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NURS6051 WK8 A Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies Walden University Transforming Nursing and Healthcare Through Technology Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies 14:00:36 GMT -05:00 Clinical syste...

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  • April 16, 2022
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Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies




Walden University

Transforming Nursing and Healthcare Through Technology




Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies



14:00:36 GMT -05:00

, Clinical systems strategies are mainly based on technologies to improve their impact on

patient care and efficiencies. Some of these technologies include patient portals, personal health

records, and automatic medication dispensing machines. These technologies can negatively or

positively impact patient care and efficiency, depending on how an organization implements

them. Literature evidence exists that cements the impact of these technologies on managing

different populations of patients and communities. Carrying out an annotated bibliography on

four research articles identifies the impact of patient portals on care improvement, efficiency and

outcomes.

Article 1

Griffin, A., Skinner, A., Thornhill, J., & Weinberger, M. (2016). Patient portals: Who uses
them?

What features do they use? And do they reduce hospital readmissions? Applied Clinical

Informatics, 7(2), 489–501. https://doi.org/10.4338/ACI-2016-01-RA-0003

Patient portals have an immense impact on patient engagement, satisfaction and

communication. According to Griffin et al. (2016), contemporary literature has turned its focus

on identifying the impact of patient portal use and clinical outcomes. The study's researchers

aimed to characterise patients that use the portal, the frequency in which the patients used the

standard features in the portal, and if all levels of portal use are related to patient readmission in

30 days. The investigators utilized the UNC Health Care System's patient portal (My UNC

chart). The researches focused mainly on patients with congestive heart failure, pneumonia and

myocardial infection. They identified that active users were only 8%, with 83% being non-users.

Active users had higher chances of being readmitted than non-users. Additionally, the most

commonly used feature in the portal was messaging, medical advice, laboratory tests and

medication lists. The researchers concluded that most of the patients did not use the patient




14:00:36 GMT -05:00

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