NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications for Practice

Exploration of Regulations and Implications for Practice

To manage the relevant material for the improvement of healthcare and to enhance results, informatics enables the integration of information and communication technologies into the practice of nurses (Strudwick et al., 2019). The Electronic Health Record System is a prime illustration of how informatics has advanced technology (EHR). By lowering documentation and the burden of the nurses, EHR ensures that data is managed effectively and that any type of adverse occurrence is minimized. Better communication and a smoother clinical process help to lessen emotional exhaustion (Alzu’bi et al., 2021). The purpose of this study is to analyze the potential hazard and identify the safety procedures that can be used with EHR.

Safety Issue Involved

Medication errors add to the growing list of health-related issues that are complicating professionals’ work as healthcare continues to advance and change. Around 10,000 people every year in the US pass away because of drug mistakes (Manias et al., 2019). Medication mistakes are frequently overlooked. Medication mistakes are concerning because they can harm patients by using the wrong drug, administering it at the wrong time, or identifying the wrong patient. When the medication does not match their diagnoses, they may experience allergic and adverse reactions, which have negative effects. With proper precautions, the safety concern associated with medication errors can be greatly reduced. Individual mistakes, poor communication, unclear printing, and misunderstanding over medicine names are all potential causes of adverse drug events (Giuliano, 2018).

Informatics Model & Safe Practice

To make sure the procedures are secure and error-free, an informatics model might be used. The Technology Informatics Guiding Education Reform model is one of these (TIGER). By incorporating eHealth into education, the HIMSS has launched this program to give the workforce all the resources or tools they need (Chen et al., 2022). Transform health, entails a multidisciplinary and collaborative approach. The use of safe methods that reduce adverse drug reactions is encouraged by this paradigm for training nursing staff. Pharmaceutical mistakes could cause patients significant suffering and damage, and extended hospitalizations because of these mistakes can lower positive patient outcomes and raise healthcare expenditures. As a result, safe practice should be the primary objective of healthcare. 

NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications for Practice

EHR is a secure technique in healthcare technology that would provide better results. EHR enhances data collection by removing the practice of scribbling prescriptions, which may increase burden and ambiguity and minimize error. EHR improves data processing, making it legitimate and dependable and enhancing its durability. Clinical notifications on it could inform nurses of any errors so they can fix them. Making decisions and identifying practice gaps are made easier because of improved access to patient information. The greatest potential use of the data is ensured by nurse informatics professionals, who employ technologies like HER (Fragidis et al., 2018).

Intended Goals

Reducing prescription errors and the deaths they cause is the main objective of the EHR’s recent technological advances being employed. It ought to enable the nurses to implement the healthiest procedures that boost patient confidence and satisfaction in the healthcare system, hence enhancing the consequences for the patients. To reduce adverse drug events and prevent fatigue, nurses need to have better access to patient data and documentation (Joukes et al., 2019). By more effectively reviewing the data to identify the appropriate medication that may be delivered based on medical health, this innovation would aid the nurses in preventing incorrect diagnoses and adverse drug events.

Outcomes

For improved care quality, many healthcare companies are currently implementing EHR. According to EHR research, alerts for doctors have a positive impact on patient safety and clinical outcomes. EHR enables nurses to check the detailed diagnosis before visiting the patient, which streamlines their work. Nurses may now quickly check for side effects to be careful before giving drugs (Robinson et al., 2018). With the use of the EHR, the doctor’s plan is properly appreciated, and inspections can identify pharmaceutical errors quickly and effectively to help prevent them.  The benefits of EHR were observed to materialize swiftly while the drawbacks, such as increased effort, exhaustion, and problematic processes, have been seen to become increasingly consistent (Alzu’bi et al., 2021). Productivity, communication, healthcare quality, and availability all increased. The nurses and patients are happier because of the changes incorporated.

Applying the Standards of Practice

By establishing standards of practice, it would be possible to guarantee that safety procedures are efficient and straightforward. Practice guidelines give medical practitioners a template or pattern to adhere to, serving as a kind of checklist to make sure the practice being performed is secure. To foster a secure and moral workplace while promoting the pressing issues that require attention, the American Nurses Association (ANA) has set standards of practice for nurses (Linton et al., 2020).

