Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

Nurs 6051 Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies Essay

Annotated Bibliography

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The rapid growth and development of technology in recent years have greatly impacted various fields, such as healthcare. The healthcare sector has particularly benefitted from the technology and technological applications as various clinical systems have been invented to help improve care outcomes and the efficiency of services offered by hospitals. Intense research and years of modifications have led to the improvement of these clinical systems for better use. Among such clinical systems is the Computerized Provider Order Entry which has widely been used to minimize and prevent medication errors (Rouayroux et al.,2019). Medication errors have resulted in various negative impacts on patients hence a need to control them. As such, the purpose of this assignment is to formulate an annotated bibliography on the application of Computerized Provider Order Entry to help minimize or prevent medication errors and improve patient outcomes.

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Annotated Bibliography

Rouayroux, N., Calmels, V., Bachelet, B., Sallerin, B., & Divol, E. (2019). Medication prescribing errors: a pre-and post-computerized physician order entry retrospective study. International Journal of Clinical Pharmacy, 41, 228-236. https://doi.org/10.1007/s11096-018-0747-0

            This article aimed to determine the impact of a comprised physician order entry system on medication errors resulting from prescriptions. The research was done in the diabetes and cardiology departments. The researchers analyzed prescriptions over a 30-day period. The researchers then compared the clinical impacts and average numbers for every period using t-tests. The analysis of the data showed that the use or implementation of computerized physician order entry enabled them to observe specific errors. In addition, the researchers noted that the use of the technology led to reduced cases of classic medication errors. Therefore, the use of this technology led to improvement in outcomes in terms of medication errors. The lesson learned is that clinicians have a central role to play in preventing the occurrence of medication errors.

Jungreithmayr, V., Meid, A. D., Haefeli, W. E., & Seidling, H. M. (2021). The impact of a computerized physician order entry system implementation on 20 different criteria of medication documentation—a before-and-after study. BMC Medical Informatics and Decision Making, 21(1), 1-12. https://doi.org/10.1186/s12911-021-01607-6

            This is another article published addressing the importance of a computer physician order entry system in improving the quality of care. This research was published with the major aim of investigating the impacts on the quality of prescription documents of a computerized physician order entry system. This study was conducted on general wards in a tertiary care hospital. This was a retrospective analysis where a prescription done on one hundred and sixty patients was evaluated.

The researchers collected data both before and after the use of the intervention. One of the aspects entailed exploring if every prescription fulfilled the set criteria for an actionable, complete, and safe prescription. A comparison between post-implementation and pre-implementation regarding the resulting fulfillment scores was completed. The analysis of the data showed that the quality of implementation of this intervention led to a reduction of medication errors, hence improved quality. The implication is that the use of the CPOE systems led to quality and efficiency in hospital settings. In addition, by ensuring that the prescriptions meet the safety standards, the intervention ensures that patients are protected from potential medication errors, especially those related to prescriptions. One of the lessons learned is that even though the CPOE system can be effective in improving the quality of prescription documentation, there are some aspects of prescription that are still a challenge.

Gellert, G. A., Davenport, C. M., Minard, C. G., Castano, C., Bruner, K., & Hobbs, D. (2020). Reducing pediatric asthma hospital length of stay through evidence-based quality improvement and deployment of computerized provider order entry. Journal of Asthma, 57(2), 123-135. https://doi.org/10.1080/02770903.2018.1553053

This study was conducted with the main aim of using computerized provider order entry integrated with evidence-based quality improvement to reduce the length of hospital among pediatric patients. Therefore, the CPOE system formed a central part of a multi-component quality improvement program. The effectiveness of the intervention was assessed through the administration of various medications, such as steroids and beta-agonist, as well as the length of stay in the hospital and the frequency of readmissions.

The intervention led to a significant reduction in the one-hundred-day readmissions showing the impact of adding CPOE to the program. Therefore, the hospital realized an increased efficiency and a reduction in the length of stay in the hospital among the patients. One of the lessons learned in this research is that CPOE can also be integrated with other systems to help in further improvement of patient outcomes and ensure that the hospital improves the efficiency of its care provision.

