Interfacing Between Humans and Technology in a Secure Environment

Discussion Guidelines
Initial Post
Read the NAQ article that was posted in the lesson. Knowing what you know from the chapters in this unit (Chapters 9 through 13), discuss the recommendations presented in the article for the Ideal system:

Simple, fast documentation with minimal redundancy
EHR coordination with patient and family needs and wishes
Central source of best practice forms and other resources in a free, vendor-neutral, and accessible library
Multidisciplinary collaboration on the design of EHR and CDS systems
Data: Standardized, actionable, and interoperable
Integration of biomedical devices with the EHR to avoid nurses entering that data
Multiple sources of decision support information for clinicians
Decision support dashboards

Discuss how these recommendations (re: nursing informatics) would affect nursing workflow and meaningful use. Pick and choose some of the ideas from the article and apply them to workflow analysis, system design, and meaningful use concepts from Chapter 13. This will require a bit of thinking, and please do not feel locked into one recommendation. Just make sure to support your opinions with rationales. Feel free to speculate and explore! Enjoy the opportunity!
Be sure to make reference to the week’s readings in your response. This week, your initial post may be longer than one paragraph. Try to present your main thoughts about the recommendations as a whole and then support your reactions with examples of some of the recommendations.

example from a fellow student to follow :

Discussion 4.1: The Ideal System
From the readings, it is learned that the Electronic Health Record (EHR) has come a long way but is still not where it needs to be. Healthcare professionals are currently faced with many challenges that negatively impact their daily workflow. In the article, “EHR documentation: The hype and the hope for improving nursing satisfaction and quality outcomes,”  the authors have a vision and list 8 recommendations for an ideal system, with the ultimate goal of achieving quality healthcare at a better cost. They include: 

Simple, fast documentation with minimal redundancy
EHR coordination with patient and family needs and wishes
Central source of best practice forms and other resources in a free, vendor-neutral, and accessible library
Multidisciplinary collaboration on the design of EHR and CDS systems
Data: Standardized, actionable, and interoperable
Integration of biomedical devices with the EHR to avoid nurses entering that data
Multiple sources of decision support information for clinicians
Decision support dashboards (O’Brien et al., 2015) 

O’Brien et al. (2015) states, “Ideally, EHRs should be designed with optimal usability concepts in mind, including consistency, effective information presentation, naturalness, efficiency, flexibility, and feedback to support users and prevent errors.” The previously mentioned recommendations would benefit nursing workflow by adding value to organizations. They also correspond with the components of meaningful use, as well as, meet the criteria of the rules and regulations established by the American Recovery and Reinvestment Act. By combining some of these recommendations and utilizing workflow analysis, it is possible to find solutions that elevate the EHR and organizations while providing more support for healthcare workers. 
For example, a simple, fast documentation with minimal redundancy would enhance nursing workflow by reducing the data-entry burden for nurses and promote interaction with patients (OBrien et al., 2015). It would also reduce system mistakes when accessing patient data that could lead to medication errors due to wrong patient identification (M & M, 2018). Next, standardized, actionable, and interoperable data would allow for quick data retrieval of patient information, treatment recommendations, and quick decision making, that promotes patient safety and improves outcomes. By using a universal standardized language, standardized Clinical Decision Support tools, and having organizations use similar system designs, data could be more easily shared between venues. 
In conclusion, “workflow should be adapted to the use of technology” (M & M, 2018, p.249). The future EHR systems need to decrease workflow complexity, support nursing-based decision making, and encourage patient engagement (OBrien et al., 2015). Overall, this would result in better use of said technology, more efficient work, and safer patient care. 
References
McGonigle, D. & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th edition). Burlington, MA: Jones & Bartlett Learning.   
O’Brien, A., Weaver, C., Settergren, T., Hook, M. L., & Ivory, C. H. (2015). EHR documentation: The hype and the hope for improving nursing satisfaction and quality outcomes (PDF). Nursing Administration Quarterly, 39(4), 333339.

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