A Summary of the October 2009 Forum on the Future of Nursing Acute Care (2010) / Chapter Skim
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4 Technology
4 Technology
Pages 25-34
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From page 25... ...
He also proposed a high standard for new technologies. He asserted that their adoption should lead to transformative practice that simultaneously improves clinical quality and reduces costs at a scale that can drive value across large sections of practice and large sections of the country.
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From page 26... ...
"The model pairs high-performing clinical teams with high-risk patients -- those with chronic illnesses or socioeconomic issues that contribute to high healthcare usage. The aim is to prevent higher ‘downstream' costs related to traditional primary care, specialty care and hospital admissions, by implementing these cost-saving features" (Shaw, 2009)
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From page 27... ...
from this list of promising technologies. He said that EHRs are a foundational technology, but they are important to a much wider segment of the health care system than just nursing.
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From page 28... ...
"Right now we have multiple professionals and providers collecting data that get hidden away in a variety of places, and some electronic records are difficult to navigate." As with the fragmented health care system,
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From page 29... ...
This fundamentally needs to be everywhere, not just in the places that have chosen to purchase that equipment." The recent Technology Drill Down study done by the American Academy of Nursing has examined a variety of workflow issues, including medication administration, communication, timely acquisition and tracking of equipment and supplies, wireless monitoring, electronic clinical documentation, and patient identification, that could reduce error
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From page 30... ...
Cipriano made four specific suggestions regarding technology: 1. Include nursing workflow as a focus of health care information technology funding to ensure that systems and devices will en able nurses to be more efficient and produce safer care.
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From page 31... ...
Voice recognition technology also can allow caregivers to dictate information to a computer without having to type that information. A viewer of the webcast of the forum wrote to point out that technology can not only collect patient data, but assist with the analysis and review of that data.
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From page 32... ...
In response to a question about how technology could be used to shift acute care out of hospitals or keep patients from having to come to hospitals, Marilyn Chow discussed technologies that enable the "hospital at home." In addition, Bernice Coleman described ways in which technology can improve continuity of care. For example, in transitioning from a hospital to the community, care inside the hospital could be linked to virtual care outside the hospital.
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From page 33... ...
It is an interesting blueprint for what's possible." A final comment from a webcast observer noted that technology only works as well as the person using it. If a health care organization does not maintain a technology, or a nurse distrusts it, a technology will not be effective.
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