Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies 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. • 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

 

Assignment Literature Review The Use of Clinical Systems to Improve Outcomes and Efficiencies

are in the modern world. Health organizations continue to adopt health information technologies that enhance their ability to achieve care outcomes such as quality, efficiency, and safety in the patient care process. Nurses and other healthcare providers are responsible for determining the safety, efficiency, and effectiveness of the different technologies utilized in healthcare. Therefore, the purpose of this research paper is to perform a literature review on the use of telemedicine in patients suffering from cardiovascular health problems.

Literature Review

The first study included in the review is the research by Jiménez-Marrero et al., (2020). The authors evaluated the efficacy of telemedicine-based intervention for patients suffering from chronic heart failure and ventricular ejection fraction of at least 40%. The study was a sub-analysis of a randomized controlled trial (Insuficienca Cardiaca Optimitzacio Remota iCOR study). The participants in the study were 178 patients who were randomly assigned to either usual care or telemedicine. The results obtained after six months of follow-up showed that the incidence of acute non-fatal heart events was significantly lower in the intervention group (telemedicine) compared to the usual care group. There was also a significant reduction in heart-failure-related costs in telemedicine compared to the usual care group. Therefore, it can be learned from this article that telemedicine reduces adverse events and healthcare costs in heart failure patients compared to usual care.

The other study is the systematic review by Battineni et al., (2021). The research analyzed the usefulness of telemedicine systems for providing personalized care needed to prevent cardiovascular disease. Articles for the review were obtained from databases that included Scopus, PubMed, Scopus, and CINAHL. The search led to 19 articles that met the developed inclusion criteria. The analysis of data showed that telemedicine interventions modify morbidity and mortality if administered promptly to patients with cardiovascular diseases. The results also showed that telemedicine could reduce access to hospitals and other services when not necessary and pressure in hospitals by lowering the acute occurrence of cardiovascular diseases. Therefore, it can be learned from this article that telemedicine interventions improve the treatment outcomes of cardiovascular diseases. It also reduces intense pressure on healthcare systems due to the rise in cardiovascular cases and unnecessary hospital visits and hospitalizations.

The third article is the research by Farabi et al., (2020), which systematically reviewed the economic evaluation of studies that compared the effectiveness of telemedicine with usual care for patients suffering from cardiovascular diseases. The systematic review utilized articles that were obtained from databases that included Embase, PubMed, Google Scholar, SID, Magiran, Scopus, and Global Health. The search yielded more than 20 articles that were included in the review. The analysis of data from the articles showed that telemedicine improves clinical outcomes for patients suffering from cardiovascular disorders. It also reduces healthcare costs that patients incur. As a result, concurrent use of telemedicine with usual care interventions could be more cost-effective. It is learned from this article that besides improving health outcomes, telemedicine reduces the healthcare costs that patients with cardiovascular diseases incur.

The last article is a systematic review by Rush et al., (2018). The authors compared the efficacy of virtual education delivery with usual care on patient outcomes in patients suffering from chronic illnesses. The authors searched databases that included CINAHL, MEDLINE, and EMBASE for literature sources. The search yielded 16 articles that were included in the review. The analysis of data showed that telehealth modalities that were utilized in the studies included web, videoconferencing, telephone, and television interventions delivered to patients suffering from chronic obstructive pulmonary disease, diabetes, and heart failure. The results also showed that virtually-delivered interventions were associated with significantly improved outcomes compared to usual care or control conditions. Therefore, it is learned from this study that telehealth or telemedicine is associated with improved outcomes compared to the usual care in patients suffering from chronic illnesses such as heart failure.

Conclusion

The findings from the above articles show that telemedicine or telehealth is highly effective for patients suffering from cardiovascular diseases. The data from the articles agree that telemedicine improves patient outcomes in cardiovascular diseases. The outcomes

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