This paper examines the role of collaboration, communication, and emerging technology in improving patient care transitions across medical settings. It discusses research showing that strong nurse-physician collaboration reduces hospital stay lengths and minimizes errors during transitions between care levels. The paper also reviews key technological innovations — including personal digital assistants (PDAs) and the EPICare Electronic Medical Record system — as tools for reducing documentation errors and maintaining unified patient records. Additionally, it addresses federal funding mechanisms such as the HITECH Act and offers a critical perspective on government involvement in healthcare reform, arguing that political overreach may ultimately reduce the quality and accessibility of medical care.
Collaboration and communication are two keys to effectively assisting patients as they transition from one level of care to another. This is true whether the patient is moving between departments within the same medical facility or transferring from one healthcare setting to another entirely. It is during the transition period that a significant number of errors and omissions occur, and therefore a focused, deliberate approach to managing these handoffs should be developed and prioritized by the medical personnel closest to the situation.
One recent article states that "the need for collaboratively determined care is essential for avoiding errors and promoting quality" (Tschannen & Kalisch, 2009, p. 796). The same study found that strong collaborative efforts and a solid working relationship between nurses and physicians often lead to shorter hospital stays. Shorter stays and more effective treatments represent a powerful incentive for fostering collaboration across medical teams.
With the advent of the internet, changes to the manner in which patients are handled and managed have occurred at remarkable speed. One of the latest innovations with the potential to revolutionize how patient records are initiated and maintained is the personal digital assistant (PDA). Using a PDA to record a patient's vital information from the moment a medical record is created would help eliminate many of the errors and omissions that currently occur during the documentation process.
Another technological advance that works hand-in-hand with the PDA is the EPICare Electronic Medical Record (EMR) system, which focuses on creating and maintaining a "one patient, one record" (EPIC, 2011) approach. The system was designed to ensure that only a single medical record is created for each individual, regardless of where in the United States that individual is located.
The challenge is that in an economy such as the current one, the funds required to purchase these electronic devices are not as readily available as they once were. However, a recent study found that due to the HITECH Act, "every hospital in the United States will be eligible for a minimum of $2 million … to buy and use electronic health records" (Bau, 2011, p. 15). The efficiency of such a system is clear: if nursing personnel spend less time creating and updating patient records, it could portend a more medically effective care environment.
"HITECH Act funds electronic health record adoption"
"Government overreach may undermine healthcare quality"
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