Discussion: Influence of DICOM NURS 658

Discussion: Influence of DICOM NURS 658

Discussion: Influence of DICOM NURS 658

Week 4 The
Influence of DICOM Paper

In a two-page paper, describe the implementation, use, and
necessity of DICOM in a new organization. Discuss the advantages of having
DICOM and its effects on meaningful use and interoperability.

In addition to course resources, use a minimum of two
additional scholarly resources.

Examples of scholarly sources include professional journal
articles and books obtained from library databases, national guidelines, and
informatics organizations, published within the last five years. Compose your
paper in APA format. A title page is not necessary, but you do need to include
a reference page.

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Discussion: Influence of DICOM NURS 658
Discussion: Influence of DICOM NURS 658

Objective: To examine the relationships among Electronic Health Record (EHR) adoption and adverse outcomes and satisfaction in hospitalized patients.

Materials and methods: This secondary analysis of cross sectional data was compiled from four sources: (1) State Inpatient Database from the Healthcare Cost Utilization Project; (2) Healthcare Information and Management Systems Society (HIMSS) Dorenfest Institute; (3) Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) and (4) New Jersey nurse survey data. The final analytic sample consisted of data on 854,258 adult patients discharged from 70 New Jersey hospitals in 2006 and 7,679 nurses working in those same hospitals. The analytic approach used ordinary least squares and multiple regression models to estimate the effects of EHR adoption stage on the delivery of nursing care and patient outcomes, controlling for characteristics of patients, nurses, and hospitals.

Results: Advanced EHR adoption was independently associated with fewer patients with prolonged length of stay and seven-day readmissions. Advanced EHR adoption was not associated with patient satisfaction even when controlling for the strong relationships between better nursing practice environments, particularly staffing and resource adequacy, and missed nursing care and more patients reporting “Top-Box,” satisfaction ratings.