NURS FPX 6410 Assessment 3 Exploration of Regulations and Implication for Practice

Exploration of Regulations and Implications for Practice

Investigation of Regulations and Their Implications for Practice Informatics enables the integration of information and communication technologies into the practice of nurses to manage relevant information for the improvement of healthcare and to improve outcomes (Strudwick et al., 2019). The Electronic Health Record System (EHR) is a prime example of the advanced technology in informatics. EHR ensures that data is managed effectively and that adverse events are minimized by reducing documentation and the burden on nurses. Emotional exhaustion can be reduced through improved communication and a more straightforward clinical procedure (Alzu’bi et al., 2021). This study aims to identify the safety measures that can be used with EHR and analyze the potential risk.

Safety Issue Involved

Safety Concerns Medication errors join a growing list of health-related issues that make professionals’ jobs more difficult as healthcare advances and changes. Drug errors result in the deaths of approximately 10,000 Americans annually (Manias et al., 2019). Mistakes with medications are frequently ignored. Prescription mix-ups are concerning in light of the fact that they can hurt patients by utilizing some unacceptable medication, regulating it at some unacceptable time, or distinguishing some unacceptable patient. They may experience adverse reactions and allergic reactions if the medication does not match their diagnoses. The danger posed by medication errors can be greatly reduced with the right precautions. Adverse drug events can be brought on by a variety of factors, including individual errors, inadequate communication, misunderstood printing, and confusion regarding medicine names (Giuliano, 2018).

Informatics Model & Safe Practice

Safe Practice and an Informatics Model An informatics model can be used to ensure that the procedures are secure and error-free. One of these is the Technology Informatics Guiding Education Reform model (TIGER). The HIMSS has launched this program to provide the workforce with all the resources or tools they require by integrating eHealth into education (Chen et al., 2022). A multidisciplinary and collaborative approach is required to transform health. This model for nursing staff training encourages the use of safe techniques that reduce adverse drug reactions. Drug slip-ups could cause patients critical affliction and harm, and broadened hospitalizations on account of these mix-ups can bring down certain patient results and raise medical services uses. Safe practice ought to be the primary goal of healthcare as a result.

EHR is a safe method of healthcare technology that would deliver better outcomes. EHR upgrades information assortment by eliminating the act of jotting remedies, which might build weight and vagueness and limit blunder. The processing of data is improved by EHR, making it more legitimate, dependable, and durable. It could have clinical notifications that let nurses know about any errors so they can fix them. Access to patient data has improved, making it easier to make decisions and find practice gaps. Utilizing technologies like HER (Fragidis et al.,), nurse informatics professionals ensure that the data are utilized to its full potential. 2018).

Intended Goals

Intended Objectives The primary goal of the most recent technological advancements in the EHR is to cut down on prescription errors and the deaths they cause. It ought to make it possible for nurses to perform the most beneficial procedures, thereby improving the outcomes for patients and increasing patient confidence and satisfaction with the healthcare system. Better access to patient data and documentation is required for nurses to reduce drug-related adverse events and prevent fatigue (Joukes et al., 2019). This innovation would help nurses avoid incorrect diagnoses and adverse drug events by better reviewing the data to determine the appropriate medication based on medical health.

Outcomes

Results Many healthcare organizations are currently implementing EHRs to improve care quality. EHR research shows that alerts for doctors improve patient safety and clinical outcomes. EHR streamlines the work of nurses by allowing them to check the detailed diagnosis before they visit the patient. Attendants may now rapidly check for incidental effects to be cautious prior to giving medications (Robinson et al., 2018). With the utilization of the EHR, the specialist’s arrangement is appropriately valued, and reviews can recognize drug mistakes rapidly and actually to assist with forestalling them. According to Alzu’bi et al., the drawbacks of EHR, such as increased effort, exhaustion, and problematic processes, have been observed to become increasingly consistent. On the other hand, the benefits of EHR were observed to materialize quickly. 2021). There was an improvement in productivity, communication, healthcare quality, and availability. The incorporated changes have resulted in happier nurses and patients.

