Asses4

Home>Homework Answsers>Nursing homework helpanalyzingUploadea year ago07.02.202410Report issuefiles (2)Analyzingacurrenthealthcareproblemorissues..pdfcf_Exemplar_NHS-FPX4000_Assessment_41.pdfAnalyzingacurrenthealthcareproblemorissues..pdfWrite a 4-6 page analysis of a current problem or issue in health care, including a proposed
solution and possible ethical implications.Expand AllIntroduction
InstructionsNote: The requirements outlined below correspond to the grading criteria in the scoring guide.
At a minimum, be sure to address each point. In addition, you are encouraged to review the
performance-level descriptions for each criterion to see how your work will be assessed.1. Describe the health care problem or issue you selected for use in Assessment 2 and
provide details about it.○ Explore your chosen topic. For this, you should use the first four steps of
the Socratic Problem-Solving Approach to aid your critical thinking. This
approach was introduced in Assessment 2.○ Identify possible causes for the problem or issue.
2. Use scholarly information to describe and explain the health care problem or issueand identify possible causes for it.
○ Identify at least three scholarly or academic peer-reviewed journalarticles about the topic.
■ You may find the How Do I Find Peer-Reviewed Articles?library guide helpful in locating appropriate references.
■ You may use articles you found while working on Assessment2 or you may search the Capella library for other articles.
■ Use scholarly or academic peer-reviewed journal articlespublished during the past 3–5 years that relate to your topic
■ You may find the applicable Undergraduate Library ResearchGuide helpful in your search.
○ Review the Think Critically About Source Quality to help you completethe following:
■ Assess the credibility of the information sources.
■ Assess the relevance of the information sources.3. Analyze the health care problem or issue.
○ Describe the setting or context for the problem or issue.
○ Describe why the problem or issue is important to you.
○ Identify groups of people affected by the problem or issue.
○ Provide examples that support your analysis of the problem or issue.4. Discuss potential solutions for the health care problem or issue.
○ Describe what would be required to implement a solution.
○ Describe potential consequences of ignoring the problem or issue.https://campustools.capella.edu/redirect.aspx?linkid=2643http://capellauniversity.libguides.com/peerreviewhttps://campustools.capella.edu/redirect.aspx?linkid=2451○ Provide the pros and cons for one of the solutions you are proposing.
5. Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice)if potential solution was implemented.
○ Describe what would be necessary to implement the proposed solution.
○ Explain the ethical principles that need to be considered (Beneficence,Nonmaleficence, Autonomy, and Justice) if the potential solution was
implemented.○ Provide examples from the literature to support the points you are
making.●
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●Competencies Measured:
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○Scoring Guidecf_Exemplar_NHS-FPX4000_Assessment_41.pdf1Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssueLearner’s NameCapella UniversityNHS4000: Developing a Health Care PerspectiveInstructor NameAugust, 20202Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssuePatient safety, as discussed in the previous assessment, is an important element of qualityhealth care. This assessment will expand upon patient safety issues that occur when patients areexposed to inadvertent harm or injury while receiving medical care. Health care organizationsshould maintain and develop a safety culture to prevent patient safety issues. Patient safetyculture is defined as a system that promotes safety by shared organizational values of what isimportant and beliefs about how things work. It also encompasses how these values and beliefsinteract with the work unit, organizational structures, and systems to produce behavioral norms(Ulrich & Kear, 2014). As such, care should be taken to improve the infrastructure of health careorganizations. Improving patient safety should be discussed and addressed by every individualassociated with public health care.Elements of the Problem/IssueResearch shows that while getting treated at health care organizations, patients might beat risk of experiencing the harm or injuries associated with medical care. The most likely causesof patient safety issues are preventable adverse events, which are adverse events attributable toerror. These errors can be classified as diagnostic errors, contextual errors, and communicationerrors (Ulrich & Kear, 2014).Diagnostic errors take place when health care professionals provide a wrong or delayeddiagnosis or no diagnosis at all (James, 2013). An example of a wrong diagnosis is a health careprofessional diagnosing a patient with gastric troubles when the patient is actually experiencing aheart attack. An example of a delayed diagnosis is a patient not being notified of an abnormalchest X-ray, thereby delaying diagnosis of a serious medical condition. An example of a misseddiagnosis is a patient not being diagnosed with heart failure despite warning symptoms.3Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Contextual errors occur when health care professionals fail to consider their patients’personal or psychological limitations while planning appropriate care for them. An example is ahealth care professional’s failure to recognize that basic follow-up discharge instructions may notbe understood by patients with cognitive disabilities (James, 2013). It is important for health careprofessionals to be aware of their patients’ mental and physical abilities before they formulate aplan of care.Communication errors occur when there is miscommunication or lack of communicationbetween health care professionals and patients (James, 2013). They can cause severe harm topatients. An example of this is a nurse failing to tell a surgeon that a patient experiencedabdominal pain and had a drop in red blood cell count after an operation, resulting in the death ofthe patient due to severe internal bleeding. Limited health care knowledge; language barriers;and auditory, visual, and speech disabilities could also lead to communication errors and causesafety issues.AnalysisAs a medical transcriptionist, it is important for me to be aware of potential transcriptionerrors and privacy standards, which affect patient safety. Errors like these pose dangerous risks;therefore, it is necessary to have an overall quality evaluation of the transcribed documents.Also, I must ensure that serious difficulties in transcription resulting from poor-quality voicefiles are reported immediately to the manager, who will then convey this to the health careprofessionals involved in the process. This will help ensure that patient safety is notcompromised.Context for Patient Safety IssuesWith the advancement of medical technology, health care processes have becomeextremely complex. Health care professionals are required to stay up to date with a lot of new4Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.knowledge and innovations obtained from research. This often overburdens them as there is aneed to apply the learning from research in their practice. Also, at the individual level, there is adearth of well-balanced continuing education programs, which has resulted in a lack of attentionto patient safety among health care