Scope
Impacted Users
This will feature the nurses who will be handling the EMR.
What
The evidence based tool is designed in the form of a questionnaire. It features a two tier risk screen. It was tested through a feasibility and pilot study which was performed at the ICU, medical surgical, and the emergency department. It should be implemented at all locations as it is supposed to aid in the screening of patients at first contact, as well as those who are continuing treatment.
Clinical care processes will have to change so as to incorporate the new screening tool. Screening will have to be done at appropriate stages during the care of patients. This is meant to determine the condition of the stroke patient, thus enabling clinicians to make the right medical decisions that will not harm the patient any further (Kohli & Tan, 2016).
The required training will be on how to identify the visible signs and symptoms in a patient simply by observing. Training will also be offered on how the two tier screening tool should be handled.
The communications deliverables to be expected once the new screening tool is introduced in the EMR is that clinicians will be able to obtain the required information despite their location in the healthcare facility (Raymond et al., 2015). Therefore, they will know how to handle patients basing on their symptoms as identified by the tool.
When
This evidence based screening tool should be implemented immediately.
Where
It should be introduced in the emergency department, the nurse reception office, as well as in the various clinician’s offices.
Out of Scope
As a result of the new screening tool, the organization will be impacted positively. This is due to the fact that the tool will bring about improved patient outcomes which will reflect positively on the organization (McCormack et a., 2003).
The functionality or workflows not directly related to stroke, but that will be influenced to change will include the medication process and administration process. Data sources not directly affecting stroke will include those of an evidence based practice and patient centered care.
References
Kohli, R., & Tan, S. S. (2016). Electronic Health Records: How Can Is Researchers Contribute To Transforming Healthcare?. MIS Quarterly, 40(3), 553-574.
McCormack, J. P., Dolovich, L., Levine, M., Burns, S., Nair, K., Cassels, A., & … Gray, J. (2003). Providing evidence-based information to patients in general practice and pharmacies: what is the acceptability, usefulness and impact on drug use?. Health Expectations, 6(4), 281-289. doi:10.1046/j.1369-7625.2003.00226.x
Raymond, L., Paré, G., Ortiz de Guinea, A., Poba-Nzaou, P., Trudel, M., Marsan, J., & Micheneau, T. (2015). Improving performance in medical practices through the extended use of electronic medical record systems: a survey of Canadian family physicians. BMC Medical Informatics & Decision Making, 15(1), 1-15. doi:10.1186/s12911-015-0152-8
