Assignment Project-Research Methods Identify and submit four research design methods that can be used in your research paper. Explain your reasoning behind choosing these research methods and why yo

Running head: RESEARCH QUESTION & HYPOTHESIS WITH ANNOTATED

BIBLIOGRAPHY

0

Research Question & Hypothesis with Annotated

Bibliography

Kenya Banks

Rasmussen College

Author Note

This paper is submitted on July 19, 2020, for Heather Edwards’s HI410/HIM4115 Section 01 Applied Research in Health Information Management course.

Research Question and Hypothesis

Research Question

Has the Patient Emergency Room wait time improved or not after the implementation of the EHR system and patient check-in kiosk?

This research question will address the impact on the Patient Emergency Room wait time after the implementation of EHR after the implementation of a patient check-in kiosk that was installed in the emergency room during the implementation of the Electronic Health Records (EHRs) at the local hospital. It will also determine the perception of the older people regarding the difficulty in using the patient check-in kiosk system at the hospital.

Hypothesis

The Emergency Room wait time at the hospital will be reduced after the implementation of EHR at the hospital, and the system will be easier for the older generations to use it with little training about the key features of the system.

The type of hypothesis defined is two-tailed.

The Hospital has been utilizing a manual form of record-keeping from registration until when the patients are discharged from the Emergency Department. However, the implementation of the patient check-in kiosk in the Emergency Room during the implementation of the EHR. The patient check-in kiosk captured the name of the patient, their date of birth, the reason why they were being admitted, and the time of check-in. This is expected to play a vital role in reducing the patient emergency wait time as compared to the time the patients spent before they were attended to at the hospital. The patients used to complain about the long wait times. Initially, after the implementation of the patient check-in kiosk, older patients who were not conversant with the new system complained about the difficulty of using the system. This research paper will provide me with the knowledge to determine if the perceptions of the patients have changed regarding the use of the system and the impact it has had on the wait time.

Bell, S. K., Delbanco, T., Elmore, J. G., Fitzgerald, P. S., Fossa, A., Harcourt, K., ... & DesRoches, C. M. (2020). Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory Care Notes. JAMA Network Open, 3(6), e205867-e205867. Retrieved from https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2766834 on July 18, 2020.

This article by Bell and colleagues (2020) established that as health information transparency increases, the patients are likely to seek their health data online. This reduces documentation errors and may increase patient engagement as well as safety strategies. This article will be used to address the impact of EHRs in increasing the accessibility to a patient’s data, which could improve patient outcomes. For example, it will be used to depict how the EHRs will reduce the frequency of errors committed by healthcare practitioners.

The article is currently published this year in a reputable database and has been peer-reviewed. This means that it is accurate and credible and will give the right direction reflecting current issues in the area.

Berg, K., Doktorchik, C., Quan, H., & Saini, V. (2019). Meaningful Information in the Age of Big Data: A Scoping Review on Social Determinants of Health Data Collection for Electronic Health Records.

This article by Berg, Doktorchik, and Sainin (2019) asserts that EHRs are key tools that should be adopted to integrate patient data into the health information systems. According to the authors, this could help the hospital achieve health promotion and prevent illnesses through advanced analytics.

This article will be critical in the research paper as it will be used to illustrate the importance of the EHRs in helping achieve health promotion and prevent illnesses in the Emergency Department through Big Data techniques. This article is current and peer-reviewed, which makes it a credible source. Furthermore, the article contains critical information regarding the way EHRs are easy to learn, which will help to answer my question regarding the complaints by the older generations who had found it hard using the system.

Goodman, C. S. (2018). National Information Center on Health Services Research and Health Care Technology (NICHSR): Health Technology Assessment (HTA) 101, 2017. Retrieved from https://www.nlm.nih.gov/nichsr/hta101/ta10102.html on July 18, 2020.

This article will guide the standardizations of preforming research of Health Technology Assessment (HTA). The steps that this article includes are Fundamental Concepts, Primary Data Methods, Integrative Methods, and Economic Analysis Methods. Also, the article provides additional information like Determine Topics, Retrieve Evidence, Disseminate Findings and Recommendations, Monitor Impact of HTA, and Selected Issues in HTA. The article is from an organized, standardized organization. Using it will help the research stay within the federal guidelines for research.

Handel, D., Epstein, S., Khare, R., Abernethy, D., Klauer, K., Pilgrim, R., Soremekun, O., & Sayan, O. (2011). Interventions to Improve the Timeliness of Emergency Care. Academic Emergency Medicine, 18(12). DOI:10.1111/j.1553-2712.2011.01230.x. Retrieved from https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1553-2712.2011.01230.x on July 19, 2020.

The article is based upon a research study in 2011 by six (6) physicians (MD) and one (1) Doctor of Osteopathy (DO). The article talks about the wait time for patients in the Emergency Department, starting with the registration to the discharge. It documents the problems of what caused the delay and gives some suggestions on how it solves the issues. A kiosk is provided as one of the solutions to improve the time. The article goes into detail about this method and who it worked out within the research. This article is essential because it can provide a benchmark for this paper's research on the research question and hypothesis.

Zuehlke, E. U. (n.d). Addressing Social Determinants of Health in Healthcare. Retrieved from https://newsroom.medline.com/expert-views/addressing-social-determinants-of-health-in-healthcare on July 18, 2020.

This article by Zuehlke (2019) affirms that physicians can understand their patients at a deeper level. The physician can acquire the data more efficiently and make better-informed decisions. This helps to increase the health outcomes of the patients. The article also affirms that implementing EHRs in healthcare facilities helps to increase the number of patients served with consistency.

This article is currently published in 2019 on a reputable website, Medline. The article is peer-reviewed and credible, addressing the importance of electronic health records. This article will thus be used to address the positive impacts of EHRs at the hospital.

Bell, S. K., Delbanco, T., Elmore, J. G., Fitzgerald, P. S., Fossa, A., Harcourt, K., ... & DesRoches, C. M. (2020). Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory Care Notes. JAMA Network Open, 3(6), e205867-e205867. Retrieved from https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2766834 on July 18, 2020.

Berg, K., Doktorchik, C., Quan, H., & Saini, V. (2019). Meaningful Information in the Age of Big Data: A Scoping Review on Social Determinants of Health Data Collection for Electronic Health Records.

Goodman, C. S. (2018). National Information Center on Health Services Research and Health Care Technology (NICHSR): Health Technology Assessment (HTA) 101, 2017. Retrieved from https://www.nlm.nih.gov/nichsr/hta101/ta10102.html on July 18, 2020.

Handel, D., Epstein, S., Khare, R., Abernethy, D., Klauer, K., Pilgrim, R., Soremekun, O., & Sayan, O. (2011). Interventions to Improve the Timeliness of Emergency Care. Academic Emergency Medicine, 18(12). doi:10.1111/j.1553-2712.2011.01230.x. Retrieved from https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1553-2712.2011.01230.x on July 19, 2020.

Zuehlke, E.U. (n.d). Addressing Social Determinants of Health in Healthcare. Retrieved from https://newsroom.medline.com/expert-views/addressing-social-determinants-of-health-in-healthcare on July 18, 2020.