NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Methods and Methodology Patient Safety and Electronic Health Records

NURS FPX 8030 Assessment 4 Methods and Measurement - FPXAssessments.com

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Capella university

Patient safety is paramount in healthcare and necessitates addressing challenges that could compromise it. Organizations must diligently identify and mitigate risks associated with patient safety, particularly when employing electronic health records (EHRs). Contrary to expectations, many patient safety concerns arise due to EHR-related challenges (Ash et al., 2020). While EHRs have resolved some safety issues, underlying problems persist, endangering patient safety (Bersani et al., 2020).

Challenges such as data entry inaccuracies, interoperability issues, and limited information accessibility significantly impact patient safety (Bani Issa et al., 2020). Proper data collection and accuracy in EHR systems are critical. Errors in data input may lead to adverse outcomes, including medication errors or misdiagnoses (Ash et al., 2020). This discussion explores the problem, proposes interventions, and highlights tools for evaluating these interventions.


Proposed Interventions

Enhancing Data Entry Protocols

Improving patient safety in EHRs begins with implementing rigorous data entry protocols. Errors in data input, such as incorrect or incomplete information, jeopardize patient care. Institutions should enforce stringent procedures, including mandatory double-checks and periodic audits of data entry practices. Training programs on accurate data input methods can further reinforce these practices (Ash et al., 2020).

Comprehensive EHR User Training

Providing extensive and ongoing training for EHR users is another crucial intervention. Educating users on EHR functionality and updates ensures they remain competent and confident in system usage (Bani Issa et al., 2020). Regular evaluations of user competency can identify training gaps, improving EHR usability and patient safety outcomes (Bersani et al., 2020).


Evidence-Based Practice

Evidence-Based Practice (EBP) integrates research, clinical expertise, and patient values to enhance care delivery. EBP relies on data-driven approaches, qualitative studies, and professional judgment to make informed decisions (Melnyk, 2018). This method improves clinical outcomes, reduces healthcare costs, and addresses implementation barriers, including skill gaps among providers (Choudhury & Asan, 2020). Implementing EBP in EHR systems can significantly improve patient safety, ensuring evidence-driven interventions that align with patient preferences.


Instruments to Assess and Evaluate Practice Change

Instrument Application Benefits
Focus Groups Used to gather qualitative insights from nurses and patients about EHR intervention impacts. Provides in-depth feedback, identifies areas for immediate improvement, and supports a nuanced understanding.
Surveys and Questionnaires Administered to patients and staff to gather quantitative data on satisfaction and process improvements. Facilitates data collection from large groups economically and efficiently.
Process Mapping Visual representation of workflow processes to improve documentation and identify inefficiencies. Enhances clarity, identifies gaps, and ensures better communication among stakeholders.

Mixed-method approaches combining qualitative and quantitative techniques provide a robust framework for data collection and analysis. Integrating these methods balances their respective limitations, ensuring reliable and actionable insights (Waseh & Dicker, 2019).


Conclusion

EHRs hold immense potential for improving patient safety, clinical outcomes, and operational efficiency. Implementing strict protocols, comprehensive training, and EBP methodologies can address existing challenges. Tools like focus groups, surveys, and process mapping play a pivotal role in evaluating the effectiveness of these interventions. A systematic approach to assessing and improving EHR processes will ultimately enhance healthcare delivery and patient outcomes.


References

Antonacci, G., Lennox, L., Barlow, J., Evans, L., & Reed, J. (2021). Process Mapping in healthcare: A systematic review. BMC Health Serv Res, 21(1), 342. https://doi.org/10.1186/s12913-021-06254-1

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