Applying the Standards of Practice

Implementing the Standards of Practice Through the establishment of standards of practice, it would be possible to ensure that safety procedures are simple and effective. A kind of checklist, practice guidelines provide medical professionals with a template or pattern to follow in order to ensure the safety of the procedure being carried out. The American Nurses Association (ANA) has established nursing practice standards (Linton et al.,) in an effort to promote a safe and moral workplace and to raise awareness of pressing issues that require immediate attention. 2020).

The ANA provides a set of guidelines that include an assessment phase in which nurses must efficiently collect data, a prognosis phase in which nurses should analyze the retrieved data, effective characterization should be achieved by recognizing patterns, scheduling must be implemented to improve that consequence, that plan must be implemented, and finally the plan must be monitored and evaluated to track its development (Linton et al., 2020). The Code of Ethics, which is based on the four fundamental values of autonomy, fairness, beneficence, and respect for human dignity, also provides the Nurse Practice Standards (Layman, 2020). Medical attendants ought to grasp these standards.

• Autonomy recognizes the significance of patient populations in decision-making.
• Value advances the wellbeing and prosperity of patients and representatives.
• Non-maleficence requires the prevention of harm, and any treatment plan that may do so should be reported. Justice puts equality into practice.

Impacts of Regulatory Constraints

Consequences of Regulatory Restrictions A nurse practitioner is one who effectively adheres to the guidelines established at any level—global, institution, or state—because it is essential to consider regulatory concerns when providing treatment. According to management controls, one must enthusiastically accept and adapt to EHR in order to successfully adopt it. In addition, the importance of training in assisting employees transition to EHR cannot be overstated (Chou et al., 2018). The development of a secure and robust network, the reduction of paper usage, the improvement of joint commission compliance, and the appropriate competence for the implementation of EHR are all necessary.

Another administrative factor is the HIPAA-mandated standard of practice for protecting the privacy of EHR data. The password-protected stored data should only be accessible by authorized users. Since this data is fragile, security and privacy are vital to forestall deceptive patient abuse (Rosenbloom et al., 2019). Both governmental and non-governmental organizations are pushing the fields of health informatics in order to improve patient safety by directing nurses.

Structure of Ethical & Legal Practices

Structure of Ethical and Legal Practices Frameworks of ethical and legal practices must be taken into account when employing the science of informatics, which in this case is EHR. Secrecy is one of the really moral issues with the utilization of EHRs due to the potential risks presented by insufficient assurance of extremely delicate confidential data. Utilizing EHR can be time-consuming for nurses due to a lack of knowledge or training. There may be ethical concerns if a third party becomes particularly interested in the data stored in this device. Correct application of policies and protective structures is essential.

Ethical considerations include determining who has access to the records and whether there is a justification for their storage (Layman, 2020). EHR reception is another issue that requires cautious thought since it requires a lot of financing, cooperation, and instruction to be carried out effectively. The reliability or quality of the information stored in the EHR may be compromised.

The legal implications of using an EHR should also be taken into consideration, such as the availability of accounting adjustments to ensure that the data being entered, such as ethnicity or sex, is not removed or altered. Legal issues that may be connected to EHR include privacy violations, data errors, and the removal of potentially crucial information (Layman, 2020). To save respectability, sections should be finished on time, without blunders, and should know about any cautions or ideas presented by the EHR. Nursing informatics must adhere to the ethics code and be aware of the legal and ethical requirements in order to safeguard the patient’s data.

Stakeholders

Stakeholders Stakeholders are essential participants who need to be involved in every phase of the project in order to guarantee that the software is installed and used in accordance with industry standards. Through presentations and discussions, effective communication with stakeholders is necessary to enable efficient data transfer. To fix any issue and safeguard the patient’s protection, they should stay educated and involved. Stakeholders for this project include clinicians, IT examiners, clinicians, medical executives, and accounting staff. Based on the identified gaps in healthcare, particularly those related to medication errors, the utilization of nurse informatics would permit creativity and the creation of new projects (Pollock et al., 2018).

