NR 599 Nursing Informatics for Advanced Practice: Week 6 Assignment

NR 599 Nursing Informatics for Advanced Practice: Week 6 Assignment

NR 599 Nursing Informatics for Advanced Practice: Week 6 Assignment

Medical Application Critical Appraisal Guidelines

PART 2                                 

Name:  The name of the app we chose for the critical appraisal is MDCalc.

AUTHOR: MDCalc was created and developed by a couple of physicians and researchers who are Graham Walker and Dr. Joe Habboushe. The app was launched in 2016 for IOS and 2017 on android systems. The app is maintained by MDCalc Inc., a privately held company that was founded in 2005. The company’s mission is to improve patient care by providing healthcare providers with evidence-based decision support tools.

ENDORSEMENT: MDCalc is not licensed by the Food and Drug Administration (FDA), but it is endorsed by several medical professional organizations, including the American College of Cardiology and others and it is CME accredited.

OPERATION: The app is available on both mobile and web-based platforms. The mobile app is available for download on both iOS and Android devices, while the web-based version can be accessed through any web browser. The mobile app is suitable for healthcare providers who need to access the calculators and decision support tools on-the-go, while the web-based version is useful for providers who prefer to access the app on a larger screen, such as a desktop computer or tablet.

AESTHETICS: MDCalc has a clean and user-friendly interface that makes it easy to navigate. The app’s calculators and decision support tools are organized by specialty and topic, making it easy for healthcare providers to find the information they need quickly. Each calculator or tool includes a brief description and step-by-step instructions for how to use it, which makes it easy for providers to understand how to apply the information to their patient care(Elovic & Pourmand, 2019). The instructions provided with each calculator or tool are clear and concise, making it easy for providers to use the app without additional instructions.

PURPOSE: The intended purpose of MDCalc is to provide healthcare providers with evidence-based decision support tools and calculators that can help them make clinical decisions at the point of care. The app includes a wide range of calculators and decision support tools that cover different medical specialties, including cardiology, emergency medicine, gastroenterology, and oncology, among others. Some examples of the calculators and decision support tools included in MDCalc are risk scores for various medical conditions, such as the CHA₂DS₂-VASc score for stroke risk in atrial fibrillation, the Wells criteria for pulmonary embolism, and the Revised Cardiac Risk Index (RCRI) for predicting perioperative cardiac risk.

CLINICAL DECISION MAKING: The calculators use evidence-based algorithms to provide predictions or assessments, and the decision support tools offer guidance and recommendations for different medical scenarios. The app’s calculators can help providers identify patients at risk for certain medical conditions, determine appropriate dosing for medications, and assess the potential outcomes of different treatments. The decision support tools can provide guidance on patient management, such as recommendations for screening or treatment based on guidelines or expert opinion. By providing healthcare providers with quick access to evidence-based information and recommendations, MDCalc can help improve the accuracy and efficiency of clinical decision making. Providers can use the app’s tools and calculators to make more informed decisions at the point of care, leading to improved patient outcomes.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS NR 599 Nursing Informatics for Advanced Practice: Week 6 Assignment:

SAFETY: There is no direct potential for patient harm from using MDCalc as it is a decision support app designed to provide evidence-based information to healthcare providers. However, it is important to note that the app should not replace a healthcare provider’s clinical judgment or be used as the sole basis for diagnosis or treatment. There is always the potential for errors or inaccuracies, and healthcare providers should use their own clinical judgment and consider other factors when making clinical decisions (Kummer et al., 2021). Moreover, healthcare providers should ensure that they are using the most up-to-date version of the app and that they are using it in accordance with the app’s instructions and guidelines.

PRIVACY/SECURITY: The app uses encryption to protect user data, and the privacy policy states that all data is stored securely and is accessible only to authorized personnel. The app does not share user information on social networks or other third-party platforms. MDCalc is relatively safe to use but a user is responsible for what happens in their account and they can notify MDCalc the moment they notice an unauthorized access in their account.

