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NURS FPX 6412 Assessment 2 Presentation to the Organization

Student Name

Capella University

NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice

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Date

Introduction

Hi!, everyone. I am Emma. Today, I will present on Electronic Medication Administration Records (eMAR). 

Outline

  • Introduction of eMAR
  • Change in workflow based on evidence-based practice
  • Evaluation of workflow supporting strategic plan
  • Workflow changes for stakeholders
  • Effect of change on stakeholders and efficiency gain
  • Decision-making rationale for the workflow changes
  • Strategies to maximize outcomes using eMAR

Introduction of eMAR

The eMAR is a digital document of an individual’s medical history that can be created, gathered, structured, and examined by permitted practitioners and medical professionals in a medical care organization (Albagmi, 2021). It is a drug administration and electronic medical information management tool based on an Electronic Health Record (EHR). The eMAR is a drug administration technology accessible online and offline. The tool allows for real-time patient data monitoring, gathering, and evaluation, as well as reminders of medicine schedules and safe and easy access to drug records (Pruitt et al., 2023). The eMAR system effectively documents drug and drug administering notifications for patients.  The eMAR reduces drug administration errors (Albagmi, 2021).

Change in Workflow Based on Evidence-Based Practice

The implementation of the eMAR gives significant information that contributes to medical outcomes. Compared to traditional documentation methods, digital records provide more detailed patient information (Albagmi, 2021). Medical professionals can accomplish reliable evaluations by tracking changes to variables, including drug schedules, prescriptions, and delivery routes during care. The eMAR application gives data to medical professionals to help them design a more practical approach to monitoring, avoiding adverse events, and screening drug protocols (Karnehed et al., 2022). By improving access to complete patient histories, including medical data and medication details, the eMAR enhances nurses’ capabilities to deliver efficient patient care. This system could reduce the time spent on medicines and drug administration (Naidu & Alicia, 2019).

The eMAR is crucial for reducing drug errors, improving patient safety, and enhancing medical personnel and nurses’ workflow performance (Naidu & Alicia, 2019). The eMAR not only aids the interdisciplinary group in maintaining effective communication among the many disciplines, such as nursing informatics, physicians, and technical staff, but it also validates that the patient receives efficient care (Baird et al., 2019). Collaboration among specialists improves patient outcomes by reducing prescription errors and adverse events. The eMAR technology has dramatically altered the healthcare system’s workflow (Albagmi, 2021).

Examples of Changes in Workflow

The eMAR has become a critical technology in the hospital setting for eliminating human errors (Albagmi, 2021). The implementation of eMAR alters the entire workflow of the healthcare system. The eMAR generates quick and accurate information for medication delivery. Practitioners can use a single database to coordinate and record all patient data (Anandkumar, 2022). The eMAR system has improved medical outcomes by providing medical personnel and nurses access to real-time modification of medications and information throughout patient care (Albagmi, 2021).

Nurses can use eMAR to change drug administration, for instance, withdrawal of any medicine, medication schedule, and medication dosage, based on the prescription during treatment. It delivers real-time drug interaction during therapy, and the eMAR has reduced the burden on medical staff and improved the care process (Stolic et al., 2023). Medication errors are reduced by the eMAR’s missed and late medication alarms. In clinics that use multiple care services, the eMAR allows outpatient healthcare providers to access current and past medical data from other health sectors, improving the overall healthcare system (Albagmi, 2021).

Evaluation of Workflow Supporting Strategic Plan

The eMAR tool aids hospitals by contributing to improved patient care, security, effectiveness, and treatment quality. The eMAR system improves treatment quality, patient outcomes, and workflow effectiveness. It lowers prescription errors and unneeded investigations, improving interactions between doctors and their patients (Stolic et al., 2023).

Improved Care

The eMAR improves the standard of care along with medication workflow by reducing the errors related to drug delivery. It supports healthcare professionals in medical data management and delivers sensitive information to medical professionals efficiently. The eMAR ensures secure, confidential digital interactions between medical practitioners and patients, improving care outcomes (Albagmi, 2021). Clinical Decision Support System (CDSS) software is implemented in the eMAR technology. It is a valuable asset for guaranteeing that patients’ information is secure and protected. CDSS promotes care quality and therapy standards by offering practitioners verified health data that they can utilize to improve the competence of their healthcare service delivery (Shahmoradi et al., 2021). The eMAR system is better than other technologies because of the incorporation of the CDSS feature for providing verified patient data and maintaining data safety and privacy (Shahmoradi et al., 2021).

