Workarounds In Healthcare Facilities Research Paper

Length: 4 pages Sources: 1+ Subject: Healthcare Type: Research Paper Paper: #96665272 Related Topics: Hitech Act, Health Informatics, Electronic Health Records, Patient Care
Excerpt from Research Paper :

Workarounds in Healthcare Facilities

Workarounds refer to the alternative methods "of accomplishing an activity when the usual system / process is not working well" (Pennsylvania Patient Safety Advisory, 2013). In as much as workarounds may temporarily solve existing problems, they also indicate inefficiencies and deficiencies in the current system. Workarounds may at times be effective and more convenient, compared to the system in existence, but a regular use of the same could endanger both the safety of patients and the facility's reputation. A workaround can, therefore, be termed as an at-risk behavior that does not yield concrete long-term solutions to existing problems. Therefore, "workarounds perceived as necessary by the user for patient care, efficiency or safety, may be beneficial, neutral, or dangerous for patients' safety" (Koppel, Wetterneck, Telles & Karsh, 2008, p. 1).

A description of Workarounds in a Selected Facility

Workarounds can take a variety of forms. For instance, I know of a situation where practitioners bring to work their personal mobile devices and facilitate workarounds using the same. These devices include personal smart phones, tablets, laptops, etc. A range of workarounds is involved in this case. One of the more common ones, for instance, involves storing or transferring patient data, to other workers, using the up-to-date applications available on such devices. In some cases, this data exchange takes the form of text, e-mail messages, or social media platforms.

One possible scenario is; a nurse sends a doctor a picture of, say, a patient's wound, via her personal device. The doctor views the sent picture, on his device as well, and then gives instructions to the nurse. The

...

However, this kind of workaround has a number of implications. First, the photograph, and the instructions given, bypasses the facility's electronic database. Secondly, there is the possibility of data breach should the mobile devices fall into the wrong hands. Thirdly, the existing system may never get updated, as the facility's IT unit may never be made aware of these kinds of exchanges.

Workarounds; Trends and Statistics

Workarounds have been a common phenomenon within the influential health sector; but again, so have the number of breaches. The federal government stepped in, in an attempt to curb the spread of the same, through the HITECH Act of 2009. The Act requires health facilities to report to the U.S. Department of Health and Human Services (HHS) any data breaches in their units, which involve at least 500 individuals. As at the 21st of February this year, a massive 543 such breaches had been reported. It is estimated that "these breaches of health information have affected more than 21 million individuals" (Intel, 2013). Most of these data breaches are as a result of stolen devices.

Why Practitioners Opt for Workarounds

Despite the worrying trend in data breaches and the dangers involved, most health practitioners still engage in workarounds. A survey carried out by HIMSS Media at the beginning of this year sought to find out the reasons for this. 674 health workers were interviewed (Intel, 2013). A majority of them cited the inefficient and out-of-date nature of the current health systems as the core reason for preferring workarounds. A significant number felt that their facilities' IT units were either not aggressive enough in embracing advanced technologies, or designed applications that were rigid and restrictive (Intel,…

Sources Used in Documents:

References

Flanagan, M.E., Saleem, J. J., Millitello, L.G., Russ, A.L. & Doebbeling, B.N. (2013). Paper- and Computer-Based Workarounds to Electronic Health Record Use at Three Benchmark Institutions. Journal of the American Medical Informatics Association, 20(e1): e59-66.

Intel (2013). Workarounds in Healthcare, a Risky Trend. Retrieved from http://www.intel.com/content/www/us/en/healthcare-it/workarounds-in-healthcare-risky-trend.html

Koppel, R., Wetterneck, T., Telles, J.L. & Karsh, B. (2008). Workarounds to Barcode Medication Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety. Journal of the American Medical Informatics Association, 15(4), 408-423.

Merrill, M. (2009). Using Pen and Paper Workarounds Could Boost EMR Efficiency. Retrieved from http://www.healthcareitnews.com/news/using-pen-and-paper-workarounds-could-boost-emr-efficiency


Cite this Document:

"Workarounds In Healthcare Facilities" (2013, November 22) Retrieved June 17, 2021, from
https://www.paperdue.com/essay/workarounds-in-healthcare-facilities-177811

"Workarounds In Healthcare Facilities" 22 November 2013. Web.17 June. 2021. <
https://www.paperdue.com/essay/workarounds-in-healthcare-facilities-177811>

"Workarounds In Healthcare Facilities", 22 November 2013, Accessed.17 June. 2021,
https://www.paperdue.com/essay/workarounds-in-healthcare-facilities-177811

Related Documents
Healthcare and Patient Safety
Words: 869 Length: 2 Pages Topic: Healthcare Paper #: 76518639

Quality and Safety Education for Nurses Patient safety The issue of patient safety has been a concern to medics and the stakeholders in the health care system over many years. This has been propelled by constant emergence of life threatening injures to people visiting or working within the healthcare facilities s well as construction of buildings and entrances that do not meet the required standards of hospitals. This largely informs the basis

Ethics in Health Care Issues
Words: 1356 Length: 4 Pages Topic: Healthcare Paper #: 64889808

Organizational Responsibilityand Current Healthcare Issues Organizational Responsibility and Current Health Care Issues Case Representation Michel Boileau, chief clinical officer for St. Charles Health System said that a hospital in Bend Oregon administered incorrect medication to a patient, Loretta Macpherson, 65, and she passed away shortly following the administration of a paralyzing agent usually made use of during a surgery instead of anti-seizure medication. The doctor said that the patient's breathing stopped and brain

Analyzing Health Informatics Project Management Case Study
Words: 3231 Length: 8 Pages Topic: Black Studies - Philosophy Paper #: 66839513

Health Informatics: Project Management Case Study A major focus area, for several years now, in healthcare settings has been the support of data collection and transmission of information on patients through computer-based workflow systems deployed in such institutions. This case study is an analysis of the deployment of a healthcare workflow system (commercially available) in a hospital setting. Research findings show workflow organizational support as a strategic solution and making use

System Design Considerations and Workarounds Implementation of
Words: 1718 Length: 5 Pages Topic: Healthcare Paper #: 98284601

System Design Considerations and Workarounds Implementation of an informatics system in nursing The nursing profession continues to evolve with the advancing technology, ensuring that it maintains standards of quality in service. In the endeavor to facilitate quality healthcare, the profession endorsed the use of medical informatics systems. The nursing informatics integrates the three subjects of nursing science, computer science and information science. The practice employs these facilities in managing and communicating data

Personal Health Information Security
Words: 1247 Length: 6 Pages Topic: Nursing Paper #: 58964057

Case Study: Information Security Issue Macro-view of the Problem The hospital faces a problem of end-user security: sensitive data is vulnerable to exposure in the workplace as the end-user methods of using computers in the hospital are ineffective to safeguard the data from theft. Personal health records are important for patients, but if privacy of data cannot be guaranteed, these records are more of a risk to personal privacy than a benefit

Adoption of New Technology Systems
Words: 951 Length: 3 Pages Topic: Health - Nursing Paper #: 38626026

, 2005). The framework centers strengthening the compatibility with existing values and practices to also ensure a high level of simplicity and observable results, two other factors crucial to creating an effective framework (Rogers, 2003). All of these elements must also be unified with a simplistic model to make sure the nurses can see the value of the system and their ability to manage it as a resource, not be