AMITIAE - Tuesday 30 August 2016
Cassandra: Elsevier's Chief Professional Practice Officer, Michelle Troseth at HIMSS AsiaPac16 - Modern Healthcare and the Nurse
By Graham K. Rogers
Michelle Troseth is a registered nurse (RN) who is Chief Professional Practice Officer of Elsevier. Many know this company for their vast number of academic publications, including The Lancet. With the changes that technology is bringing, especially as it is applied to medical solutions and health care, Elsevier is evolving from publisher to a clinical solutions provider. Michelle discussed with me some of there clinical issues that affect nurses.
We must think of the role that the nurse plays in providing excellent care and be aware of the overuse of tools. Reliance solely on some computerized systems may not provide enough information for the best decisions.
As part of the inclusion of technology solutions in health care it is important to be aware of the ways nurses think and apply this to technical solutions. There is always an interaction between the nurse and patient and technology should not take over the role of the nurse, rather it should provide consistency: evidence and support to guide the care.
As a useful illustration, she used the example of premature babies. The solutions are able to provide neonatal units with up to date information regarding risks. Again, like others I had spoken to at the show, she emphasised the consistency that such an approach was able to provide.
The risks of variability included fragmented care and the risks of repetition, missing problems, and a lack of coordination. As well as problems for patients, these shortcomings in care added to the costs. Computerizing everything, however, was not the answer. There were advantages to making everything connected, but hospitals should not rely on technology at the expense of excluding the valuable input of nursing staff.
Where such systems do score highly is in the timely provision of up to date information: new evidence, changes in procedures. There will be discoveries about new treatments, new causes and also new medicines. An example is the treatment of stomach ulcers. For years patients suffered from several processes, including dietary changes, until the discovery that bacteria was the cause. Now a course of antibiotics and other medication should clear the problem within months.
The provision of good and timely information is pushing health care forwards and, she said, a good example is the way the dialogue between clinicians has changed. Elsevier's ClinicalKey - a sort of Google for the medical profession - is currently available for medical professionals. It is already in use at Bangkok Hospital. It allows a quick search using keywords that brings up relevant information to assist doctors or other medical professionals to make more accurate decisions about a patient's condition.
The management of data concerns IT professionals in many industries, but in healthcare the information is critical and needs to available in a timely fashion.
The system Michelle outlined to me married the electronic medical records (EMR) and the needs of the client with Elsevier's solution, to ensure that the entire system was maintained effectively and helping to provide the clinical solutions necessary for effective modern health care: medical professionals, nursing staff and the needs of patients.
Graham K. Rogers teaches at the Faculty of Engineering, Mahidol University in Thailand. He wrote in the Bangkok Post, Database supplement on IT subjects. For the last seven years of Database he wrote a column on Apple and Macs. He is now continuing that in the Bangkok Post supplement, Life. He can be followed on Twitter (@extensions_th)
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