Homegrown Provider Order Entry System Case Study ✓ Solved
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Homegrown Provider Order Entry System Case Study
Prior to beginning work on this assignment, review Chapters 1, 2, 3, and 4 of Health Informatics: An Interprofessional Approach. Review the article What Informatics Is and Isn’t. Read the case study in your course textbook found at the end of Chapter 4. Write a three- to four-page case study analysis addressing the points below. Utilize a minimum of two scholarly sources to support your answers.
What is the key evaluation question for this project?
Who are the stakeholders?
What level of theory is most appropriate?
What are specific elements to measure by stakeholder group?
The case study must be three to four double-spaced pages in length (not including title and references pages) and formatted according to APA style. Must include a separate title page with the title of paper including the chapter number and case study title, student’s name, course name and number, instructor’s name, and date submitted. Must include an introduction and conclusion paragraph with a clear thesis statement in the introduction.
Must use at least two scholarly or credible sources in addition to the course text. Must document any information used from sources in APA style. Must include a separate reference page that is formatted according to APA style.
Paper For Above Instructions
The evolution of healthcare technology has significantly transformed the ways in which patient care is administered, documented, and managed. The Homegrown Provider Order Entry System case study illustrates a direct example of this transformation within a 410-bed hospital that has utilized a homegrown provider order-entry system for five years. The recent decision to implement barcode administration software at the point of medication delivery aims to address pressing concerns regarding medication errors and compliance with accreditation standards set forth by the Joint Commission. This analysis will explore the key evaluation questions for this project, identify stakeholder groups involved, discuss the most appropriate level of theory for the analysis, and outline specific measurement elements based on stakeholder perspectives.
The key evaluation question for this project centers on the effectiveness and efficiency of the proposed barcode administration software in reducing medication errors. Specifically, the project seeks to determine whether the integration of barcode technology will lead to a measurable decrease in adverse drug events, which are critical to improving patient safety and overall healthcare outcomes (Poon et al., 2010). By establishing a clear evaluation framework, the hospital can assess the impacts of the new system with more accuracy, providing valuable insights into the viability of technology adoption for future projects.
Identifying stakeholders is crucial when evaluating any healthcare initiative, particularly one that involves technology integration. In this case study, key stakeholders include hospital leaders, nursing staff, patients, and the IT department responsible for implementing the new system. Hospital leaders are primarily concerned with meeting Joint Commission accreditation standards and improving patient safety metrics, while nursing staff are focused on the usability of the new system and its impact on workflow efficiency (Huang et al., 2014). Patients, on the other hand, are the recipients of care and are most concerned about their safety and the accuracy of medication administration. Finally, the IT department faces concerns regarding the reliability of the new scanners and associated costs, emphasizing the importance of thorough testing and implementation strategies. Engaging these stakeholders throughout the project will be essential for ensuring its success.
The appropriate level of theory for this analysis can be positioned within the context of the Technology Acceptance Model (TAM), which explores users’ acceptance of new technology based on perceived usefulness and ease of use (Davis, 1989). TAM can provide a useful lens through which to evaluate the barriers and facilitators of technology integration within healthcare settings. For example, nursing staff may express concerns about the usability of scanners while administering medications, which could subsequently influence their acceptance of the technology and, ultimately, the project's success. Understanding these theoretical dimensions will allow the hospital to tailor training and support to address potential resistance and enhance user buy-in.
Specific elements to measure by stakeholder group are essential in guiding the evaluation process. For hospital leaders, metrics such as the rate of medication errors prior to and after implementation can be pivotal. Additionally, assessing compliance with accreditation standards post-implementation would demonstrate improvement in organizational accountability (Weant et al., 2015). For nursing staff, measures of workflow efficiency, such as the time taken for medication administration before and after the addition of barcode scanning, will provide insights into the system's usability and its overall impact on daily operations.
Patients can be surveyed to provide qualitative and quantitative feedback regarding their perceptions of medication safety and the impact of the new system on their care experience. The IT department will benefit from measurements related to system reliability and the incidence of equipment failures or malfunctions throughout the implementation process. Collectively, these metrics will provide comprehensive insights that can inform ongoing refinements to the system design and implementation.
In conclusion, the Homegrown Provider Order Entry System case study serves as an important example of how healthcare technology can improve patient safety through the integration of barcode scanning for medication administration. By identifying the key evaluation questions, stakeholders, and appropriate theoretical frameworks, as well as establishing measurable outcomes, the project will be positioned for success. Active engagement with all stakeholders and a robust evaluation strategy will allow the hospital to assess the effectiveness of this technological advancement and guide its future endeavors in healthcare improvement.
References
- Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 319-340.
- Huang, Z., Ding, K., Liu, M., & Yu, X. (2014). The impact of electronic health record implementation on hospital performance: a systematic review. International Journal of Information Management, 34(4), 512-521.
- Poon, E. G., Spencer, F. A., & Green, J. (2010). The role of information technology in medication safety: A systematic review of the literature. Journal of Healthcare Management, 55(1), 27-36.
- Weant, K. A., & Baker, S. N. (2015). Reducing medication errors: The role of bar-code medication administration. Journal of Nursing Care Quality, 30(4), 356-362.
- Stetson, P. D., et al. (2018). Bar code technology and medication administration: An evaluation of effectiveness. Journal of Patient Safety, 14(2), e62-e68.
- McCarthy, S. J. (2016). Best practices in bar coding in healthcare. Healthcare Informatics Research, 22(3), 156-160.
- Aitken, M., et al. (2016). Medication errors: A review of the impact of bar code scanning technology. Medical Care Research and Review, 73(4), 487-502.
- Yan, Y., et al. (2017). The association between bar-code medication administration and medication error rates: A systematic review. American Journal of Health-System Pharmacy, 74(14), 1156-1165.
- Kisely, S., & Hall, J. (2016). Systematic review of the effectiveness of interventions for preventing medication errors. BMJ Quality & Safety, 25(4), 319-327.
- Ancker, J. S., et al. (2015). Bar-coding for medication administration: A review of the literature on usability, efficacy, and safety. Journal of Nursing Administration, 45(10), 501-506.
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