v. 4/1/15 © 2015 Fortis Online Case Study This assignment supports the following
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Question
v. 4/1/15 © 2015 Fortis Online
Case Study
This assignment supports the following objective(s):
To use major theories and models underpinning informatics to analyze, predict and manage health
informatics– related phenomena.
Case Study
Read the following case study and answer the questions that follow:
A good friend of yours is director of nursing at a 220- bed community hospital. Last year the hospital
merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting
from this change has been the rapid introduction of new computer systems. The goal is to bring the
hospital “up to speed” within 3 years. At present CPOE is being implemented. The general medical and
surgical units went live last month. The ICU and pediatrics and obstetrics units are scheduled to go- live
next month. The plan is to work out any kinks or problems on the general units and then go- live in the
specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained
but are now becoming more comfortable with the computers and are beginning to integrate the CPOE
process into their daily routines. Several physicians are now requesting the ability to enter orders from
their offices and others are looking into this option. However, there are three physicians who have not
commented during this process but are clearly resisting. For example, after performing rounds and
returning to their offices they called the unit with verbal orders. After being counseled on this behavior
they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at
the nurses’ station. When they were informed that these were not “legal orders” they began smuggling in
order sheets from the non activated units. In addition, they have been coercing the staff nurses on the
units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the
nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they
confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good
working relationship with these physicians.
Questions
1. How would you use the theories presented in this chapter to diagnosis the problems demonstrated
in this case. List your diagnoses and explain your analysis.
2. What actions would you recommend to your friend and what reason (theories) would you use as a
basis for your recommendations?
Explanation / Answer
1. The physicians are not interested in CPOE system.
The nurses unable to follow the system due to lack of knowledge.They fear about physicians and relationship with them.
2. one good reason that the physicians are not interested is that they dont know completely about the system.They think it is an extra work in thier hectic schedule.So the management of the hospital should arrange some people to the physicians to teach the software on how it works, advantages , and how time is saved by using the software. The nurses also should be given training in tihs issue.The CPOE is a computerized provide order entry which stores all the patients information.The paper entry could go wrong or missing but the software can save the data for years. suppose the patient diesease reverted back after years and lost previous files , the software can retrieve them.
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