:
Select a single direct or indirect patient care technology relevant to your current practice or of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and the patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction or direct contact between the nurse and the patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
Delivery robots.
Electronic medication administration with barcoding.
Electronic clinical documentation with clinical decision support.
Patient sensor devices/wireless communication solutions.
Real-time location systems.
Telehealth.
Workflow management systems.
Conduct a library search using the various electronic databases available through the Capella University Library.
Consult the BSN Program Library Research Guide to help identify scholarly and authoritative sources.
Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
Scan the search results related to your chosen technology.
Select four peer-reviewed publications focused on your topic that are the most interesting to you.
Evaluate the impact of patient care technologies on desired outcomes.
Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
Notes
Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
Your selections need to be current—within the last five years.
Annotated Bibliography
Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote using your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:
Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? Why are you interested in this?
What research process did you employ?
Which databases did you use?
Which search terms did you use?
Note: In this section of your bibliography, you may use the first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use the third person in the rest of the bibliography, however.
Annotation Elements
For each resource, include the complete reference followed by the annotation.
Explain the focus of the research or review article you chose.
Provide a summary overview of the publication.
According to this source, what is the impact of this technology on patient safety and quality of care?
According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary healthcare team?
Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is essential for health care practitioners to read.
Conclusion/Recommendation
How would you tie together the key learnings from each of the four publications you examined?
What organizational factors influence the selection of a technology in a healthcare setting? Consider organizational policies, resources, culture/social norms, commitment, training programs, and employee empowerment.
How would you justify the implementation and use of the technology in a healthcare setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.