An Examination of the Benefits, Issues and Impact of Implementing the Dissertation

An Examination of the Benefits, Issues and Impact of Implementing the Integrated Electronic Patient Record System in the UK - Dissertation Example This system provides accessibility and flexibility advantages for both medical personnel and patients; it improves information management and communications, and ultimately improves patient care. On the other hand, there are issues concerning privacy and security of patient information, and its development is very costly and an administrative burden. Moreover, there are still concerns over patient safety. The development of an IEPRS in the UK began in 2002, but the project was beset by continual delays due to the enormity and complexity of the task and escalating costs. In the end, it was abandoned in September 2010. The focus of the investigation thus turned to the experiences of its implementation at local NHS Trusts. Recommendations are also discussed to ensure the effectiveness of an IEPRS by addressing the concerns. An analytical research method was then adopted to further examine the implementation of an IEPRS in the UK. Its findings are discussed and conclusions are drawn foll owed by the researcher's own recommendations. Keywords: medical records, medical information, Integrated Electronic Patient Record System, medical information security, medical information management Table of Contents Section1: Introduction 5 Purpose of the study 5 The UK’s Integrated Electronic Patient Record System 5 Issues related to the implementation of an IEPRS 7 Research Objectives 8 Section 2: Research Methodology and Approach 10 Adopted method of research 10 Justification for the adopted method 11 Limitations 13 Section 3: Literature Review 14 Benefits of an IEPRS 14 General benefits 14 Range, access and flexibility 14 Improved information management 15 Improved communications and patient care 16 Barriers and Issues 16 General risks 16 Privacy and security 17 Information suitability, flexibility and accessibility 17 Financial barriers 18 Administrative burden 19 Patient safety 20 Other concerns 21 Summary of challenges 21 Impact of an IEPRS implementation 22 NHS†™ abandonment of the system 22 Continuation of the implementation at local levels 22 EPR systems in practice 24 EPR system guidelines 25 Elements of the security of patient records 29 Recommendations for an effective IEPRS 30 Raising awareness 30 Promoting involvement 30 Accessibility 30 Information management 30 Information security 31 Ensuring patient safety 35 Remaining concerns 37 Section 4: Findings, Conclusions and Recommendations 39 References 44 CARAT Completeness, Accuracy, Relevance, Accessibility, Timeliness DCR Detailed Care Record DoH Department of Health DPA Data Protection Act EDMS Electronic Document Management Software EMR Electronic Medical Record EPRS Electronic Patient Record System ERDIP Electronic Record Development and Implementation Project FOI Freedom of Information HCHC House of Commons Health Committee HCP Health Care Practitioner (or Provider) HIS Health Information System IEPRS Integrated Electronic Patient Record System IMS Information Management Syst em IT Information Technology LOD Limit of Detection LOQ Limit of Quantitation NAST National Association for Science and Technology NCRS NHS Care Records Service NHS National Health Service (UK) NIGB National Information Governance Board NPfIT National Programme for Information Technology NPSA National Patient Safety Agency PAS Patient Administration System PDS Personal Demographics Service RCGP Royal College of General Practitioners SCR Summary Care Record SUS Secondary Uses Service Project proposal An Examination of the Benefits, Issues and Impact of Implementing the Integrated Electronic Patient Record System in the UK Section1: Introdu

Unit 5 Individual project 2 Essay Example | Topics and Well Written Essays - 500 words

Unit 5 Individual project 2 - Essay Example Quality can be defined in relation to both technical excellence and humane approach. â€Å"By technical quality care we mean that the patient receives only the procedure tests, or services for which the desired health outcomes exceed the health risks by a sufficiently wide margin; and that each of these procedures or services is performed in a technically excellent manner. The second component of quality care is that all patients wish to be treated in a humane and culturally appropriate manner and be invited to participate fully in deciding about their therapy.† (Robert H.Brook et al). In short quality in health care is fundamentally based on the two above-mentioned factors. â€Å"Getting quality health care can help you stay healthy and recover faster when you become sick. However, we know that often people do not get high quality care. A 2004 study of 12 large US communities found that just over half (54.9%) of people were receiving the care they needed.† (AHRQ Homepage: ). Everywhere, people looking for health care confront the problem that there is no uniform standard to measure quality. Thus it has become imperative to measure quality of care offered by healthcare service providers. Therefore, with a view to help patients choose the right treatment most suited to their personal needs, more and more public and private groups are developing and using quality measures based on the principles of right health plan, the right doctor, the right treatment, the right hospital, the best long term facility. Thus it can be seen that quality measures make available the necessary information which patients can assimilate to help them take a right decision about their treatment. In order to ascertain quality there are certain available parameters such as process measure, outcome measures and structural measures. In order to determine which one of these is the best, a deeper and wider study is called for. Each satisfies certain requirements