The ANA offers a set of standards that include an assessment phase during which nurses must efficiently collect data, a prognosis phase during which nurses should analyze the data retrieved, effectiveness characterization should be achieved by recognizing patterns, scheduling must be implemented to improve that consequence, that plan must be implemented, and finally the plan must be monitored and evaluated to track its development (Linton et al., 2020). The Nurse Practice Standards are also provided by the Code of Ethics, which is based on the four fundamental values of autonomy, fairness, beneficence, and respect for human dignity (Layman, 2020). Nurses should understand these principles.

NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications for Practice

• The significance of patient populations in decision-making is acknowledged by autonomy. 
• Beneficence promotes the health and well-being of patients and employees. 
• Justice integrates the concept of equality into practice
• Non-maleficence calls for the prevention of harm, and any treatment plan that may do so should be reported. 

Impacts of Regulatory Constraints

A nurse practitioner is one who effectively adheres to the guidelines set at whatever level, be it a global, institution, or state, as it is crucial to keep regulatory issues in mind when providing treatment. To successfully adopt EHR, one must enthusiastically accept and adjust to it, according to management controls. Furthermore, the value of training in assisting personnel in making the changeover to EHR cannot be understated (Chou et al., 2018). A safe and robust network must be developed, less paper should be used, joint commission compliance should be improved, and the correct competence is required for the deployment of EHR.

The HIPAA-mandated standard of practice for safeguarding the privacy of data held in EHRs is another administrative factor. Only authorized users should be able to access the stored data, which should be password protected. Since this information is delicate, privacy and confidentiality are important to prevent unethical patient exploitation (Rosenbloom et al., 2019). To improve patient safety by directing nurses, both governmental and non-governmental organizations are pushing the fields of health informatics.

Structure of Ethical & Legal Practices

When utilizing the science of informatics, which in this case is EHR, there are frameworks of ethical and legal practices that need to be considered. Confidentiality is one of the main ethical issues with the use of EHRs because of the potential hazards posed by inadequate protection of very sensitive private information. Lack of knowledge or training can make it time-consuming for nurses to use EHR. If a third party becomes especially interested in the information held in this device, there may be ethical issues. Policies and protective structures must be followed correctly.

The existence of a rationale for the data being maintained and identifying who has access to these records are ethical concerns that need to be considered (Layman, 2020). EHR adoption is another issue that requires careful consideration because it requires a significant amount of funding, participation, and education to be implemented successfully. There may be issues with the dependability or quality of the information kept in the EHR.

The legal ramifications of using EHR should also be considered, including the accessibility of changes in accounting to make sure that the data being input, like ethnicity or sex, is not being removed or changed. Privacy violations, data mistakes, and the removal of potentially crucial information are all legal issues that can be connected to EHR (Layman, 2020). To preserve integrity, entries must be done on time, without errors, and must be aware of any alerts or suggestions offered by the EHR. To secure the patient’s data, nursing informatics must be conscious of the legal and ethical requirements and adhere to the ethics code.

Stakeholders

To ensure that the installation and use of the software are up to standard, stakeholders are the crucial participants who need to be involved in every phase of the project. To enable effective data transfer, there must be effective contact with the stakeholders via presentations and discussions. To fix any problem and protect the patient’s privacy, they must remain informed and involved. Physicians, nurse informatics, IT examiners, clinicians, medical top executives, and the accounting staff will all be participating in this project as stakeholders. The use of nurse informatics would allow for creativity and allow for the creation of new projects based on the gaps in healthcare, particularly those related to medication errors, that have been identified (Pollock et al., 2018). Hire Expert for NURS FPX 6410 Assessment 3 Exploration of Regulations and Implications for Practice.

Due to their proximity to the patients, nurses, and doctors’ involvement as stakeholders in the creation and execution would be crucial. The board members will make the most crucial decisions regarding the finances and operating system of the EHR, while the billing team will ensure that the system is effectively integrated with the payment processing plans of the organizations. IT auditors will also ensure that patient security has no weak points and that all standards are being followed. To ensure the EHR is used safely and effectively, the stakeholders, like as nurses and doctors, must be taught about it.

