Question

CASE STUDY A good friend of yours is director of patient services at a 220 they began to write the orders on scraps of paper and put these in the patient's charts or leave them at the nurses' sta year the hospital merged with a these in the patient's charts or leave them at the nurses much larger medical center. One of the upsides, as well as one of the challenges, is the rapid introduction of new health orders," they began smuggling in order sheets from the non information systems. The goal is to bring the hospital "up activated units. In addition, they have been coercing the staff to speed" within 3 years. At present, CPOE is being imple nurses on the units to enter the orders for them. This has mented. The general medical and surgical units went live last taken two forms. Sometimes they sign in and then ask the month. The intensive care unit and pediatrics and obstetrics nrses to enter the orders. Other times they ask the nurses units are scheduled to go-live next month. The plan is to work to put the orders in verbally and then they confirm the orders out any kinks or problems on the general units and then go- The nurses feel caught between the hospital's goals and the live in the specialty units. tion. When they were informed that these were not "legal need to maintain a good working relationship with these physicians. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to inte Discussion Questions grate the CPOE process into their daily routines. Several phy1. How would you use the theories presented in this chapter sicians are now requesting the ability to enter orders from their offices, and others are looking into this option. However, three physicians have not commented during this 2. What actions would you recommend to your friend and to diagnosis the problems demonstrated in this case. List your diagnoses and explain your analysis. process but are clearly resisting. For example, after perform- ing rounds and returning to their offices, they called the unit with verbal orders. After being counseled on this behavior, what reason (theories) would you use as a basis for your recommendations?

Answer 1

1. Here the main issue is the implementation of health information system. Some of the doctors does not agree to follow it as it increases the workload and others welcome it as a new initiative even though it's an increase to their work . Implementation of the information technology in the healthcare sector is an vital step in the pathway of technological advancements in the health sector , even though it would difficult in the starting but t will make the work more easier than the paper work and also ensure more confidentiality and security to the patient information . The dispute with those who does want to implement the change should be asked to justify themselves in the administrative office that why they don't want to follow the rule as denying to use the information system in against the hospital rule and it's illegal .

2. The actions towards this should be taken by the administrative department , they should take strict actions towards those and ask them the reason that why they are not able to use this system and if they are not ready to use this system after making them understand about the benefits of the same then punishment should be given as its against the hospital rules and policies and it's illegal.