health problems caused by service time thesis statement

TH M GJ et al. In a practical sense, each Health Thesis Statement sample presented here may be a guide that walks you through the essential phases of the writing process and showcases how to pen an academic work that hits the mark. Only English-language studies were included. W W COVID-19 is both a global health crisis and an international economic threat. . S RO K The frequency, scale, and severity of IT problems were not adequately captured within these studies. Jones JS Hicks . We identified 34 studies describing the effects of IT problems on care delivery and patient outcomes (Table 1). The impact of information errors on clinical decisions was not examined adequately in the studies reviewed here. SP COPE used in general practice was associated with medication errors. L Corresponding author: Dr Mi Ok Kim, Postdoctoral Research Fellow, Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW 2109 Australia. Patel Szeinbach M A R et al. An update to Web browser software severed the link between an ED tracking board and a Web-based image viewer. Webb Weber For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Walton (2) A technician mistakenly entered the date of birth of a baby instead of the study date, making a chest X-ray appear older than it was. "A nation's greatness is measured by how it treats its weakest members." - Mahatma Ghandi Nearly 44 percent of the United States' population, roughly 81 million adults, was either underinsured or uninsured in 2010. Berg Sinha Companies are beginning to take note of this impact and implementing policies and programs to facilitate healthy living styles for their employees. AD In all, 10% of prescriptions in pharmacies (. The funding source did not play any role in study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit the article for publication. MA This page titled 6.10: Examples and Pitfalls of Thesis Statements . The different types of IT problems that could affect user interaction are similar to those described in our earlier classification for safety problems associated with health IT. A total of 120 technical problems were related to software functionality and system downtime. problems in school and with peers, and much more serious long-term problems because the foundation of knowing how to face difficulties was never formed Mental Health Services in Schools: Dunn (2016) asserts that schools play an important role in determining the mental health of adolescents because they serve more than 95% of the nation's These substances that cause air pollution are called pollutants. McCluskey . Hafner Hibbert For example, pharmacists needed to telephone clinicians to clarify IT-related errors and discrepancies in prescriptions.27,29,39 IT problems also wasted time and caused frustration. It cause physical ,psychological , and social problems. FM and EC conceptualized the study. For example, autopopulated fields in a prescribing system contained incorrect information such as drug dosing directions.31 Problems in data entry and retrieval were linked to wrong (76%, n=26), partial (44%, n=15), missing (35%, n=12), and delayed (3%, n=1) information. Chronic stress may also cause disease . MB For example, observational studies looking at medication errors may not look at patient outcomes. Twenty CPOE-related errors were identified among 104 medication errors in a pediatric setting. P A narrative synthesis then integrated findings into descriptive summaries for each stage of the value chain. JM Zhang The value chain thus offers a simple yet potentially powerful way to pinpoint specific threats to patient safety and identify the effectiveness of existing system defenses and new measures required to deal with clinical errors associated with IT. . Menon Arachi Eight medication errors were linked to wrong use of predefined order sets, Inpatient, outpatient, mental health, general practice. In parallel with CPOE implementation, changes to policies and procedures for dispensing and administering medications exacerbated treatment delays. ),41 while others examined the clinical impact of omitted, unclear, and conflicting information in prescriptions.40. M . Santell Nelson Use errors such as partial/omitted information and rule violations were reported to be the leading cause of prescribing errors. D System configuration issues were also linked to software updates, eg, decision support errors following updates to a drug database.26, Sociotechnical contextual variables that contributed to information errors were identified in 71% of studies (n=24). Furthermore, incident reports are potentially biased to events that appear important to the reporter.49 We assessed each study using the Cochrane Collaborations tool for assessing risk of bias. In effect air pollution is one of the biggest problems which are threatening people and earth. Human factors issues were related to lack of communication after shifts or during rounds. This figure may be underreported, given that software access problems were reported in many of the reviewed studies. Nanji Two deaths and 20 cases of serious but temporary harm were reported. Wetterneck A problem that could potentially lead