URS 5051 Module 04 Literature Review Assignment Template The Use of Clinical Systems to Improve Outcomes and Efficiencies

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This type of assignment is considered an “Annotated Bibliography”. You should review the sample Annotated Bibliography from the writing center to help you complete this assignment. You do not need a reference page as you will cite each article before discussing it. In this assignment, you will review research studies focused on the application of one type of clinical system of your choosing. Listed below are examples of clinical systems:

  • Inpatient Electronic Health Records (EHR)
  • Outpatient EHRs
  • Computerized Provider Order Entry (CPOE)
  • Specialty Systems:
    • Emergency Department Information System
    • ICU Information System
    • Cardiology Information Systems
    • Operating Room Information System
  • Ancillary Information Systems
    • Laboratory Information Systems
    • Pharmacy Information Systems
    • Radiology Information Systems
  • Electronic Medication Administration Record (eMAR)
  • Bar Code Medication Administration (BCMA) Systems,
  • Smart Pumps
  • Care Planning Systems
  • Messaging Systems
  • Alerts and Clinical Decision Support Systems
  • Telehealth Systems
  • Patient Portals
  • Patient Tracking Systems
  • Remote Monitoring Systems
  • Artificial Intelligence Systems
  • Patient Education Systems

After selecting one type of clinical system, you will conduct a search for recent (within the last 5 years) research studies that examined the improvement in outcomes and/or efficiencies. These studies need to report on the results of a research study and appear in a scholarly journal, you should not use studies reported in conference proceedings.

The research studies should provide evidence to support the use of the clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”  For example, if you selected patient portals as the clinical system, you would use the following search terms: patient portals and outcomes. Searching on outcomes usually returns results on efficiencies as well.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research studies you reviewed. Be sure to address the following:

  • Identify the 5 peer-reviewed research articles you reviewed, citing each in APA format. The articles should appear in alphabetical order in your paper. After the citation, you would discuss each article.
  • For each study, you will briefly summarize the study, explain the improvement to outcomes and/or efficiencies, and discuss lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. Each study should be discussed in approximately one page.

In summary, you need to select one type of clinical system and find 5 current research articles, published in scholarly journals, that examined outcomes and/or efficiencies related to the clinical system you chose. On the next page is the beginning of the shell of the paper. I purposely chose five articles on CPOE that were not current.

NURS 5051 Module 04 Literature Review Assignment Annotated Bibliography

Fortescue, E. B., Kaushal, R., Landrigan, C. P., McKenna, K. J., Clapp, M. D., Federico, F., Goldmann, D. A. & Bates, D. W. (2003). Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics, 111(4), 722-729.

In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods.

  • In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies.
  • In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system.

King, W. J., Paice, N., Rangrej, J., Forestell, G. J., & Swartz, R. (2003). The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients. Pediatrics, 112(3), 506-509.

  • In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods.
  • In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies.
  • In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system.

Potts, A. L., Barr, F. E., Gregory, D. F., Wright, L., & Patel, N. R. (2004). Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics, 113(1), 59-63.

  • In the first paragraph you will summarize the study. Briefly describe the aim of the study, the sample and setting, and the methods.
  • In the second paragraph you will identify the outcomes and/or efficiencies examined in the study and explain the results related to improvements in the outcomes and/or efficiencies.
  • In the third paragraph, you will discuss lessons learned from the findings of the study and relate the lessons learned to the application of the clinical system.

Upperman, J. S., Staley, P., Friend, K., Neches, W., Kazimer, D., Benes, J., & Wiener, E. S. (2005). The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital. Journal of Pediatric Surgery, 40(1), 57-59.

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