Creating Patient Care Efficiency through Nursing Informatics: Implementation of a Real-time Patient Procedure Documentation Description of the Project

Efficient patient care is dependent on accurate and timely documentation. In many healthcare organizations, there are many complaints about delays in processing patients’ procedures and tests. Additionally, some of them have to get the procedure themselves from different medical practitioners. This not only causes delays but reduces patients’ satisfaction due to the back-and-forth exchange and the time taken to get the results. The proposal advocates for the implementation of real-time patient procedure documentation in the hospital.

This nursing informatics project will ensure that the patient’s experience is improved by streamlining the workflow, and presenting the documents as they are presented by using patient management software (Bunting & de Klerk, 2022). The main objective of the project is to improve patient care efficiency and satisfaction by implementing a real-time procedure documentation system. The software intends to ensure that all medical practitioners who are taking care of the patient such as doctors, lab technicians, and nurses have the information they need immediately after it is available (Kasaye et al., 2022). As a result, there will be reduced paperwork, reduced time taken to get results from one place to another, and overall increased patient satisfaction.

Stakeholders Impacted By the Project

Patients

The patients will be among the stakeholders who will be most affected by the project. They will have their information passed from one profession to another but this will be necessary to ensure that they can get results in real-time (Vos et al., 2020). As a result, their movements across the hospitals will be limited as they do not have to move from one practitioner to another to get the necessary information such as test results (Bunting & de Klerk, 2022). Additionally, they will be served faster and more efficiently as their tests will be immediately available to the authorized practitioner hence reducing the waiting period.

Nurses

They will be able to coordinate care for the patients. Through the system, they will access patients’ prescribed medicine and other information that is necessary in the course of caregiving. They will also document patients’ recovery more efficiently and this will greatly reduce medical errors and ensure that they are more efficient in caring for patients.

Physicians

The physician needs patients’ information, tests, and their recovery status when making decisions. Through the system, they can understand the tests being run and use them to make medical decisions. Additionally, they can adjust patient’s treatment according to the progress report indicated by nurses.

Hospital Board

The hospital legal team will also be required to be involved because they will determine who will have access to information and who will not have it. Additionally, they need to ensure that the patient’s information is kept from unauthorized people. Moreover, they have to create a system of how the interprofessional will communicate without compromising the patient.

Lab Technicians And Other Professionals

There will be other professionals who will access the patient’s records. This includes lab technicians and other professionals such as physiotherapists. This means that medical practitioners who will directly get involved with the patient will have access to their information, as this will improve their effectiveness when taking care of the patient.

IT Team

Information technology will be integral to the program as it will not only develop it but will also ensure that it serves the intended purpose. The IT team will also be maintaining the system and ensuring the security of patients’ information that is available on the system (Basil et al., 2022).

Patient Care Efficiencies Aimed By the Program

One of the efficiencies aimed by the program is the improvement of documentation accuracy. By ensuring that documents are updated in real time, there is less risk of errors and incomplete records which ensures that the information on the patients is more accurate. Another efficiency is time savings. There is a lot of time lost between professionals as they try to recover patient information from others. Through this system, it will be possible for professionals to get the information they need as soon as it is available as explained by Momenipur and Pennathur (2019).

Inefficiencies among professionals will be quick