Patient Safety

The eMAR system offers standard and practical techniques for storing digital information and prompt reporting, supporting patient safety (Albagmi, 2021). The barcode scanning feature in the eMAR benefits in reducing drug-related errors. This system allows the evaluation of the five rights of drug administration, including delivering the appropriate medicine and dosage to the appropriate individual at the right moment. It is critical for promoting patient safety (Al-Suwailem, 2021). The presence of a barcode scanning function in eMAR makes it better than other electronic record systems because it fulfills the principle of the five rights of medication, reducing human errors (Al-Suwailem, 2021).

Improved Patient Outcomes

The eMAR implementation allows patients to attain advanced medical services. When medical personnel have comprehensive and accurate patient medical history, they can design better care plans to improve patient outcomes. The eMAR enables more straightforward identification and avoidance of medication mistakes during care, which improves patient outcomes. It offers medical care providers accessibility to patients’ healthcare histories, making it easier to identify patient problems (Lindberg et al., 2020). The eMAR can alert medical specialists about patient health when possible security issues occur, avoiding more severe implications for patients. It tracks the drug prescriptions the patient receives and stores data, alerting medical professionals for enhanced treatment of patients (Iqbal et al., 2021).

Workflow Changes for Stakeholders

The proposed eMAR system requires careful planning and strategy to promote patient safety and standard of treatment.  Implementing a new system in the healthcare sector directly impacts stakeholders, including medical personnel and end users, that is, nurses and patients (Wali et al., 2021). When selecting an EHR system, it is critical to have a clear plan for how the project matches the hospital’s medical care plan. A detailed study of the organization’s health technology requirements is needed to build a clear strategy. Medical professionals, staff workers, nurse informaticists, the financial group, and the administrators are all critical stakeholders in adopting the eMAR system.  The ideas of all stakeholders are essential because the new system or change directly impacts them. These stakeholders must adequately manage the system for better outcomes (Lei et al., 2023).

Sutton et al. (2020), emphasized the significance of the participation of medical professionals in the decision-making of eMAR implementation. Clinicians and other healthcare personnel play an essential role in the decision-making process, providing feedback on the design and methodology. Nurse informaticists are critical participants in the eMAR decision-making (Nguyen et al., 2021). Nurse informaticist’s involvement is significant in integrating and managing the eMAR system. They will help to improve the system and enhance the standard of care (Nguyen et al., 2021).

The finance and administration departments both play an essential part in decision-making. The finance team provides financial resources for executing the eMAR system. They are also crucial for resource allocation to manage the change system properly (Lei et al., 2023). The social aspects of introducing eMAR, including data privacy, must be considered, considering stakeholders’ and end users’ expectations and attitudes about the new system. Efficient communication and comprehension of emerging innovation by stakeholders are critical in workflow and decision-making (Farré et al., 2019).

Effect of Change on Stakeholders and Efficiency Gain

According to Wali et al. (2021), employing the eMAR system has a beneficial impact on the productivity and efficacy of the healthcare system. The eMAR system significantly affects medication, dispensed medication management, and assessment within hospital settings. The eMAR integration also impacts the workload of healthcare personnel, paper documentation, and interrelated procedures (Wali et al., 2021). The eMAR systems can promote patient safety and healthcare standards by lowering the risk of medication errors, increasing organizational efficiency, and improving medical personnel’s performance during drug administration (Wali et al., 2021).

The eMAR system enables medical personnel to provide safe and efficient care, enhances medical care accessibility, improves interaction among patients and healthcare professionals, and facilitates digital data interchange (Albagmi, 2021). The administration team benefited from the eMAR technology as it eliminates paper documentation and simplifies work. The finance team profited from the decision to implement eMAR because eMAR systems include scheduling automation and online patient interfaces, improving interaction among patients and healthcare professionals (Lei et al., 2023).

