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Related Concept Videos

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Drug administration involves delivering drugs to the body through various routes, such as enteral, parenteral, and topical.
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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Clinical pathways on a mobile device.

John Barrett1, Barbara Turner2, Susan Silva2

  • 1Duke University, Durham, North Carolina, USA john.barrett@alumni.duke.edu.

BMJ Evidence-Based Medicine
|November 14, 2019
PubMed
Summary
This summary is machine-generated.

Digital clinical pathways on mobile devices show promise for improving evidence-based practice in primary care. New-to-practice providers found them feasible and useful, suggesting potential for future application development.

Keywords:
critical pathwaysdecision support techniquesevidence-based practiceguidelines as topictechnology

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Area of Science:

  • Health Informatics
  • Primary Care Medicine
  • Evidence-Based Practice

Background:

  • Clinical pathways are established in primary care internationally, aiming to decrease costs.
  • A gap exists in translating evidence into practice efficiently at the point of care.
  • Provider time constraints are a significant barrier to evidence implementation.

Purpose of the Study:

  • To assess the feasibility, efficiency, and utility of a mobile application for point-of-care clinical pathways.
  • To explore design principles based on Hick's law for future mobile health applications.
  • To evaluate the potential of digital pathways to enhance evidence translation for providers.

Main Methods:

  • Three plan-do-study-act cycles were conducted with new-to-practice providers.
  • Clinical pathways were implemented on mobile devices for real-world use.
  • Participant feedback was collected on usability and effectiveness.

Main Results:

  • All three participants expressed a desire to continue using the digital clinical pathways post-study.
  • Providers perceived the digital pathways as an advancement over existing tools for applying evidence.
  • Lack of electronic health record integration and time limitations were identified challenges.

Conclusions:

  • Mobile applications incorporating Hick's law principles show potential for effective clinical pathway implementation.
  • Further development of digital clinical pathways is warranted, considering varied delivery systems.
  • Successful implementation could improve patient outcomes and provider efficiency.