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“The Report” Consider that you are a Healthcare Informaticist.

You have been asked to evaluate the current internal workflow and make a recommendation regarding the workflow, communications, protocol and software required in order to select a new healthcare information system for a hospital, clinical department or other provider entity.

This report will consist of filling out the SBAR Process Improvement template provided, 5 pages MAX. APA FORMAT. By completely filling out the SBAR template, be sure the below are addressed: Describe the “real” or hypothetical work environment, provider objectives and current information systems configuration, as well as any unmet needs or issues. Situation Background Assessment Recommendation Much of the information required for this assignment is available from the Web and industry journals (e.g., Modern Healthcare, Healthcare Informatics, Hospitals & Health Networks, etc) and your course text. You may also wish to request product literature from vendors or obtain it through your own or another organization. Although not required, you may also wish to interview one or more individuals with relevant experience and expertise. Be sure to provide appropriate APA interview citations.

Description Please follow all directions and make sure to answer all questions/ topics asked. I need level 1 & 2 headings. APA format. Refer to nursing profession. The Wall of Silence by Gibson and Singh (2003) will be read. Please read the book and based upon the content, and additional sources complete the assignment as described. This assignment will provide the approach for connecting The Wall of Silence, the course content, and personal and professional experiences. A scholarly paper that addresses all four sections of the book will be completed. The book should be cited and included on the reference page with other necessary sources as evidence of understanding the course material and content. Based upon Gibson and Singh Part 1 and 2: Gibson and Singh provided alarming statistics based upon the IOM’s 1999 report of 100,000 deaths per year due to medical errors. According to Gibson and Singh, this translates to 275 deaths due to medical errors every day. Based on the number of deaths known, and considering the potential number for unaccounted deaths, reflect on the book and address the following: 1. Part 1 of Gibson and Singh details 10 patient-family accounts and their experience with medical error. Select one of the cases and discuss the following areas: a. Summarize and provide an overview of the selected case. b. Describe the type of error that occurred in the case (examples include: medication errors, misdiagnosis, a delay in treatment, cross contamination, failure to take the necessary precautions, surgical errors, unnecessary treatment, missed warning signs, etc.). c. Discuss the underlying cause of the selected medical error that occurred in the selected case. d. Compare one or more quality or safety initiative that now exists that could have prevented the error? (Cite the source where the initiative, guideline or protocol was found). 3. Discuss the role of nurses in developing a culture of safety interdependent upon a professional code of ethics. a. Explain some of the reasons nurses fail to report errors and describe potential consequences to the nurse, patient, facility, and system associated with failure to report. b. Discuss some of the reasons that have resulted in the nursing shortage and the subsequent effects on patient safety, quality of care, and the potential for errors in the health care system. c. Explain the importance of quality improvement as the process pertains to improving the quality and safety of patient care. 4. Support entries with quotations from the book as needed and with additional literature and sources from the course and the library. Based upon Gibson and Singh Part 3 and 4 The culture of cover-up is contradictory to our professional code of ethics. Gibson and Singh provided a detailed overview of why medical errors occur and they provided rationales behind the culture of cover-up in the health care environment. They described potential methods of regulation and reporting to better inform patients and consumers about their health care providers. Gibson and Singh also devoted an entire chapter to the use of technology making health care safer. Consider the importance of developing competency in nursing informatics and technology in healthcare. How might these systems impact nursing practice now and in the future? 5. Describe the meaning of the ‘culture of coverup’ and the consequences to patients, families, the public, and healthcare facilities. 6. Explain how healthcare consumers can access and investigate potential providers or facilities before making selections about health care providers and facilities. 7. Explain the benefit(s) for healthcare organizations that initiate voluntary reporting systems for internal use and how the information and data collected can be utilized for quality improvement project(s) to continually improve the safety of health care provided to patients.? 8. Describe the need for healthcare providers to use information and technology to communicate, manage knowledge, mitigate error, and support decision-making? How does technology support safety at health care facilities? 9. Gibson and Singh compared the current health care system to less flawed, safer industries, like aviation. Compare and contrast safety and quality in health care when compared to the aviation industry? 10. Support entries with quotations from the book as needed and with literature and sources from the course and the library (see requirements in # 15) 12. Include an introductory paragraph, purpose statement, and a conclusion. 13. Include level 1 and 2 headings to organize the paper. 14. Write the paper in third person, not first person (meaning do not use ‘we’ or ‘I’) and in a scholarly manner. To clarify: I, we, you, me, our may not be used. In addition, describing yourself as the researcher or the author should not be used. 15. Include a minimum of 4 professional peer-reviewed scholarly journal references to support the paper (review in Ulrich Periodical Directory) and be less than five (5) years old. 16. APA format is required (attention to spelling/grammar, a title page, a reference page, and in-text citations).

Decision Tree for Neurological and Musculoskeletal Disorders Academic Level : Bachelor Paper details Assignment: Decision Tree for Neurological and Musculoskeletal Disorders Decision tree interactive media pieces.

As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders. To Prepare Review the interactive media piece Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment. Write a 1 -page summary paper that addresses the following: Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented. Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources. What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources. Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples. interactive media piece Alzheimer’s Disease BACKGROUND Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal. According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.”Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation. SUBJECTIVE During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so you perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia.