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PAPERLESS HOSPITALS

PAPERLESS HOSPITALS. Presented by: Jana Walters, RN. Objectives. Define a paperless hospital Examine characteristics of a paperless hospital List hardware used in a paperless hospital List software used in paperless hospitals. Objectives. Evaluate OpenVista

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PAPERLESS HOSPITALS

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  1. PAPERLESS HOSPITALS Presented by: Jana Walters, RN

  2. Objectives • Define a paperless hospital • Examine characteristics of a paperless hospital • List hardware used in a paperless hospital • List software used in paperless hospitals

  3. Objectives • Evaluate OpenVista • Determine usability of Openvista • Examine advantages of paperless hospitals • Discuss disadvantages of paperless hospitals • Describe legal/ethical issues associated with this trend • Describe computer based information system • Review information system

  4. Objectives • Advantages of Paperless Hospital • Disadvantages of Paperless Hospital • Ethical and/or Legal Issues • Informatics Competencies • Functions and responsibilities of Informatics Nurse • Paperless Hospital Summary

  5. What is a Paperless Hospital? • Eliminating paper products from the chart (Paperless Hospitals Benefit both hospitals and patients) • Using technology for patient care

  6. Characteristics of a Paperless Hospital • Computerized order entry • Electronic medical records • Automatic inventory replenishment • Computerized automation of notes • Bar-coded medication administration • Computerized prescription orders • Electronic procedures and blood testing

  7. Hardware for Paperless Hospitals • Computer System • Server • Boston WorkStation • Vista

  8. Vista • Designed to be: • Usable • Integrated • Interoperable

  9. Software for Paperless Hospitals • Open Vista from Medsphere • IDX Carecast • EMR (Electronic Medication Record) from Cerner Corp (King,J)

  10. Open Vista • Used in various clinical areas • Used for various applications • Cost effective • Easily usable • Enhanced patient safety • Improves quality of care

  11. Usability of Open Vista • Axiom 1: Users Must Be an Early and Continuous Force During Interface Design • Axiom 2: The Design Process Should Be Interative, Allowing for Evaluation and Correction of Identified Problems • Axiom 3: Formal Evaluation Should Take Place Using Rigorous Experimental and/or Qualitative Methods

  12. Computer Based Information System • Describe what is involved in this computer based system • Describe the uses of this system (Nelson, 2007)

  13. Review of Information System • Clinical information system • Who uses this system? • Used for documentation and resulting

  14. Advantages of Paperless Hospitals • Improved Safety • Quality • Efficiency of Care

  15. Disadvantages of Paperless Hospitals • High Cost of Initial Installation • Security and Privacy Concerns • Time to train staff • Problems with data backup (Nelson, 2007)

  16. Ethical and/or Legal Issues of Paperless Hospitals • Ethical • Legal

  17. Informatics Competencies • Hardware • Software • Operating System

  18. Functions and Responsibilities of Informatics Nurse • Training • Education • Problem Solving

  19. Paperless HospitalSummary • Advantages out weigh disadvantages • Statistics reveal reasoning for Paperless Hospital implementation

  20. APA Reference Guide King, J. (2005, June). The Paperless Hospital – Really? Computerworld http://www.computerworld.com/action/article.do?command

  21. APA Reference Guide Lives saved, costs lowered in paperless hospitals. Retrieved June 5,2009, from http://www.medheadlines.com/ 2009/01/28/lives-saved-costs- lowered-in-paperless-hospitals/ “Paperless” hospitals benefit both hospitals and patients. Retrieved June 5, 2009, from http:/www.medindia/net/news/ Paperless-Hospitals-Benefit- Both-Hospitals-And-Patients- 46870-1.htm

  22. APA Reference Guide Nelson, R. (2007, March). Electronic Health Records: Useful Tools or High-Tech Headache? American Journal of Nursing, 107(3), 25-26. Scott, B. (2008, November). Building the Paperless Clinic: Obstacles in cleaning the digital business. http://www.therapytimes.com/ content=0502J84C4896A2844 04040441.

  23. APA Reference Guide Versweyveld, L. (2005, March). Near Paperless Hospital of Florida now open in South Florida. http://www.hoise.com/ vmw/05/articles/LV-VM-04-05-11 html.

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