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Riverdale Hospital has come under recent scrutiny for their medication procedures. Many times, paper medication records are not up to date or have been misplaced. As a result, patients have increasingly received their medications at the wrong times. Though each nurse is performing to the best of his or her ability, the fast pace of the hospital has caused some to ineffectively manage patient records.
The lead nurse informaticist, Nancy, has decided that a bar code scanner could help streamline the documentation process while also improving patient quality and safety. Nancy knows that when selecting a bar coding system she must not only examine the hardware and software of the system but also consider the various human factors that can positively and/or negatively affect the outcomes of the system implementation. As such, Nancy asked three of the most reputable bar code vendors to bring sample systems to Riverdale Hospital.
In evaluating each system, Nancy role plays the process of scanning a patient’s bar code. She rolls the coding cart into the room to begin her mock demonstration. First, Nancy scans her identification card to gain access to the medication screen. To scan the patient’s bar code identifier, Nancy then pulls the medication cart to the patient so that the attached scanner reaches the bar code on the patient’s wristband. When the scan is complete, the computer displays a screen that houses the patient’s personal information. By navigating the screens, Nancy finds that she can use the computer to track medication administration. In addition, Nancy is able to view applicable vitals and medication history. As Nancy continues to examine this system, she reflects on the other hardware and software facets she should be sure to consider. She also thinks about how human factors will affect this and other vendor systems.

In this Assignment, you consider how hardware, software, and human factors can impact the implementation of an informatics system.

To prepare:

• Review Chapter 30, “The Role of Technology in the Medication-Use Process,” in the course text, Essentials of Nursing Informatics. When examining computerized prescriber order entry (CPOE) systems and bar code-enabled technologies, what hardware, software, and human factors did the authors identify?
• Consider how each of these factors can negatively impact patient safety and quality of care.
• How might these factors translate to the usability, implementation, and outcomes of other informatics technologies?
• Review the media presentation Selecting New Technologies in this week’s Learning Resources. How did presenter Dr. Patricia Button take the above factors into consideration when selecting an informatics technology for her health care setting?
• When planning and selecting a new informatics system, what steps should informaticists take to ensure the system will address the needs of their health care setting? In addition, how can informatics leaders encourage all nurses to commit to using a new technology?

To complete:

Submit a 3- to 5-page paper that addresses each part of this Assignment:

• Part 1: Design Considerations
  • Identify two major design considerations associated with each of the following: hardware, software, human factors. (6 considerations in total)
    • Describe why informaticists should play close attention to each of these considerations when evaluating an informatics technology. In your description, include the potential dangers each of these pose to patient safety and quality of care.
• Part 2: Employee Workarounds
  • Even with a carefully thought out design and implementation, nurses and other health care employees may adopt workarounds. With this reality in mind:
    • What benefits and/or consequences do you associate with workarounds?
    • When selecting an informatics technology, would you opt to purchase a system that mitigates the opportunity for workarounds; or do you believe that workarounds are sometimes necessary? Justify your response

References (use these in making this paper):

1. American Nurses Association. (2015). Nursing informatics: Scope and standards of practice (2nd ed.). Silver Spring, MD: Author.

Read the following chapter:

• “Informatics Competencies: Spanning Careers and Roles”

2. Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.

1. In a 3-5 page paper (not including title page or reference page), Tutor is to write about a safety of quality issue in nursing and how they can actively be a part of the solution. which is Burnout in nursing and patient satisfaction
2. Papers are to include:
   1. The safety or quality issue,
   2. Why the selected topic is an issue,
   3. What is currently being done about the safety/quality issue, and
   4. How they can actively take part in change.
3. The paper should follow APA format (6^th ed.), proper grammar, and references.
4. Follow the instructions.

Part 1: Consider the journals you have written during this course.

Reflect on the items you selected each week that connected to your education.

How has the knowledge you have gained from your program of study assisted you in your volunteer experience? How do you see it assisting you in the future?

Part 2: Consider all areas of student life such as general education requirements, major, minor, emphasis, chapel, extracurricular, community service, employment, faculty, administration, etc.

Address the following:

1. In your opinion, what are one or two things that would have made your experience at GCU even better?

2. Point out people and events in your GCU experience that had the most positive influence on you. Explain one or two of them.

3. Explain how your GCU experience changed you personally, professionally, and spiritually.

4. How do you see this whole experience impacting your future?

5. In what specific ways are you better prepared for professional life?

Part 3: Reflect on anything else related to your volunteer experience.

This essay is worth 200 points.