Healthcare organizations utilizing the electronic health record definitely benefit from utilizing evidenced based practice tools during the planning, implementation, and review stages. Established healthcare organizations transitioning or enhancing the electronic health record must research and develop initiatives that promotes continuous, uninterrupted use.
Clinical Decision Evidenced Based Practice Tool
Fowler, et al., (2014) elaborates upon a clinical decision tool that utilizes an “infobutton” to highlight potential diagnoses based on presenting symptoms and historical information obtained from the patient. Implementing this tool into daily practice allows useful resources to be available immediately when needed (Fowler, et al., 2014). Physicians and advanced practice nurses will be able to develop a plan of care based on potential diagnoses. This tool is essential toward reducing wait times, and can ultimately decrease the length of hospital admission through expedition of tests, procedures, and delivery of other healthcare services. Improving Access to Evidenced Based Libraries A second evidenced based practice tool is the implementation of the knowledge page within the electronic health record. The knowledge page directly correlates with the clinical decision evidenced based practice tool mentioned above. Based on selected diagnoses, physicians, registered nurses, and other healthcare professionals can utilize these libraries when making clinical decisions independently, and as an interdisciplinary team. These libraries are filled with additional evidenced based practice references that accentuates signs and symptoms to be aware of, and other pertinent details specific to treatment of each diagnosis (Fowler, et al., 2014). In addition, clinical summaries omitting patient specific identifiers were included, which provided detailed references that were essential to the plan of care (Fowler, et al., 2014). Incremental Change Models Implementing an electronic health record is a continuous operational process. …show more content…
There are multiple stages that must be completed for successful implementation and use of an electronic health record. Change is not always accepted or easily adaptable. This is especially true during transitional process associated with the electronic health record. Resistance of change may directly develop stakeholder reservations about investing or expanding the electronic health record. The electronic health record can be extremely complicated when initially introduced. Gradually implementing components of the electronic health record will decrease the level of anxiety and uncertainty associated with change. Incremental change is supported by allowing ample time for adjustment. One example of this is supported by executing the go live process of the electronic health record in stages. It would be beneficial for a healthcare organization to transition lab requisitions and lab results electronically before moving to electronic health record documentation. After all staff becomes proficient with this process, electronic physician order entry would be beneficial to employ. Executing these components, improves healthcare costs and provides leeway for improvement without affecting the entire electronic health record. Ensuring that the electronic health record is functioning …show more content…
This management change model targets the planning and implementation stages of large and small internal initiatives (Martin, Sutton, Willars, and Dixon-Woods, 2013). Strengths and weaknesses associated with the “go live” process are reviewed. This review reflects the technological strengths and weaknesses in addition to personal strengths and weaknesses of healthcare personnel. Change is often hard to accept, and I believe that utilizing this model throughout the go live process promotes success. There are eight components of this change model which are as