Impact of the Patient’s Wellbeing through the New Charting System



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Change Proposal to Improve Patient’s Safety


Yaldy Jovin

South University

NSG 3039

Dr. Rosemary Thomas-cloud

May 10, 2021





Change Proposal to Improve Patient’s Safety

Over the years, technology in the healthcare sector keeps on evolving hence leading to improved patient care. Some changes that have come with advanced technology in our health institution include improved diagnosis and minimally invasive procedures, causing less pain and faster healing (McGonigle & Mastrian, 2017). A chart system is currently applied to provide patient care services in a documented medical record in nursing. The care services include medications prescribed, performed procedures, tests, and the diagnosis and interactions between healthcare professionals and patients. In this paper, I will discuss the various importance of a charting system in a healthcare institution. This is the proposed software that will consolidate the patient’s data from multiple sectors and integrate each patient’s profile. The new charting system will contribute towards a patient’s safer environment impacting patient safety, staff implementation, measurement, and the human approaches towards the change proposed.

Impact of the Patient’s Wellbeing through the New Charting System

Documentation of the medical records should be concise and clear to enhance accuracy, timely, and completeness. Accurate documentation is vital in providing patients’ quality care, payment of the medical services offered, malpractice risks mitigation and planning and evaluation of patient’s disease management by physicians, and maintenance of a wide range of care. Through medical charts, one can get a clear picture of the patient’s treatment process, which is crucial.

The recorded information of the patient facilitates decision-making amongst the healthcare providers. In the new charting system, the software will be designed to provide the patient’s entire medical history, including lab tests, vital signs, and symptoms of the patient, diagnosis, and results of the radiological tests. This is because it gives a patient’s complete and unlimited profile to the present medical orders (Riley, 2017). It will remove the errors associated with misinterpreted handwriting and transcription. It will alert when there is an entry of an incorrect order or when an order is incomplete. The data provided by this software will be in an integrated form with minimal medical errors and more efficient patient care. The patient’s safety will not be compromised again since there will be consistent patient information gathering in the health care facilities. It will enhance the privacy and security of the patient’s medical information as it will have safeguards in place to prevent violations. In this new technological system, only specified employees will have access to patient’s medical records, and in case the information is accessed inappropriately, the system will set up flags.

Effectiveness Measure

After the software installation and implementation, the patient’s safety feedback can be given using an analysis workflow. There should be an evaluation of the collected data from this software used by the department of information technology. This process will ensure there is an understanding and employee training. Moreover, it will enhance the standardization of the process for ideal efficiency and repeatability. It will also allow for the checking of software efficiency. For the reports concerning the new software’s usefulness to use scale numerically, the software user can be given a questionnaire to fill in.

There can be a questionnaire to determine if the new software is challenging or is delaying healthcare services. Also, on the medication file reconciling record, a numerical data scale can be created without unnecessary delay since one cannot retrieve them from the previous system. At the end mark, there should be quality reports concerning the new technology to help identify trends of improvement.

Staff Communication and Implementation

In an organizational setting, for people to work together effectively, there must be communication. Communication is the center of activities of the critical messengers and spread agents in building awareness on the new ideas. Communication leads to a conveyance of information amongst colleagues contributing to a better understanding of each emotion, thus promoting productivity, staff morale, and commitment (McGonigle & Mastrian, 2017). Communication to the rest about the new software should be done in unit-level meetings and should be conducted in a friendly manner with a smile to inspire other colleagues to share their ideas when needed. This communication should start with an overview of strategic reasons for the change.

Politeness should be essential in both written and face-to-face communication within the workplace. The meeting will give the adopters of this new software room for asking questions to deepen their understanding and share their learning. There should then be the implementation of the new software to ensure minimal stress among the staff. After acquiring the necessary information for creating the patient’s profile, a chosen professional who is experienced in implementing this new technology should be invited to demonstrate the same to the department of information technology manager to obtain more information concerning the operations of the new software.  There should also be a unit and segment implementation to ensure there is no confusion, and the manager in charge of the department should inform other staff to embrace the use of the new software.

Human Factors Related to Change And Resistance.

Some sources of resistance to change include social relationships threat, failure to accept the purpose of change, fear of the unknown, and habits. As technology continues to progress and become an integrated part of our healthcare world, healthcare workers need to accept these changes with an open mind. In many circumstances, change is seen by staff as a bother or a disruption, and therefore embracing this new technology can be a challenge to achieve. Fear, denial of adopting the latest software, and anger can be the primary employee approach (McGonigle & Mastrian, 2017). The crucial task in implementing this new technology is ensuring its interface supplements the nurse-patient interaction. Therefore, the management should explain the need for this change to the employees, encourage feedback and concerned voices, and reward those who accept the change to succeed.


Implementing the new charting system containing all the patient’s medical data can enhance patient safety. Implementing this new software in the workplace is vital. It facilitates the employees’ engagement in the process earlier, which will reduce the stress associated with this new system. There should be an even transition to the new technology system from the old by assisting and cheering the employees. Measuring its effectiveness should be done by analyzing the workflow to govern the improvement and effectiveness of the system after implementation. As technology change is being implemented, everyone should remember that its prons overcome its cons despite being stressful. Therefore, the new software will reduce medical errors and enhance quality care to patients at ease since it has comprehensive patient data.




McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

Riley, B. (2017). Change . . . and resisting change. Oxford Scholarship Online.


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