Assignment Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
Assignment Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies
New technologyand the application of existing technologyonly appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
To Prepare:
Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
https://content.waldenu.edu/6d9a2ec9f787fcfd21087636c6e61b45.pdf
https://www.healthit.gov/faq/what-electronic-health-record-ehr
https://www.painmanagementnursing.org/article/S1524-9042(17)30433-2/fulltext
https://doaj.org/article/01d0b14596e4496d92ef16177ed2c5a1
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
for information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies ( see sample attached)
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 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.
Use the Safe Assign Drafts to check your match percentage before submitting your work.
ORDER A PLAGIARISM-FREE PAPER HERE !!
Solution
The Use of Clinical Systems to Improve Outcomes and Efficiencies
The rapid growth of technology has impacted various aspects of life with significant effects aligning towards the healthcare sector. The implementation of technology in the healthcare sector has transformed the provision of healthcare services which has incased the healthcare efficiencies and improved health outcomes.
One of the main fields of health care that has been significantly impacted by technological advancements is health informatics which is a scientific field of study that develops methods and technologies that can be applied in the provision of healthcare as well as processing of patient information to determine specified patient and disease patterns.
Health informatics is a specialty that has evolved simultaneously with the advancement of technology to the point of gaining steady momentum and its subsequent implementation in healthcare.
A major clinical system that is part of health informatics which has gained significant appraisal and implementation in healthcare is telehealth. Telehealth is a technological system that emphasizes on the use of communication technologies to remotely access healthcare services at the convenience of the patient and the healthcare provider.
The application of telehealth has significantly improved healthcare services as well as patient outcomes by enhancing access to healthcare. This paper will critique four research articles that assess the use of telehealth to improve patient outcomes and efficiencies.
Article 1
Doraiswamy, S., Abraham, A., Mamtani, R., & Cheema, S. (2020). Use of telehealth during the COVID-19 pandemic: scoping review. Journal of medical Internet research, 22(12), e24087.
Doraiswamy et al., (2020) conducted a literature review of the existing literature from various articles to determine the application of telehealth in enhancing efficiencies and its general application amid the rising cases of COVID-19. According to the article, the COVID-19 the beginning of the pandemic saw a rise of COVID -19 infections with at least at least 37.8 million cases reported and over one million deaths as a result of the pandemic.
Since then, the numbers have transformed to unimaginable patterns with the infection ravaging the healthcare system globally. Through innovations, such as the application of telehealth, the healthcare system was able to solve public health emergencies.
In the context of COVID-19 the research article demonstrated that telehealth was significantly used in the management of COVID-19 cases due to its application in diagnosis, surveillance, e-prescription and also in enhancing effective follow-up. The use of telehealth during the COVID-19 pandemic was complemented with the use of wearable devices such as hand-held devices.
The research further suggested that telehealth was extensively used during the pandemic to offer medical education and also in public health sensitization. The ravaging pandemic was very unique that even experts found it difficult to study the virus with preventive measures remaining to the most effective control measure for the spread of the virus.
During the sensitization campaigns, telehealth was used to ensure that the public was informed about the various preventive measures. Besides, telehealth was also used in enhancing medical education and training to help medical students continue with their studies despite of the pandemic. The research further found that telehealth was used during the pandemic to control and manage various non-communicable diseases within the population including COVID-19.
Article 2
Hyder, M. A., & Razzak, J. (2020). Telemedicine in the United States: an introduction for students and residents. Journal of medical Internet research, 22(11), e20839.
According to Hyder and Razzak, (2020), the COVID-19 pandemic led to a surge in the application and subsequent use of telehealth to provide healthcare services to a large population of people and more especially patients. The use of telehealth was facilitated as a means of minimizing person to person I interactions which facilitates the spread of the virus.
The authors further note that advancements in telehealth used be made to complement the healthcare system in a bid to use technology in opening and reinforcing some of the healthcare sectors that have not realized their full potential. Besides, due to the significant impact that has been witnessed amid the use of telehealth; more research is needed to unveil the patient benefits and financial implications of implementing telehealth in healthcare.
According to the article, the use of telehealth has spread significantly in the United States and more especially during the COVID-19 pandemic with several legislations implemented to facilitate acceptance and accessibility to telemedicine. According to Hyder and Razzak, (2020), the field of psychiatry which traditionally relied on face-to-face interactions is currently relying on telehealth. For instance, in 2016, at least 43% of all the people with mental illnesses at least used telehealth.