Evaluating practice through theories and models Essay - 1

Evaluating practice through theories and models - Essay Example He was being taken care of by his wife, who was elderly too. The patient had a history of heart failure, diabetes mellitus, and hypertension. His condition was worsened by the fact that he had a low self-esteem, to a point that he wished himself death to unburden his family. He had difficulty in breathing caused by increased ultra filtration. He also had limited water intake because of his renal treatment. In addition to this, he had failed in maintaining his regular food and water balance because he refused to eat and drink. Renal failure also caused him to have difficulty in passing urine (OSU 2013). Mr. Lim depended on his wife and nurses to help him with his activity of daily living (ADL). Mr. Lim and his wife both lacked the critical knowledge of maintaining his condition. These include lack of the will to follow his regimen and dietary adjustments (NKF 2013). Also captured were the psychological effects of the disease on him, and his family’s lack of motivation characterized by depression of both of them. Mr. Lim was negatively affected by these circumstances, and his condition, as a result. Introduction of Orem’s self-deficit theory seemed the best option to get the patient and his family to cope with management of the patient’s condition. Both the patient and his wife were to be subjected to Orem’s self-deficit theory to enable them gain the appropriate knowledge that will benefit all of them. This is because their lack of knowledge of self-care management and supportive education that was essential in Mr. Lim’s management of his chronic condition (Curtin et. al. 2005). Orem’s self-deficit theory was applied, in this case, to improve the condition of Mr. Lim and the psychological well being of his wife. The program took about three months, and the results were encouraging. Mr. Lim was able to portray a positive aura, which was the most essential step in the road to his recovery. This

Proceedings on the Impeachment of Richard Nixon Essay

Proceedings on the Impeachment of Richard Nixon - Essay Example tions to be considered in this study would be, Can the situation presented in the opening statement be considered as rhetoric with reference to the concept presented by Bitzer in his theory of rhetorical situation? Do the assumptions of the Neo-Aristotelian Criticism define the opening statement as rhetoric? On which grounds does it criticize the opening statement when illustrating it as a rhetoric situation? Thesis Statement The essay to the conducted henceforth intends to present a critical overview of a literature, i.e. the opening statement of Barbara Jordan presented to the House Judiciary committee in response to the impeachment related proceedings executed against the then President Mr. Richard Nixon. With this concern, the essay would attempt to utilize the assumptions presented by Bitzer in relation to the concept of rhetoric situation. Another theory that would be taken into account is the Neo-Aristotelian Criticism which shall assist in scientifically analyzing the opening statement. Justification of the Study Based on two of the most prominent theories, i.e. Bitzer’s rhetorical situation and the Neo-Aristotelian Criticism, the essay shall provide a comprehensive account of the literature selected as the opening statement of Barbara Jordan. With this concern, the study shall elaborate on the then political scenario with the intention to learn the background, influenced by which, the opening statement was framed. Preview of the Topic During the impeachment of Richard Nixon, Congresswoman Barbara Jordan gave an opening statement in the House of Judiciary Committee in order to criticize the proceedings taken by the ministry concerning the conspiracy related with the Watergate Scandal. Barbara Jordan, through her speech, intended to criticize the impeachment... The essay to the conducted henceforth intends to present a critical overview of a literature, i.e. the opening statement of Barbara Jordan presented to the House Judiciary committee in response to the impeachment related proceedings executed against the then President Mr. Richard Nixon. With this concern, the essay would attempt to utilize the assumptions presented by Bitzer in relation to the concept of rhetoric situation. Another theory that would be taken into account is the Neo-Aristotelian Criticism which shall assist in scientifically analyzing the opening statement. Based on two of the most prominent theories, i.e. Bitzer’s rhetorical situation and the Neo-Aristotelian Criticism, the essay shall provide a comprehensive account of the literature selected as the opening statement of Barbara Jordan. With this concern, the study shall elaborate on the then political scenario with the intention to learn the background, influenced by which, the opening statement was framed. D uring the impeachment of Richard Nixon, Congresswoman Barbara Jordan gave an opening statement in the House of Judiciary Committee in order to criticize the proceedings taken by the ministry concerning the conspiracy related with the Watergate Scandal. Barbara Jordan, through her speech, intended to criticize the impeachment articles put forward during the investigation of Watergate conspiracy which was further observed to be misinterpreted as a verbal (written) declaration agreeing with the president’s removal.