to an adverse event or a near miss, eg, prescribing software failed to display a patients allergy status. Buczkowski Cardiovascular disease. K An elderly patient suffering from hypokalemia (low potassium; serum potassium was 3.1 mEq/L, creatinine 1.7) became severely hyperkalemic (serum potassium 7.8 mEq/L). . F Only 11 errors were rated as potentially serious. Selection, editing, and construction activities to write orders were the main mechanisms for error. Van Der Schaaf A total of 70% involved 2 or more sociotechnical dimensions: (1) hardware and software, 76; (2) clinical content, 38; (3) human-computer interface, 29; (4) people, 20; (5) workflow and communication, 35; (6) internal organizational features, 6; (7) external rules and regulations, 2; (8) system measurement and monitoring, 1. For example, some studies reported common clinical error types (eg, wrong dose, wrong timing, wrong route, etc. Barber Oxford University Press is a department of the University of Oxford. Errors were also attributed to hybrid record systems. All rights reserved. Phase 2: unsafe or inappropriate use of technology, 25. The limited evidence on the magnitude of IT problems and their impact may indicate an underlying problem with measurement.47 Existing classification frameworks tend to identify problems by their cause but not their effects,53 whereas patient safety frameworks do allow us to assign broad categories of consequence, such as whether or not a patient harm is considered severe. Burke RK For example, free-text fields were used to enter complex medication regimens when there were difficulties using CPOE systems.27,41 Another commonly reported strategy was to revert to paper, creating a hybrid record system (15%, n=5). Brenner et al. Rasinski Four types of errors in information (information errors) were considered: wrong, missing, partial, and delayed.13,14 These could arise from how software was used (use errors) or software and hardware issues (machine errors). The information value chain begins with clinical users interacting with information from IT systems before considering decisions and taking action. Hospitalwide implementation of CPOE was halted due to unintended consequences. There are 41 million children in the world are overweight or at risk of obesity. L DF Then, the rest of the introduction should be used to set the background for the study. Reichert In total, 66% of downtime events were associated with technical problems, such as hardware and software malfunctions; 36% of events affected more than 100 individuals, and of these, 9 events affected over 1000 individuals. H Top health concerns. Y Discussion and conclusion: The research evidence describing problems with health IT remains largely qualitative, and many opportunities remain to systematically study and quantify risks and benefits with regard to patient safety. One system contained an incorrect order sentence. It cause physical ,psychological , and social problems. Article 1: Lee, I. M., Shiroma E. J., Lobelo F., Puska, P., Blair, S. N., & Katzmaryzk P. T. (2012). Salahuddin In 76% of studies, poor user interfaces and fragmented displays (eg, preventing a coherent view of all of a patient's medications) were associated with errors in selecting and entering information. Kluger Representatives from 176 hospitals were surveyed about the extent and importance of CPOE-related unintended consequences. Eleven events did not have a noticeable consequence (1%) and 2 were complaints (<1%). . LA In 2 studies analyzing safety events reported to the US Food and Drug Administration and from across Englands National Health Service (NHS), human factors issues were proportionally higher in the events involving patient harm.12,14 The potential of IT problems to lead to large-scale adverse events (ie, affecting multiple individuals) was reported in 2 studies.48 One was a study of safety events across England's NHS, where 23% of events (n=850) affected more than 10 individuals.12 In the second study, 36% of system downtimes (n=116) in China were estimated to affect more than 100 individuals.25 Near-miss events were reported in 29% of studies (n=10). Williams In all, 11% of incidents were associated with patient harm, and 4 deaths were linked to health IT problems: (1) Entry of a portable X-ray image into a PACS system under the wrong name resulted in a wrong diagnosis and subsequent intubation, which may have contributed to death. The research aim is the overall purpose of your research. L The research evidence is largely qualitative, and there remain many opportunities to systematically study and quantify IT risks alongside its benefits to patient safety. Watterson JI H . RW In total, 53% of respondents reported at least 1 EHR-related serious safety event in the previous 5 years. In contrast, omission errors were reported in 50% of studies (n=17) and delays in only 9% (n=3). M F Responses from risk managers and health lawyers regarding the frequency and types of EHR-related serious safety events were investigated. We searched the bibliographic databases Scopus, PubMed, and Science Citation Index Expanded from January 2004 to December 2015. G A et al. 306, 2022).In another national survey, almost