Take a look at this scenario:
Mike, from information technology (IT), is working with the nursing teams to make sure that standardized nursing terminology exists for the new electronic health record (EHR) system that will also meet the meaningful use (MU) criteria. He is discovering that different nursing departments use different terminologies. For example, the OR is using Perioperative Nursing Data Set (PNDS) terminology, other departments use NANDA terminology, and other departments are still using the paper system, while an outside clinic uses their own local terminology. In the team meeting, he asks the nurses if they can only use one documentation system. The responses he gets helps him to realize the complexity of this issue, as they all respond no. Mike then suggests the team works on setting standards and policies for how data standards, including standardized terminology, will be developed.
Instructions
Review the scenario above and follow the instructions below:
List one way Mike can start to standardize the terminology for the hospital.
What are the disadvantages of designing your own local terminology?
Why is the ability to collect patient outcome data important?
Why is interoperability important?
What one recommendation would you make to help develop a policy for this hospital?
What is something you have witnessed in practice that would be beneficial to include in a policy?
What is the disadvantage of using a paper system versus an EHR?
Number and write out each question answered. Answers require at least two sentences for each of the questions and all segments of the question must have a response.
You can use the uploaded references.
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