Political science. Palestine and Orientalism Essay

Political science. Palestine and Orientalism - Essay Example In his study Said blended political polemic and literary excursion. He writes: "The Orient is not only adjacent to Europe; it is also the place of Europe's greatest and richest and oldest colonies, the source of its civilizations and languages, its cultural contestant, and one of its deepest and most recurring images of the Other" (Said, 1979, pp.1-2) Said claims that Orientalism is an academic area which causes interest in a variety of academic institutions, because all teachers, sooner or later begin to research Orient and apply their knowledge in the areas of their competence. Said holds that since the end of eighteenth century the scholarly and academic meanings of Orientalism have been quite 'politically correct' and the related efforts have been restricted. Furthermore, Said believes that Orientalism reflects Western style of domination and is close-knit with Western mind, usually related to perceiving Orient as a 'younger brother' or 'poorer kin'. Said holds that the antagonistic political relationship between the Sast and the West lies in the earliest development the struggle between Islam and Christianity. According to Said, Orientalism, which presents Christian world as 'higher', is used as a demonstration of European power and is seen as a comparative theory, in which two eternal rivals - the East and the West - make an 'argument' with predicted conclusion which is to sum up that European beliefs and culture are more humanistic and more suitable and more appropriate for harmonious development of an individual. Similarly to other '-isms', Orientalism has been ill-treated from the ancient times up to the present. From the other angle of view, Orientalism is a natural movement, whose toughness is quite sufficient in its universal authenticity. This movement is a product of synergy, which takes place among different studies, accumulated by different followers, who are interested in one of the richest world cultures, and Oriental culture. Moreover, Said's study has itself caused a number of responses, either positive or negative.Lewis attempted to criticize Said's approach -in particular, in his article ' The question of Orientalism', which defended Middle Eastern studies, and in particular, Palestinian studies. On the other hand, Lewis was a newcomer to the United States, and his refutation - a forceful defense of the European and Palestinian traditions (which sometimes converts into an attack) - did not canceled Said's complaints about the problems and complications of American Middle Eastern studies. Lewis, for instance, writes that, in fact, Europe hasn't yet experienced (or probably, hasn't noticed) such considerable influence of Orientalism on its tradition. Lewis's main notes were following: 1) Firstly, it would be wrong to claim that Oriental studies are limited to the study of Muslim culture, while in fact Biblical research is an essential and substantial element or Orientalism. Palestine as the country of diverse religions supports both religious doctrines, so it needs more profound inquiry than Said has done. 2) Secondly, there is no doubt that an identifiable part of Western studies was stimulated by either political or religious propaganda "and appeared throughout the ages with distorted images of Islam, the East and its cultures; however, this movement cannot be termed "Orientalism", rather it is "False Orientalism" (Lewis, 1982,

Theories of Intelligence PS240 WK5 Term Paper Example | Topics and Well Written Essays - 500 words

Theories of Intelligence PS240 WK5 - Term Paper Example In his two-factor theory, Spearman considered a topmost and single general factor of intelligence (referred as â€Å"g†) that can be acquired when factorially analyzed the specific intellectual skills in a hierarchical order. Consequently, Spearman’s theory grew as a foundation in investigating human intelligence through empirical studies (Williams, Zimmerman, Zumbo, & Ross, 2003; Kane & Brand, 2003; Gottfredson & Saklofske, 2009). Through Spearman’s influence, Raymond Cattell became famous with his two notions regarding the human intelligence, and these are the fluid intelligence and crystallized intelligence. Fluid intelligence refers to the human capacity to think logically, reasonably and solve new problems without any cultural influence. On the other hand, crystallized intelligence refers to the human capacity to acquire information and abilities through an individual’s personal experience and interaction with the environment. Moreover, Cattell’s fluid and crystallized intelligence was one of the early representations of intelligence in hierarchical order (Kane & Brand, 2003; Assaad, Pihl, Vitaro, & Tremblay, 2004; Kaufman, 2011). Aside from Cattell’s theory, Sternberg introduced his triarchic theory into three factors, and these are componential element, experiential element, and contextual element. The componential element refers to the human capacity to analyze, review, assess, appraise, and decide solutions to different problems. The experiential element refers to the human capacity to create, discover, and use existing information in response to new or familiar tasks. Lastly, the contextual element refers to the human capacity in resolving problems through employing and using practical implications. Accordingly, individuals who construe and successfully use these three elements are those who constitute

Place attachment Research Paper Example | Topics and Well Written Essays - 5000 words

Place attachment - Research Paper Example The paper outlines all the thoughts from different books about the place attachment of people. There are various factors that contribute to create a bond between individuals and their living places. Apart from cultural and social values religion plays a vital role to build up a relationship of people with their living region. In 2004 Mazumdar and Mazumdar presented a study of sacred places to show relationship between place attachment and religion. Religion strongly influences people`s lifestyle, and their daily practices specifically worship places and communal gatherings help people develop a strong bond with the area and other people living in the same community. The study shows that religious people like to live near their worship places, which facilitates them during worship and consequently an attachment is developed with the place mainly for religious purposes. Additionally, when a strong relation is formed with the other people come for collective prayers place attachment increases. This study explores that religion attachment also contribute to build an attachment with the new place which seem more attractive and religious to people with respect to their own religious rituals and practices. Architectural fame and popularity of the religious places has significance importance on other hand that attracts people from regions to visit or migrate to particular locations. Researchers highlighted examples from different religions including Islam, Hinduism and Christianity to view place attachment from a wider spectrum.