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Respond to 2 posts

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Respond to 2 posts. Each with a minimum of 120 words and a minimum of 1 (one) cited reference.

Discussion topic:

According to Hebda & Czar (2019), the successful implementation of clinical information systems is determined by the complex interaction between the technical features of the system and human, social, and organizational factors that determine whether the system will be used and whether it will prove to be safe and effective.

Do you agree with the author’s assertion? Why or why not? Cite specific examples from your experience in practice or the literature to support your response.

Take an inventory of the information systems found in your organization, and describe your experience with health information systems. How would you rate the information-technology status of your organization?

What do you consider are the positive aspects, and, what in your opinion, are the negative aspects of health information systems? What is the basis for your beliefs?

Be constructive and professional in your responses.

Please include at least one reference, in any one post for full credit.

Sterphonie S POSTED I agree with Hebda & Czar (2019) that the successful implementation of clinical information systems is determined by the complex interaction between the technical features of the system and human, social, and organizational factors that determine whether the system will be used, and whether it will prove to be safe and effective. The implementation of clinical information systems is a collaborative process. Therefore, interaction between technical features of the system and other human, social, and organizational factors needs to occur to ensure that the process is successful, and that it facilitates safety and effectiveness. The system users need to be trained on how the system works, and how it will improve the quality of services they provide. Without this training, the people meant to use the system may be unable to use it, which could lead to safety issues. Also, when the users are not included in the implementation, resistance to the new system could occur (Gesulga et al., 2017). Resistance will mean that people do not make maximum use of the system or fail to be keen about how the system works. It is paramount that the organization has a culture that allows them to embrace new technology if the implementation of a new clinical information system is to be successful. The most commonly used information system in my organization is the Electronic Health Records (EHR). I have had a very positive experience with the system because it allows me to share electronic records with the patients and other clinicians providing care to the patient. In addition, electronic health records have had a positive impact on the quality of care I give to my patients because I can quickly access patient records and coordinate with the other members of my healthcare team to provide efficient care. The information system has also reduced the number of medical errors because transcription-related mistakes no longer occur. Consequently, I am able to serve my patients faster because the information I need about them and the care they require is available at a glance. If the patient were to encounter another clinician, the records I use are the same records they will use. The information technology status of the organization where I work is great. I arrived at this rating because the organization has ensured that those tasks that can be automated are automated to reduce the employee workload. Aside from the Electronic Health Records, the healthcare facility has patient portals, Remote Patient Monitoring (RPM), and Clinical Decision Support (CDS) systems, among others. However, the organization still has room to improve on technology use especially when dispensing medication and during discharge. Health information systems have multiple positive aspects key among them being that they improve efficiency, reduce medication errors to some extent, and facilitate collaboration. However, technology may fail paralyzing operations during the duration in which the technology may not be functional. Also, technology may reduce human interaction between the patients and the clinicians who may focus too much on the technology aspect while overlooking the human element. I have witnessed patients complain that their physicians were too focused on their tablets during their interactions, making them feel ignored. These patients did not feel like they were getting quality services. References Gesulga, J. M., Berjame, A., Moquiala, K. S., & Galido, A. (2017). Barriers to electronic health record system implementation and information systems resources: a structured review. Procedia Computer Science, 124, 544-551. Hebda T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals. New York, NY: Pearson. ISBN: 978-0134711010. RESPOND TO STERPHONIE S POST: Amanda R POSTED: Clinical information systems are foundational to healthcare service as we know it today. These databases manage information pertaining to multidisciplinary team interactions, patient communication, result details, order management, medication administration, scheduling and more (Hebda, 2018). As compared to their counterpart, Administrative Information Systems, Clinical Information Systems manage all the data related to patient care—rather than human resources operations of a healthcare organization. Hebda and Czar’s assertion that a clinical information system’s ability to successfully interaction with administrative functions is what determines its effectiveness, in my view, is very true. Data is only useful in these systems if it is readily available and shareable. Having a great technological platform is meaningless if its use does not work in full collaboration with patient or personnel work flow and practices. An example I think of comes from a data tracking program we use in my ICU. The intent of the document is to “audit” appropriate use and maintenance of central lines, foleys, restraints, and documentation. While the value of reviewing this data was globally appreciated throughout the hospital, the data system was not being used because it did not work in junction with day to day activities and EHR documentation did not cleanly or efficiently flow into the data tracking system. This is a great example of how even though the data tracking system itself was a strong program, it was not successful because it did not interact with “human,, social and organizational factors” amongst the facility. After review and reprogramming of the data tracking system, it was adapted to be more conducive to our daily operations and ultimately became consistently used and very valuable. That’s the great thing about information systems. They can make data easy to collect, review and report and they can be tailored to each organization depending on how that specific group operates. The downside, however, is that these customizations can be expensive and teaching people how to adapt to make them useful can be challenging. Reference Hebda, T. L., Hunter, K., & Czar, P. (2018). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson. RESPOND TO AMANDA R POST: