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

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

Reducing interruptions while administering medication 

Describe the project you propose

The project proposed seeks to utilize the bottom-up approach toward reducing interruptions that usually occur while the medication is being administered to a patient. The specific problem being considered is that these interruptions impact many medical errors in our organization, Kaiser Permanente. Despite having a mission of providing affordable and high-quality patient care, mistakes occur frequently. According to recent research, over 7000 patients die annually due to medical errors that can be easily prevented (Keers et al., 2018). Further research has proposed that reducing the number of interruptions during drug administration would help reduce this number. Moreover, the exercise of administering medication is usually repetitive and skillful based hence attracting more chances of distractions. The project will better address the problem by applying pre-intervention, and post-intervention observational study approaches. The intervention in this project shall be tailored by the bottom-up approach, where it shall be the training tool. The Intervention shall be fully captured through offering adequate training to all nurses when administering medications to patients. The nurse participants will be observed throughout the project while recording the total number of dispensing rounds and pre-intervention and post-intervention periods.

Identify the stakeholders impacted by this project.

The focus of the project is safety during medication administration. The first stakeholder will therefore be patients, who are at risk whenever these errors occur. Patients are more informed nowadays and ask more questions during healthcare delivery. Patients’ consent should therefore be considered before the project. This should be exposed to the complete information concerning the project since they are the consumers of the medications administered—the second set of stakeholders in academia. The obtained results from the project can be added to the current concepts of safety in the training curriculum to ensure that every nurse is equipped with critical thinking skills while administering medication to patients (Schroers et al., 2021). The third set of stakeholders encompasses external healthcare providers such as the regulatory, licensing, and accrediting bodies who would utilize the project results towards developing new safety measures. The healthcare organization and its leaders would also be essential project stakeholders. They would help implement the project’s results in their mission and vision of maximizing patient safety during medication administration. Finally, nurse practitioners would also be an essential set of stakeholders since it is a project that involves the current practices of maximizing patient safety and delivery of care. The project results are also essential since nurse practitioners gain room to maintain competencies and information about patient safety.

 

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Explain the patient outcome(s) or patient-care efficiencies this project aims to improve and how this improvement would occur. Be specific and provide examples.

The project’s main aim is to reduce the interruptions that mainly occur during the administration of medications to patients, which in most cases impact medical errors. Therefore, the project expects to obtain a reduced proportion of medical errors. A selected number of nurses will be included in the project, where they shall receive training on risks related to interruptions while administering medication. The training aims to create awareness among these nurses of the interruptions that occur during medication administration. Moreover, it is expected that after training, these nurses will develop protocols and strategies for eliminating or handling interruptions so that we do not get distracted while administering medication to patients. Additionally, the organization’s leaders can work with the frontline medical personnel to apply the best intervention approach. In general, the mission of the project is to maximize the safety of patients and patient outcomes by eliminating or minimizing the incidences of medical errors.

Identify the technologies required to implement this project and explain why

Various technologies will be required in this project. However, there are three major ones. The first technology is the training material required to inform the medical personnel about related risks of interruptions during medication administration. Among the training materials include trainers, posters, presentations, and notes. A trainer will offer training sessions by collaborating with the selected nurses. It will also involve practical sessions to ensure that all the selected nurses are equipped before the start of the project. The notes, posters, and presentations will summarize what the trainer will offer the nurse participants. Access to electronic medical records (EMR) is the second technology required. EMR facilitates access to medication errors and data concerning other essential variables (Sessions et al., 2019). The final technology is data analysis software such as SPSS, STATA, or python, which will be essential to determine the correlation between variables of interest, which would otherwise provide the most beneficial interventions.

Identify the project team (by roles) and explain how you would incorporate the nurse informaticist into the project team.

The entire project has about three members. The project manager is the first member whose primary role is coaching the team throughout the project period. The manager is also responsible for coordinating with the organization’s management and ensuring the success of all the required implementations in meeting deadlines and other performance and functionality requirements (Schroers et al., 2021). The manager also acts as the link coordinator of all project stages, from the planning, design, development, implementation, and testing stages. The manager will also ensure that every stage is successful before proceeding to the next stage. The training analyst is the second member of the project. The training analyst has a significant role in linking the ideas and concepts proposed in training as part of the requirement (Keers et al., 2018). Technical knowledge, as well as continuous training applications, are the expertise areas of training analysts. The position of a training analyst is essential as it requires quality communication and interpersonal skills to facilitate the conveyance of information to others and elicit the project’s needs and analytical skills. The training analyst should also have a clinical background and an understanding of the need for medication administration. Finally, the other important member is the nurse informaticist. They are responsible for the management of all data needs of the project. For example, they identify the project’s variables that inform medication errors (Mosier, Roberts & Englebright, 2019). The nurse informaticist is therefore entitled to evaluate all the data concerning the project and inform the project leader and other stakeholders of all the project results.