As stakeholders in the design and implementation, nurses and doctors’ participation would be crucial due to their proximity to patients. The billing team will ensure that the system is effectively integrated with the organizations’ payment processing plans, while the board members will make the most important decisions regarding the EHR’s finances and operating system. IT auditors will also check to see that all standards are being followed and that patient security is strong. The stakeholders, such as nurses and doctors, need to be educated about the EHR in order to guarantee that it is utilized safely and effectively.

Conclusion

The Electronic Health Record System (EHR) is a prime example of the advanced technology in informatics. Mistakes with medication can cause harm to patients if the wrong drug is used, administered at the wrong time, or the wrong patient is identified. Utilizing nurse informatics would make it possible to be innovative and develop new projects based on the identified gaps in healthcare, particularly those related to medication errors. To get the patient’s information, nursing informatics should be aware of the legitimate and moral prerequisites and stick to the morals code.

References

Alzu’bi, A. A., Watzlaf, V. J. M., & Sheridan, P. (2021). Electronic health record (EHR) abstraction. Perspectives in Health Information Management, 18(1), 1.

/orders/pubmed.ncbi.nlm.nih.gov/34035788/

Chen, Y., Cai, Z., Lin, B., Yan, L., Zheng, W., Kuo, M. C., Hübner, U., & Chang, P. (2022). Developing a professional-practice-model-based nursing organizational informatics competency model. International Journal of Medical Informatics, 166, 104840.

/orders/doi.org/10.1016/j.ijmedinf.2022.104840

Chou, R., Baker, W. L., Bañez, L. L., Iyer, S., Myers, E. R., Newberry, S., Pincock, L., Robinson, K. A., Sardenga, L., Sathe, N., Springs, S., & Wilt, T. J. (2018). Agency for healthcare research and quality evidence-based practice center methods provide guidance on prioritization and selection of harms in systematic reviews. Journal of Clinical Epidemiology, 98, 98–104.

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Fragidis, L. L., & Chatzoglou, P. D. (2018). Implementation of a nationwide electronic health record (EHR). International Journal of Health Care Quality Assurance, 31(2), 116–130.

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Giuliano K. K. (2018). Intravenous smart pumps: Usability issues, intravenous medication administration error, and patient safety. Critical Care Nursing Clinics of North America, 30(2), 215–224.

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Joukes, E., de Keizer, N. F., de Bruijne, M. C., Abu-Hanna, A., & Cornet, R. (2019). Impact of electronic versus paper-based recording before EHR implementation on health care professionals’ perceptions of EHR use, data quality, and data reuse. Applied Clinical Informatics, 10(2), 199–209.

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Layman E. J. (2020). Ethical issues and the electronic health record. The Health Care Manager, 39(4), 150–161.

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Linton, M., & Koonmen, J. (2020). Self-care as an ethical obligation for nurses. Nursing Ethics.

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Manias, E., Cranswick, N., Newall, F., Rosenfeld, E., Weiner, C., Williams, A., Wong, I. C., Borrott, N., Lai, J., & Kinney, S. (2019). Medication error trends and effects of person-related, environment-related and communication-related factors on medication errors in a pediatric hospital. Journal of Pediatrics and Child Health, 55(3), 320–326.

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Pollock, A., Campbell, P., Struthers, C., Synnot, A., Nunn, J., Hill, S., Goodare, H., Morris, J., Watts, C., & Morley, R. (2018). Stakeholder involvement in systematic reviews: A scoping review. Systematic Reviews, 7(1), 208.

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Robinson, K. E., & Kersey, J. A. (2018). Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. Medicine, 97(38), e12319.

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Rosenbloom, S. T., Smith, J. R. L., Bowen, R., Burns, J., Riplinger, L., & Payne, T. H. (2019). Updating HIPAA for the electronic medical record era. Journal of the American Medical Informatics Association: JAMIA, 26(10), 1115–1119.

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Strudwick, G., Nagle, L., Kassam, I., Pahwa, M., & Sequeira, L. (2019). Informatics competencies for nurse leaders: A scoping review. The Journal of Nursing Administration, 49(6), 323–330.

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