17 Mar Based on the last question from NR534A, I need you to help respond to the attached 4 peers’ posts in 150 words each.?NR534A-NEEDRE

NR534A-NEED RESPONSES

Lauren Brown  – 

After reviewing the course  syllabus  and the  Health IT Evaluation Project  guideline, I am looking forward to developing a program that can engage both staff and patients alike through a series of "rounding" that nurses will complete with patients.  This will be done through a computer program that will provide visual cues for nurses to ensure that all patients are being rounded on.  This seems like an appropriately sized project for an 11 week course, which can also be evaluated through a small qualitative study through a survey of both patients and staff alike.  

Nursing rounds have been proven time and time again to improve both clinical care, evaluation, and outcomes (Chapman et. al., 2021).  Hospitals have been encouraging nurses to make frequent rounds on all patients and their families for a very long time (and to document on it as well, because it is a billable service) (Close & Castledine, 2005).  With that information, to a nonclinical person it is hard to understand why nurses do not always do every round, every time.  Reality is that time is short and the floors are all very busy with patient care that only nurses can do – is is often times hard to check on all of the patients needs and comfort care every hour.  

Hopefully, a small program that I can develop will give nurses and technicians an easy way to see if and when patients were last rounded on.  This will ensure that all patients are receiving an opportunity to let their needs be known and thus improve patient care and absolutely improve their perception of healthcare.

References

Chapman, L. B., Kopp, K. E., Petty, M. G., LA Hartwig, J., Pendleton, K. M., Langer, K., & Meiers, S. J. (2021). Benefits of collaborative patient care rounds in the intensive care unit. Intensive & Critical Care Nursing, 63.  https://doi.org/10.1016/j.iccn.2020.102974

Close, A., & Castledine, G. (2005). Clinical nursing rounds part 2: nurse management rounds. British Journal of Nursing, 14(16), 872–874.  https://doi.org/10.12968/bjon.2005.14.16.19731

  Carolyn Gaeckle  - 

Hi everyone, As the organization I am working for does not have any plans for implementation of new technology, I will refer to a recent change in our system for this project. In November, we switched from Meditech to the Epic System. Brief Project Description: This will be an evaluation of the implementation of the new electronic health record system, Epic, effective November of 2021. This was a change from our previous, outdated, electronic health record system, Meditech. Project Goals: The goals of this initiative are to improve patient safety; improve timeliness in patient care; improve the user interface for patients accessing their EHR; and improve congruency and continuity of care across our organization. Evaluation Measures: To improve patient safety by reducing the number of medication errors through the use of the new system; to improve timeliness of care as evidenced by improved survey scores; to improve the user interface for patients accessing their EHR as evidenced by an increase of registered users; and to improve congruency and continuity of care across our organization as evidenced by improved patient and staff-member satisfaction scores.

183 words

Euridice Nobre  - 

Week 1 Discussion I am relatively new at my organization. However, compared to other bar code medication administration (BCMA) systems I have utilized in the past, the one that my organization uses seems to lack certain features that are imperative for patient safety. For the final system evaluation project, I will concentrate on evaluating the BCMA system at my facility as the usability of eMARs/BCMA can affect patient safety, nurse effectiveness, nurse productivity, nurse satisfaction, and the goals of usability (International Organization of Standards, 1998; as cited in Staggers et al., 2015, p. 900). The goal is to incorporate some functions in the already implemented BCMA or integrate it with other technology systems. The aim is to prevent medication administration and improve patient safety, i.e., high or low blood sugar and blood pressure alerts when administering insulin or blood pressure medications and alerts on when to administer half of a tablet. BCMA should be completely integrated with other technology systems to eliminate transcription errors (Leung et al., 2025, p. 97). I am sure there are many other issues that I cannot recall at this time but certainly will emerge as I work on this system evaluation. Although the BCMA is an effective method to decrease medication administration errors, incidents may be underreported due to nurses' perceptions that patients were not harmed (Lin et al., 2018). Reports will be generated showing results from nurses' perceptions of the system and a number of the reported medication errors that occurred during the past few months as evaluation measures. References: Leung, A. A., Denham, C. R., Gandhi, T. K., Bane, A., Churchill, W. W., Bates, D. W., & Poon, E. G. (2015). A safe practice standard for barcode technology. Journal of Patient Safety, 11(2), 89-99.  https://doi.org/10.1097/PTS.0000000000000049 Lin, J., Lee, T., & Mills, M. E. (2018). Evaluation of a barcode medication administration information system. Computers, Informatics, Nursing, 36(12), 596-602.  https://doi.org/10.1097/CIN.0000000000000459 Staggers, N., Iribarren, S., Guo, J., & Weir, C. (2015). Evaluation of a BCMA's electronic medication administration record. Western Journal of Nursing Research, 37(7), 899-921.  https://doi.org/10.1177/0193945914566641

Maria Houston  

Brief Project Description: An interesting project would be to look at innovative ways of helping people with opiate use disorder. Digital technologies can assist with this public health concern through the EMR by flagging the EMR of individuals who are treated with opioid use disorder by putting in a reminder to ask if the patient has a supply of Narcan to prevent accidental opioid overdose (CDC, nd). For example, in our EMR, anyone who has a documented opiate use disorder should be educated on Narcan and informed they can have a free dose available. A reminder would pop up in the computer to offer some Narcan. Moreover, these patients can be educated about the availability of wellness coaches to support a substance-free lifestyle and how support could be accessed via smartphones for individuals with substance use disorder for preventative strategies (Naslund & Aschbrenner, 2019). Project Goals: To have patients with opiate use disorder have increased awareness of access to Narcan after they are discharged to reverse an accidental overdose. Evaluation Measures: The goals I have would be to involve patients in the development of a tool that would be helpful to them through qualitative research by asking if reminders that access to Narcan would be helpful. The measures I would use are qualitative methods such as open-ended interviews with patients and supportive individuals in their lives to find out what kind of substance use support they would find most helpful and useful. Naslund, J. A., & Aschbrenner, K. A. (2019). Digital technology for health promotion: opportunities to address excess mortality in persons living with severe mental disorders. Evidence-Based Mental Health, 22(1), 17.  http://dx.doi.org/10.1136/ebmental-2018-300034 Centers for Disease Control (nd).  https://www.cdc.gov/stopoverdose/naloxone/index.html