References

Keers, R. N., Placido, M., Bennett, K., Clayton, K., Brown, P., & Ashcroft, D. M. (2018). What

causes medication administration errors in a mental health hospital? A qualitative study

with the nursing staff. 
PloS one
, 
13
(10), e0206233.

https://doi.org/10.1371/journal.pone.0206233

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.

https://DOI: 
10.1097/NNA.0000000000000815

Schroers, G., Ross, J. G., & Moriarty, H. (2021). Nurses’ perceived causes of medication

administration errors: a systematic qualitative review. 
The Joint Commission Journal on

Quality and Patient Safety
, 
47
(1), 38-53.
https://doi.org/10.1016/j.jcjq.2020.09.010

Sessions, L. C., Nemeth, L. S., Catchpole, K., & Kelechi, T. J. (2019). Nurses’ perceptions of

high‐alert medication administration safety: A qualitative descriptive study. 
Journal of

advanced nursing
, 
75
(12), 3654-3667.
https://doi.org/10.1111/jan.14173

 

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 Safe Assign Drafts to check your match percentage before submitting your work.

By Day 7 of Week 4

Submit your completed Project Proposal.

submission information

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WK4Assgn_LastName_Firstinitial The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

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Rubric

NURS_5051_Module02_Week04_Assignment_Rubric

NURS_5051_Module02_Week04_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome
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.

25
 
to >
22.0
 pts
Excellent
The response accurately and thoroughly describes in detail the project proposed….The response accurately and clearly identifies the stakeholders impacted by the project proposed.

22
 
to >
19.0
 pts
Good
The response describes the project proposed….The response identifies the stakeholders impacted by the project proposed.

19
 
to >
17.0
 pts
Fair
The response topics are superficially addressed.

17
 
to >
0
 pts
Poor
The response is very vague or missing.

25
 pts

This criterion is linked to a Learning Outcome
· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving.· Explain how this improvement would occur. Be specific and provide examples. Use sufficient supporting evidence in your response. The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

25
 
to >
22.0
 pts
Excellent
The response accurately and thoroughly explains in detail the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an accurate and detailed explanation, with sufficient supporting evidence of how this improvement would occur.

22
 
to >
19.0
 pts
Good
The response explains the patient outcome(s) or patient-care efficiencies that the project proposed is aimed at improving, including an explanation, with some supporting evidence of how this improvement would occur.

19
 
to >
17.0
 pts
Fair
The response is missing one or two of the required elements, contains little supporting evidence or elements are superficially addressed.

17
 
to >
0
 pts
Poor
The response is very vague, lacking examples or supporting evidence, or missing.

25
 pts

This criterion is linked to a Learning Outcome
· 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.

25
 
to >
22.0
 pts
Excellent
The response accurately and clearly identifies the technologies required to implement the project proposed with a detailed explanation why….The response accurately and clearly identifies the project team (by roles) and thoroughly explains in detail how to incorporate the nurse informaticist in the project team.

22
 
to >
19.0
 pts
Good
The response identifies the technologies required to implement the project proposed with an explanation why….The response identifies the project team (by roles) and explains how to incorporate the nurse informaticist in the project team.

19
 
to >
17.0
 pts
Fair
The response is missing one or two of the required elements, or elements are superficially addressed.

17
 
to >
0
 pts
Poor
The response is very vague or missing.

25
 pts

This criterion is linked to a Learning Outcome
Resources

10
 
to >
8.0
 pts
Excellent
Assignment includes: 3 or more peer-reviewed research articles and 2 or more course resources.

8
 
to >
7.0
 pts
Good
Assignment includes: 2 peer-reviewed research articles and 2 course resources.

7
 
to >
6.0
 pts
Fair
Assignment includes: 1 peer-reviewed research article and 1 course resource.

6
 
to >
0
 pts
Poor
Assignment includes: 1 or no resources.

10
 pts

This criterion is linked to a Learning Outcome
Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

5
 
to >
4.0
 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4
 
to >
3.0
 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3
 
to >
2.0
 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

2
 
to >
0
 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. 5  pts This criterion is linked to a Learning Outcome Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation 5   to >
4.0
 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.

4
 
to >
3.0
 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors.

3
 
to >
2.0
 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors.

2
 
to >
0
 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5
 pts

This criterion is linked to a Learning Outcome
Written Expression and Formatting – APA:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

5
 
to >
4.0
 pts
Excellent
Uses correct APA format with no errors.

4
 
to >
3.0
 pts
Good
Contains a few (1-2) APA format errors.

3
 
to >
2.0
 pts
Fair
Contains several (3-4) APA format errors.

2
 
to >
0
 pts
Poor
Contains many (≥ 5) APA format errors.

5
 pts

Total Points: 
100