Standardization in the EHR Discussion Questions

Discussion Question 1

Standardization is not only used in meeting the financial needs of the healthcare institution but to also improve patient safety and care objectives. It is evident that the main purpose of standardization is in the provision of patient safety resulting from concise, clear communication based on clinician institutions (Rudin, 2017). Therefore, accessing this standardized information from any location allows pharmacists to effectively administer drugs to patients. The use of complete names, adoption of an order format and use leading zeros where decimal points involved ensure the correct medicine is administered (Rudin, 2017). Additionally, standardization allows for information to be recorded efficiently in that anyone can easily interpret the information and access the records easily.

Discuss Question 2

In the provision of healthcare, standardization of data is necessary as it allows the medical practitioners to improve the quality of care provided. Standardized is easily accessible therefore, the nurse or clinician is able to acquire previous health records before they can attend to them. In view of the safety of patients, standardized data is clear and concise which promotes easier analyzing and interpreting (Koutkias, 2019). The health institution staff can easily know when a patient health condition is in bad shape and seek medical care for them. Standardized data reduces wastage or misuse of resources that would lead the institution to acquire more which increases its operating costs. Additionally, the use of standardized data reduces miscommunication that would have drastic impacts. Nursing as a practice highly benefits from the standardization of data. This is due to the position they hold in the provision of health care (Koutkias, 2019). They are directly involved with the patients more than the doctors. As such data standardization which encompasses methods, protocols, terminologies, and specifications involved in the collection, exchange, storage and retrieval of information associated with health care.

Discuss Question 3

The nursing practice needs to know the importance to document care using standardized nursing languages especially with the increased use of electronic documentation and use of electronic data (Olatubi, Oyediran, Faremi & Salau, 2018). Inter-professional learning is important to ensure the successful use of electronic data to describe the key components of the care process. Standardized nursing language enhances accurate communication of health providers and nurses in the health care process. Additionally, these languages will increase the visibility of the interventions of nurses in the provision of health care (Olatubi, Oyediran, Faremi & Salau, 2018). Records that are prepared using these languages will enhance data collection evaluation data that will access the outcomes of nursing care. Moreover, inter-professional learning will foster greater adherence to standards of care and facilitate the assessment of nursing competencies, especially in the health care provision process.

 

References

Koutkias, V. (2019). From Data Silos to Standardized, Linked, and FAIR Data for Pharmacovigilance: Current Advances and Challenges with Observational Healthcare Data. Drug Safety, 42(5), 583-586.

Olatubi, M., Oyediran, O., Faremi, F., & Salau, O. (2018). Knowledge, Perception, and Utilization of Standardized Nursing Language (SNL) (NNN) among Nurses. International Journal Of Nursing Knowledge, 30(1), 43-48.

Rudin, R. (2017). Using information technology to exchange health information among healthcare providers.

 


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