Dicusss a disease , condition, or procedure of the respiratory system — 2 page report 

 

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Responding to two classmates

1) My signature assignment topic that I have chosen is how computer hackers are able to hack into computers that healthcare professionals use to diagnose and treat patients daily. I am not sure what my title will be yet I am still working on it and thinking about it. I chose  this topic because I think this very important and when I first learned about this it was pretty disturbing to me. To think that someone would interfere with possible treatment by manipulating a computer system is somewhat scary to think about.  Everyday in healthcare, computers are used to make decisions, store patients personally information, determine results and outcomes and the list is endless. So the use of the computer and computer systems are largely used in health care regardless of what kind of healthcare setting it is.   I usually choose google scholar to look up resources. So far I have not had any trouble finding articles that are related to my signature assignment.   I will say that a lot of the articles are not related to healthcare. So its just a matter of finding a relevant article that fits my assignment. A article that has enough information for me to use and to quote from.  There are many other websites that offer peer reviewed sources. To name a few of them are DOAJ, PubMed, Scienceopen, and Academic search. Every since I started with Aspen University I have used google scholar.  One article stated that “beginning in 2016, healthcare organizations in the United States have been targeted for malware attacks, a specific type of cyberattack.” (Branch, Eller, Bias, McCawley, Meyers, 2018).  Another article stated that the United States is not prepared to deal with an attack of this kind. I am hoping that the United States and any other country have expanded their technology in finding ways tp combat this problem of computer hackers. 

2)   

I am having more of a problem narrowing down my choices for sources actually more than anything. My topic is Electronic Health Records (EHRs), which is a very broad topic as EHRs encompasses many fields such as medical charting, medication administration, medical records, imaging test, real time lab test results, and Doctor’s notes. Researching and finding articles that give me the information I am looking for has always been one of my weaker points and is what consumes most of my time when it comes to writing. So far in my research process, the wording in the articles is not so difficult to comprehend compared to the textbook. The textbook for me is hard to understand and comprehend for some reason and requires me to read most sections multiple times before understanding. However, once I comprehend the information in the textbook, I find it very helpful and is usually my main source of information. I have been using the databases provided by Aspen University and Google Scholar.

“Reduce Errors with an EMR: It’s the most efficient way to keep records and improve patient care” is the first peer reviewed journal I have located. This journal advocates for using the EHRs to improve patient care by reducing errors because EHRs allow safeguards to be put into place that prevent errors. For example, medication administration errors. If a medication that the patient is allergic to is scanned before being given, a safeguard notification will pop up warning the nurse about the allergy.

“I.V. integration helps clinicians reduce medication errors” is the second academic journal I found in which EHRs have safeguard for high alert medications that provide safeguards for unfamiliar dosages and weight based dosage for pediatric patients. Basically, this means it stops the nurse from accidentally overdosing if a dose is entered into the computer that seems suspicious.

            These are just a few examples of the advantages of EHRs and the technology capabilities that they possess. I am still looking for more resources but so far these have stuck out to me most. Many people do not like how time consuming EHRs and computer charting can be, but if the patient and nurse safety are the goals, then EHRs are far more effective than paper charting. With the right prioritization and time management, there is a way to make time for patient care and computer charting.

References

Hultman, J. (2012). Reduce Errors with an EMR: It’s the most efficient way to keep records and improve patient care. Podiatry Management, 31(3), 67–69. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=108172173&site=ehost-live

Rinda, J. (2012). I.V. integration helps clinicians reduce medication errors. Health Management Technology, 33(10), 12–13. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=104424094&site=ehost-live

 

 

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National initiatives driven by the American Nurses Association have determined nursing-quality outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-quality indicators:

• complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia, and DVT

• patient falls

• surgical patient complications, including infection, pulmonary failure, and metabolic derangement

• length of patient hospital stay

• restraint prevalence

• incidence of failure to rescue, which could potentially result in increased morbidity or mortality

• patient satisfaction

• nurse satisfaction and staffing

SCENARIO

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.

The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.

The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.

When the patient’s daughter visited later that night, she was not told of the incident.

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city. 

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Analyze the scenario (suggested length of 2–3 pages) by doing the following:

A.  Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

B.  Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

C.  Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario.

D.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

E.  Demonstrate professional communication in the content and presentation of your submission.

 

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