Week 1 Assignment 1
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St. John's University *
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HIM301
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Health Science
Date
Nov 24, 2024
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docx
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Uploaded by ahmedmushfiq4
Christopher White
Week 1 Assignment 1
HIM 301
30
th
October 2023
Week 1 - Assignment 1
The Pressure Ulcer case study found in Chapter 3 of the textbook will be the focus of this case
study analysis. We will discuss the elements to include in documentation, identify Clinical
Decision Support (CDS) tools, and think about how to efficiently evaluate the cost-effectiveness
of the new documentation requirements and standards of care as they pertain to this case study
and the practice-based evidence (PBE) process.
Steps of the Practice-Based Evidence (PBE) Process:
Define the Clinical Question
: Determining the clinical query about the prevention and
management of pressure ulcers in long-term care facilities is the initial step. As an example,
"What are the most effective strategies for preventing pressure ulcers in long-term care
residents?"
Search for Evidence:
Gather existing evidence from scholarly sources, clinical trials, and expert
guidelines to inform best practices for pressure ulcer prevention and management.
Evaluate the Evidence:
Consider the reliability and applicability of the data collected. The
quality of the studies and the relevance of their results to the long-term care context are factors to
be taken into account.
Apply the Evidence
: Take the evidence-based best practices and apply them in a clinical context.
Possible outcomes include the need for novel care documentation and quality standards.
Evaluate the Outcomes:
Keep an eye on how the new guidelines are affecting patient outcomes.
This includes monitoring the frequency, severity, and recovery time of pressure ulcers in people
living in long-term care facilities.
Reflect and Revise
: Make any required changes to documentation policies and standards of care
in light of the results and continuous input from clinical teams. The process is iterative, thus it
has to be malleable so that it can adjust to new circumstances as they arise (Nelson et al., 2018).
Elements to Incorporate into Documentation:
Risk Assessment Tools:
Create and use risk assessment tools in written records to flag people
who are at high risk for pressure ulcers. Mobility, diet, and skin health are just a few examples of
assessable aspects.
Preventive Measures:
Preventative interventions for high-risk residents should be spelled out in
the corresponding documentation. Schedules for repositioning, specific surfaces for support,
dietary therapies, and skin care procedures are all part of this.
Progress Notes:
It is essential to keep records of daily resident checks and any changes in their
status, especially the emergence or healing of pressure ulcers.
Clinical Decision Support (CDS) Tools:
Pressure Ulcer Risk Assessment Algorithms
: Algorithms may be built into computers to
determine whether or not a patient is at risk for pressure ulcers based on data from the electronic
health record. This may send out warnings to medical professionals, who can then take
preventative action.
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Best Practice Alerts
: When medical professionals view a patient's file, CDS systems may notify
them when a best-practice alert is warranted. If a high-risk patient has not been relocated as per
protocol, for instance, an alert might serve as a gentle reminder (Nelson et al., 2018).
\Cost-Effectiveness Evaluation:
The following strategies are useful for determining if the increased documentation requirements
and standards of care are worth the costs involved.
Cost-Benefit Analysis:
Weigh the savings that may be made by reducing the number of pressure
ulcers that occur with the price of adopting the new standards. The cost of hiring and training
new employees as well as purchasing necessary hardware and software should be included in this
evaluation.
Clinical Outcomes Assessment:
Pressure ulcer rates, wound healing timeframes, and resident
satisfaction are just a few of the clinical outcomes that should be tracked regularly. Determine
the effect of the new standards by comparing the results to the original data.
Patient and Caregiver Feedback
: Evaluate how the new care standards are working by gathering
input from patients and caregivers. Residents who report high levels of satisfaction are more
likely to get the benefits of care compliance (Nelson et al., 2018).
In conclusion, pressure ulcer prevention and treatment in long-term care institutions may
benefit from the PBE method, leading to higher-quality care and better results. Healthcare
providers may improve the quality of care they provide by using CDS technologies and including
essential features in their documentation. Cost-benefit studies, as well as continuous evaluation
of clinical results and patient feedback, are also useful tools for gauging cost-effectiveness.
References:
Nelson, R., & Staggers, N. (2018). Health Care Informatics: An Interprofessional Approach.