1

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

Carmen Lenoir

Walden University

NURS-6051N-20

Dr. Betsy Rodgers

September 28, 2023

The Use of Clinical Systems to Improve Outcomes and Efficiencies

Integration of clinical systems is vital in improving patients' outcomes and productivity.

This literature review examines contemporary studies highlighting the usage of clinical systems

in healthcare concerning improving health outcomes and efficiency. This chapter discusses

various selected articles that are very relevant in modern nursing practice and healthcare delivery

systems, focusing on digital healthcare. Nowadays, the importance of efficient health service

delivery has never been felt so severely because people's life is at stake; they are involved in

material loss, and the quality of care should be highly estimated. Nurse informatics and

healthcare leaders are supposed to design policies that ensure that these clinical systems promote

positive developments in the industry. The strategies are based on several types of research and

emphasize evidence-based decision-making processes for implementing healthcare technology.

The studies examine how healthcare facilities employ clinical information systems and their role

in shaping service delivery and health outcomes. This paper explores major studies on clinical

system effects on nursing practices and patient satisfaction, deepening one's knowledge of

clinical system effects on nursing practices and patient care satisfaction.

In this context, Nodirovna et al. (2022) discussed the complexity of improving medical

services’ efficacy considering digitalization and the omnipotence of technologies in modern

times. The study shrewdly foresaw the vast untapped power hidden within utilizing digital tools

to simplify and redefine healthcare procedures. However, the study demonstrated various clinical

systems, such as electronic health records, telehealth platforms, and artificial intelligence, which

can greatly improve medical and economic results.

This study provided practical cases on technology in healthcare, including those that

changed and those that form part of contemporary healthcare practice today. For instance,
 3

electronic health records became crucial for properly administering patient information to

minimize errors, improve data availability, and improve treatment quality (Nodirovna et al.,

2022). Telemedicine is the term that is used to refer to the process of providing medical services

remotely using technology systems such as teleconference facilities and telephones, and it is

often mentioned together with telehealth platforms which allow having remote consultations and,

at the same time, considerably expand access Moreover, integrating A. I have enhanced

diagnostics and utilized data patterns for better clinical decisions, improving healthcare service

delivery.

This important study touches on how nurses practice and health care delivery. The

findings by Nodirovna et al. constitute an invaluable roadmap for modern healthcare

organizations toward improving current health practices. Technologies have unquestionably

proven critical in eliminating systemic inefficiencies and improving patient care, perfectly fitting

the healthcare industry's quest for quality, efficiency, and affordability. This article offers a clear

map for nursing experts and health managers in times when merging health care with

engineering is inevitable.

Meng et al.'s (2020) research focused on the impact of renin-angiotensin system

inhibitors on clinical outcomes in a highly specific and urgent context: COVID-19 patients with

hypertension. The study occurred at the initial stages of the ongoing COVID-19 pandemic, one

of the most challenging periods for healthcare facilities globally. The central focus of their

investigation was centered on how clinical systems such as medication management systems,

electronic health records, and others could be employed to improve patient care in a public health

disaster scenario (Meng et al.,2020). The research illustrates improved healthcare outcomes by

improving medication management with quick access to patient records.

This becomes clear in that the seriousness and importance of this study are evident during

the current times of the pandemic. It symbolizes the exceptional flexibility of clinical systems on

new healthcare issues. At the time when the world was experiencing a health crisis, doctors and

other healthcare providers had to swiftly shift from the traditional to digital methods of handling

patient information and treatment. The findings of this research show that clinical systems are

flexible. However, they also reveal their amazing capability of helping them with crises,

improving patient results, and lessening the burden of health workers in the forefront.

Meng et al. (2020) report becomes necessary for healthcare professionals and

informaticians tackling a storm in a healthcare crisis. Unmistakeably, it portrays technology as a

key instrument for emergency-supported health provision. The lessons learned emphasize the

role of clinical systems and their significant value for patients' care, even in the toughest of

unexpected circumstances. Despite the ongoing challenges posed by the pandemic and other

potential crises in the healthcare sector, this study sheds light on using technology in favor of all

patients and healthcare providers.

