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Implications for nursing during 1900
Implications for nursing during 1900
Historical development in nursing
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The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.
Our facility is after and EMR system that is overall easy to use, maintain and cost effective. After analyzing various EMR systems there are several key factors that emerge. In 2012 and then again in 2014, Medscape put together a report about what 18, 474 physicians liked and disliked about the top EHR systems (Kane, 2014). In regards to a long term care facility, a few of the EMR systems jumped to the top of the list as far as ease of use and cost to maintain. But let’s first talk about what is important to our facility.
We need data standards and quality measures to verify the validity, reliability, completeness, and the timeliness of the data that is collected. Additionally, there needs to be standards that address how data is recorded to safeguard the consistency across multiple sources (ex. radiology, laboratory, patient and administration) in an organization. Importantly, data fields and their content need to be standardized, as well.
Practice Fusion Electronic Health Record (EHR) System MEA-131 Ms. Slade June 17, 2016 Sharon Liles Practice Fusion Electronic Health Record (EHR) System Technology and the evolution of Electronic Health Records is an improvement to the efficiency and the effectiveness of how healthcare providers record, communicate and process patient information. According to Practice Fusion, “since 2005, the focus of Practice Fusion is expanding the ability to aggregate clinical data and share it meaningfully, by helping to make healthcare better for everyone. To improve clinical decision, support to tracking Meaningful Use, and provide insight that deliver better, safer and more efficient
Marjorie A. Rutherford is more knowledgeable in implementing the Nursing Intervention Classification (NIC) and Nursing Outcome Classification (NOC) and has more than thirty years of experience in performing this terminology. It is interesting her about the role of nurses in the caring for the patient. She focuses on a statistically important issue of the standardized nursing language. She can also highlight the points of an impressive conclusion that excites the target audience. She additionally explains how standardized nursing language will improve patient care.
Para. 2) The Omaha System remains statistically superior to other interface terminologies of the electronic health record. The efficacy of the Omaha system has been heavily researched and covers numerous types of patients in various types of settings. The authors, well credentialed and academic, thoroughly describe the Omaha system and its benefits for meaningful use achievement.
Lastly authors Sharma and Aggarwal state that “There are four major ethical priorities for EHRS: Privacy and confidentiality, security breaches, system implementation, and data inaccuracies.” (Jamshed, Ozair, Sharma, & Aggarwal, 2015). In the future paper records will become a thing of the past thus, better training and accountability from providers is an essential part to protecting patients EHR and confidentiality. Electronic
In 1893 the International Statistical Institute approved a standardized system for classifying deaths. In 1949 The World Health Organization realized the ide of enacting a system for tracking mortality as well as causes of diseases on a global basis. The Manual of the International Classification of Diseases, injuries and causes of death {ICD} has served as the foundation for the modern practice of medical coding. There are three major types of coding systems Current Procedural Terminology {CPT}, Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD). On October 1,2015 ICD-10 was put in to affect before this ICD-9 was used.
Dorothea Orem’s SCDNT appears to be consistent with current nursing standards. Over 400 nursing articles were noted during a literature search by Biggs (as cited in Smith & Parker, 2015). According to McEwen and Wills (2104), SCDNT has been used to formalize care for inpatients and ambulatory care, as well as in community based programs, mother-baby and community nursing. While the use of SCDNT in current nursing practice is a strength, it bears noting that Biggs (as cited in Smith & Parker, 2015) observed an area of weakness that SCDNT has not always resulted in further development of nursing practice.
Emerging Standard of Care Paper Vinnette knight University of phoenix 531 Influencing the Future of Nursing Judith Fernandez March 18, 2015 Emerging Standard of Care Paper
Health practitioners possess distinctive scope of practice standards based upon distinctive skills, education and qualification levels. RNs are accountable to assess patients’ health problems and needs, develop and implement nursing care plans, maintain medical records and supervise ENs and AINs practice. Excepting the ENs’ abilities to assist intervene and evaluate patients health and functional status and administer prescribed medicines or maintain intravenous fluid, ENs and AINs are both have responsibilities to observe patients health status and report changes to the RNs, maintain ongoing communication with RNs regarding the patients’ health and functional status, assist patients with ADL and emotional support, and understand health information technology. Successive healthcare treatment is always associated with collaborated teamwork.
"How and why is a Social Group Represented in a Specific Way?" In 1903, Black Rights Activist, WEB DuBois published a series of essays about racism in the south as well as the methods in which blacks should go about advancing in society. The collection, titled The Souls of Black Folk delivered a distinct interpretation of African Americans when compared to that of Booker T. Washington and Marcus Garvey. DuBois employs a principal purpose on the education of blacks to achieve social equality.
Documenting the patient's medical information, reduces medical errors that can become a life or death
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
My experience with electronic medical record (EMR) is great. As a nurse it helps me access relevant patient information with a click of a button and guarded me from making medical errors. According Mason, Leavitt and Chaffee (2014), electronic medical record (EMR) has shown to improve patient safety, enhance quality, reduce workloads, and improve care coordination. Moreover, it captures information from laboratory, pharmacy, radiology, and equipment, such as EKG, smart pumps and etc.