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Please help me respond to this posting with a reference. Promoting InteroperabilityJulia Sombrotto posted Feb 12, 2023 5:06 PMSubscribeThis page automatically marks posts as read as you scroll.Adjust automatic marking as read setting Within healthcare, interoperability is critical for the flow and exchange of data and information across multiple systems within and amongst healthcare organizations (Yang et al., 2019). In my organization, the computerized provider (practitioner) order entry (CPOE) system is well established. The CPOE system allows providers to enter clear orders that specify the timing, route, dose, and indication for medication orders. The CPOE system is proven to be interoperable with the system utilized by the pharmacy staff, given that all medication orders are instantaneously transmitted to the pharmacy for verification. Should an error or contraindication be identified in the entry of a medication order, a pharmacist will contact the provider to alter the order before it is approved and transmitted to the nurse to be executed. Additionally, the CPOE system is compatible with the laboratory results system, and alerts will arise for providers and pharmacists should the ordered medication be inappropriate to administer given a patient’s recent lab results. The CPOE system is also interoperable with the CPOE utilized by other hospitals, given that it requires specific entry of all required informational components such as dose, route and timing in order for an order to even be submitted. This promotes interoperability by ensuring orders are in a complete and standardized format and reduces the need for orders to be manually re-entered by the new providers should a patient be transferred to another organization. This decreases the risk of errors, given that manual entry of orders is proven to contribute to medication errors or other adverse drug events (ADEs) (Amiri et al., 2018). CPOE is suggested to increase physician performance and patient safety, and adoption of the system is believed to have contributed to a 0.74 percent decrease in patient mortality (Amiri et al., 2018). A study at LDS Hospital in Salt Lake City, Utah identified an improvement in the use of appropriate and specific anti-infective agents and a decrease in ADEs following implementation of the CPOE system (Amiri et al., 2018). In my own experience, I agree that the efficiency of CPOE facilitates the delivery of safe patient care. The speed at which orders can be entered, screened and verified, and transmitted to nurses for delivery eliminates the need for verbal orders which can be subject to ambiguity and misinterpretation and therefore put patient safety at risk. Through my survey, I uncovered that the providers in my organization credit the CPOE for improving their confidence in entering timely orders given the additional safeguards implemented into the system as well. My organization also utilizes the electronic documentation system. The electronic documentation system is a cost-effective and efficient way for nurses and other providers to complete timely and accurate documentation. The use of an electronic system allows automatic population of particular consults given documentation of certain assessment findings, such as an automatic social work consult for a patient displaying signs of abuse or neglect. However, there is demonstrated room for improvement within this system and its interoperability. Registered Nurses complete extensive assessment and intervention documentation within the electronic documentation system through both checklists and free-text narratives. However, free-texted narrative information poses challenges for interoperability, given that it is difficult for such information to be utilized and evaluated across hospital systems. Registered Nurse’s assessment and intervention documentation data should be available to effectively use for comparison and evaluation between different health care organizations to assess the effects of specific nursing interventions (De Groot et al., 2020). Use of standardized terminologies is critical for the reuse of documented information for quality evaluation or for scientific research (De Groot et al., 2020). However, the current system used within my organization does not effectively promote use of such standardized terminologies, and much free-texted narrative documentation information likely goes to waste. Additionally, should a patient be transferred to another facility, it is likely challenging or even impossible for nurses at a receiving organization to access and view the assessment data of the nurses at the previous facility if the information is loosely free-texted without any guiding classification. Adoption of an electronic documentation system that automatically classifies general free-texted terms, statements, and sentences in nursing documentation would be an effective way to improve the interoperability of this system and promote extraction of important information for research or other uses amongst healthcare organizations (Moen et al., 2019). References Amiri, P., Rahimi, B., & Khalkhali, H. R. (2018). Determinant of successful implementation of Computerized Provider Order Entry (CPOE) system from physicians’ perspective: Feasibility Study prior to implementation. Electronic Physician, 10(1), 6201-6207. https://doi.org/10.19082/6201 De Groot, K., De Veer, A. J. E., Paans, W., & Francke, A. L. (2020). Use of electronic health records and standardized terminologies: A nationwide survey of nursing staff experiences. International Journal of Nursing Studies, 104, 103523. https://doi.org/10.1016/j.ijnurstu.2020.103523 Moen, H., Hakala, K., Peltonen, L.-M., Suhonen, H., Ginter, F., Salakoski, T., & Salanterä, S. (2019). Supporting the use of standardized nursing terminologies with automatic subject heading prediction: A comparison of sentence-level text classification methods. Journal of the American Medical Informatics Association, 27(1), 81-88. https://doi.org/10.1093/jamia/ocz150 Yang, C., Chou, T.-C., & Chen, Y.-H. (2019). Bridging digital boundary in Healthcare Systems — an interoperability enactment perspective. Computer Standards & Interfaces, 62, 43-52. https://doi.org/10.1016/j.csi.2018.08.001 Reply to Thread

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