NOTE: Please see the attached file for additional information. Using the Internet or the online library, find a report that includes data collection related to your topic (secondary analysis). Using

Running head: RESEARCH ANNOTATED BIBLIOGRAPHY WITH OUTLINE 1





Research Annotated Bibliography with Outline

Rasmussen College

Author Note

This paper is submitted on.


EHR After Installation Affect Research

  1. Introduction
  1. Have you ever thought about how an Electronic Health Record system impact the patients wait time in the Emergency Department after installation or implementation? The research will address this question. It will also determine the perception of the older people regarding the difficulty in using the patient check-in kiosk system at the hospital.
  2. After the implementation of the EHR system in the Emergency Department, did it reduce or increase the wait time for the patients. Also, we will prove or not prove if the system will be easier for the older generations to use it with little training about the key features of the system.

  1. Research Method

  1. Descriptive Research Design
1. Set yearly benchmark to measure future changes 2. Improve or not improve the results of patient wait time

3. Identifying gaps in the EHR usage within the Emergency Department

4. Have the system solve the problem of patient wait time

  1. Correlational Research
  1. Determine whether time wastage can be associated with lack of efficient use of technology.
  2. Evaluate the usage of the system after six (6) months compared to the beginning.
  3. Will tell the relationship between different situations of the department.

  1. Casual (Quasi-experimental) Research
  1. The general expected achievements of incorporating technology without
including any data from an experiment on the efficiency of the EHR system.
  1. Experimental Research

  1. Provide actual data after experimenting with the effectiveness of the system with a sample group of six (6) people.

  2. Determine how fast the EHR system can handle their detailed information starting with registration until discharge in the Emergency Department.

  1. Health Technology Assessment (HTA)

  1. Research stayed within the federal guidelines for research

III. Effect of the EHR on Patient wait time A. Patient Check-in wait time at Registration including kiosk 1. Complaints by the older generation of the system usage. 2. Improve time by the usage of kiosk.

3. Well-trained personnel on the EHR system can increase time.

4. Well-trained personnel can help explain the kiosk more efficient.

B. Wait time on clinical data or documentation 1. Address the impact of EHRs in increasing the accessibility to a patient’s data, which could improve patient outcomes. 2. Illustrate increasing the promotion of achievement of health and preventions.

3. New technology is needed for improvement in the department.

4. EHR system will restore order, and security to the data or information of the

Emergency Department.

C. Patient Discharge wait time

1. The amount of speed to run the Emergency Department with the EHR.
  1. Research Results to Thesis/hypothesis



  1. Conclusion

  1. The electronic health records (EHR) usage in the emergency rooms are aimed at improving or not improving the quality of the patients wait time in the Emergency Department after the implementation.
  2. In this research, we looked at the 3 main points to determine the outcome. Those points were Research Methods, Effect of the EHR on Patient wait time, and Research Results to Thesis/hypothesis. All these topics are the vital points of the research, which helped detail the study.
  3. As we close this research on how effective the EHR system on patients wait time after implementation ends, we will have found an answer to the thesis and the hypnosis.
Annotation Bibliography

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.

Foltz, D., & Lankisch, K. (2018). Exploring electronic health records. St. Paul: Paradigm Educational Solutions, 43-50

The piece focuses on the use of electronic health records in the evaluation of speed and ability to meet the requirements of the health organization. The book gives more details on how to efficiently manage the records without disadvantaging the patients. The focus is on making processes faster and efficient. The usage of this book in my research can help explain the amount of speed it will take to efficiently run an Emergency Department with an EHR system. The resource is reliable which has a 5-star rating on the best sellers list with Amazon.

Gartee, A. A., & Hosseini, H. (2016). Electronic health records, 65-71

The book gives details on the practicality of enhancing operations of the machines and database records of the health records. The book further informs on how the healthcare organization can be used in trying to implement the record keeping improvement strategies while still operating at full efficiency. For the research, this book will be used to show that new technology is needed for improvement in an organization. This is a primary resource for EHR systems.

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.


Medina, C. (2015). Electronic health records: Assessments of program participation and

key challenges. New York: Nova, 23-31.

The book analyses the electronic health record systems in interaction with the human resource in the healthcare organization. It outlines that in order for the systems to make processes more efficient, they must be coordinated by professionals who understand what is required of them. On the research, this book will be used to explain that well-trained personnel can interact with the system better. Also, they will have a great knowledge how to get the information when required. Well-trained personnel can help explain how to work the kiosk to the patients who do not understand. The publisher of this book is Nova Science Publishers, Inc., which is a well know for books and journals from authors around the globe. This publishing company focus on medical and health, science and technology and the social sciences and humanities. Also, they have received an A+ rating from the Better Business Bureau (BBB). Therefore, this resource is great primary source.

Mohanlal, R. (2017). Electronic health records: What measures health professionals can

take to protect patient data? Durban, South Africa: University of KwaZulu-Natal,

32-27.

The book analyses how the medical personnel and IT experts in an organization are tasked with the protection of data in the electronic health records. Access should only be granted to personnel that are approved and have necessary clearance. The operators are expected to be ethical in their handling of the health records as recommended by the book. While researching, I found this book will be useful for pointing out the usage of the EHR system will restore order, and security to the data or information of the patient in the Emergency Department. The resource is used at the University of Kwazulu- Natal. The university uses it in their College of Law and Management Studies for the master’s degree (Medical Law) students. Therefore, the source is rated reliable.

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.


References

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.

Foltz, D., & Lankisch, K. (2018). Exploring electronic health records. St. Paul: Paradigm Educational Solutions, 43-50

Gartee, Alkuwaykibi, A., & Hosseini, H. (2016). Electronic health records, 65-71

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.

Medina, C. (2015). Electronic health records: Assessments of program participation and

key challenges. New York: Nova, 23-31.

Mohanlal, R. (2017). Electronic health records: What measures health professionals can

take to protect patient data? Durban, South Africa: University of KwaZulu-Natal,

32-27.

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.