NR 599 Week 3 Discussion
EHRs Benefits and Drawbacks
Purpose
- Contribute level-appropriate knowledge and experience to the topic in a discussion environment that models professional and social interaction (CO4)
- Actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty (CO5)
Due Date:
Students must post a minimum of 3 times in each graded discussion. The 3 posts in each individual discussion must be on separate days. Posting 3 times on 3 different days meets the minimum requirement for full credit; each post must be substantive. The student must provide an initial post to each graded discussion topic posted by the course instructor, by Wednesday, 11:59 p.m. MT of Week 3. Subsequent posts, including essential responses to peers, must occur no later than the Sunday, 11:59 p.m. MT at the end of Week 3. Students are expected to submit assignments by the time they are due. Threaded discussions are not considered assignments and are not part of the late assignment policy. A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).
Total Points Possible:150
Requirements:
Post a written response in the discussion forum to EACH threaded discussion topic:
- As discussed in the lesson and assigned reading for this week, EHRs provide both benefits and drawbacks. Create a “Pros” versus “Cons” table and include at least 3 items for each list. Next to each item, provide a brief rationale as to why you selected to include it on the respective list.
- Refer to the Stage 3 objectives for Meaningful Use located in this week’s lesson under the heading Meaningful Use and the HITECH Act. Select two objectives to research further. In your own words, provide a brief discussion as to how the objective may impact your role as an APN in clinical practice.
Adhere to the following guidelines regarding quality for the threaded discussions in Canvas:
- Application of Course Knowledge: Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings.
- Scholarliness and Scholarly Sources: Demonstrates achievement of scholarly inquiry for professional and academic decisions using valid, relevant, and reliable outside scholarly source to contribute to the discussion thread.
- Writing Mechanics: Grammar, spelling, syntax, and punctuation are accurate. In-text and reference citations should be formatted using correct APA guidelines.
- Direct Quotes: Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.
For each threaded discussion per week, the student will select no less than TWO scholarly sources to support the initial discussion post.
Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal. You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example, the American Heart Association is a .com site with scholarship and quality. It is the responsibility of the student to determine the scholarship and quality of any .com site. Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.
Sample Discussion Post
The World Health Organization (WHO) has identified medication safety as a top priority to protect patients from preventable harm, and electronic pharmacy ordering is a critical component of improving medication safety. However, currently, electronic prescribing systems are prone to problems, especially in the setting of an outpatient clinic, where the vast majority of drugs are prescribed. Therefore, there must be a reliable mechanism until then such a centralized medication list is in place (for example, when the prescriber discontinues a medication due to an error in the prescription, an adverse reaction, or an adequately resolved problem) so that the pharmacy does not dispense it. Pharmacies often issue refill reminders through automated systems. Ideally, a patient would know to avoid a discontinued medication. Still, there is a significant risk for errors (and waste): Erroneous prescriptions account for 2–10 percent of all prescriptions (Schiff et al., 2018). There is substantial evidence that medication-related clinical decision support can reduce errors and improve safety. Using decision support systems, for example, can reduce prescribing errors, adverse reactions, and harms caused by medications. We can anticipate a world where medication ordering and use are much safer due to enhanced systems for monitoring patients on medications providing feedback on their experiences and outcomes.
E-prescribing integrated with an EHR can identify interactions with patients’ medications, health conditions, and allergies. A study determined that in just one year after adopting e-prescribing in 12 community-based practices, error rates declined from 42.5 per 100 prescriptions to 6.6 per 100 prescriptions, a nearly a seventh reduction (Porterfield et al., 2014). Indeed, entering new prescriptions takes about 20 seconds longer per patient than writing a prescription, but this difference in time is offset because electronic prescriptions require less clarification. A prescription is automatically sent to the pharmacy, the medication is dispensed, and refill requests are processed quickly. The potential for losing the prescription is eliminated because the patient does not receive a hard copy. As a result, pharmacists and providers spend less time on the phone filling prescriptions and delivering them to patients since pharmacy-initiated clarifications have decreased. A significant benefit of e-prescribing is improved compliance and monitoring of compliance. I believe there are still some major disparities that need improvement in e-prescribing, but this is expected with anything related to technology. As our world moves solely towards a computer-driven society, the potential for error will always be high. As future providers enabling ourselves to fundamentally adapt and improve the delivery of care by enhancing the way we treat our patients while relying on the advancements of technology will benefit our patients’ overall quality of care in the long run.
References:
Porterfield, A., Engelbert, K., & Coustasse, A. (2014). Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspectives in health information management, 11(Spring), 1g.
Schiff, G., Mirica, M. M., Dhavle, A. A., Galanter, W. L., Lambert, B., & Wright, A. (2018). A prescription for enhancing electronic prescribing safety. Health Affairs, 37(11), 1877-1883. https://doi.org/10.1377/hlthaff.2018.0725
Our team of expert nursing writers at Nursing Assignment Service can help you with your NR 599 Week 3 Discussion, place your order here.
