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Technological Disruptions in the Healthcare Setting

Technological Disruptions in the Healthcare Setting: Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following…

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Technological Disruptions in the Healthcare Setting

Instructions

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

  • Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
  • Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
  • Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

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The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

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Solution

Technological Disruptions in the Healthcare Setting

Technological advancements and integrations have had a significant impact on healthcare administration. The technological era necessitates the adoption of the latest technologies that optimize processes and promote safety and quality in healthcare. The benefits are extensive, especially in information technology and electronic health records (EHR), which has revolutionized healthcare provision (Bulson, Van Dyke, & Skibinski, 2017). (Technological Disruptions in the Healthcare Setting)

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However, with technology being embedded in clinical workflows, technology-centered practice disruptions mild affected the Health Information Technology, leading to adverse impacts on nurse’s workflow and patient care (Herrmann et al., 2018). Technological disruptions span from regular updates and changes to breakdowns and downtime of health IT systems. The paper examines the impact of practice disruptions that result from health IT system updates, changes, and breakdowns at (FILL FACILITY NAME).

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Practice Disruptions

Practice disruptions arising from health IT systems have the potential to disrupt healthcare delivery and heighten the risk of new and usually unanticipated errors. The consequences negatively affect the quality of care, patient safety, and patient outcomes (Kim et al., 2018). In 2019, clinicians reported 76 instances of health-IT related disruptions in the facility.

An assessment of the impact of the disruptions showed that more than 50% of the instances led to increased wait times of more than 60 minutes, leading the nurses to resort to traditional approaches as they await IT support or rely on other colleagues to help. Among the significant issues were communication breakdowns and issues with documentation due to partial or total loss of functionality during and after an update or complexity of changes.(Technological Disruptions in the Healthcare Setting)

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70% of all nurses note that IT departments and administrators did not respond with full solutions in the first 2 hours. Instead, the nurses report being given temporary workarounds, which made it hard to perform their tasks as planned. The data also shows that 3 in 5 nurses found the systems to be hard to use with the lack of adequate training and the regular updates and changes being part of the problem.

Informational Summary

Kim, Coiera & Magrabi (2017), in “Problems with health information technology and their effects on care delivery and patient outcomes,” conducted a systematic review of the challenges faced by IT in the field of health, and the impact they have on both patient care and orders together. The article finds that challenges with health IT elevate the risk for patient safety.

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On the other hand, Monteiro, Avelar, & Pedreira (2015) in “Interruptions of nurses’ activities and patient safety: an integrative literature review” find that interruptions favor the occurrence of errors in the health field. The study notes that the errors occur due to the complexity of the procedures used in clinical settings with technological breakdowns making it harder for nurses to provide care consistently.(Technological Disruptions in the Healthcare Setting)

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Strategies used in Other Organizations

Downtime preparedness is also identified as essential to ensure patient safety and continuity of care when clinical systems are impaired or completely unavailable (Kashiwagi et al., 2016). The study calls for having policies, processes, and procedures for both the IT department to recover from the downtime and for the clinical staff to continue to provide safe care during these times.

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Preparedness involves having clinicians taking part in training on how to optimize and collaborate on care during downtimes. This strategy will help nurses improve their ability to adapt to the practice disruptions, especially in critical care, thereby reducing the impact of the disruptions.(Technological Disruptions in the Healthcare Setting)

In a study by Randhawa, Shachak, Courtney, & Kushniruk (2019), they find that EMR video tutorials may be a cost-effective, sustainable and scalable strategy for supporting EMR optimization and the continuous learning and development. The video tutorial can accompany updates, changes to health IT systems and help reduce instances of practice disruptions due to human use factors. The video tutorials will help nurses in the facility to learn about updates to our EHR before they happen and get ready for any drastic changes.

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Bulson, Van Dyke, & Skibinski (2017) call for a strong collaboration between information systems and emergency preparedness departments was key to the success and the ongoing improvement of the downtime response model. This involves redesigning the incident management process using the response outcomes and health workers’ experiences during such incidents. The intervention will reduce downtimes and a significantly lower impact on nurse workflows in the facility.

To deliver care to patients during technology-caused practice disruptions, providers must have a contingency plan in place to handle EHR downtimes (Larsen, Haubitz, Wernz, & Ratwani, 2016). A contingency plan creates a systematic framework of standard forms to be used in the case of downtime. The plan should state a clear pathway of recognizing downtime, communication, and recovery processes. The plan will help improve communication during incidents and help in escalating issues so that they can be addressed faster.(Technological Disruptions in the Healthcare Setting)

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Conclusion

The incidence of technology disruptions can significantly affect patient and health outcomes (Bulson, Van Dyke, & Skibinski, 2017; Kim, Coiera & Magrabi, 2017; Herrmann et al., 2018). The paper categorized technological disruptions as intrusions, distractions, breakdowns, updates s, and downtimes. The paper has also concisely reviewed two studies published in scholarly publications towards the end explored how the technology distractions can affect a healthcare organization in either a positive or a negative way(Technological Disruptions in the Healthcare Setting)

References

  • Bulson, J., Van Dyke, M., & Skibinski, N. (2017). Rebooting healthcare information technology downtime management. Journal of Business Continuity & Emergency Planning, 11(1), 63-72.
  • Herrmann, M., Boehme, P., Mondritzki, T., Ehlers, J. P., Kavadias, S., & Truebel, H. (2018). Digital transformation and disruption of the health care sector: an internet-based observational study. Journal of medical internet research, 20(3), e104.
  • Kashiwagi, D. T., Sexton, M. D., Souchet Graves, C. E., Johnson, J. M., Callies Jr, B. I., Yu, R. C., & Thompson, J. M. (2016). All CLEAR? Preparing for IT downtime. American Journal of Medical Quality, 32(5), 547-551.
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  • Kim, M. O., Coiera, E., & Magrabi, F. (2017). Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Journal of the American Medical Informatics Association, 24(2), 246-250.
  • Krick, T., Huter, K., Domhoff, D., Schmidt, A., Rothgang, H., & Wolf-Ostermann, K. (2019). Digital technology and nursing care: a scoping review on acceptance, effectiveness, and efficiency studies of informal and formal care technologies. BMC health services research, 19(1), 400.
  • Larsen, E., Haubitz, C., Wernz, C., & Ratwani, R. (2016). Improving electronic health record downtime contingency plans with discrete-event simulation. Paper presented at the Proceedings of the Annual Hawaii International Conference on System Sciences, 2016-March 3179-3188. doi:10.1109/HICSS.2016.399.
  • Monteiro, C., Avelar, A. F., & Pedreira, M. (2015). Interruptions of nurses’ activities and patient safety: an integrative literature review. Revista latino-americana de enfermagem, 23(1), 169–179. https://doi.org/10.1590/0104-1169.0251.2539
  • Randhawa, G. K., Shachak, A., Courtney, K. L., & Kushniruk, A. (2019). Evaluating a post-implementation electronic medical record training intervention for diabetes management in primary care. BMJ Health & Care Informatics, 26(1), e100086.
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Technological Disruptions in the Healthcare Setting

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