professionals. At the system level, organizations fail todeliver optimum health care as a result of being understaffed, an inability to provide appropriatetechnology, and ineffective execution of patient care transfer (James, 2013). Overcrowding andunderstaffing delays initiation of treatment and puts critically ill patients at significant risk. Allof these factors contribute to a rise in patient safety issues.Populations Affected by Patient Safety IssuesPatients with a psychiatric history are also a vulnerable group of people who face patientsafety issues because their psychiatric records are often combined with their current symptoms.Patients with a documented history of psychiatric illness may avoid seeking health care services asthey feel that their care will be based on their past record of illnesses and not their present needs.Therefore, psychotherapists should implement measures such that their psychiatric data is concealedfrom their medical records before it is shared with the third party, which helps protect patients’confidentiality (Shenoy & Appel, 2017).Considering OptionsPatient safety in hospitals can be achieved by creating a culture of safety that involveseffective communication, correct managerial leadership styles, and the use of Electronic HealthRecords (EHRs). Effective communication while passing patient-specific information from onehealth care professional to another is essential in ensuring continuous and safe patient care.Training the team could likely improve consistent successful communication and help preventerrors. Standardizing critical content that needs to be communicated by the initial health careprofessional ensures safe transfer of care (Farmer, 2016).5Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.It is essential for leadership teams to adopt organizational strategies that would improvepatient safety and transform their organizations into reliable systems for enhanced patientsatisfaction. They should set strategic safety goals, which could include adhering to standards ofhealth, assessing quality, using patient satisfaction reviews, and analyzing adverse event reportsto determine improvement in safety issues (Parand et al., 2014).An EHR is another potential solution to prevent patient safety issues. It is a digital recordof a patient’s medical information that includes history, physical examination, investigations, andtreatment (Ozair et al., 2015). It helps manage multiple processes in the complex health caresystem and prevents errors. EHRs utilize less storage space compared to paper documentationand allow an infinite number of records to be stored. In addition to being cost-effective andpreventing a loss of records, EHRs help conduct research activities and provide quick datatransfer (Ozair et al., 2015).SolutionIn health care, because transmission of information takes place among different peopleand electronic devices, there is a high likelihood of errors occurring. For example, transcriptionerrors (which occur due to poor audio quality or the lack of a quality evaluation process) can beprevented by using recording equipment with good sound quality and by maintainingproofreading and quality checks. However, integrating transcription processes with the HERsystem helps prevent errors, helps access the required information faster, and allows health careprofessionals to take accurate decisions about patients’ care.ImplementationAn EHR is an important mechanism for improving patient safety. Its advancement hasmade it a viable option to prevent medical errors. However, the use of EHRs has certain ethicalimplications such as security violation, data inaccuracies, lack of privacy and confidentiality, and6Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.challenges during system implementation. Security violation takes place when patients’confidential health information is accessible to others without their permission. To avoid securityviolation, data should not only be password protected but also encrypted to restrict access tounauthorized individuals. Firewalls and antivirus software should be used to protect data (Ozairet al., 2015).Though EHRs improve patient safety by reducing medical errors, data inaccuracies areincreasing. Loss of data during data transfer leads to inaccuracies that affect decision-makingrelated to patient care. A problem of concern related to data inaccuracy is medical identity theft,which leads to incorrect information being filed into a person’s medical record, which in turnleads to insurance fraud and wrong billing (Ozair et al., 2015).In health care, information that is shared during physician–patient interactions should bekept confidential and should be made inaccessible to unauthorized individuals. Enabling role-based access controls based on user credentials will restrict access to the EHR system toauthorized users. The user should also be made aware that he or she is responsible for anyinformation that he or she misuses (Ozair et al., 2015).As EHR is a complex software, there is a high likelihood that software failure may resultin inaccurate recordings of patients’ data. Therefore, EHR system implementation may haveethical implications due to the violation of data integrity (Ozair et al., 2015). EHRs can safeguardpatient confidentiality by using various methods that prevent security breaches. In addition tothis, creating reminders that ask for a confirmation before accessing confidential information canhelp protect data. A nesting system could be developed, which would allow, for example, ahealth care professional from a specific specialty clinic to access patient records by signing intothe specialty domain (Shenoy & Appel, 2017). These methods will enable the safe and efficientuse of EHRs and ensure patient safety.7Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ConclusionPatient safety involves preventing the risk of harm or injuries to patients by establishing asafety culture and providing high-quality medical care. Health care organizations mustunderstand patient safety issues and find solutions for these issues by designing systems thatprevent errors from occurring. Potential solutions include effective communication, changes inleadership style, and the use of EHRs. The ethical implications of these solutions should beconsidered before implementing them in a health care setting. It is also important that health careprofessionals undergo continuous education and effective training, provide appropriate medicalcare, prevent errors, and follow safety practices to improve clinical outcomes.8Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ReferencesFarmer, B. M. (2016). Patient safety in the emergency department. Emergency Medicine, 48(9),396–404. https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmentFlood, B. (2017). Safety of people with intellectual disabilities in hospital. What can the hospitalpharmacist do to improve quality of care? Pharmacy, 5(3).https://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospitalcare. Journal of Patient Safety, 9(3), 122–128.http://dx.doi.org/10.1097/PTS.0b013e3182948a69Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic healthrecords: A general overview. Perspectives in Clinical Research, 6(2), 73–76.http://dx.doi.org/10.4103/2229-3485.153997Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in qualityand patient safety: A systematic review. BMJ Open, 4(9).http://dx.doi.org/10.1136/bmjopen-2014-005055Shenoy, A., & Appel, J. M. (2017, April). Safeguarding confidentiality in electronic healthrecords. Cambridge