It is imperative to note from the outset that any information proposed in the quality initiative improvement should be highly reliable so as to reach a quality initiative system. The data recommended is determined by various factors. Any nursing information system ought to support nurses in their day to day providing of quality health care. A stable quality system must respond to immediate nurses’ needs while in duty and at the same time provide access to literature sources In order to develop a reliable, patient care. Arguably, information systems have changed the entire nursing practice. On the other hand, the way patients handle and receive data has increasingly changed through information systems. The biggest threat worth consideration in establishing a new quality system is to have a clear way of controlling confidential information not to be accessed by the public (American Nurses Association, 2008).
The nature of privacy required in dealing with patients is paramount and when developing a quality initiative program it should not be left behind. Records concerning the health of patients must at all material times be kept from the eyes of the public. The main challenge of information technology is that in seeking to improve the patient’s access to information certain documents may expose clients. In recommending the appropriate data to be used to ascertain risks, the research will rely on primary data given by patients while at the same time comparing it with the clinicians’ point of view. Information retrieved from the internet may not present a neutral way of assessing the threat or risk. Data gathered through the internet may present necessary but over stated facts. It follows that records kept by clinicians are much reliable than data from internet (Ball, 2011).
In many organizations, the creation of a safety culture has been taken to rest in the hands of the leaders of the organization. However, it has been a duty of every person in the organization to make sure that such a culture is cultivated and grows. The road to achieve a safety culture has not been an easy one, and there are numerous elements, which make the pillars of a safety culture. The concentration of an organization helps in ascertaining the exact requirements as per such organization. I will focus on how to improve safety culture in a hospital (McGonigle & Mastrain, 2012).
The creation of a safety culture should not in any way be under estimated since it can necessitate a complete change in the entire hospitals vision. The first step is to create a persuading safety vision. Secondly, is to set up stable valuing personnel to propel the vision. Thirdly, there must be a driving force to engage and improve the patient’s safety. The active engagement must be pegged on the demonstration of what is expected through setting the example. Fourth, there must be a shift from focusing on the other less significant issues to safety issues. At this point, the main reason for doing so is to deal with the anticipated barriers which may hinder the safety culture from thriving (Ball, 2011).
An initiative must be created by the leaders of the organization to make sure that a strong safety culture is cultivated. This can be achieved through sharing experiences a making a valid culture on safety as being more fundamental for both clinicians and patients (American Nurses Association, 2008).
The security measures in application that was encountered are based on the fact that all the information in the organizations is transformed to fit the internet demands and reaching this information is sometimes hard and ineffective. It follows that many of the information either concerning a patient or a staff is highly guarded. Only few get access to the said records. The hospital owned computers are also interlinked with a main controlling computer which notices an unauthorized access to the system within seconds (Ball, 2011).
The hospital management reserves all rights to protect the integrity of the hospital at all material times. The security measures enable the hospital to safeguard the dealings of the hospital from the public eye. Even at the new technological age, the privacy of a patient is paramount hence the security measures are inevitable. The principles of confidentiality cannot be breached due to electronic information access. In exceptions set by the hospital, a person may be allowed to access the information upon satisfying the hospital that it is for fair use. In some instances, the information transmitted over the network may require consent from the patient or another body before the information is released (Ball, 2011).
The security measures are necessary and that is a positive step towards achieving a patient clinician relationship. The computer files are always highly guarded against any form of information misappropriation. The effects of information being in the public domain are devastating to clients and the hospitals integrity. The excessive security measures put on the said information has its own negative effects, which include hindering development of the organization since much of the dealings, are not revealed to anyone. The guarding of the information should be with exceptions but some organizations strictly prohibit without any exception (American Nurses Association, 2008).
A Scenario at hand involved a nurse being suspected of malpractice after the patient’s condition significantly deteriorated. In practice malpractice occurs when a nurse is suspected of being negligent in handling the patient. In many instances, the working condition of the nurse and the available equipment are ignored. The test is always, that the nurse did not act in a prudent, professional manner. However, such a situation can also occur even when the nurse has acted in a prudent way. Creation of a safe environment has been said to alleviate the threat of such things occurring (American Nurses Association, 2008).
The hospital is required to put up enough facilities, which will be essential in averting any danger. In having up-to-date equipment, protection of the public will be enhanced while, at the same time, nurse’s accountability will be clearly measured. The only disadvantage of having unsafe work environment is that nurses are held accountable for situations beyond their control. A safe environment benefits the nurses and the hospital. It is also essential to establish a clear communication link whereby if a situation aggravates it is easy for the junior staff to reach a senior staff. Without a clear communication, the entire coordination of the staff will be paralyzed. A fair way to define responsibilities and hold the right people accountable is to improve the systems facilities to be safe to everyone. In seeking to establish a safe and effective care environment, the client benefits more since in case of a risk situation occasioning, the client is expeditiously helped out (Ball, 2011).
American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, Md: American Nurses Association.
Ball, M. J. (2011). Nursing informatics: Where technology and caring meet. London: Springer.
McGonigle, D. & Mastrain, K. (2012) Nursing Informatics and the Foundation of Knowledge, Sudbury, MA: Jones & Bartlett Publishers
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