Another important patient outcome associated with the use of telehealth is the advancement of at home telehealth monitoring among patients with chronic condition. The provision is specifically important both to the patients as well as the healthcare providers. The patient protection and the affordable care act is one of the legislations that have enhanced telehealth where penalties are implemented to hospitals for readmissions of less than 30 days after discharge. To avoid the penalties, healthcare facilities have shifted to the use of telehealth to respond to patient issues. In turn, the continued use of telehealth has improved patient outcomes.
Article 3
Omboni, S., Ballatore, T., Rizzi, F., Tomassini, F., Panzeri, E., & Campolo, L. (2021). Telehealth at scale can improve chronic disease management in the community during a pandemic: An experience at the time of COVID-19. PloS one, 16(9), e0258015.
According to the article, the use of telehealth became widespread during the COVID-19 pandemic, a move that was geared towards minimizing the spread of the novel coronavirus. Besides, the increase in the use of telehealth was to enhance continuity in healthcare provision healthcare services to patient populations with chronic health conditions including hypertension and heart disease.
Telehealth significantly aided the initiative of home blood pressure control after a lockdown was imposed to limit the spread of the virus. Interestingly, there are instances where some patients were isolated and hence missed important doctors appointments; the use of telehealth helped to bridge the gap by connecting the patients with their doctors. Besides, telehealth helped improve the efficiencies and outcomes as doctors were able to adjust ongoing treatment plan to fit the needs and interest of the patients. During the lockdown period, the patients under isolation were able to adhere to treatment protocols due to the use of telehealth services.
Article 4
Orlando, J. F., Beard, M., & Kumar, S. (2019). Systematic review of patient and caregivers satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients health. PloS one, 14(8), e0221848.
According to Orlando et al., (2019), technology has been essential in eliminating various barriers that hinder effective access to healthcare and more especially among people in remote and rural areas. Some of the technological advancements that have been made to improve patient care through the use of technology include videoconferencing. Videoconferencing is an essential telehealth technique that enhances real-time communications which is closely similar to face-to-face interactions.
Telehealth has significantly enhanced patient satisfaction which has increased the efficiency of service delivery. Patient satisfaction as a result of effective implementation of telehealth is related to patient engagement in the provision of healthcare services as well as compliance to treatment regimens. Patient satisfaction when using telehealth has significantly improved treatment outcomes while increasing the efficiency of healthcare.
Besides, telehealth has enhanced patient centered care because telehealth focuses on the needs of individual patients which help in improving patient outcomes. With the pandemic paralyzing healthcare provision such as the inhibition of the commonly face to face interactions between the patients and the healthcare providers, the use of telehealth helps in overcoming the challenges and ensuring that patients received appropriate care as required. In the midst of the pandemic, telehealth helped to overcome travel challenges while saving on the cost of travelling to healthcare facilities.
Conclusion
From the literature review conducted on the use of clinical systems to improve patient outcomes and efficiencies, the use of telehealth has proven to be a great tool in promoting population health. In the wake of the COVID-19 pandemic, several barriers to access of healthcare emerged. Patients with chronic illnesses became the most affected as management of their illnesses require routine hospital visits.
However, with the use of telehealth, patients were able to receive the necessary healthcare services which were closely related to the usual face to face interactions. Videoconferencing for instance has been an essential telehealth tool that has facilitated effective healthcare among patient populations.
References
Doraiswamy, S., Abraham, A., Mamtani, R., & Cheema, S. (2020). Use of telehealth during the COVID-19 pandemic: scoping review. Journal of medical Internet research, 22(12), e24087.
Hyder, M. A., & Razzak, J. (2020). Telemedicine in the United States: an introduction for students and residents. Journal of medical Internet research, 22(11), e20839.
Omboni, S., Ballatore, T., Rizzi, F., Tomassini, F., Panzeri, E., & Campolo, L. (2021). Telehealth at scale can improve chronic disease management in the community during a pandemic: An experience at the time of COVID-19. PloS one, 16(9), e0258015.
Orlando, J. F., Beard, M., & Kumar, S. (2019). Systematic review of patient and caregivers satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients health. PloS one, 14(8), e0221848.
