Expert answer:Workflow Redesign

Expert answer:Scenario 1:Stephanie is a nurse practitioner at Central Care Hospital who is often involved in administering prescribed medications for patients in the general care ward. When a physician sees a patient, he or she uses the hospital’s electronic health record (EHR) to document findings and recommendations for treatment but submits medication and drug orders by faxing prescriptions to the hospital’s pharmacy. Before Stephanie administers the medications from the pharmacy, she must cross-check the medication and dosage with the physician’s notes and patient information in the EHR. In doing so, Stephanie often identifies problems with the medication the physician prescribed; patients are sometimes prescribed a medication to which they have a known allergy or one that conflicts with another medication they are currently taking. In addition, the pharmacy sometimes sends the wrong medication or the wrong dosage. Furthermore, for patients who have been transferred from other parts of the hospital, such as the intensive care unit or the maternity ward, Stephanie often encounters duplicate drug orders or incorrect medications sent from the pharmacy.To prepare:Review this week’s Learning Resources on workflow redesign. Then select one of the scenarios listed above to consider for this Discussion.Note: You may choose to examine the same scenario you were assigned for the Week 3 Discussion, or you may select a different scenario.Identify one specific workflow issue (gap) in the scenario you selected. Formulate at least two distinct solutions for this workflow issue.Of the two solutions you developed, which would you recommend for redesigning the current-state workflow in the scenario you selected? Why?Reflect on the solution you would recommend. What two organizational constraints (budget, time, resources, personnel, IT expertise, resistance to change, lack of leadership, stakeholder buy-in, etc.) would most significantly impact the implementation of the solution? How would they impact the solution?THENPost the scenario you selected and a description of the two solutions you developed for this workflow issue. Identify the solution you would recommend, and explain how this solution would address the workflow issue. Identify two organizational constraints that might impact the workflow redesign and explain their impactReferences:Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley. Review Chapter 3, “Requirements Determination” (pp. 81–116) Chapter 4, “Use Case Analysis” (pp. 120–149)McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 14, “Nursing Informatics: Improving Workflow and Meaningful Use”Choi, J., & Kim, H. (2012). A workflow-oriented framework-driven implementation and local adaptation of clinical information systems: A case study of nursing documentation system implementation at a tertiary rehabilitation hospital. Computers, Informatics, Nursing, 30(8), 409–414.Unertl, K. M., Johnson, K. B., & Lorenzi, N. M. (2012). Health information exchange technology on the front lines of healthcare: Workflow factors and patterns of use. Journal of the American Medical Informatics Association, 19(3), 392–400.

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