According to Slight et al. (2015), meaningful use (MU) program for Electronic health records was introduced as an incentive to i9ncraese the adoption and use of EHRs in healthcare organizations. The main aim of MU was to increase access to healthcare through information technology. HIT and MU are consistent with the main characteristics of patient safety, including priority to patient safety, reduced workforce burnout, and the adoption of Healthcare technology. Recently, there exists considerable uncertainty on the implications of such an incentive on patient safety culture. Chief among these is the susceptibility of the incentive to workarounds by healthcare givers. According to Effken et al. (2015), a workaround is voluntary behavioral conduct that intends to circumvent the order of systems to accomplish a goal or objective much quicker. I had witnessed a workaround with one of my colleagues when nurses in my unit (intensive care) were not double-checking medication (High-risk), e.g., potassium, steroids, and antibiotics, which could be catastrophic. This was owing to understaffing and long working hours.
Ps Net
AHRQ's patient safety network website has been revolutionary in improving patient safety in healthcare organizations across the United States. The information disseminated in this website is invaluable to nurses and other caregivers who wish to improve patient safety in terms of medical error reduction, managing rare complications, new treatment techniques as well as identification and responding to potentially threatening situations (Ghahramanian et al., 2017).
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Alarm Fatigue
My clinical practice is focused on patients in intensive care. The adverse implication of Alarm fatigue in ICU patients cannot be overstated. Alarm fatigue may contribute significantly to the worsening or death of ICU patients. Many alarms (90% false) in the ICU desensitize the nurses into checking on the 10% real alarms. The issue of alarm fatigue is all too real in my nursing unit, and interventions should be taken to reduce those that are false or clinically irrelevant.
References
Effken, J. A., McGonigle, D., & Mastrian, K. G. (Eds.). (2015). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers.
Ghahramanian, A., Rezaei, T., Abdullahzadeh, F., Sheikhalipour, Z., & Dianat, I. (2017). Quality of healthcare services and its relationship with patient safety culture and nurse-physician professional communication. Health promotion perspectives , 7 (3), 168.
Slight, S. P., Berner, E. S., Galanter, W., Huff, S., Lambert, B. L., Lannon, C., ... & Payne, T. H. (2015). Meaningful use of electronic health records: experiences from the field and future opportunities. JMIR Medical Informatics , 3 (3), e30.
