Nursing data quality is related to decision support because without complete, accurate, and up to date information, the data is not a useful form of knowledge. In my clinical setting of the ER, we triage using firstnet, a computer system that stores initial vital signs, chief complaints, medical history, and drug history. It has been helpful to retrieve old documents from previous hospital visits because patients oftentimes do not want to repeat their medical history, medications, or other data, we as health care providers, find essential to their plan of care. The electronic medical record (EMR) is also used to list potential diagnoses after initial evaluation by a physician. This helps direct what things need to be done in order to choose one diagnosis and then develop a specific plan.
An important point made in the Hebda reading indicates the need to educate personnel since “staff who are proficient in the use of the input device and less likely to make data collection and entry errors.” I have often found incomplete or wrong information on a first net document. It has been useful when patients lie, have trouble recalling, or are unable to share information to have correct and thorough information. One cannot make an informed decision if the information given is incorrect, so we need to rely on each other to store that data in the right place and have it readily accessible when we need it. This will increase quality or patient care, as well as stay competitive as health care is becoming a business.
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Module 4 Question 2
ReplyDeleteI agree with that everyone needs to enter the information as accurately as possible. One problem I see in these decision support systems and electronic documentation systems is the ease of use. The place I'm working at has an electronic data system. It is realtively new with all the bells as whistles to provide accuarate, timely patient information for bedside care and management of billing and recerds system. It is a wonderfully elaborate system that is cumbersome and difficult to use to it's full capacity. So it is only used for some things then not to it's full capacity. This problem doesn't just exist for the program my company has chosen to use. I was involved in a search for a new system and reviewed several different programs and all had very simular faults. If a system is difficult to work with then the infomation entered may not be as accurate or complete as it could be.