Decision-Making Rationale for the Workflow Changes

The decision to implement the eMAR system is encouraged by the notion that it will enhance the healthcare system’s workflow and benefit the stakeholders participating in the healthcare system (Lei et al., 2023). This system offers extensive data on a patient’s medical history, prescription specifics, and drug administration protocols that help healthcare providers enhance their workflow.

It helps to improve healthcare outcomes by enhancing patient participation in decision-making. The eMARs are connected to the provision of CDSS, which effectively reduces harmful medication interactions and improves the overall adoption of standards of care in outpatient clinics (Gohari et al., 2020). CDSS is crucial for promoting care quality by offering medical personnel verifiable patient data and decision-making tools that they can establish to improve the efficiency of their medical care service delivery. The eMAR improves patient care, health outcomes, practice efficiencies, and cost reductions (Gohari et al., 2020).

Strategies to Enhance Efficiency, Safety, and Patient Satisfaction Through eMAR

There is a rising need for online services to improve healthcare outcomes in medical settings. Medical records are vital in ensuring the precision and efficacy of medical services. Documentation strategies, such as the standard format of data documentation, must be applied so that it can be readily accessed (Wali et al., 2021). The eMAR is critical for documenting and reporting patient information, enhancing interaction and treatment efficiency.

Establishing a positive relationship between healthcare professionals and patients aids in collecting systematic data, formulating an appropriate diagnosis and treatment plan, and improving overall outcomes. Nurse-patient collaboration and interaction are significant tools for increasing patient satisfaction, conformity, and adherence to the care plan (Wali et al., 2021). Using the eMAR assures that digital communication among medical professionals and patients is secure and private (Albagmi, 2021). 

Integrating several strategies, such as authentication, encryption, and verification, can protect medical records (Hathaliya et al., 2019). Data protection and privacy promote patient safety and efficiency in the healthcare system. Training sessions and team meetings should be conducted for healthcare professionals, including nurses, to efficiently manage the eMAR system efficiently, improving patient satisfaction (Alruthea et al., 2022).

Another approach is implementing Computerized Provider Order Entry (CPOE). It is a more convenient and faster way than paper documents to enter and deliver medical, radiology, and pharmaceutical prescriptions, lowering the possibility of errors. Reduction in medication errors leads to patient safety and improves patient outcomes (Albagmi, 2021).

Conclusion

In conclusion, the eMAR system is beneficial for medical organizations. It offers an extensive drug administration system, including real-time patient record gathering, storing, and reporting. It significantly improves patient safety by reducing human error in drug administration. The introduction of eMAR technology results in workflow improvements, enhances patient care quality and supports the hospital’s efficiency in healthcare.

References

Albagmi, S. (2021). The effectiveness of EMR implementation regarding reducing documentation errors and waiting time for patients in outpatient clinics: A systematic review. F1000Research10, 514–514. https://doi.org/10.12688/f1000research.45039.2

Alruthea, S., Bowman, P., Tariq, A., & Hinchcliff, R. (2022). Interventions to enhance medication safety in residential aged‐care settings: An umbrella review. British Journal of Clinical Pharmacology88(4), 1630-1643. https://doi.org/10.1111/bcp.15109

Al-Suwailem, A. K. (2021). Effect of the pharmacy staff shortage on the medication safety. Issues in Biological Sciences and Pharmaceutical Research, 9(2), 54-77. https://doi.org/10.15739/ibspr.21.007

Anandkumar, M. (2022). Coordination and continuity through electronic medical records. Public Health Behind Bars: From Prisons to Communities, 475-482. https://doi.org/10.1007/978-1-0716-1807-3_32

Baird, J., Ashland, M., & Rosenbluth, G. (2019). Interprofessional teams: Current trends and future directions. Pediatric Clinics66(4), 739-750. https://doi.org/10.1016/j.pcl.2019.03.003

NURS FPX 6412 Assessment 2 Presentation to the Organization

Farré, A., Heath, G. A., Shaw, K. L., Bem, D., & Cummins, C. (2019). How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. British Medical Journal of Quality & Safety, 009082. https://doi.org/10.1136/bmjqs-2018-009082