Quarterly of Healthcare Ethics, 26(2), 337–341. https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellenthealth care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. https://search-proquest-https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/http://dx.doi.org/10.1097/PTS.0b013e3182948a69http://dx.doi.org/10.4103/2229-3485.153997http://dx.doi.org/10.1136/bmjopen-2014-005055https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=279659Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965cf_Exemplar_NHS-FPX4000_Assessment_41.pdf1Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssueLearner’s NameCapella UniversityNHS4000: Developing a Health Care PerspectiveInstructor NameAugust, 20202Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssuePatient safety, as discussed in the previous assessment, is an important element of qualityhealth care. This assessment will expand upon patient safety issues that occur when patients areexposed to inadvertent harm or injury while receiving medical care. Health care organizationsshould maintain and develop a safety culture to prevent patient safety issues. Patient safetyculture is defined as a system that promotes safety by shared organizational values of what isimportant and beliefs about how things work. It also encompasses how these values and beliefsinteract with the work unit, organizational structures, and systems to produce behavioral norms(Ulrich & Kear, 2014). As such, care should be taken to improve the infrastructure of health careorganizations. Improving patient safety should be discussed and addressed by every individualassociated with public health care.Elements of the Problem/IssueResearch shows that while getting treated at health care organizations, patients might beat risk of experiencing the harm or injuries associated with medical care. The most likely causesof patient safety issues are preventable adverse events, which are adverse events attributable toerror. These errors can be classified as diagnostic errors, contextual errors, and communicationerrors (Ulrich & Kear, 2014).Diagnostic errors take place when health care professionals provide a wrong or delayeddiagnosis or no diagnosis at all (James, 2013). An example of a wrong diagnosis is a health careprofessional diagnosing a patient with gastric troubles when the patient is actually experiencing aheart attack. An example of a delayed diagnosis is a patient not being notified of an abnormalchest X-ray, thereby delaying diagnosis of a serious medical condition. An example of a misseddiagnosis is a patient not being diagnosed with heart failure despite warning symptoms.3Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Contextual errors occur when health care professionals fail to consider their patients’personal or psychological limitations while planning appropriate care for them. An example is ahealth care professional’s failure to recognize that basic follow-up discharge instructions may notbe understood by patients with cognitive disabilities (James, 2013). It is important for health careprofessionals to be aware of their patients’ mental and physical abilities before they formulate aplan of care.Communication errors occur when there is miscommunication or lack of communicationbetween health care professionals and patients (James, 2013). They can cause severe harm topatients. An example of this is a nurse failing to tell a surgeon that a patient experiencedabdominal pain and had a drop in red blood cell count after an operation, resulting in the death ofthe patient due to severe internal bleeding. Limited health care knowledge; language barriers;and auditory, visual, and speech disabilities could also lead to communication errors and causesafety issues.AnalysisAs a medical transcriptionist, it is important for me to be aware of potential transcriptionerrors and privacy standards, which affect patient safety. Errors like these pose dangerous risks;therefore, it is necessary to have an overall quality evaluation of the transcribed documents.Also, I must ensure that serious difficulties in transcription resulting from poor-quality voicefiles are reported immediately to the manager, who will then convey this to the health careprofessionals involved in the process. This will help ensure that patient safety is notcompromised.Context for Patient Safety IssuesWith the advancement of medical technology, health care processes have becomeextremely complex. Health care professionals are required to stay up to date with a lot of new4Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.knowledge and innovations obtained from research. This often overburdens them as there is aneed to apply the learning from research in their practice. Also, at the individual level, there is adearth of well-balanced continuing education programs, which has resulted in a lack of attentionto patient safety among health care professionals. At the system level, organizations fail todeliver optimum health care as a result of being understaffed, an inability to provide appropriatetechnology, and ineffective execution of patient care transfer (James, 2013). Overcrowding andunderstaffing delays initiation of treatment and puts critically ill patients at significant risk. Allof these factors contribute to a rise in patient safety issues.Populations Affected by Patient Safety IssuesPatients with a psychiatric history are also a vulnerable group of people who face patientsafety issues because their psychiatric records are often combined with their current symptoms.Patients with a documented history of psychiatric illness may avoid seeking health care services asthey feel that their care will be based on their past record of illnesses and not their present needs.Therefore, psychotherapists should implement measures such that their psychiatric data is concealedfrom their medical records before it is shared with the third party, which helps protect patients’confidentiality (Shenoy & Appel, 2017).Considering OptionsPatient safety in hospitals can be achieved by creating a culture of safety that involveseffective communication, correct managerial leadership styles, and the use of Electronic HealthRecords (EHRs). Effective communication while passing patient-specific information from onehealth care professional to another is essential in ensuring continuous and safe patient care.Training the team could likely improve consistent successful communication and help preventerrors. Standardizing critical content that needs to be communicated by the initial health careprofessional ensures safe transfer of care (Farmer, 2016).5Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.It is essential for leadership teams to adopt organizational strategies that would improvepatient safety and transform their organizations into reliable systems for enhanced patientsatisfaction. They should set strategic safety goals, which could include adhering to standards ofhealth, assessing quality, using patient satisfaction reviews, and analyzing adverse event reportsto determine improvement in safety issues (Parand et al., 2014).An EHR is another potential solution to prevent patient safety issues. It is a digital recordof a patient’s medical information that includes history, physical examination, investigations, andtreatment (Ozair et al., 2015). It helps manage multiple processes in the complex health caresystem and prevents errors. EHRs utilize less storage space compared to paper documentationand allow an infinite number of records to be stored. In addition