Journal Entry 7: Knowledge Discovery

                                                                                                    Alanna M Schauer

                                                                                                Journal Entry 7: Knowledge

                                                                                                Discovery and Management

     

                                Written Assignment 12: Journal Entry 7

Chavis, S. (2013). CPOE anytime, anywhere. For the Record, 25(10), Retrieved from

            http://www.fortherecordmag.com/archives/0713p10.shtml

            This article was chosen because it covered the educational objectives of smart devices, remote access and control, and personalized medicine through devices that can handle massive data management and analysis. It looks at the proposed plan for electronic health records (EHR) and the actual frustration that is felt by physicians due to loss of productivity. It introduces the voice activated programs that will allow physicians to dictate as they assess a patient therefore decreasing time and improving efficiency.

            This article is an opinion and a product review from a journalist who specializes in writing about trade and consumer publications placed in an on-line journal.  

            The problem addressed in this article is the statistics that are being reported as to the decreased productivity and workflow of physicians utilizing EHR and how this can be corrected. "The survey results indicated that nearly 40% would not recommend EHRs to a colleague because of productivity challenges, difficult software interfaces, and a lack of improvement in patient care," (Chavis, 2013, para. 4). This is contrary to what was anticipated and they are not happy with the progress of EHR.

            The solution is the introduction of the speech recognition programs of M*Modal (a mobile application) and Nuance (the Dragon program). These two products have advanced the premise of speech-enabled computerized physician order entry (CPOE) so the physicians do not have to be data entry personnel. The current M*Modal prototype Apple iOS app allows physicians to speak orders into an iPhone or iPad. The orders are sent to the clod server of M*Modal and the voice is translated into text and sent back to the clinician on their phone or iPad for their approval or editing. Nuance, would be embedded into the hospitals electronic medical record system. "As doctors input a patient's information via voice, it can highlight and validate medical facts, spot inconsistencies and ask follow-up questions," (Roger, 2012, para. 4).

            The implications to healthcare are that the physician would be able to dictate as they see their patients and review the data and orders in real time for accuracy and efficiency. Since EHR's are a requirement of meaningful use there needs to be continuous improvements to ensure the criteria is met.

            I learned there are great advances being made in voice technology and that this can be useful for physicians and can be applied to nursing as well.

                                                     Reference

Roger, Y. (2012). Doctors can chart their patients verbally. USA Today

Journal Entry 6: Knowledge Journal Entry 6: Knowledge Discovery and Management/Alanna Schauer

                                                                                                 Alanna M. Schauer

                                                                                                Journal Entry 6: Knowledge

                                                                                                Discovery and Management

Keiser, B. E. (2012). Quality patient education materials on the web. Online, 36(6).

http://resources.njstatelib.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=aph&AN=83699389&site=ehost-live

            The article was chosen because it met many of the objectives of knowledge discovery and their associated concepts. It discusses the application of knowledge to create value which is the essential element of learning and the trends associated with this learning. This was an excellent article of determining how to obtain quality patient education and the author’s struggle to verify this information.

            This article is an opinion culminated from an extensive search of internet resource sites starting with Trust it or Trash it. It is also a product review of many of consumer health sites like NetWellness and MedTango. The author did their own systematic review and weeded out the non credible websites. Then the author identified patient education materials and the tools that were specific to an illness or subject matter that needs to be taught.

            The need is that with millions of Americans searching the Internet for medical information and health problem answers it is vital to have sites with proper information that can be verified. An estimated eighty-six percent of adult people use the internet for health information compared to 28-41%, who consults with their primary health care providers, (Weber, Derrico, Yoon, & Sherwill-Navarro, 2009).  You could propose that many internet users will accept web based health recommendations instead of confiding in their primary physician.  People can be embarrassed to admit they had certain problems or ailments so they do research on their own and the quality of the websites is questionable.

            The solution from this systematic review is the author created a comprehensive list of consumer health sites with the explanation of their specific features that make them credible. It is a reference guide to obtaining information that can be very useful for patients and their families about numerous illness and medical issues. A strategy for reviewing health sites and patient teaching material was explained and promoted for standardization of patient education on medical illness.

            This is important for healthcare delivery because patients are utilizing the internet for many of their health questions and they do not always locate the most credible resources. For medical professionals, this article listed many health sites and reputable patient education resources and provided definitive steps and strategies for keeping patient education material current and maintaining best practice.

            I learned where to find credible resources for patient education material.  The article provided a valuable list of resources to utilize when patient ask for medical information sites.

It is also useful for nurses looking for information on a health topic.

                                                              Reference

Weber, B., Derrico, D. J., Yoon, S. L., & Sherwill-Navarro, P. (2010). Educating patients to

evaluate web-based health care information: the GATOR approach to healthy surfing. Journal Of Clinical Nursing, 19(9/10), 1371-1377. doi:10.1111/j.1365-2702.2008.02762.x