Submit your final project for the course, a patient safety presentation that evaluates an information management strategy in place (ideally in your current or former workplace) to determine if it improves patient safety and patient outcomes.

You have completed the background support in the milestones of this project. Incorporate instructor feedback from those milestones and submit your presentation by the end of Module Seven.

There is no doubt that technology has had a significant impact on the healthcare industry. From new testing techniques to surgical equipment, today’s medicine is very different from that of just 10 years ago. Before the surge of modern technology, nurses relied heavily on their own sense of sight, touch, smell, and hearing to monitor patient status and detect changes. Over time, nurses’ natural senses have been replaced by technology designed to detect those same physical changes in patient conditions. And now, thanks to online communities and other digital communications, a wealth of health-related information is more accessible to patients than ever before.

In addition, quality improvement and clinical decision support rely on patient information being readily available in digital form. The role of information technology in patient care management is to support care management functions, including patient data capture, aggregation, analysis, and reporting. The development of electronic medical records (EMR) has enabled care management to move from the health insurance company to the clinical practice.

In the final project for this course, you will examine an information management strategy or patient care technology to determine if it improves patient safety and outcomes; then, you will develop a patient safety presentation around that strategy or technology.

The project is divided into two milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Two and Five. The final submission will occur in Module Seven.

This assessment addresses the following course outcomes:
1. Evaluate current patient care technologies for their ability to promote patient safety and quality outcomes
2. Assess the extent to which patient care technologies inform clinical decision making regarding quality initiatives
3. Determine the legal and ethical considerations surrounding the use of information management and patient care technologies in healthcare delivery
4. Analyze current healthcare technology policies for their implications on healthcare delivery to vulnerable populations

For the final project in this course, you will develop a presentation in which you evaluate an information management strategy or patient care technology to determine if it improves patient safety and patient outcomes. First, choose an existing information management strategy or a patient care technology (ideally, one from your own workplace) with faculty approval. Then, develop an online presentation about your chosen topic, which must include the following: a description of the strategy supported by the literature; a discussion of the impact of the strategy on the practice of professional nursing; and a discussion of why you, as a professional nurse, would or would not support the use of this strategy. To help support your final presentation, you will submit three milestones throughout the course for instructor guidance and feedback.

Specifically, you must address the critical elements listed below. Most of the critical elements align with a particular course outcome (shown in brackets).

I. Introduction
A. Clearly identify and describe your chosen information management or patient care technology topic (for example, electronic medical records, CPOE, clinical alerts, medication dispensing units, etc.) and describe its function.

B. Provide a rationale for why you chose this particular topic. (For example, why it is important to your workplace? How does it improve patient safety?)

C. Describe the role your chosen topic plays in patient safety or quality outcomes.

II. Analysis
A. Discuss the advantages and disadvantages of using your chosen topic. Be sure to use scholarly research to support your position.

B. Identify any legal implications associated with use of your chosen topic, being sure to provide specific examples from research. If you feel there are none, be sure to justify your position.

C. Identify any ethical implications associated with use of your chosen topic, being sure to provide specific examples from research. If you feel there are none, be sure to justify your position.

III. Patient Safety Outcomes
A. Summarize the evidence you reviewed that discusses the role your chosen topic plays in promoting patient safety and quality outcomes.

B. Identify specific patient or quality outcomes from the literature you reviewed regarding the use of your chosen topic.

C. Assess the extent to which patient outcomes are, or could be, improved through the use of your chosen topic. Be sure to substantiate your claims with research and examples.

IV. Impact in Professional Nursing
A. Assess the impact of your chosen topic on the practice of professional nursing. In other words, what effect will use of your chosen topic have on nursing practice in general? Be sure to substantiate your claims with research and examples.

B. Explain the implications of your chosen topic for vulnerable populations with regard to professional nursing practice and how your topic might need to be adapted for use with those groups. If you feel there is no need for adaptation, be sure to defend your position with specific examples.

C. Discuss the implications of practicing professional nursing in a healthcare setting that already employs your chosen topic. For example, does it improve patient safety and/or quality outcomes in that healthcare setting? What effect would your chosen topic have on your nursing practice in that specific setting? Be sure to substantiate your claims with specific scholarly evidence.