to being cost-effective andpreventing a loss of records, EHRs help conduct research activities and provide quick datatransfer (Ozair et al., 2015).SolutionIn health care, because transmission of information takes place among different peopleand electronic devices, there is a high likelihood of errors occurring. For example, transcriptionerrors (which occur due to poor audio quality or the lack of a quality evaluation process) can beprevented by using recording equipment with good sound quality and by maintainingproofreading and quality checks. However, integrating transcription processes with the HERsystem helps prevent errors, helps access the required information faster, and allows health careprofessionals to take accurate decisions about patients’ care.ImplementationAn EHR is an important mechanism for improving patient safety. Its advancement hasmade it a viable option to prevent medical errors. However, the use of EHRs has certain ethicalimplications such as security violation, data inaccuracies, lack of privacy and confidentiality, and6Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.challenges during system implementation. Security violation takes place when patients’confidential health information is accessible to others without their permission. To avoid securityviolation, data should not only be password protected but also encrypted to restrict access tounauthorized individuals. Firewalls and antivirus software should be used to protect data (Ozairet al., 2015).Though EHRs improve patient safety by reducing medical errors, data inaccuracies areincreasing. Loss of data during data transfer leads to inaccuracies that affect decision-makingrelated to patient care. A problem of concern related to data inaccuracy is medical identity theft,which leads to incorrect information being filed into a person’s medical record, which in turnleads to insurance fraud and wrong billing (Ozair et al., 2015).In health care, information that is shared during physician–patient interactions should bekept confidential and should be made inaccessible to unauthorized individuals. Enabling role-based access controls based on user credentials will restrict access to the EHR system toauthorized users. The user should also be made aware that he or she is responsible for anyinformation that he or she misuses (Ozair et al., 2015).As EHR is a complex software, there is a high likelihood that software failure may resultin inaccurate recordings of patients’ data. Therefore, EHR system implementation may haveethical implications due to the violation of data integrity (Ozair et al., 2015). EHRs can safeguardpatient confidentiality by using various methods that prevent security breaches. In addition tothis, creating reminders that ask for a confirmation before accessing confidential information canhelp protect data. A nesting system could be developed, which would allow, for example, ahealth care professional from a specific specialty clinic to access patient records by signing intothe specialty domain (Shenoy & Appel, 2017). These methods will enable the safe and efficientuse of EHRs and ensure patient safety.7Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ConclusionPatient safety involves preventing the risk of harm or injuries to patients by establishing asafety culture and providing high-quality medical care. Health care organizations mustunderstand patient safety issues and find solutions for these issues by designing systems thatprevent errors from occurring. Potential solutions include effective communication, changes inleadership style, and the use of EHRs. The ethical implications of these solutions should beconsidered before implementing them in a health care setting. It is also important that health careprofessionals undergo continuous education and effective training, provide appropriate medicalcare, prevent errors, and follow safety practices to improve clinical outcomes.8Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ReferencesFarmer, B. M. (2016). Patient safety in the emergency department. Emergency Medicine, 48(9),396–404. https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmentFlood, B. (2017). Safety of people with intellectual disabilities in hospital. What can the hospitalpharmacist do to improve quality of care? Pharmacy, 5(3).https://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospitalcare. Journal of Patient Safety, 9(3), 122–128.http://dx.doi.org/10.1097/PTS.0b013e3182948a69Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic healthrecords: A general overview. Perspectives in Clinical Research, 6(2), 73–76.http://dx.doi.org/10.4103/2229-3485.153997Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in qualityand patient safety: A systematic review. BMJ Open, 4(9).http://dx.doi.org/10.1136/bmjopen-2014-005055Shenoy, A., & Appel, J. M. (2017, April). Safeguarding confidentiality in electronic healthrecords. Cambridge Quarterly of Healthcare Ethics, 26(2), 337–341. https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellenthealth care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. https://search-proquest-https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/http://dx.doi.org/10.1097/PTS.0b013e3182948a69http://dx.doi.org/10.4103/2229-3485.153997http://dx.doi.org/10.1136/bmjopen-2014-005055https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=279659Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965Analyzingacurrenthealthcareproblemorissues..pdfWrite a 4-6 page analysis of a current problem or issue in health care, including a proposed
solution and possible ethical implications.Expand AllIntroduction
InstructionsNote: The requirements outlined below correspond to the grading criteria in the scoring guide.
At a minimum, be sure to address each point. In addition, you are encouraged to review the
performance-level descriptions for each criterion to see how your work will be assessed.1. Describe the health care problem or issue you selected for use in Assessment 2 and
provide details about it.○ Explore your chosen topic. For this, you should use the first four steps of
the Socratic Problem-Solving Approach to aid your critical thinking. This
approach was introduced in Assessment 2.○ Identify possible causes for the problem or issue.
2. Use scholarly information to describe and explain the health care problem or issueand identify possible causes for it.
○ Identify at least three scholarly or academic peer-reviewed journalarticles about the topic.
■ You may find the How Do I Find Peer-Reviewed Articles?library guide helpful in locating appropriate references.
■ You may use articles you found while working on Assessment2 or you may search the Capella library for other articles.
■ Use scholarly or academic peer-reviewed journal articlespublished during the past 3–5 years that relate to your topic
■ You may find the applicable Undergraduate Library ResearchGuide helpful in your search.
○ Review the Think Critically About Source Quality to help you completethe following:
■ Assess the credibility of the information sources.
■ Assess the relevance of the information sources.3. Analyze the health care problem or issue.
○ Describe the setting or context for the problem or issue.
○ Describe why the problem or issue is important to you.
○ Identify groups of people affected by the problem or issue.
○ Provide examples that support your analysis of the problem or issue.4. Discuss potential solutions for the health care problem or issue.
○ Describe what would be required to implement a solution.
