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Mount Royal University Week 12 Chapter 24 PSQRD Framework Discussion

Instructions: Read about the Schipper and colleagues study of the Smartforms application (discussed in chapter 24).

1. Discuss how the PSQRD framework might have been better used during this project’s planning phase to identify strategies that promote the adoption and use of the technology.

2. How might this framework have led to more significantly improved patient outcomes?

3. Give your opinion about that:

PSQRD Framework during this Project’s Planning Phase

PSQRD approach enables early interventions to likely barriers to technological change in health settings as it requires focusing on intervening variables that enhance staff commitment to changes in process that can include incentive payments and morale. Any organizational change invites anxiety and uncertainty. However, technological changes in organizations invite resistance and uneasiness from employees due to fear of loss of jobs, more invasive surveillance, and increased areas of key performance indicators. Frameworks such as PSQRD include components that acknowledge the need to address intervening variables such as ways of enhancing staff commitment to process changes. Through the PSQRD framework, the morale and incentive payments to staff due to adoption and use of technology would have been addressed (Kay, Santos & Takane, 2013). Failure to manage reaction to change can make implementation and incorporation of that change untenable. Deploying PSQRD will identify and address the risks to the adoption and utilization of the technology.

PSQRD and Improved Patient Outcomes

Operationalization of the PSQRD approach would have helped guide the implementation process of the project increasing its success. The framework also supports performance improvement which would increase the visibility of variance in performance. The PSQRD framework supports research projects. Implementing the framework will make an institution operationalize all recommended features of the system. A well-designed system that is poorly implemented will not yield results. The precedence and scope of components of a system must be implemented to increase the desired impact. Performance improvement, in particular, will lead to desired patient outcomes as it refines data entry, and enhances the clinical decision support system. Electronic capture of health data and processing that data to help healthcare personnel perform better with minimal errors will translate to improved patient outcomes (Kay, Santos & Takane, 2013). Managing all intervening variables, PSQRD will enhance the adoption and use of the technology.

More importantly, the framework has significant positive implications for patient outcomes. The most notable impacts of the framework include the reduction of patient falls. This improves patient’s safety and enhances recovery. Secondly, the framework reduces cardiovascular risk factors, including smoking, weight, and blood pressure, allowing individuals to live healthier lives. Lastly, implementing PSQRD reduces the waiting time in the emergency room. This increases accessibility to healthcare services due to the reduced time patients will have to wait before they are attended by health practitioners.

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