V. Concluding Reflection
A. Describe changes that might need to be made to existing healthcare technology policies regarding the use of your chosen topic with vulnerable populations. If you feel no changes would need to be made, be sure to substantiate your claims with specific examples.

B. Discuss from a personal ethical standpoint whether you as a professional nurse support the use of your chosen topic. Be sure to defend your position with scholarly research and specific examples.

Milestone One: Topic Selection and Rationale‌
In Module Two, you will choose your information technology and management topic. In 1–2 paragraphs, describe your chosen topic and give your rationale for choosing this topic. This submission will be graded with the Milestone One Rubric.

Milestone Two: Topic Analysis and Effects on Professional Nursing and Patient Outcomes
In Module Five, you will submit an analysis of your chosen information technology and management topic. You will also submit an assessment of the impact of your chosen topic on both the practice and professional nursing and patient safety outcomes. This submission will be graded with the Milestone Two Rubric.

Final Submission: Patient Safety Presentation
In Module Seven, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project Rubric.

What to Submit:

Your presentation must be 10–15 slides, not including title and references slides. It should be submitted with one slide per page and detailed selected speakers notes pages for selected slides with optional voice-over of the presentation. References should be cited using proper APA formatting.

Notes from the teacher: Presentation–> I recommend following the same tips for the last PPT from week 4: Use the rubric headings as your slide titles and don’t forget your slide notes too! Pictures and visuals too!


Final Project Milestone One Topic Selection and Rationale
The chosen information management topic for my patient safety presentation is electronic medical records (EMRs). Electronic medical records refer to digital versions of patients’ medical information, including their medical history, diagnoses, medications, lab results, and treatment plans (Ehrenstein et al., 2019). EMRs serve as comprehensive patient data repositories, allowing healthcare providers to access and update information in real-time (Ehrenstein et al., 2019). They are a centralized system for storing, managing, and sharing patient information among healthcare professionals and organizations (Ehrenstein et al., 2019).
I chose electronic medical records as my topic because of their significant importance to my workplace and their potential to improve patient safety. In our healthcare facility, we have recently transitioned from paper-based medical records to electronic medical records. This transition has brought several advantages, such as enhanced accuracy, accessibility, and efficiency in patient care. Electronic medical records eliminate the need for deciphering illegible handwriting, reduce errors due to misinterpretation, and facilitate quick information retrieval. These improvements improve patient safety by minimizing medication errors, ensuring timely and accurate diagnosis, and promoting effective communication among healthcare providers.
The role of electronic medical records in patient safety and quality outcomes is pivotal. By digitizing patient information, EMRs provide healthcare professionals with a comprehensive view of patient’s medical histories, allowing for better-informed clinical decision-making (Basil et al., 2022). This improved access to patient data facilitates the identification and prevention of medical errors, such as drug interactions, allergies, and contraindications (Basil et al., 2022). EMRs also enable healthcare providers to track and monitor patient outcomes over time, identifying trends and implementing evidence-based practices to improve the quality of care (Basil et al., 2022). Additionally, electronic medical records support the coordination and continuity of care by allowing seamless information exchange between different healthcare settings, such as hospitals, clinics, and pharmacies. This ensures that accurate and up-to-date patient information is available to all healthcare providers, reducing the risk of fragmented care and improving patient safety and outcomes.

Basil, N. N., Ambe, S., Ekhator, C., & Fonkem, E. (2022). Health Records Database and Inherent Security Concerns: A Review of the Literature. Cureus, 14(10).
Ehrenstein, V., Kharrazi, H., Lehmann, H., & Taylor, C. O. (2019). Obtaining Data From Electronic Health Records. In Agency for Healthcare Research and Quality (US).


