https://padlet.com/barronmc/qzlaio7n1lrdjuu1 Tidbits + Resources en-us 2021-01-20 16:14:09 UTC 2025-03-17 11:37:46 UTC hello@padlet.com https://padlet.net/icons/png/1f338.png barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1106546216 Free evidence-based and peer reviewed articles

]]> 2021-01-20 16:34:53 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1106546216 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1106573733 New content posted daily regarding digital health news with a strong editorial focus on data quality, documentation, health information exchange, and quality measure improvements.]]> 2021-01-20 16:40:10 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1106573733 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1106598345 A comprehensive source for health care informatics information via articles, webinars, podcasts, and e-books. It covers multiple disciplines within the realm of healthcare, such as engineering and cybersecurity.]]> 2021-01-20 16:44:52 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1106598345 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1107962231 2021-01-20 22:44:08 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1107962231 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1120181023 The tiger initiative addresses one of the most daunting issues in the healthcare field today: integrating informatics and technology — on an international level nonetheless. I appreciate that they have established competencies to be fulfilled; however, what is so powerful behind the movement is that they empower clinical educators to tailor the initiative specifically to the educational needs of their nurses. Although, I do have some concern regarding deviating from the core competencies -- will the tiger initiative fail if the standardized competencies are personalized too much?
The hospital I work at is owned by a massive healthcare chain that extends all over the country. To my knowledge, my hospital has not adopted the tiger initiative; however, we do have competency driven education. The problem I see with our education is that it feels like we are just checking off items on the competency list. The education is often presented in the form of health stream modules, which are painful to complete. Other means of education, that aren't license-based or certifications, are merely quick demonstrations during shifts. As you could imagine, I don't find this method of education helpful. I think the tiger initiative should be implemented in my hospital, but from a financial standpoint, I hypothesize that my hospital does not, and will not, prioritize education for nursing staff utilizing the tiger initiative.]]> 2021-01-25 04:26:42 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1120181023 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1120190587 While caring for one of the most vulnerable patient populations, it emphasizes just how important it is to use any, and all, means to keep patients safe.
*Article is available via Simmons University Library*]]> 2021-01-25 04:31:59 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1120190587 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1159944863 The article shared below found supporting evidence that different leadership styles, unit climate, and nurses' willingness to report errors are all correlated. If nurses are not reporting medication errors they're making, there will be no measures taken to prevent other nurses from making the same mistake. Perhaps the medication error could be addressed by additional checks in the EMAR, or current documentation could be updated. The field of informatics has such a crucial role in nursing safety; however, it relies heavily upon user reports to know which areas need to be addressed to make healthcare more effective, efficient, and safe.

Farag, A., Tullai-McGuinness, S., Anthony, M. K., & Burant, C. (2017). Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices? Journal of Nursing Administration, 47(1), 8–15. https://doi-org.ezproxy.simmons.edu/10.1097/NNA.0000000000000430]]> 2021-02-03 17:20:10 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1159944863 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1166423224 On the surface, the concept of a standardized nursing language appears to have one sole purpose: to ensure accurate, clear communication amongst health care providers. The creation of standardized nursing language provides a means of technical and explicit communication; however, the impact of its adoption is immeasurable. The language allows nurses from different specialties, hospitals, and countries to read through assessment documentation and be able to understand the level of nursing care necessitated to treat the patient's condition. Often, the care given to patients is hidden behind word of mouth communication and informal nurses notes. By incorporating standardized nursing language into the electronic health record, it will highlight and emphasize all care delivered to the patient. Through standardization of nursing language, the realm of nursing and healthcare research has expanded markedly. Universal clinical terminology is easily translatable to data collection, and ultimately assists in the evaluation of nursing care outcomes. It is important to remember that universal language is not unique to the field of nursing and exists across the continuum of clinical care, such as the ICD-10 coding system, DSM-V, and SNOMEDCT. The significance of universal communication in the medical field has ultimately led to improvements in patient care outcomes through effective interdisciplinary communication, established nursing standards of care, and enhanced data collection for health care research.

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. https://doi.org/10.3912/OJIN.Vol13No01PPT05 

]]> 2021-02-04 23:15:59 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1166423224 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1166441089 This article mentions the importance of universal language in the realm of medicine. The authors discuss that standardized terminology is not always agreed upon by various disciplines, and give examples specific to the urogenital specialty. It is also noted that terminology eventually becomes outdated and that research databases need to account for these changes. The inclusion of former and present day terminology is essential and can be accomplished by associating these key words with each other.
The authors explicitly describe the benefits of adopting a standardized means of communication as the documentation of clinical details over the course of time, sharing information across all disciplines involved in care, effective reporting and retrieval of information from databases, supports reporting and synthesis for research studies, and acts as a building block for quality improvement measures, patient safety initiatives, as well as evidence-based practice.


Andrews, J. C., Bogliatto, F., Lawson, H. W., & Bornstein, J. (2016). Speaking the same language: Using standardized terminology. Journal of Lower Genital Tract Disease, 20(1), 8–10. https://doi.org/10.1097/LGT.0000000000000157 

]]> 2021-02-04 23:26:53 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1166441089 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1205422097 In 2015, hospital and provider reimbursement was revised in 2015 when MACRA was signed into law. Through the adoption of MACRA, fee for service practices have fallen by the wayside and performance reviews are used to incentivize care to increase quality and decrease health care costs. Care planning and care coordination are two major provisions in the law that serve as quality measures for reimbursement.
Nearly two-thirds of registered nurses involved in this research study reported that electronic care plans (ECPs) have made a "moderate increase" in the typical RN workload. The study also highlights the burden that can be placed upon providers by having to use electronic health records.
Clearly, the adoption of MACRA has its benefits and challenges. Health care providers need to continue to raise their concerns regarding the new reimbursement system and how it affects their day to day in the workplace.

Ma, Y. (2018). Opportunities for Nurses to Lead Quality Efforts Under MACRA. Nursing Economic$, 36(2), 97–101.


]]> 2021-02-16 04:05:16 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1205422097 barronmc https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1233036038 Electronic Health Records (EHRs) have revolutionized patient charting and allowed for the health care field to step back from paper and embrace all that technology can offer. The transition from paper charting to electronic charting has improved the quality and access to health care, along with reducing overall costs. Patient information can be shared amongst providers, as well as all others involved directly with patient care, to help improve communication and continuity of care. There are numerous benefits associated with an EHR; however, it is important to consider all ethical implications involved with the development and use of an EHR.
Are patients consenting to having their information shared through an EHR? If not, then a patient's autonomy is infringed upon for they are unaware of their personal health information being shared and did not consent. It is extremely important that patient confidentiality be maintained, as well as patient confidence in the medical field for protecting their information. Patients may be less likely to share personal information if they believe someone they do not consent to seeing the information will be able to see it. This could impact the health care that this patient receives.
Data protection and security is also extremely important. The risk of having any information in an electronic format is susceptible to hacking and data being breached. Patients need to have confidence that their medical information is safe. Means of keeping data safe include cloud storage, password protection, and data encryption.
The future of health care is electronic and a major step in the right direction to improve patient care is through the utilization of an electronic health record. It is essential that the data be protected at all costs. It is also important to consider that patients understand the health records we use and how they are accessible to other health care providers. Patients deserve to know how, when, and why their personal health records are to be accessed, as well as consent to whether or not they are comfortable with that.

Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic health records: A general overview. Perspectives in clinical research, 6(2), 73–76. https://doi.org/10.4103/2229-3485.153997]]> 2021-02-23 18:32:43 UTC https://padlet.com/barronmc/qzlaio7n1lrdjuu1/wish/1233036038