○ Describe potential consequences of ignoring the problem or issue.https://campustools.capella.edu/redirect.aspx?linkid=2643http://capellauniversity.libguides.com/peerreviewhttps://campustools.capella.edu/redirect.aspx?linkid=2451○ Provide the pros and cons for one of the solutions you are proposing.
5. Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice)if potential solution was implemented.
○ Describe what would be necessary to implement the proposed solution.
○ Explain the ethical principles that need to be considered (Beneficence,Nonmaleficence, Autonomy, and Justice) if the potential solution was
implemented.○ Provide examples from the literature to support the points you are
making.●
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●
●
●
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●
●
●
●
●
●
●Competencies Measured:
○
○
○
○
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○Scoring Guidecf_Exemplar_NHS-FPX4000_Assessment_41.pdf1Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssueLearner’s NameCapella UniversityNHS4000: Developing a Health Care PerspectiveInstructor NameAugust, 20202Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssuePatient safety, as discussed in the previous assessment, is an important element of qualityhealth care. This assessment will expand upon patient safety issues that occur when patients areexposed to inadvertent harm or injury while receiving medical care. Health care organizationsshould maintain and develop a safety culture to prevent patient safety issues. Patient safetyculture is defined as a system that promotes safety by shared organizational values of what isimportant and beliefs about how things work. It also encompasses how these values and beliefsinteract with the work unit, organizational structures, and systems to produce behavioral norms(Ulrich & Kear, 2014). As such, care should be taken to improve the infrastructure of health careorganizations. Improving patient safety should be discussed and addressed by every individualassociated with public health care.Elements of the Problem/IssueResearch shows that while getting treated at health care organizations, patients might beat risk of experiencing the harm or injuries associated with medical care. The most likely causesof patient safety issues are preventable adverse events, which are adverse events attributable toerror. These errors can be classified as diagnostic errors, contextual errors, and communicationerrors (Ulrich & Kear, 2014).Diagnostic errors take place when health care professionals provide a wrong or delayeddiagnosis or no diagnosis at all (James, 2013). An example of a wrong diagnosis is a health careprofessional diagnosing a patient with gastric troubles when the patient is actually experiencing aheart attack. An example of a delayed diagnosis is a patient not being notified of an abnormalchest X-ray, thereby delaying diagnosis of a serious medical condition. An example of a misseddiagnosis is a patient not being diagnosed with heart failure despite warning symptoms.3Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Contextual errors occur when health care professionals fail to consider their patients’personal or psychological limitations while planning appropriate care for them. An example is ahealth care professional’s failure to recognize that basic follow-up discharge instructions may notbe understood by patients with cognitive disabilities (James, 2013). It is important for health careprofessionals to be aware of their patients’ mental and physical abilities before they formulate aplan of care.Communication errors occur when there is miscommunication or lack of communicationbetween health care professionals and patients (James, 2013). They can cause severe harm topatients. An example of this is a nurse failing to tell a surgeon that a patient experiencedabdominal pain and had a drop in red blood cell count after an operation, resulting in the death ofthe patient due to severe internal bleeding. Limited health care knowledge; language barriers;and auditory, visual, and speech disabilities could also lead to communication errors and causesafety issues.AnalysisAs a medical transcriptionist, it is important for me to be aware of potential transcriptionerrors and privacy standards, which affect patient safety. Errors like these pose dangerous risks;therefore, it is necessary to have an overall quality evaluation of the transcribed documents.Also, I must ensure that serious difficulties in transcription resulting from poor-quality voicefiles are reported immediately to the manager, who will then convey this to the health careprofessionals involved in the process. This will help ensure that patient safety is notcompromised.Context for Patient Safety IssuesWith the advancement of medical technology, health care processes have becomeextremely complex. Health care professionals are required to stay up to date with a lot of new4Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.knowledge and innovations obtained from research. This often overburdens them as there is aneed to apply the learning from research in their practice. Also, at the individual level, there is adearth of well-balanced continuing education programs, which has resulted in a lack of attentionto patient safety among health care professionals. At the system level, organizations fail todeliver optimum health care as a result of being understaffed, an inability to provide appropriatetechnology, and ineffective execution of patient care transfer (James, 2013). Overcrowding andunderstaffing delays initiation of treatment and puts critically ill patients at significant risk. Allof these factors contribute to a rise in patient safety issues.Populations Affected by Patient Safety IssuesPatients with a psychiatric history are also a vulnerable group of people who face patientsafety issues because their psychiatric records are often combined with their current symptoms.Patients with a documented history of psychiatric illness may avoid seeking health care services asthey feel that their care will be based on their past record of illnesses and not their present needs.Therefore, psychotherapists should implement measures such that their psychiatric data is concealedfrom their medical records before it is shared with the third party, which helps protect patients’confidentiality (Shenoy & Appel, 2017).Considering OptionsPatient safety in hospitals can be achieved by creating a culture of safety that involveseffective communication, correct managerial leadership styles, and the use of Electronic HealthRecords (EHRs). Effective communication while passing patient-specific information from onehealth care professional to another is essential in ensuring continuous and safe patient care.Training the team could likely improve consistent successful communication and help preventerrors. Standardizing critical content that needs to be communicated by the initial health careprofessional ensures safe transfer of care (Farmer, 2016).5Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.It is essential for leadership teams to adopt organizational strategies that would improvepatient safety and transform their organizations into reliable systems for enhanced patientsatisfaction. They should set strategic safety goals, which could include adhering to standards ofhealth, assessing quality, using patient satisfaction reviews, and analyzing adverse event reportsto determine improvement in safety issues (Parand et al., 2014).An EHR is another potential solution to prevent patient safety issues. It is a digital recordof a patient’s