Nursing

How The Impact of Technology Improves Patient Outcomes

LeeAnn Johnson

Aspen University CIS450

Professor Sara Lease MSN, RN

May 23, 2019

1

How The Impact of Technology Improves Patient Outcomes

OBJECTIVES

Identify various types of technology

Discuss how safety improves patient outcomes

Explain how electronic health records improve outcomes

Discuss how big data and data mining improve treatments

Identify wearable health monitoring devices

Understand how public health uses data

Identify ethical and legal issues with technology

Explain future technology advances and public policy

Discuss a plan for implementation of change

2

How The Impact of Technology Improves Patient Outcomes

Types of Technology Enhancements

Electronic Health Records (EHR)

Smart Infusion Pumps

Medication Dispensaries (Pyxis)

Glucose Monitors

Vital Sign Monitors

Telemetry Monitors

Workstation on Wheels (WOWs)

Vein Finders

This Photo by Unknown Author is licensed under CC BY-SA

Clip art from Microsoft online

3

How The Impact of Technology Improves Patient Outcomes

Improved Safety Equals Improved Outcomes

Electronic physician orders

Bar code administration

Reduces medication errors by 50% to 80%

E-prescribing

Care coordination improved

Data tracking

Evidence-based practices

Clinical decision support

(Alotaibi & Federico, 2017)

This Photo by Unknown Author is licensed under CC BY-SA

Clip art from Microsoft online

4

How The Impact of Technology Improves Patient Outcomes

Electronic Health Records

Improves Patient Safety

Facilitates communication between clinicians

Improves medication safety

Increases access to medical information

Encourages patient-centered care

Reduces medical errors

Reduces healthcare costs

This Photo by Unknown Author is licensed under CC BY-SA-NC

(Foisey, 2017; Alotaibi & Federico, 2017)

Clip art from Microsoft online

5

How The Impact of Technology Improves Patient Outcomes

Big Data & Data Mining Lead to Improved Treatments

Big data – various sources

EHRs, biometric data, clinical trials, patient reports etc.

Artificial intelligence

Can help identify trends in data

Algorithms

Determine connections in data

Real-time analytics

Drug alerts, suggested interventions

(Lee & Yoon, 2017; Hebda, Hunter, & Czar, 2019)

This Photo by Unknown Author is licensed under CC BY-SA-NC

How The Impact of Technology Improves Patient Outcomes

Wearable Health Devices

Home/remote/clinical environments

Vital signs, EKG, CGM, capnography

Cardiac implantable devices

ECG T-shirt

Internal storage/wireless communication

Smart watches

Health status monitoring

Provides early treatments/diagnosis

Real-time/offline monitoring

This Photo by Unknown Author is licensed under CC BY

(Dias & Cunha, 2018)

EKG/ECG electrocardiogram, CGM continuous glucose monitoring

Clip art from Microsoft online

7

How The Impact of Technology Improves Patient Outcomes

Public Health Use of Data

Surveillance of communicable diseases

Air/Water/Food safety

Environmental factors

Antibiotic resistant microorganisms

Chronic disease monitoring

Cancer registries

Immunization registries

Improve early treatments

(Haston & Pickering, 2019; Hebda et al., 2019)

This Photo by Unknown Author is licensed under CC BY-SA-NC

Clip art from Microsoft online

8

How The Impact of Technology Improves Patient Outcomes

Ethical & Legal Issues

Informed consent for data shared

Secondary use of data for marketing purposes

Privacy versus confidentiality

Hackers, spyware, ransomware

HIPAA violations

Social media violations

Access to care restricted due to lack of insurance

Failure to document/inaccurate documentation

(Balestra, 2017)

This Photo by Unknown Author is licensed under CC BY-ND

Clip art from Microsoft online

9

How The Impact of Technology Improves Patient Outcomes

Plan for Implementing a Change

Teach clinicians to make eye contact with patients

Nurses must use WOWs facing patients

Incorporate in new employee training

Annual customer service skills class

Explain to patients reason for technology

Explain to patient benefits of using technology

Include costs in orientation piece for new employees

This Photo by Unknown Author is licensed under CC BY-NC

How The Impact of Technology Improves Patient Outcomes

Public Policy Changes Needed

Urgent need for data not to be localized

Need more federal funding

Improve collaboration between clinical & public healthcare

Expand infrastructure at state & national levels

Improve extraction techniques of data

Integrate specific data to show correlation

Political commitment to obtain resources

Real time monitoring

(Frieden, 2014; Hebda et al., 2019)

How The Impact of Technology Improves Patient Outcomes

Technology Advances in Future

Artificial Intelligence

Telehealth to increase

Virtual healthcare visits

Nanotechnology/devices

3-D Printing

Biomonitoring tools

Wearable devices

This Photo by Unknown Author is licensed under CC BY

(Matthews, 2019)

How The Impact of Technology Improves Patient Outcomes

Conclusion

Current & future technology will advance healthcare to lower costs

EHR continues to improve outcomes with increased clinician collaboration

Big data & data mining are important in improved treatments and public health surveillance

Wearable health devices reduce healthcare costs with early treatment and diagnosis

Changes in public policy is needed to have access to more data

Implementation of change for interacting with patients using technology will improve patient satisfaction and outcomes

How The Impact of Technology Improves Patient Outcomes

References

Balestra, M. L. (2017). Electronic health records: Patient care and ethical and legal implications for nurse practioners. Journal for Nurse Practioners. 13(2). (pp. 105-111). Retrieved from https://doi.org/10.1016/j.nurpra.2016.09.010

Dias, D., & Cunha, J. P. S. (2018). Wearable health devices-vital sign monitoring, systems and technologies. Sensors. 18(8). Retrieved from doi:10.3390/s18082414

Foisey, C. Q. (2017). 4 ways technology is improving patient safety. Health IT Outcomes. Retrieved from https://www.healthitoutcomes.com/doc/ways-technology-improving-patient-safety-0001

Frieden, T. R. (2014). Six components necessary for effective public health program implementation. American Journal of Public Health. 104(1). (pp. 17–22). Retrieved from doi:10.2105/AJPH.2013.301608

Haston, J. C., & Pickering, L. K. (2019). CDC’s disease surveillance system critical for public health. AAP News and Journals. Retrieved from https://www.aappublications.org/news/2019/03/08/mmwr030819

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals. (6th Ed.). (pp. 370-434). New York, NY: Pearson. ISBN: 978-0134711010

Lee, C. H., & Yoon, H. J. (2017). Medical big data: promise and challenges. Kidney Research and Clinical Practice. 36(1), (pp. 3–11). Retrieved from doi:10.23876/j.krcp.2017.36.1.3

Matthews, K. (2019). 6 healthcare advancements paving way for future. Healthcare in America. Retrieved from https://healthcareinamerica.us/6-health-care-advancements-paving-the-way-for-the-future-9a158453b28d

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