Final project milestone
The adoption of Electronic Medical Records (EMRs) has emerged as a vital information management technique in the fast-expanding healthcare industry. This paper aims to examine the benefits and drawbacks of electronic medical records (EMRs) and their impact on professional nursing practice. EMRs, or electronic medical records, have various advantages in patient care, including improved accuracy, accessibility, and efficiency. This paper will substantiate the function of EMRs in increasing patient safety and quality outcomes by thoroughly evaluating scholarly research. Furthermore, it will investigate the legal and ethical aspects of employing EMRs, focusing on patient privacy and data security. The paper will also examine how EMRs lead to better patient outcomes, chronic illness management, and engagement. The paper will also discuss the consequences of practicing professional nursing in a healthcare context that already uses EMRs, emphasizing the positive influence on patient safety, communication, and workflow efficiency.
Part I: Analysis
A. Advantages and Disadvantages of Electronic Medical Records (EMRs)
Electronic Medical Records (EMRs) have become increasingly prevalent in healthcare settings, revolutionizing patient information storage and management. One significant advantage of EMRs is their potential to improve patient safety and quality of care. According to Setyadi & Nadjib’s research from 2023, EMRs make accurate patient data easily accessible and lower the risk of mistakes brought on by illegible handwriting or missing data. This improved accessibility streamlines the process and enables healthcare professionals to act faster and with greater knowledge. EMRs can also include clinical decision support systems that send alerts and reminders to medical personnel about potential drug interactions, allergies, and evidence-based guidelines (Setyadi & Nadjib, 2023). This feature ultimately improves patient safety by assuring compliance with recommended practices and eliminating medication errors.
Another advantage of EMRs is their ability to promote care coordination and continuity. EMRs act as centralized databases of patient data accessible and shareable across various healthcare settings, promoting communication among healthcare professionals (Setyadi & Nadjib, 2023). When patients move between hospitals, clinics, and other care institutions, this smooth information sharing is beneficial in coordinating patient care and lowering the chance of fragmented services. By providing information for identifying at-risk patient populations and putting preventive measures in place, EMRs also assist population health management (Huter et al., 2020). Improved health outcomes and overall care quality may result from this proactive approach to patient care.
Despite the numerous advantages, some notable disadvantages are associated with using EMRs. Cost is a significant consideration when implementing EMRs. The initial investment in hardware, software, and training can be substantial (Setyadi & Nadjib, 2023). Additionally, the ongoing maintenance and updates of EMR systems can incur further expenses. However, research has shown that the long-term benefits and cost savings of EMRs often outweigh the initial investment (Setyadi & Nadjib, 2023). Technical challenges can also arise when adopting EMRs. According to Setyadi and Nadjib (2023), there have been reports of system outages, data security breaches, and interoperability issues between various EMR systems. These challenges might interfere with medical procedures and jeopardize the security of patient information. However, ongoing developments in healthcare IT strive to overcome these problems and raise system security and dependability. Additionally, the move to EMRs may involve a learning curve for healthcare personnel, which could momentarily affect patient care and productivity (Setyadi & Nadjib, 2023). To enable healthcare providers to master the effective use of EMRs, adequate training and support are crucial.
B. Legal and Ethical Implications
Adopting Electronic Medical Records (EMRs) in healthcare introduces several legal and ethical implications that must be carefully considered. From a legal standpoint, healthcare organizations must comply with strict privacy regulations to protect patient information. For instance, in the United States, the Health Insurance Portability and Accountability Act (HIPAA) mandates the secure handling of protected health information (PHI) (Jacquemard et al., 2021). HIPAA violations can have serious legal repercussions, including fines and penalties. For instance, a healthcare provider may be subject to legal action and reputational harm if a data breach occurs due to insufficient security measures. To protect patient privacy and avoid legal trouble, it is crucial to ensure HIPAA compliance and establish robust data security procedures (Jacquemard et al., 2021).
Ethically, using EMRs raises concerns about informed consent and patient autonomy. Patients have the right to be informed about how their health information will be used and shared through EMRs (Jacquemard et al., 2021). Patients can make informed choices about using personal data when given clear and honest information about the advantages and potential risks of using electronic medical records (EMRs). Before sharing patient data for research, for instance, medical organizations should get their patients’ explicit consent. The trust between patients and healthcare providers might be compromised if patients’ autonomy is not respected and informed consent is not obtained.
Additionally, EMRs can have ethical implications for healthcare equity and access. Vulnerable populations, such as those with limited digital literacy or access to technology, may face challenges in accessing and benefiting from EMRs (Kaihlanen et al., 2022). For instance, older patients or people with modest incomes could find it challenging to use electronic health systems. The inequality in access to technology can worsen already existing health disparities. Healthcare organizations must consider the needs of all patient populations when they install EMRs and put plans in place to close the digital divide (Kaihlanen et al., 2022). In order to promote equal access to healthcare technologies and services and to advance fair and just healthcare practices, underserved areas can benefit from training and support.
Part II: Patient Safety Outcomes
A. Role of Electronic Medical Records (EMRs) in Promoting Patient Safety and Quality Outcomes
The evidence supporting the role of Electronic Medical Records (EMRs) in promoting patient safety and quality outcomes is substantial and well-documented. EMRs serve as comprehensive repositories of patient information, enabling healthcare providers to access, update, and share critical data in real time. This enhanced patient information access is crucial to improving patient safety (Setyadi & Nadjib, 2023). Research indicates that EMRs significantly reduce medication errors, which are a leading cause of preventable adverse events in healthcare (Setyadi & Nadjib, 2023). EMRs equipped with clinical decision support systems can generate alerts and reminders for healthcare providers, helping to prevent medication-related errors such as drug interactions, allergies, and dosing errors (Huter et al., 2020). A study by Liang et al. (2023) found that implementing EMRs resulted in a 47% reduction in medication errors, leading to safer medication management and improved patient outcomes. Furthermore, EMRs support healthcare providers in making more informed clinical decisions. By aggregating patient data from various sources, EMRs provide a comprehensive view of patient’s medical histories, diagnoses, and treatment plans. This access to comprehensive patient information enhances clinical decision-making, enabling healthcare providers to tailor treatment plans based on evidence-based guidelines and patient-specific data (Huter et al., 2020).
B. Specific Patient or Quality Outcomes from the Literature
The literature review highlights several specific patient safety and quality outcomes associated with using Electronic Medical Records (EMRs). The reduction in adverse drug events is one notable outcome. EMRs with integrated clinical decision support systems send healthcare professionals real-time alerts and reminders, reducing medication errors such as drug interactions, allergies, and contraindications (Huter et al., 2020). This proactive medication management method has been found to reduce adverse drug events and improve patient safety considerably. Studies have repeatedly shown a reduction in overall medication errors following EMR installation, including prescription-related errors, administration errors, and drug reconciliation errors (Liang et al., 2023). The ability of electronic medical records (EMRs) to offer accurate and up-to-date prescription information improves prescribing practices and lowers the risk of medication-related damage to patients.