Gohari, H. S., Bahaadinbeigy, K., Tajoddini, S., & R. Niakan Kalhori, S. (2021). Effect of computerized physician order entry and clinical decision support system on adverse drug events prevention in the emergency department: A systematic review. Journal of Pharmacy Technology37(1), 53-61. https://doi.org/10.1177/8755122520958160

Hathaliya, J. J., Tanwar, S., Tyagi, S., & Kumar, N. (2019). Securing electronics healthcare records in healthcare 4.0: A biometric-based approach. Computers & Electrical Engineering76, 398-410. https://doi.org/10.1016/j.compeleceng.2019.04.017

Iqbal, A. R., Parau, C. A., Kazi, S., Adams, K. T., La, L., Hettinger, A. Z., & Ratwani, R. M. (2021). Identifying Electronic Medication Administration Record (eMAR) usability issues from patient safety event reports. The joint Commission Journal on Quality and Patient Safety47(12), 793-801. https://doi.org/10.1016/j.jcjq.2021.09.004

Karnehed, S., Erlandsson, L. K., & Norell Pejner, M. (2022). Nurses’ perspectives on an electronic medication administration record in home health care: Qualitative interview study. Journal of Medical Internet Research of Nursing5(1), e35363. https://doi.org/10.2196%2F35363

Lei, K. C., Loi, C. I., Cen, Z., Li, J., Liang, Z., Hu, H., & Ung, C. O. L. (2023). Adopting an electronic medication administration system in long-term care facilities: A key stakeholder interview study in Macao. Informatics for Health and Social Care, 1-15. https://doi.org/10.1080/17538157.2023.2165084

Lindberg, D. S., Prosperi, M., Bjarnadottir, R. I., Thomas, J., Crane, M., Chen, Z., Shear, K.,
Solberg, L. M., Snigurska, U. A., Wu, Y., Xia, Y., & Lucero, R. J. (2020). Identification of important factors in an inpatient fall risk prediction model to improve the quality of care using EHR and electronic administrative data: A machine-learning approach. International Journal of Medical Informatics, 143, 104272. https://doi.org/10.1016/j.ijmedinf.2020.104272

Naidu, M., & Alicia, Y. L. Y. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health11(05), 511.
https://doi.org/10.4236/health.2019.115044

NURS FPX 6412 Assessment 2 Presentation to the Organization

Nguyen, O. T., Shah, S., Gartland, A. J., Parekh, A., Turner, K., Feldman, S. S., & Merlo, L. J. (2021). Factors associated with nurse well-being in relation to electronic health record use: A systematic review. Journal of the American medical informatics association28(6), 1288-1297. https://doi.org/10.1093/jamia/ocaa289

Pruitt, Z. M., Kazi, S., Weir, C., Taft, T., Busog, D. N., Ratwani, R., & Hettinger, A. Z. (2023). A systematic review of quantitative methods for evaluating electronic medication administration record and bar-coded medication administration usability. Applied Clinical Informatics14(01), 185-198. https://doi.org/10.1055/s-0043-1761435

Shahmoradi, L., Safdari, R., Ahmadi, H., & Zahmatkeshan, M. (2021). Clinical decision support systems-based interventions to improve medication outcomes: A systematic literature review on features and effects. Medical Journal of the Islamic Republic of Iran35, 27. https://doi.org/10.47176%2Fmjiri.35.27

Stolic, S., Ng, L., & Sheridan, G. (2023). Electronic medication administration records and nursing administration of medications: An integrative review. Collegian30(1), 163-189. https://doi.org/10.1016/j.colegn.2022.06.005 

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. Nature Partner Journal Digital Medicine3(1), 17. https://doi.org/10.1038/s41746-020-0221-y

Wali, R. M., Alqahtani, R. M., Alharazi, S. K., Bukhari, S. A., & Quqandi, S. M. (2020). Patient satisfaction with the implementation of electronic medical records in the western region, Saudi Arabia, 2018. BioMed Central Family Practice21(1), 1-6. https://doi.org/10.1186/s12875-020-1099-0

 

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