USER: MDCalc is primarily intended for healthcare providers, including physicians, nurses, and other healthcare professionals. The app provides clinical decision support tools that can help healthcare providers make informed decisions about patient care. However, the app can also be useful for medical students, researchers, and other healthcare professionals who need quick access to medical calculators and algorithms. Patients may also find the app helpful for understanding medical terminology or calculating their own medical risks, but it is important to note that the app is not a substitute for medical advice from a qualified healthcare provider.

DISTRIBUTION: MDCalc is designed for wider distribution and is available for download worldwide on both the App Store and Google Play Store. The app can be accessed from anywhere with an internet connection, making it useful for healthcare providers working in different locations or in different countries. The app is also available on the web, so it can be accessed from any computer with an internet connection.

CREDIBILITY: MDCalc sources its information from reputable medical literature and guidelines such as the American Heart Association, the Society of Critical Care Medicine, etc. The app is CME accredited. In addition, the app’s editorial team is composed of physicians and healthcare professionals who review and update the app’s content regularly. The app’s reputation for reliability and credibility is also demonstrated by its widespread use among healthcare professionals and its inclusion in medical education programs. In general, the app’s sources of information are credible and trustworthy, and its reputation for reliability is well-established in the medical community.

RELEVANCE: MDCalc prides itself on providing up-to-date information and guidelines for healthcare providers. The app’s content is updated regularly, with new studies and guidelines incorporated into the app’s algorithms as they become available. The app’s editorial team is composed of physicians and healthcare professionals who ensure that the app’s content remains current and relevant to clinical practice. The last update date was three months ago. Overall, the app’s content is consistent with evidence-based literature and best practices/standards of care, and is regularly updated to ensure that it remains relevant to clinical practice.

PART 3

PATIENT SCENARIO

Patient Age-population: Adult

Clinical Setting: Hospital

History of Present Illness and Diagnosis or Condition: A 50-year-old patient was admitted to the hospital with acute chest pain and a diagnosis of suspected acute coronary syndrome.

            The MDCalc app can be implemented at the point-of-care in this scenario. The app can be used by the physician or the clinical team to calculate the risk of adverse cardiac events based on the patient’s clinical characteristics and biomarker results. The app can also provide guidance on the appropriate treatment and management strategies based on the calculated risk.

            The potential impact of using the MDCalc app in this scenario is that it can help the clinical team to make informed decisions regarding the management of the patient with acute coronary syndrome. By using evidence-based risk calculators and treatment algorithms, the app can assist in improving patient outcomes and reducing the risk of adverse events.

            According to the critical appraisal information above, the MDCalc app has been developed by a team of medical professionals and is endorsed by various academic institutions and medical professional organizations. The app is also regularly updated with the latest evidence-based literature and best practices. An evidence-based scholarly article that supports the use of the MDCalc app in clinical decision-making is “2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease” by Arnett et al. This article recommends the use of risk calculators, such as the ones available on MDCalc, to assess the risk of cardiovascular disease in patients and guide the appropriate management strategies.

References

Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J.,    … & Smith, S. C. (2019). 2019 ACC/AHA guideline on the primary prevention of         cardiovascular disease: executive summary: a report of the American College of          Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology, 74(10), 1376-1414.

Elovic, A., & Pourmand, A. (2019). MDCalc Medical Calculator App Review. Journal of Digital             Imaging, 32(5), 682-684. https://doi.org/10.1007/s10278-019-00218-y

Kummer, B., Shakir, L., Kwon, R., Habboushe, J., & Jetté, N. (2021). Usage Patterns of Web-     Based Stroke Calculators in Clinical Decision Support: Retrospective Analysis. JMIR     Medical Informatics, 9(8), e28266. https://doi.org/10.2196/28266

Purpose

The purposes of this assignment are to: (a) demonstrate nursing informatics skills to critique commonly used mobile applications, (b) synthesize nursing and non-nursing knowledge using a guided appraisal process, and (c) develop NI skills with computer technologies to support professional and personal development with implementation of medical applications in clinical practice.