Furthermore, EMRs contribute to improved chronic disease management. Healthcare providers can better monitor and manage chronic conditions with access to comprehensive patient data. EMRs enable longitudinal tracking of patients’ health status, facilitating early detection of disease progression and timely interventions (Setyadi & Nadjib, 2023). EMRs enable evidence-based decision-making and individualized treatment regimens by giving a comprehensive perspective on individuals’ medical histories. Patients with chronic illnesses benefit from better disease management, fewer hospital stays, and better general health outcomes. Along with improving continuity of treatment during transitions between various healthcare settings, EMRs promote greater communication and coordination of care among healthcare providers (Setyadi & Nadjib, 2023). The seamless sharing of patient data through EMRs lowers the possibility of fragmented care and guarantees that patients get consistent, well-coordinated therapy, which improves patient outcomes and raises the standard of care.
C. Assessment of Improved Patient Outcomes through EMRs
The evidence supports the conclusion that EMRs significantly positively impact patient outcomes and the overall quality of care. As demonstrated by (Liang et al., 2023), the reduction in medication errors is a critical aspect of patient safety improvement through EMRs. EMRs assist in preventing potentially dangerous drug interactions and guarantee safer medication management, which improves patient outcomes. They do this by offering decision-support warnings for medication-related issues. Another crucial element of better patient outcomes is the contribution of EMRs to enhanced chronic illness management. EMRs allow for the prompt detection of illness development and the execution of suitable therapies by giving healthcare providers access to longitudinal patient data. Better disease control, fewer complications, and greater patient well-being result from this proactive strategy for managing chronic diseases (Liang et al., 2023).
Furthermore, the seamless communication and coordination facilitated by EMRs contribute to the continuity of care, especially during transitions between healthcare settings. This continuity of care is vital for patient safety, as it helps prevent medical errors due to incomplete or inaccurate information transfer (Setyadi & Nadjib, 2023). Improved care coordination through EMRs ensures patients receive consistent and well-coordinated care, leading to favorable patient outcomes. Patient engagement and empowerment are also positively impacted by EMRs. Patients accessing their health information through patient portals are more likely to manage their health and adhere to treatment plans actively (Huter et al., 2020). This increased patient engagement leads to better patient satisfaction, treatment compliance, and improved health outcomes.
Part III: Impact on Professional Nursing
A. Impact of Electronic Medical Records (EMRs) on the Practice of Professional Nursing
The adoption of Electronic Medical Records (EMRs) has had a transformative impact on professional nursing practice. EMRs streamline and optimize nursing workflows, enhancing efficiency and patient care delivery. The improvement in documentation accuracy is one of the most significant impacts of EMRs. Nurses can now record patient assessments, interventions, and outcomes electronically, lowering the likelihood of errors owing to illegible handwriting or missing information (Huter et al., 2020). Accurate documentation is vital for providing safe and effective care because it ensures that all healthcare team members can access vital patient information quickly. In addition, EMRs have improved care coordination among nurses and other healthcare workers. Nurses can interact and work more effectively with interdisciplinary teams with real-time access to patient information, resulting in seamless care transitions and enhanced continuity of care (Setyadi & Nadjib, 2023). For example, while transferring a patient from the intensive care unit to a regular ward, nurses can consult the patient’s updated EMR to understand their medical history and ongoing treatment plans, allowing a smooth handover and reducing the possibility of errors. Furthermore, clinical decision support systems integrated into EMRs give nurses evidence-based recommendations and alerts for managing medications, enhancing patient safety (Setyadi & Nadjib, 2023). Nurses can immediately spot drug interactions, allergies, and contraindications, enabling quick interventions and avoiding unfavorable outcomes. By incorporating decision support tools, nurses are better equipped to make timely and informed clinical decisions that ultimately improve patient care outcomes.
B. Implications of EMRs for Vulnerable Populations and Adaptation for Professional Nursing Practice
The implementation of EMRs has significant implications for vulnerable populations in professional nursing practice. Vulnerable populations, such as elderly patients, those with low health literacy, or individuals with language barriers, may face challenges accessing and effectively utilizing EMRs (Liang et al., 2023). To achieve fair care, nurses must pay close attention to the unique requirements of these populations and modify their approach accordingly. Providing individualized patient education and assistance is one adaptation for professional nursing practice. Nurses might provide training sessions or educational materials in various languages for patients who struggle with English. Additionally, they can help patients who are elderly or have limited digital literacy use EMRs and access their medical records (Setyadi & Nadjib, 2023). Furthermore, nurses must remain vigilant for potential disparities in access to EMRs among vulnerable populations. Ensuring equitable access to technology is essential, and nurses can advocate for resource allocation to bridge the digital divide (Liang et al., 2023).
C. Implications of Professional Nursing Practice in a Healthcare Setting with Electronic Medical Records (EMRs)
Implementing Electronic Medical Records (EMRs) in a healthcare setting has profound implications for professional nursing practice. EMRs have significantly improved patient safety and quality outcomes in healthcare organizations adopting them. With EMRs, nurses can access comprehensive and up-to-date patient information, facilitating better-informed clinical decision-making and reducing the risk of medical errors. EMRs with clinical decision support systems reduce medication errors by 47%, according to research by Liang et al. (2023), improving patient safety. Nurses report increased care coordination and communication with other healthcare team members in environments using EMRs. EMRs offer a consolidated information-sharing platform, facilitating accessible communication and collaboration between nurses, doctors, pharmacists, and other healthcare workers. By using a coordinated strategy, transitions between different care settings will be less likely to result in fragmented care and will improve continuity of care.
The effect of EMRs on nursing practice is reflected in increased efficiency and time savings. EMRs streamline nursing workflows by reducing manual charting and paperwork. Nurses can quickly document patient assessments, interventions, and outcomes electronically, allowing them to spend more time on direct patient care. Better nursing productivity and patient care experiences result from this increased efficiency. In highlighting the productivity benefits of EMRs, Kaihlanen et al. (2022) point out that nurses’ access to real-time patient data helps with quick decision-making and efficient care delivery. EMRs also give nurses access to patient information and clinical decision-support tools, enabling them to deliver care based on the latest scientific research. Nurses can connect their practice with industry standards and best practices by integrating evidence-based recommendations within EMRs, thereby improving the quality of treatment.
In conclusion, adopting Electronic Medical Records (EMRs) has transformative implications for professional nursing practice in healthcare settings. By lowering prescription mistakes and boosting care coordination through effective interprofessional communication, EMRs significantly increase patient safety and quality results. Increased workflow efficiency benefits nurses by enabling them to concentrate more on providing direct patient care and evidence-based practice. EMRs give nurses the resources to deliver patient-centered care by giving them access to detailed patient data and clinical decision-support tools. As a result, EMRs are essential for improving patient outcomes, nursing practice, and the quality of healthcare as a whole.

