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Nursing Informatics Annotated Bibliography

Nursing Informatics Annotated bibliography: Nursing informatics

Shaw, Ryan & Jeffrey Ferranti. (2011). Patient-provided internet portals: Patient outcomes and use. CIN: Computers, Informatics, Nursing, 29 (12): 714 -- 718.

Keeping accurate electronic records on patients has become an important goal of our nation's health system. Electronic records encourage the free flow of information between providers, enhancing accuracy and efficiency of medical care. However, the Internet can also be used to improve patient care by enhancing the flow of information between patients and healthcare providers. This article studies patient-provider Internet portals, interactive Web sites where patients can transmit information to healthcare providers as well as access their own records and services. The article specifically studies the impact of the use of such a portal on patients with diabetes. Portal use was a statistically significant predictor of glycosylated hemoglobin (HbA1c) (P...

However, portal use was not a significant predictor of LDL and total cholesterol levels. Still, the article's authors believe that these portals deserve further research in terms of how they can improve the dissemination of information on patient care and enable patients to be more proactively involved in monitoring their health.
Rantz, Marilyn, Gregg Alexander, Collen Galambos, Marcia K. Flesner, Amy Vogelsmeier,

Lanis Hicks, Jill Scott-Caweizell, Mary Zygart-Stauffacher, Leslie Greenwald. (2011).

The use of bedside electronic medical record to improve quality of care in nursing

facilities: A qualitative analysis. CIN: Computers, Informatics, Nursing, 29 (3) 149 -- 156.

Nursing homes historically have been criticized for providing substandard care to patients who are often not able to act as advocates for themselves. Ensuring accuracy of information can be substantially enhanced by having electronic bedside medical records. This…

Sources used in this document:
Cooke, Catherine E., Brian J. Isetts, Thomas E. Sullivan, Maren Fustgaard, & Daniel A Belletti.

(2010). Potential value of electronic prescribing in health. economic and outcomes research. Patient outcome measures.

eRx (electronic prescribing) is the most commonly used feature of general practice computing systems. Through eRx systems, physicians have full access to patients' histories, including previous prescriptions and allergies. E-prescribing eliminates the problems deciphering physician's handwriting, which has frequently been a challenge for many pharmacists. eRx has a high rate of accuracy, is consistent with paper records 80% -- 95% of the time and also features additional forms of surveillance, such as tracking if the patient failed to fill his or her first prescription. It is also hoped that the use of eRx could make a contribution to research about the efficacy of various drugs when used by certain patient populations, so long as the HIPPA guidelines regarded confidentiality are respected.
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