Mobile Health, also known as mHealth, is defined as the use of wireless communication to support efficiency in public health and clinical practice. To facilitate mHealth, mobile applications (apps) have been developed, which can be executed either on a mobile platform or on a web-based platform which is executed on a server. Mobile medical apps are often accessories to a FDA-regulated medical device. Incumbent upon each healthcare provider is a clear understanding of the implications of this guidance on clinical practice as well as demonstrate discretion with regard to medical app implementation.

Course Outcomes

This assignment is guided by the following Course Outcomes (COs):

CO 2 Demonstrate synthesis of nursing and non-nursing science with information and computer technologies through collaborative advanced nursing practice (PO 5)

CO 4 Exemplify professional values and scholarship to support professional and personal development (PO 1)

Preparation and Paper Outline:

PART 1: The medical application selection for this assignment is contingent upon the month of your birthday. Use the table below to identify the Medical App for this assignment.

Your Birth Month             Medical App for Assignment

January, February           MediCalc

March, April, May           AIDSinfo

June, July, August           CDC Milestone Tracker

September, October     ICD10

November, December  GoodRx

Use the Google Play Store for Android devices or the Apple iTunes App Store for Apple devices to search for the medical application as determined by the table above.

In order to complete the following guided appraisal, download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.

Provide proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):

Android 4.0 and Newer: (Galaxy SIII, Galaxy S 4, Galaxy Note, HTC One,?Nexus phones, Droid phones)

Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the?Power?and?Volume Down?buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your?Gallery?app, usually inside the?Screenshots?folder

iPhone

The method for taking a screenshot in iOS has been the same since version 2.0. Hold the Power (Sleep/Wake) and Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Photos app under Camera Roll.

PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. Use the criteria headings on this outline as the headings on your properly APA- formatted paper.

NAME: What is the name of the app?

AUTHOR: Who created, developed, or maintains the app? Explain.

ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.

OPERATION: Which platform (mobile or web-based) is suitable for the app and why?

AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.

PURPOSE: What is the intended purpose or use of the app?

CLINICAL DECISION MAKING: What influence does the app have on clinical decision making? Explain.

SAFETY: Is there potential for patient harm? Explain.

PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.

USER: For whom is the app intended (providers, patients, or others)? Explain.

DISTRIBUTION: Is it designed for local use or wider distribution? Explain.

CREDIBILITY: How credible are the sources of information? How do you know? Explain.

RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.

PART 3: Provide one example of an appropriate patient or clinical scenario for this app. The example should include the following details:

Patient Age-population (Pediatric, Adult, Geriatric)

Clinical Setting (Hospital, Private Practice, Extended Living Facility)

History of Present Illness and Diagnosis or Condition

Provide a detailed description of the app in your example. When will the app be implemented (at the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. Provide one evidence-based scholarly article as a reference to support clinical decision making.

This assignment will be graded on the quality of the information, inclusion of one evidence-based scholarly resource, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details in Part 1).

The length of the paper is to be between 1,000 and 1,500 words, excluding title page and reference list.

Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”

APA format is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.

* Scholarly Sources:?Only scholarly sources are acceptable for citation and reference in this course. These include?peer-reviewed?publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org)?can be counted?as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.? You are encouraged to use the Chamberlain library and search one of the available?databases?for a peer-reviewed journal article.??The following sources?should not be used: Wikipedia, Wikis, or blogs.? These websites?are not considered?scholarly?as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.? For?example,?the American Heart Association is a .com site with scholarship and quality.? It is the responsibility of the student to determine the scholarship and quality of any .com site.? Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published?with the last 5 years.? Instructor permission?must be obtained?BEFORE the assignment is due if using a source that is older than 5 years.