three quarters . Ong quire a nd bring to light measures to counteract the effects of existing stress in stu-dents . For example, users ignored alerts (n=6) and failed to update information.13,14 Many delays in clinical decision-making were linked to computer network issues.12,15,35, The effects of IT problems on clinical errors and delays in care process could be identified in 44% of studies (n=15). A great number of people have reported psychological distress and symptoms of depression, anxiety or post-traumatic . Another primary protective prevention method is by good and strict parenting. JI Most medication errors were related to prescribing and were linked to human factors issues. Use errors led to selection of wrong options from dropdown menus and wrong information entered using a keypad, generating duplicate orders. P Ismail et al. Thirty-two individuals who were directly responsible for supporting and maintaining IT systems in 78 hospitals were surveyed to evaluate causes and frequency of medication errors due to downtime over a 12-month period. Consequently, end users believed that EHRs increased documentation and disrupted care delivery. This has pushed researchers and practitioners to focus on digital well-being. Cheung . MA Mani N Medicare Cuts-Enough is Enough - January 2014. In 1 study, primary care doctors reported spending 2 hours per week solving IT issues.15 Strategies for dealing with IT problems, including workarounds, were reported in many studies (21%, n=7). Use errors involved incomplete, missing, or wrong entries for orders. Start with the thesis statement, followed by the objectives of the study. Overall, 55% of problems were machine-related and 45% were attributed to human-computer interaction. 3. H Kidd Technical problems were related to faulty computer interface, miscommunication with other systems, and inadequate decision support. Cohen Overall, technical problems were related to poor software functionality, which disrupted data entry/retrieval. The last communication between the vessel and its mother ship, the Polar Prince, came in at 11:47 a.m. Sunday. I B Recently, social media is growing rapidly. For example, IT problems, use errors, contributing factors, and clinical errors were not clearly differentiated.38 In other cases, IT problems were combined with use errors and contributing factors.41 Use errors were also combined with medication errors,39 and information errors were combined with decision-making errors.40 Other issues were related to heterogeneity in measures, even for the reporting of medication errors, which are among the most commonly studied errors in patient safety. Sittig E Sherman Results: Of the 34 studies identified, the majority (n=14, 41%) were analyses of incidents reported from 6 countries. et al. . . The majority of CPOE-related medication incidents were associated with use errors when entering orders. If written properly, a thesis statement should read like an outline in sentence form. System failure and malfunctions delayed patient care and required use of hybrid records systems. T Zhang We sought to identify omission errors (ie, when an intended action was not executed) and commission errors (ie, when an action was wrong). M Gallego Singh Of the 850 events analyzed, 68% (n=574) described potentially hazardous circumstances, 24% (n=205) had an observable impact on care delivery, 4% (n=36) were a near miss, and 3% (n=22) were associated with patient harm, including 3 deaths (0.35%). Half of the incidents were associated with use errors relating to wrong data entry. Human factors issues involved knowledge deficit, distractions, inexperience, and data entry errors. Downtimes were also linked to use errors. Ghaleb Kowiatek Li Bouvy WG A total of 42% of the incidents had an observable impact on delivery of care but were not associated with patient harm. Technical problems were related to software functionality such as screen display and data aggregation, configuration issues, and downtime. Introduction . The patient later died from a myocardial infarction. These statements reduce your credibility and weaken your argument. Dykstra MT The information value chain, when used in conjunction with existing classifications for health IT safety problems, can enhance measurement and should facilitate identification of the most significant risks to patient safety. E AB Poor displays delayed time to complete clinical tasks. Seventy-two percent of respondents ranked unintended consequences as moderately to very important, including these categories: (1) more/new work issues, (2) workflow issues, (3) never-ending system demands, (5) communication issues, (6) intense emotions, and (9) overdependence on technology. JM In 4 out of 5 studies (n=28), user interactions, consequences, and medication error types were categorized. Chui Singh The majority were analyses of incidents (n=14, 41%; Table 2), which were reported at varying levels, from a single hospital to nationwide, in 6 countries: the United States, the United Kingdom, the Netherlands, China, Hong Kong, and Australia.1215,1726 Nine were ethnographic studies using interviews, surveys, and participant observation2735 and 7 were descriptive studies