2.50
Hdl Handle:
http://hdl.handle.net/10755/621896
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Driving Evidence-Based Practice Through Remote and/or Mobile Applications
Other Titles:
Promoting Evidence-Based Practice
Author(s):
Tharp-Barrie, Kim; Williams, Tracy
Lead Author STTI Affiliation:
Iota Zeta
Author Details:
Kim Tharp-Barrie, DNP, RN, SANE, Professional Experience: Kim Tharp-Barrie is System Vice President of Norton Healthcare Institute for Nursing. She is a 2009 DNP graduate of Rush University, and is SANE certified and licensed. In March 2016, Kim received the Most Admired Woman in Health/Healthcare Award by Today’s Woman Magazine in their thirteenth annual Most Admired Woman poll. Kim’s honors also include being awarded the Medical News 2013 Medistar A.O. Sullivan Award for Excellence in Education, the Transylvania University 2013 Distinguished Alumni Achievement Award, and the 2013 Webster University Robert D. Hess Outstanding Faculty Award. Kim is active in the Louisville community. She serves on the board of the Center for Women and Families and the American Red Cross. Kim is an assistant professor, University of Kentucky, and adjunct professor with Rush, Bellarmine, Spalding and Webster Universities where she most enjoys applying over 30 years of clinical and operational expertise to promote academic progression for her students. Author Summary: This speaker is best known for public speaking at the local, regional, and national level on such topics as Lateral Violence, Leadership Principles to Last You a Lifetime, and Leaders Learning from Leaders.
Abstract:

Purpose:

The pilot study investigated the efficacy of a mobile application designed to facilitate critical thinking and clinical reasoning at the bedside, specifically related to nurse-sensitive quality indicators and core measures, or more specifically those healthcare acquired conditions we are all charged with managing and eliminating from our organizations. The mobile web application pilot provided resources in the navigation and management of one nurse-sensitive quality indicator Catheter Associated Urinary Tract Infection (CAUTI), and two core measures, Acute Myocardial Infarction & Stroke (AMI, STK).

Methods:

Use of mobile application devices were coupled with the use of Remote Management for rapid response within system and to all designated “partners” (i.e. nursing home, LTAC, etc.) via tele-monitor and/or teleconference with facility prior to patient transfer. Center to be staffed with 24/7 Acute Care APRN. Traveling/On call APRNs to respond either remotely or on site to view and review all patients requesting and /or requiring transfer to acute care.

Results:

The pilot included: one healthcare acquired condition (CAUTI), two core measures (AMI, STK), and a medication calculator. Early feedback from the participants prompted few changes in algorithms. An overwhelming interest indicated a need for adding more nursing sensitive indicator bundle and core measure algorithms. Seamless updates to the mobile web application are planned to remain current with the latest evidence-based practice recommendations established by regulators such as the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission and national experts such as the Agency for Healthcare Research and Quality (AHRQ).

Conclusion:

Hospitals are increasingly developing policies and procedures to restrict the use of mobile devices in the clinical arena. Caution should be exercised before instituting policies that will limit point of care nurses from accessing valuable resources, devices, and methods required to optimize the acquisition, retrieval, and use of information in health to inform clinical decisions—the very purpose of informatics in healthcare. To date, seven additional core measure sets have been added, four additional nurse sensitive quality/safety indicators have been added, an icon was placed on nursing workstations for easy access to the point-of-care bedside mobile application, and continued collaboration with leadership on allowing cellular devices in patient care areas is on-going.

Keywords:
Reform; Safety; Value
Repository Posting Date:
18-Jul-2017
Date of Publication:
18-Jul-2017
Other Identifiers:
INRC17R03
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleDriving Evidence-Based Practice Through Remote and/or Mobile Applicationsen_US
dc.title.alternativePromoting Evidence-Based Practiceen
dc.contributor.authorTharp-Barrie, Kimen
dc.contributor.authorWilliams, Tracyen
dc.contributor.departmentIota Zetaen
dc.author.detailsKim Tharp-Barrie, DNP, RN, SANE, Professional Experience: Kim Tharp-Barrie is System Vice President of Norton Healthcare Institute for Nursing. She is a 2009 DNP graduate of Rush University, and is SANE certified and licensed. In March 2016, Kim received the Most Admired Woman in Health/Healthcare Award by Today’s Woman Magazine in their thirteenth annual Most Admired Woman poll. Kim’s honors also include being awarded the Medical News 2013 Medistar A.O. Sullivan Award for Excellence in Education, the Transylvania University 2013 Distinguished Alumni Achievement Award, and the 2013 Webster University Robert D. Hess Outstanding Faculty Award. Kim is active in the Louisville community. She serves on the board of the Center for Women and Families and the American Red Cross. Kim is an assistant professor, University of Kentucky, and adjunct professor with Rush, Bellarmine, Spalding and Webster Universities where she most enjoys applying over 30 years of clinical and operational expertise to promote academic progression for her students. Author Summary: This speaker is best known for public speaking at the local, regional, and national level on such topics as Lateral Violence, Leadership Principles to Last You a Lifetime, and Leaders Learning from Leaders.en
dc.identifier.urihttp://hdl.handle.net/10755/621896-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>The pilot study investigated the efficacy of a mobile application designed to facilitate critical thinking and clinical reasoning at the bedside, specifically related to nurse-sensitive quality indicators and core measures, or more specifically those healthcare acquired conditions we are all charged with managing and eliminating from our organizations. The mobile web application pilot provided resources in the navigation and management of one nurse-sensitive quality indicator Catheter Associated Urinary Tract Infection (CAUTI), and two core measures, Acute Myocardial Infarction & Stroke (AMI, STK).</p> <p><strong>Methods:</strong></p> <p>Use of mobile application devices were coupled with the use of Remote Management for rapid response within system and to all designated “partners” (i.e. nursing home, LTAC, etc.) via tele-monitor and/or teleconference with facility prior to patient transfer. Center to be staffed with 24/7 Acute Care APRN. Traveling/On call APRNs to respond either remotely or on site to view and review all patients requesting and /or requiring transfer to acute care.</p> <p><strong>Results:</strong></p> <p>The pilot included: one healthcare acquired condition (CAUTI), two core measures (AMI, STK), and a medication calculator. Early feedback from the participants prompted few changes in algorithms. An overwhelming interest indicated a need for adding more nursing sensitive indicator bundle and core measure algorithms. Seamless updates to the mobile web application are planned to remain current with the latest evidence-based practice recommendations established by regulators such as the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission and national experts such as the Agency for Healthcare Research and Quality (AHRQ).</p> <p><strong>Conclusion:</strong></p> <p>Hospitals are increasingly developing policies and procedures to restrict the use of mobile devices in the clinical arena. Caution should be exercised before instituting policies that will limit point of care nurses from accessing valuable resources, devices, and methods required to optimize the acquisition, retrieval, and use of information in health to inform clinical decisions—the very purpose of informatics in healthcare. To date, seven additional core measure sets have been added, four additional nurse sensitive quality/safety indicators have been added, an icon was placed on nursing workstations for easy access to the point-of-care bedside mobile application, and continued collaboration with leadership on allowing cellular devices in patient care areas is on-going.</p>en
dc.subjectReformen
dc.subjectSafetyen
dc.subjectValueen
dc.date.available2017-07-18T13:57:02Z-
dc.date.issued2017-07-18-
dc.date.accessioned2017-07-18T13:57:02Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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