Jordan Armstrong
EBP Case Study Chapter 3
1.
Using clinical guidelines and standards of care, identify what data elements should be
included in the EHR assessment and evaluation screens if these goals are to be achieved.
Using clinical practice guidelines and standards of care would ensure that evidenced based
practice that is being used is being translated form the primary findings into actual real-life
experiences and molded into the decision-making process for both the physician and the patient
(Nelson & Staggers, 2018, p. 44). In this scenario, they are trying to meet the standards of
improving screening for adults with pain, depression, and health behaviors, as well as, geriatric
patients who are over 65 and hospitalized for a week and then readmitted within 3 days of
discharge. Lastly, they want to promote care-team performance. To accomplish this data
elements in the EHR should include a pain scale assessment, questions pertaining to depression
indicating symptoms, severity, how long they have experienced symptoms, how it effects their
daily life, if anything makes it better or worse, etc. The EHR screenings should also include
questions about daily behaviors and lifestyle choices that could lead to unhealthy outcomes such
as smoking, alcohol use, substance use, diet and exercise. When it comes to the geriatric portion
of the program the EHR should include data about the patient’s initial stay, why they were
hospitalized, on what grounds were they discharged, and about teaching at discharge and the
compliance of the individual, all of these factors could contribute to some sort of relapse and
readmission.
2.
Identify how information system defaults and alerts could be used to achieve these goals.
Alerts on information systems can be set so that if a patient can be flagged for a specific problem
during screening. This allows for the healthcare team to anticipate the needs of this patient and
implement a care plan that can be conducive to solving their problem. It can also alert to make
sure that specific protocols for that problem are put in place. For example, when a patient is a fall
risk in the EHR you will see that as an alert or a flag in the system. That way the healthcare team
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- Spring '19