Huter, K., Krick, T., Domhoff, D., Seibert, K., Wolf-Ostermann, K., & Rothgang, H. (2020). Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review. Journal of Multidisciplinary Healthcare, Volume 13, 1905–1926.
Jacquemard, T., Doherty, C. P., & Fitzsimons, M. B. (2021). The anatomy of electronic patient record ethics: a framework to guide design, development, implementation, and use. BMC Medical Ethics, 22(1).
Kaihlanen, A.-M., Virtanen, L., Buchert, U., Safarov, N., Valkonen, P., Hietapakka, L., Hörhammer, I., Kujala, S., Kouvonen, A., & Heponiemi, T. (2022). Towards digital health equity – a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era. BMC Health Services Research, 22(1).
Liang, M. Q., Thibault, M., Jouvet, P., Lebel, D., Schuster, T., Moreault, M.-P., & Motulsky, A. (2023). Improving medication safety in a pediatric hospital: a mixed-methods evaluation of a newly implemented computerized provider order entry system. BMJ Health & Care Informatics, 30(1), e100622.
Setyadi, D., & Nadjib, M. (2023). The Effect of Electronic Medical Records on Service Quality and Patient Satisfaction: A Literature Review. Journal Research of Social Science, Economics, and Management, 2(12), 2780-2791.