medical information that includes history, physical examination, investigations, andtreatment (Ozair et al., 2015). It helps manage multiple processes in the complex health caresystem and prevents errors. EHRs utilize less storage space compared to paper documentationand allow an infinite number of records to be stored. In addition to being cost-effective andpreventing a loss of records, EHRs help conduct research activities and provide quick datatransfer (Ozair et al., 2015).SolutionIn health care, because transmission of information takes place among different peopleand electronic devices, there is a high likelihood of errors occurring. For example, transcriptionerrors (which occur due to poor audio quality or the lack of a quality evaluation process) can beprevented by using recording equipment with good sound quality and by maintainingproofreading and quality checks. However, integrating transcription processes with the HERsystem helps prevent errors, helps access the required information faster, and allows health careprofessionals to take accurate decisions about patients’ care.ImplementationAn EHR is an important mechanism for improving patient safety. Its advancement hasmade it a viable option to prevent medical errors. However, the use of EHRs has certain ethicalimplications such as security violation, data inaccuracies, lack of privacy and confidentiality, and6Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.challenges during system implementation. Security violation takes place when patients’confidential health information is accessible to others without their permission. To avoid securityviolation, data should not only be password protected but also encrypted to restrict access tounauthorized individuals. Firewalls and antivirus software should be used to protect data (Ozairet al., 2015).Though EHRs improve patient safety by reducing medical errors, data inaccuracies areincreasing. Loss of data during data transfer leads to inaccuracies that affect decision-makingrelated to patient care. A problem of concern related to data inaccuracy is medical identity theft,which leads to incorrect information being filed into a person’s medical record, which in turnleads to insurance fraud and wrong billing (Ozair et al., 2015).In health care, information that is shared during physician–patient interactions should bekept confidential and should be made inaccessible to unauthorized individuals. Enabling role-based access controls based on user credentials will restrict access to the EHR system toauthorized users. The user should also be made aware that he or she is responsible for anyinformation that he or she misuses (Ozair et al., 2015).As EHR is a complex software, there is a high likelihood that software failure may resultin inaccurate recordings of patients’ data. Therefore, EHR system implementation may haveethical implications due to the violation of data integrity (Ozair et al., 2015). EHRs can safeguardpatient confidentiality by using various methods that prevent security breaches. In addition tothis, creating reminders that ask for a confirmation before accessing confidential information canhelp protect data. A nesting system could be developed, which would allow, for example, ahealth care professional from a specific specialty clinic to access patient records by signing intothe specialty domain (Shenoy & Appel, 2017). These methods will enable the safe and efficientuse of EHRs and ensure patient safety.7Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ConclusionPatient safety involves preventing the risk of harm or injuries to patients by establishing asafety culture and providing high-quality medical care. Health care organizations mustunderstand patient safety issues and find solutions for these issues by designing systems thatprevent errors from occurring. Potential solutions include effective communication, changes inleadership style, and the use of EHRs. The ethical implications of these solutions should beconsidered before implementing them in a health care setting. It is also important that health careprofessionals undergo continuous education and effective training, provide appropriate medicalcare, prevent errors, and follow safety practices to improve clinical outcomes.8Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ReferencesFarmer, B. M. (2016). Patient safety in the emergency department. Emergency Medicine, 48(9),396–404. https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmentFlood, B. (2017). Safety of people with intellectual disabilities in hospital. What can the hospitalpharmacist do to improve quality of care? Pharmacy, 5(3).https://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospitalcare. Journal of Patient Safety, 9(3), 122–128.http://dx.doi.org/10.1097/PTS.0b013e3182948a69Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic healthrecords: A general overview. Perspectives in Clinical Research, 6(2), 73–76.http://dx.doi.org/10.4103/2229-3485.153997Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in qualityand patient safety: A systematic review. BMJ Open, 4(9).http://dx.doi.org/10.1136/bmjopen-2014-005055Shenoy, A., & Appel, J. M. (2017, April). Safeguarding confidentiality in electronic healthrecords. Cambridge Quarterly of Healthcare Ethics, 26(2), 337–341. https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellenthealth care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. https://search-proquest-https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/http://dx.doi.org/10.1097/PTS.0b013e3182948a69http://dx.doi.org/10.4103/2229-3485.153997http://dx.doi.org/10.1136/bmjopen-2014-005055https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=279659Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965Analyzingacurrenthealthcareproblemorissues..pdfWrite a 4-6 page analysis of a current problem or issue in health care, including a proposed
solution and possible ethical implications.Expand AllIntroduction
InstructionsNote: The requirements outlined below correspond to the grading criteria in the scoring guide.
At a minimum, be sure to address each point. In addition, you are encouraged to review the
performance-level descriptions for each criterion to see how your work will be assessed.1. Describe the health care problem or issue you selected for use in Assessment 2 and
provide details about it.○ Explore your chosen topic. For this, you should use the first four steps of
the Socratic Problem-Solving Approach to aid your critical thinking. This
approach was introduced in Assessment 2.○ Identify possible causes for the problem or issue.
2. Use scholarly information to describe and explain the health care problem or issueand identify possible causes for it.
○ Identify at least three scholarly or academic peer-reviewed journalarticles about the topic.
■ You may find the How Do I Find Peer-Reviewed Articles?library guide helpful in locating appropriate references.
■ You may use articles you found while working on Assessment2 or you may search the Capella library for other articles.
■ Use scholarly or academic peer-reviewed journal articlespublished during the past 3–5 years that relate to your topic
■ You may find the applicable Undergraduate Library ResearchGuide helpful in your search.
○ Review the Think Critically About Source Quality to help you completethe following:
■ Assess the credibility of the information sources.
■ Assess the relevance of the information sources.3. Analyze the health care problem or issue.
○ Describe the setting or context for the problem or issue.
○ Describe why the problem or issue is important to you.