Conclusion

The Electronic Health Record System is a prime illustration of how informatics has advanced technology (EHR). Medication mistakes are concerning because they can harm patients by using the wrong drug, administering it at the wrong time, or identifying the wrong patient. The use of nurse informatics would allow for creativity and allow for the creation of new projects based on the gaps in healthcare, particularly those related to medication errors, that have been identified. To secure the patient’s data, nursing informatics must be conscious of the legal and ethical requirements and adhere to the ethics code.

References

Alzu’bi, A. A., Watzlaf, V. J. M., & Sheridan, P. (2021). Electronic health record (EHR) abstraction. Perspectives in Health Information Management, 18(1), 1. https://pubmed.ncbi.nlm.nih.gov/34035788/

Chen, Y., Cai, Z., Lin, B., Yan, L., Zheng, W., Kuo, M. C., Hübner, U., & Chang, P. (2022). Developing a professional-practice-model-based nursing organizational informatics competency model. International Journal of Medical Informatics, 166, 104840. https://doi.org/10.1016/j.ijmedinf.2022.104840

Chou, R., Baker, W. L., Bañez, L. L., Iyer, S., Myers, E. R., Newberry, S., Pincock, L., Robinson, K. A., Sardenga, L., Sathe, N., Springs, S., & Wilt, T. J. (2018). Agency for healthcare research and quality evidence-based practice center methods provide guidance on prioritization and selection of harms in systematic reviews. Journal of Clinical Epidemiology, 98, 98–104. https://doi.org/10.1016/j.jclinepi.2018.01.007

Fragidis, L. L., & Chatzoglou, P. D. (2018). Implementation of a nationwide electronic health record (EHR). International Journal of Health Care Quality Assurance, 31(2), 116–130. https://doi.org/10.1108/IJHCQA-09-2016-0136

Giuliano K. K. (2018). Intravenous smart pumps: Usability issues, intravenous medication administration error, and patient safety. Critical Care Nursing Clinics of North America, 30(2), 215–224. https://doi.org/10.1016/j.cnc.2018.02.004

Joukes, E., de Keizer, N. F., de Bruijne, M. C., Abu-Hanna, A., & Cornet, R. (2019). Impact of electronic versus paper-based recording before EHR implementation on health care professionals’ perceptions of EHR use, data quality, and data reuse. Applied Clinical Informatics, 10(2), 199–209. https://doi.org/10.1055/s-0039-1681054

Layman E. J. (2020). Ethical issues and the electronic health record. The Health Care Manager, 39(4), 150–161. https://doi.org/10.1097/HCM.0000000000000302

Linton, M., & Koonmen, J. (2020). Self-care as an ethical obligation for nurses. Nursing Ethics. https://doi.org/10.1177/0969733020940371

Manias, E., Cranswick, N., Newall, F., Rosenfeld, E., Weiner, C., Williams, A., Wong, I. C., Borrott, N., Lai, J., & Kinney, S. (2019). Medication error trends and effects of person-related, environment-related and communication-related factors on medication errors in a pediatric hospital. Journal of Pediatrics and Child Health, 55(3), 320–326. https://doi.org/10.1111/jpc.14193

Pollock, A., Campbell, P., Struthers, C., Synnot, A., Nunn, J., Hill, S., Goodare, H., Morris, J., Watts, C., & Morley, R. (2018). Stakeholder involvement in systematic reviews: A scoping review. Systematic Reviews, 7(1), 208. https://doi.org/10.1186/s13643-018-0852-0

Robinson, K. E., & Kersey, J. A. (2018). Novel electronic health record (EHR) education intervention in large healthcare organizations improves quality, efficiency, time, and impact on burnout. Medicine, 97(38), e12319. https://doi.org/10.1097/MD.0000000000012319

Rosenbloom, S. T., Smith, J. R. L., Bowen, R., Burns, J., Riplinger, L., & Payne, T. H. (2019). Updating HIPAA for the electronic medical record era. Journal of the American Medical Informatics Association: JAMIA, 26(10), 1115–1119. https://doi.org/10.1093/jamia/ocz090

Strudwick, G., Nagle, L., Kassam, I., Pahwa, M., & Sequeira, L. (2019). Informatics competencies for nurse leaders: A scoping review. The Journal of Nursing Administration, 49(6), 323–330. https://doi.org/10.1097/NNA.0000000000000760