continue this intervention, modify or discontinue the intervention all with the ease of a few clicks at the patient’s bedside. D2. HIS Support of Culture Safety According to the Institute for Healthcare Improvement (n.d.), a culture of safety is when “people are not merely encouraged to work toward change; they take action when it is needed.” This thought is supported by upper management establishing their commitment to safety and also by providing the means to achieve results. They must consistently give the message that safety is important and to be unfailing for as long as is needed for the change to occur. No one person is responsible for safety in a culture of safety, yet everyone as a whole is responsible for safety. Upper management has to ensure that staff will be safe when reporting unsafe conditions and accidents so that the problem can be addressed and corrected (Institute for Healthcare Improvement, n.d.). Many electronic health recording systems have functionality designs that increases the ability of the nurse to provide safe patient care. Many include reminders for tasks to be completed, alerts of potential errors, documentation requirements and alerts for adverse interactions. While functionality should not replace nurses judgment and critical thinking it can provide direction and alert nurses to potential problems so the nurse can then choose what to do with the information. Barcode scanning is one of the main safety components nurses use daily with patients. Patient identification is one of the best ways to prevent medication errors. By scanning a barcode the patient wears on their body, nurses can be surer the proper patient sits in front of them. The enables the user to administer medication with over-all confirmation of the Five Rights of medication administration; right patient, right dose, right route, right time, and right medication. Patient care is affected by the information that surrounds that particular patient. Slow communication, wrong information and lack of information can all affect the care of the patient and the outcome. By having all the patients information in one central area, the healthcare providers can see what others providers have done in the past and what medications they are on. A patients charting from a medical-surgical stay on the hospital floor can quickly be shared with a specialist that is now needing to do surgery for the patient. This can save the patient time and money that might occur with duplications of labs and diagnostic procedures.
Quality improvement data is another way a HIS can support a culture of safety. Quality improvement is the measurable improvement found by observing the actions and outcomes the patient receives. The data can be entered into the electronic health records by the healthcare team, and then that data can be combined into readable reports. These reports can then be reviewed to see if changes need to be made or if a change was successful. By easily tracking
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- Spring '16
- Nursing, Electronic health record, lab technician