○ Identify groups of people affected by the problem or issue.
○ Provide examples that support your analysis of the problem or issue.4. Discuss potential solutions for the health care problem or issue.
○ Describe what would be required to implement a solution.
○ Describe potential consequences of ignoring the problem or issue.https://campustools.capella.edu/redirect.aspx?linkid=2643http://capellauniversity.libguides.com/peerreviewhttps://campustools.capella.edu/redirect.aspx?linkid=2451○ Provide the pros and cons for one of the solutions you are proposing.
5. Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice)if potential solution was implemented.
○ Describe what would be necessary to implement the proposed solution.
○ Explain the ethical principles that need to be considered (Beneficence,Nonmaleficence, Autonomy, and Justice) if the potential solution was
implemented.○ Provide examples from the literature to support the points you are
making.●
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●Competencies Measured:
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○Scoring Guidecf_Exemplar_NHS-FPX4000_Assessment_41.pdf1Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssueLearner’s NameCapella UniversityNHS4000: Developing a Health Care PerspectiveInstructor NameAugust, 20202Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Analyze a Current Health Care Problem or IssuePatient safety, as discussed in the previous assessment, is an important element of qualityhealth care. This assessment will expand upon patient safety issues that occur when patients areexposed to inadvertent harm or injury while receiving medical care. Health care organizationsshould maintain and develop a safety culture to prevent patient safety issues. Patient safetyculture is defined as a system that promotes safety by shared organizational values of what isimportant and beliefs about how things work. It also encompasses how these values and beliefsinteract with the work unit, organizational structures, and systems to produce behavioral norms(Ulrich & Kear, 2014). As such, care should be taken to improve the infrastructure of health careorganizations. Improving patient safety should be discussed and addressed by every individualassociated with public health care.Elements of the Problem/IssueResearch shows that while getting treated at health care organizations, patients might beat risk of experiencing the harm or injuries associated with medical care. The most likely causesof patient safety issues are preventable adverse events, which are adverse events attributable toerror. These errors can be classified as diagnostic errors, contextual errors, and communicationerrors (Ulrich & Kear, 2014).Diagnostic errors take place when health care professionals provide a wrong or delayeddiagnosis or no diagnosis at all (James, 2013). An example of a wrong diagnosis is a health careprofessional diagnosing a patient with gastric troubles when the patient is actually experiencing aheart attack. An example of a delayed diagnosis is a patient not being notified of an abnormalchest X-ray, thereby delaying diagnosis of a serious medical condition. An example of a misseddiagnosis is a patient not being diagnosed with heart failure despite warning symptoms.3Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.Contextual errors occur when health care professionals fail to consider their patients’personal or psychological limitations while planning appropriate care for them. An example is ahealth care professional’s failure to recognize that basic follow-up discharge instructions may notbe understood by patients with cognitive disabilities (James, 2013). It is important for health careprofessionals to be aware of their patients’ mental and physical abilities before they formulate aplan of care.Communication errors occur when there is miscommunication or lack of communicationbetween health care professionals and patients (James, 2013). They can cause severe harm topatients. An example of this is a nurse failing to tell a surgeon that a patient experiencedabdominal pain and had a drop in red blood cell count after an operation, resulting in the death ofthe patient due to severe internal bleeding. Limited health care knowledge; language barriers;and auditory, visual, and speech disabilities could also lead to communication errors and causesafety issues.AnalysisAs a medical transcriptionist, it is important for me to be aware of potential transcriptionerrors and privacy standards, which affect patient safety. Errors like these pose dangerous risks;therefore, it is necessary to have an overall quality evaluation of the transcribed documents.Also, I must ensure that serious difficulties in transcription resulting from poor-quality voicefiles are reported immediately to the manager, who will then convey this to the health careprofessionals involved in the process. This will help ensure that patient safety is notcompromised.Context for Patient Safety IssuesWith the advancement of medical technology, health care processes have becomeextremely complex. Health care professionals are required to stay up to date with a lot of new4Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.knowledge and innovations obtained from research. This often overburdens them as there is aneed to apply the learning from research in their practice. Also, at the individual level, there is adearth of well-balanced continuing education programs, which has resulted in a lack of attentionto patient safety among health care professionals. At the system level, organizations fail todeliver optimum health care as a result of being understaffed, an inability to provide appropriatetechnology, and ineffective execution of patient care transfer (James, 2013). Overcrowding andunderstaffing delays initiation of treatment and puts critically ill patients at significant risk. Allof these factors contribute to a rise in patient safety issues.Populations Affected by Patient Safety IssuesPatients with a psychiatric history are also a vulnerable group of people who face patientsafety issues because their psychiatric records are often combined with their current symptoms.Patients with a documented history of psychiatric illness may avoid seeking health care services asthey feel that their care will be based on their past record of illnesses and not their present needs.Therefore, psychotherapists should implement measures such that their psychiatric data is concealedfrom their medical records before it is shared with the third party, which helps protect patients’confidentiality (Shenoy & Appel, 2017).Considering OptionsPatient safety in hospitals can be achieved by creating a culture of safety that involveseffective communication, correct managerial leadership styles, and the use of Electronic HealthRecords (EHRs). Effective communication while passing patient-specific information from onehealth care professional to another is essential in ensuring continuous and safe patient care.Training the team could likely improve consistent successful communication and help preventerrors. Standardizing critical content that needs to be communicated by the initial health careprofessional ensures safe transfer of care (Farmer, 2016).5Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.It is essential