Srinivasamurthy, S. K., Ashokkumar, R., Kodidela, S., Howard, S. C., Samer, C. F., & Rao, U. S. C. (2021). Impact of computerized physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. European Journal of Clinical Pharmacology, 1-9.https://doi.org/10.1007/s00228-021-03099-9

            The aim of this research was to systematically review research done on the evaluation of the effects of using Computerized Provider Order Entry on the various medication errors connected to chemotherapy approaches. According to the researchers, they managed to obtain a total of six hundred and twenty-one research articles published over the years. They managed to reduce the number of these articles to thirty when they used appropriate inclusion and exclusion criteria. The researchers used a meta-analysis through the application of a random-effects model, which showed a 95% confidence level and supported the use of Computer Provider Order Entry.

The systematic review with a meta-analysis showed that the use of CPOE led to reduced incidences of medication errors related to chemotherapy approaches. The meta-analysis also showed up to an eighty-one percent reduction in the cases of medication errors. This source also indicates that the use of CPOE has a high effectiveness potential in lowering medication errors connected to chemotherapy. However, there is a need for training of the professionals involved, and the effectiveness can also be improved through a multidisciplinary approach.

This source also shows that the use of CPOE as a clinical system is key to the improvement of clinical efficiencies and patient safety. For instance, in a case where a healthcare facility or a hospital is experiencing enhanced cases of medication errors, then the use of CPOE systems can reduce such incidences by over eighty percent, according to this source. One of the lessons learned in this source is that there may be a need for professional collaborations and multidisciplinary approaches to fully tap the benefits of the CPOE systems. Such collaborations and multidisciplinary approaches ensure that the systems are effectively and efficiently used.

Conclusion

This annotated bibliography has focused on the use of computerized prescriber order entry systems in reducing or controlling medication errors. This type of technology has widely been applied in the healthcare systems since it has shown great efficacy in improving the nature of care offered in hospitals. For example, it helps healthcare professionals to effectively reduce medication errors, hence reducing cases of mortality and lowering the length of days patients take while in the hospitals as well as adverse medication reactions. Several research outputs have shown the efficacy of these systems in improving quality, as evidenced in the four peer review articles.

All four articles showed that the use of these systems leads to significant improvement in quality related to medication errors and hospital readmissions. For example, Srinivasamurthy et al. (2021) and Rouayroux et al. (2019) both showed that the use of CPOE was associated with a significant reduction in medication errors and improvement in quality as appropriate. Indeed, the study by Srinivasamurthy et al. (2021) showed interesting results indicating that the incidences of medication errors were reduced by up to eighty-one percent, which further underlined the importance of using CPOE systems to help improve quality and efficiency in care settings. Therefore, it is worth noting that the using CPOE systems in hospital systems should be adopted by every facility which cares about the quality and efficiency of their services and the safety of their patients.

References

Gellert, G. A., Davenport, C. M., Minard, C. G., Castano, C., Bruner, K., & Hobbs, D. (2020). Reducing pediatric asthma hospital length of stay through evidence-based quality improvement and deployment of computerized provider order entry. Journal of Asthma, 57(2), 123-135. https://doi.org/10.1080/02770903.2018.1553053

Jungreithmayr, V., Meid, A. D., Haefeli, W. E., & Seidling, H. M. (2021). The impact of a computerized physician order entry system implementation on 20 different criteria of medication documentation—a before-and-after study. BMC Medical Informatics and Decision Making, 21(1), 1-12. https://doi.org/10.1186/s12911-021-01607-6

Rouayroux, N., Calmels, V., Bachelet, B., Sallerin, B., & Divol, E. (2019). Medication prescribing errors: a pre-and post-computerized physician order entry retrospective study. International Journal of Clinical Pharmacy, 41, 228-236.https://doi.org/10.1007/s11096-018-0747-0

Srinivasamurthy, S. K., Ashokkumar, R., Kodidela, S., Howard, S. C., Samer, C. F., & Rao, U. S. C. (2021). Impact of computerized physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. European Journal of Clinical Pharmacology, 1-9.https://doi.org/10.1007/s00228-021-03099-9

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Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

Identify and select 4 peer-reviewed research articles from your research.

The Assignment

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

In a 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

Include an introduction explaining the purpose of the paper.

Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

Use APA format and include a title page.

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