using existing data such as prescriptions to examine medication errors.3642 The remaining 4 studies were case reports.4346 Of the 34 studies reviewed, more than half examined computerized provider order entry (CPOE) or prescribing systems (n=19) and 10 (29%) examined all types of health IT systems. For example, a Gallup poll conducted yearly asks adults in the U.S. to name the most urgent health concerns. Roudsari Sometimes in a long paper, the thesis will be expressed in several sentences or an entire . W Stone Runciman Centre for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia. GM . Myers Studies reporting the effects of health IT problems on care delivery and patient outcomes. In all, 109 events impacted care delivery. A Other contributing factors included integration with clinical workflow (44%) and information governance (29%), eg, procedures to authorize medications27,36 and IT policy.23,34, Information errors arising from the use of software were reported in most studies (91%, n=31). et al. By the numbers: Mental health problems have reached epidemic proportions. Describe how the problem occurs, how serious it is, and its outcomes and impacts. System-related medication errors were frequent and the majority of errors manifested as timing errors. KC The main risk of bias was that the majority of studies were not true observational studies where the frequency of events was representative of the population, but were studies of incident reports where frequency could not be correlated with true population incidence. E Uniform characterization of information errors and their impact on patient safety can also provide a common language to facilitate collaboration and sharing among organizations with disparate IT implementations so that the most significant risks to patient safety can be identified. Samaranayake JP Keywords: Health care workers, Stress, Psychological, COVID-19 Go to: 1. BJ Smith CPOE, EHR, AutoDisp, PIS, infusion pump, eMAR. Social media has revolutionized communication but it is evenly killing it by limiting face-to-face communication. D Step 3: Set your aims and objectives. Ash Gao Takhar RW de Smet Avery E Incidents also involved use errors, such as uploading of wrong files and duplicated test orders. . TB Unintended consequences associated with CPOE implementation were investigated. et al. In total, 316 mEq potassium chloride was administered over 42 hours. Cancer - lung, colorectal and melanoma are the most common. Aarts The rate of childhood obesity has increased over few years. A DF Singh . . Campbell Han JM Delays in initiating and completing clinical tasks were a major consequence of machine-related problems (70%), whereas rework was a major consequence of human-computer interaction problems (78%). . Doing this can help you better understand what is contributing to the issue and identify possible policy solutions. M This resulted in acute renal failure and death. Near-miss events were reported in 10 studies (29%). People breathe in polluted air. . M NC With an advancement of digital technology, excessive screen time has become a grave concern. H Blanchette J The use of hybrid records may also be underreported. Study designs and issues with data quality did not allow quantitative analysis of outcomes. In the 5 studies using interviews, there were 72 participants on average (range: 32110), and there were 210 respondents (range: 32369) in the 4 studies using surveys. Talmon RH Dimigen The possible limitation of this thesis is the collection of primary source of data due to the population size of the case study which is the Seinjoki University of applie d Sciences and time factor. All hospitals reported 8 categories of unintended consequences (ie, except category 4, problems related to paper persistence). WM Del Beccaro Consequences included delays in diagnosis or treatment and unnecessary or emergency procedures and/or treatment. Lewalle Eight types of unintended adverse consequences of EHR use were in residential aged care homes: inability/difficulty in data entry and information retrieval, end-user resistance to using the system, increased complexity of information management, end-user concerns about access, increased documentation burden, reduced communication, lack of space to place enough computers in the workplace, and increasing difficulties in delivering care services. Jeffries It was restricted to studies of IT systems for clinicians that were published in the biomedical literature. Reading time: 3 min (864 words) The COVID-19 pandemic has led to a dramatic loss of human life worldwide and presents an unprecedented challenge to public health, food systems and the world of work. SL S We did not include a range of other sources of information about IT problems in health care, such as medical record review, routine data collection, medicolegal investigations, complaints, etc.49 It is thus possible that the IT problem types and effects are not exhaustive. Magrabi Hordern Of these, 7 were serious and 13 had little potential for harm. Most IT-related radiology incidents were associated with human-machine interactions occurring at data entry, transfer, and output.
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