for leadership teams to adopt organizational strategies that would improvepatient safety and transform their organizations into reliable systems for enhanced patientsatisfaction. They should set strategic safety goals, which could include adhering to standards ofhealth, assessing quality, using patient satisfaction reviews, and analyzing adverse event reportsto determine improvement in safety issues (Parand et al., 2014).An EHR is another potential solution to prevent patient safety issues. It is a digital recordof a patient’s medical information that includes history, physical examination, investigations, andtreatment (Ozair et al., 2015). It helps manage multiple processes in the complex health caresystem and prevents errors. EHRs utilize less storage space compared to paper documentationand allow an infinite number of records to be stored. In addition to being cost-effective andpreventing a loss of records, EHRs help conduct research activities and provide quick datatransfer (Ozair et al., 2015).SolutionIn health care, because transmission of information takes place among different peopleand electronic devices, there is a high likelihood of errors occurring. For example, transcriptionerrors (which occur due to poor audio quality or the lack of a quality evaluation process) can beprevented by using recording equipment with good sound quality and by maintainingproofreading and quality checks. However, integrating transcription processes with the HERsystem helps prevent errors, helps access the required information faster, and allows health careprofessionals to take accurate decisions about patients’ care.ImplementationAn EHR is an important mechanism for improving patient safety. Its advancement hasmade it a viable option to prevent medical errors. However, the use of EHRs has certain ethicalimplications such as security violation, data inaccuracies, lack of privacy and confidentiality, and6Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.challenges during system implementation. Security violation takes place when patients’confidential health information is accessible to others without their permission. To avoid securityviolation, data should not only be password protected but also encrypted to restrict access tounauthorized individuals. Firewalls and antivirus software should be used to protect data (Ozairet al., 2015).Though EHRs improve patient safety by reducing medical errors, data inaccuracies areincreasing. Loss of data during data transfer leads to inaccuracies that affect decision-makingrelated to patient care. A problem of concern related to data inaccuracy is medical identity theft,which leads to incorrect information being filed into a person’s medical record, which in turnleads to insurance fraud and wrong billing (Ozair et al., 2015).In health care, information that is shared during physician–patient interactions should bekept confidential and should be made inaccessible to unauthorized individuals. Enabling role-based access controls based on user credentials will restrict access to the EHR system toauthorized users. The user should also be made aware that he or she is responsible for anyinformation that he or she misuses (Ozair et al., 2015).As EHR is a complex software, there is a high likelihood that software failure may resultin inaccurate recordings of patients’ data. Therefore, EHR system implementation may haveethical implications due to the violation of data integrity (Ozair et al., 2015). EHRs can safeguardpatient confidentiality by using various methods that prevent security breaches. In addition tothis, creating reminders that ask for a confirmation before accessing confidential information canhelp protect data. A nesting system could be developed, which would allow, for example, ahealth care professional from a specific specialty clinic to access patient records by signing intothe specialty domain (Shenoy & Appel, 2017). These methods will enable the safe and efficientuse of EHRs and ensure patient safety.7Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ConclusionPatient safety involves preventing the risk of harm or injuries to patients by establishing asafety culture and providing high-quality medical care. Health care organizations mustunderstand patient safety issues and find solutions for these issues by designing systems thatprevent errors from occurring. Potential solutions include effective communication, changes inleadership style, and the use of EHRs. The ethical implications of these solutions should beconsidered before implementing them in a health care setting. It is also important that health careprofessionals undergo continuous education and effective training, provide appropriate medicalcare, prevent errors, and follow safety practices to improve clinical outcomes.8Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.ReferencesFarmer, B. M. (2016). Patient safety in the emergency department. Emergency Medicine, 48(9),396–404. https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmentFlood, B. (2017). Safety of people with intellectual disabilities in hospital. What can the hospitalpharmacist do to improve quality of care? Pharmacy, 5(3).https://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospitalcare. Journal of Patient Safety, 9(3), 122–128.http://dx.doi.org/10.1097/PTS.0b013e3182948a69Ozair, F. F., Jamshed, N., Sharma, A., & Aggarwal, P. (2015). Ethical issues in electronic healthrecords: A general overview. Perspectives in Clinical Research, 6(2), 73–76.http://dx.doi.org/10.4103/2229-3485.153997Parand, A., Dopson, S., Renz, A., & Vincent, C. (2014). The role of hospital managers in qualityand patient safety: A systematic review. BMJ Open, 4(9).http://dx.doi.org/10.1136/bmjopen-2014-005055Shenoy, A., & Appel, J. M. (2017, April). Safeguarding confidentiality in electronic healthrecords. Cambridge Quarterly of Healthcare Ethics, 26(2), 337–341. https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellenthealth care delivery. Nephrology Nursing Journal, 41(5), 447–456, 505. https://search-proquest-https://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://mdedge.com/emed-journal/article/113659/trauma/patient-safety-emergency-departmenthttps://ncbi.nlm.nih.gov/pmc/articles/PMC5622356/http://dx.doi.org/10.1097/PTS.0b013e3182948a69http://dx.doi.org/10.4103/2229-3485.153997http://dx.doi.org/10.1136/bmjopen-2014-005055https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1882434628?pq-origsite=summon&https://library.capella.edu/login?url=accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=279659Copyright ©2020 Capella University. Copy and distribution of this document are prohibited.com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=27965https://search-proquest-com.library.capella.edu/docview/1617932572/fulltextPDF/1486CC30B3624B3CPQ/1?accountid=2796512Bids(56)MathProgrammingPROF_ALISTERSheryl HoganProf Double REmily ClareProf. TOPGRADEfirstclass tutorMUSYOKIONES A+Dr CloverJudithTutorDiscount AssigngrA+de plusProWritingGuruColeen AndersonIsabella HarvardWIZARD_KIMTeacher A+ WorkAshley Elliepacesetters2121LalaniSumeshShow All Bidsother Questions(10)Economics assignment paper GMOGulf Real Estate Properties, Inc. is a real estate firm located in southwest Florida. 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