IT(information technology) in HealthCare’s
Areas of medical quality and patient safety have begun to use health information technology to prevent reportable incidents, identify them before they occur, and address unavoidable events. As medical institutions begin to explore the use of medical information technology in this area, people often don’t know where to focus on financial and human efforts. The purpose of this study is to lay the groundwork for concentrating the financial and human resources of medical information technologies and to hope that medical information technologies can be used in medical quality and patient safety.
Since the old report of the Institute of Medicine (IOM), the development and adoption of health information technologies has accelerated, with varying degrees of evidence of the impact of health information technologies on patient safety. The purpose of this work is to explore current scientific evidence of the impact of various health information technologies on improving patient safety outcomes. We conclude that health information technology improves patient safety by reducing drug errors, reducing adverse drug reactions, improving compliance, and implementing guidelines. There is no doubt that health information technology is an important tool for improving the quality and safety of care. Health care providers need to selectively invest in technologies that have limited evidence to improve patient safety outcomes.
Patient safety is a subset of health care and is defined to avoid, prevent, and improve undesirable outcomes or injuries from medical processes. The Institute of Medicine’s (IOM) report that “mistakes are human beings” called for the development and testing of new technologies to reduce medical error, while the subsequent “cross-quality chiasm” report called for information technology as an important first step in changing and changing a healthy environment for better and safer care.
Medical Information Technology (HIT) is defined as “an information processing application that includes computer hardware and software used to store, recover, share, use, communicate, and make decisions about information, data, and medical knowledge.”
Health information technology includes a variety of technologies, from simple graphics to more advanced decision support and integration with medical technology. Health information technology provides many opportunities for health improvement and transformation, including reducing manual errors, improving clinical outcomes, promoting coordination of care, improving practice efficiency, and tracking data over time. Since the first report of the relocation agency was published, the development and adoption of health information technology has accelerated, and there is various evidence on the effects of health information technology on patient safety.
Clinical decision support
Clinical decision support provides healthcare professionals with information and patient-specific information. This information is intended to strengthen healthcare provider decision-making and, where appropriate, to be properly filtered and submitted to healthcare professionals. Clinical decision support includes tools to enhance decision-making and clinical workflows. These tools include notification of care providers and patients, alerts, alerts, clinical guidelines, state-specific sequence sets, patient-specific clinical summaries, documentation templates, surveys, and diagnostic support. A systematic review of Cochrane concluded that the use of screen alerts by doctors led to improvements in process compliance, drug sequencing, vaccination, laboratory order and clinical outcomes from mild to moderate.
Electronic sign-out and switching tools
Cancellation or “extradition” communications are related to the process of transmitting patient-specific information from one caregiver to another, from one team to another, or from caregivers to patients and their families to ensure continuity and safety of patient care. The breakdown of patient information transmission is one of the main causes of the Sentinel incident in the United States. The electronic cancellation application integrates with the electronic medical records to ensure the structured transmission of patient information as a stand-alone tool during the handover of medical institutions. Two systematic reviews of the results of electronic tools to support doctor shift shifts concluded that most studies were supported and that the use of electronic tools could improve the extradition process, reduce the omission of critical patient information and reduce the staggered time of the use of electronic tools in low-quality studies to assess patient outcome measures. The authors of both reviews also noted that the number of studies included was considerable and inadequately designed, requiring further evaluation using rigorous research designs.
Barcode dose management
Bar code drug management system is an integrated electronic drug management records and bar code technology electronic system. These systems are designed to prevent drug errors by ensuring that the right patient gets the right medication at the right time. In addition, existing barcode systems have different levels of improvement. For example, some software generates alerts when sound-like drugs or similar drugs can be confusing. Others provide clinical advice on specific medications during the scan, and others can assist with documentation (i.e., documenting drug administration in eMAR and other relevant clinical details).
Automatic dispensing technology
The Automatic Dispensing Cabinet (ADC) is an electronic medicine cabinet that stores medicines at care points, controls dispensing, and tracks drug distribution. The automatic dispensing cabinet was a fist used in hospitals in the 1980s, but over time it gradually evolved into a more complex software and digital interface to synthesize the risky steps of the drug dispensing process. Automated dispensing cabinets have been successful as drug inventory management tools to minimize the workload of central pharmacies, better track drug distribution and patient claims, and automate drug distribution processes.
Maintain surgical project prevention techniques
There are various technologies to enhance preventive maintenance, such as barcode and radio frequency (RFID) marking. A system for evaluating techniques to prevent the retention of surgical items. One study was a randomized controlled trial using barcode-assisted sponge counting techniques, in which no differences were found between the intervention and control groups, but the time counted in the intervention was much longer. Another study evaluated RFID markers in surgical projects and found statistically trivial results. Currently, there is not enough clinical evidence to recommend or oppose the use of this technology. The use of such technology is not seen as a stand-alone program and must complement manual counting for a variety of reasons, including cost, confusion with traditional non-marking devices, and cane technology with RF and RFID systems.
Patient Electronic Portal
The Patient Portal is a secure online application that uses computers or mobile devices to access personal health information and provide patients with two-way electronic communication with care providers. Many studies have shown that patient portals improve preventive care, disease awareness, and self-management outcomes. However, there is no evidence that they improve patient safety outcomes.
Telemedicine is defined using communication technology to facilitate patients to communicate with the provider or provider. Communication can be synchronized with immediate bidirectional video communication or asynchronous transmission of patient clinical information. Telemedicine, in addition to communications, provides health information collected remotely from medical devices and personal mobile devices. This information can be used to monitor patients, track or change their behavior.