This annotated bibliography examines three peer-reviewed sources related to nursing informatics and the use of health information technology in clinical settings. The first source investigates the impact of patient-provider Internet portals on diabetes management outcomes. The second analyzes a case study of bedside electronic medical record implementation in nursing facilities, focusing on quality of care and staff adoption challenges. The third explores the potential value of electronic prescribing (eRx) systems in improving accuracy, patient safety, and outcomes research. Together, these sources illustrate both the promise and the practical challenges of integrating digital tools into healthcare delivery.
Keeping accurate electronic records on patients has become an important goal of the nation's health system. Electronic health records encourage the free flow of information between providers, enhancing the accuracy and efficiency of medical care. The following annotated bibliography examines three sources that address different dimensions of nursing informatics, from patient-facing web portals to bedside electronic medical records and electronic prescribing systems.
Shaw, Ryan, and Jeffrey Ferranti. (2011). Patient-provided internet portals: Patient outcomes and use. CIN: Computers, Informatics, Nursing, 29(12): 714–718.
The Internet can 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 websites where patients can transmit information to healthcare providers as well as access their own records and services. The article specifically examines the impact of portal use on patients with diabetes.
Portal use was a statistically significant predictor of glycosylated hemoglobin (HbA1c) (p < .001). However, portal use was not a significant predictor of LDL and total cholesterol levels. Despite the mixed findings, the article's authors believe that these portals deserve further research in terms of how they can improve the dissemination of patient care information and enable patients to be more proactively involved in monitoring their own health.
Rantz, Marilyn, Gregg Alexander, Colleen Galambos, Marcia K. Flesner, Amy Vogelsmeier, Lanis Hicks, Jill Scott-Cawiezell, Mary Zwygart-Stauffacher, and 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.
"EMR implementation challenges in nursing homes"
"eRx accuracy, safety, and research potential"
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