Required Resources that may be useful for this assignment:
Textbook: Nursing Informatics and the Foundation of Knowledge, Chapters 7 and 18.

As one the first healthcare systems to adopt telehealth, the VA healthcare system has advanced health information technology in use today to support veterans across the country and the world.
This website offers short video clips, research articles, and other information that you may find useful in your reading and review of the topic in this module.

Additional Support (Optional):
This website offers a review of the American Nurses Association statements of the use of telehealth. Near the bottom of the page, click on ‘Position Statements and Principles’ and read the the ANA Core Principles on Connected Health.
This website offers the American Nurses Association’s review of social media principles.

(from module two)
Required Resources:
Textbook: Nursing Informatics and the Foundation of Knowledge, Chapters 4, 6, and 7

Additional Support (Optional):
Library Article:
This journal article details the use of technology in healthcare and how it is currently being used to improve patient care.
You will find the information in the article useful in completing the assignments in this module and deciding on your topic for your final project.

Library Article:
This article is on nursing informatics, and is a guiding document for this relatively new profession. The profession was officially recognized in 1992. You will find this document useful throughout the course as a reference in completing course assignments, but also as an overview of Informatics as a profession.

This document is a summary of the Health Information Technology for Economic and Clinical Health Act (HITECH) Act of 2009. It summarizes the main points of the act and its importance to health information technology. This summary will help you complete this module’s case study.

(From module five)
Required Resources:
Textbook: Nursing Informatics and the Foundation of Knowledge, Chapters 14 and 16

Additional Support (Optional):
Library Article:
This article discusses what nurses need to know concerning implementation of electronic health records in today’s healthcare system. You may find the material within the article valuable as you complete the assignments in this module.

This journal article gives the definition of health literacy and its implication for vulnerable populations in a specific setting in healthcare. This resource will help you complete the assignments in this module.






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