Veet et al. (2020) systematically reviewed the complexities surrounding healthcare

delivery system types and their corresponding implications on clinical utilization and cost

outcomes in PCMH. This study comprehensively considered how clinical systems, including

Electronic Health Records (EHR) and Integrated Care Management platforms, can enhance

efficiencies in healthcare delivery. They made it possible to provide an integrated collection of

patient information communication and finally reduced costs with improved quality of healthcare

service.

Indeed, this study is important because it offers useful information on designing

healthcare systems and policymaking. A compelling rationale for the critical alignment of
 5

clinical systems with healthcare operations to strengthen service provision is presented, making

it a must in the design of future healthcare delivery (Veet et al.,2020). It describes tangibly how

carefully considered digital tools can radically change the face of patient-centered practices with

great cost efficiency. The results are, therefore, a complete guide for healthcare leaders and

practitioners on how to develop patient-centered medical homes that will improve the well-being

of the patients while at the same time ensuring that health insurance becomes affordable.

This makes the research relevant broadly, as it signifies a change in modern healthcare

operations systems. It promotes the marriage between patient-centered care and fiscal

responsibility to ensure that the healthcare industry stays attuned to patients' changing

preferences and demands while safeguarding the fiscal sustainability of health facilities. Thus,

this study will lead health managers and professionals on how best to manage their resources

effectively and efficiently amid this turbulent era that demands compromise between quality

patient care and economic wisdom.

The comprehensive systematic literature review by Carini et al. (2021) highlighted the

significant effect of digital patient portals on healthcare outcomes, system efficacy, and patient

attitude. The focus was on the outstanding good effects these sites brought on the increased

participation of patients and a straightforward channel among medics and their patients. This

electronic system enabled people to achieve two major objectives of improving not only patients'

outcomes but also the entire process of delivery care.

This study is very important and significant at this time when patient-focused care

becomes the main goal in the current health system. This provides evidence of how technology

empowers patient participation and active involvement in any healthcare matter about patients.

This study's results indicate that a digital patient portal is not merely a tool to improve health
 6

outcomes but also an essential component of an effective healthcare management system (Carini

et al., 2021). These portals enhance a shared decision-making process among providers and

patients and thus highlight their importance in ensuring just and patient-oriented healthcare

systems.

Therefore, the study is a valuable source of information for healthcare leaders and

informaticists. This indicates that technology can strengthen the relationship between patient and

provider and build an informed base for involvement in healthcare decisions. Hence, the study

serves as a wake-up call for healthcare providers and their organizations to adopt a patient-

centered approach to technology to improve patient satisfaction, quality of care, and productivity.

This study serves as the lighthouse, directing us into an age where the patient is central, playing

an active role in their health journey and improving their welfare plus the effectiveness of the

process.

Conclusion

Lastly, the four researcher-based studies offer an insightful overview of how clinical

systems influence healthcare system outcomes and operational effectiveness. These studies

highlight digital healthcare's importance for effective modern-day nursing practice and health

service delivery. These will be crucial lessons for health managers, nurse informationalists, and

clinicians while forming different clinical systems. As technology grows, clinical systems are

still considered an increasingly important means to enhance patient outcomes and healthcare

efficiency. Reviewed research is important today and outlines the way ahead for clinics that

provide tools for better patient care and healthcare management. Accordingly, these findings

underscore evidence-based decision-making in technology adoption, which is imperative and

will remain a critical need as healthcare systems continue developing in reaction to current trends
 7

and issues. The healthcare industry can use such studies and explore what clinical systems offer

by improving patient quality and care efficiency.

References

Carini, E., Villani, L., Pezzullo, A. M., Gentili, A., Barbara, A., Ricciardi, W., & Boccia, S.

(2021). The impact of digital patient portals on health outcomes, system efficiency, and

patient attitudes: updated systematic literature review. Journal of Medical Internet

Research, 23(9), e26189. https://www.jmir.org/2021/9/e26189/

Meng, J., Xiao, G., Zhang, J., He, X., Ou, M., Bi, J., ... & Zhang, G. (2020). Renin-angiotensin

system inhibitors improve the clinical outcomes of COVID-19 patients with

hypertension. Emerging microbes & infections, 9(1), 757-760.

https://www.tandfonline.com/doi/abs/10.1080/22221751.2020.1746200

Nodirovna, M. S., Ta'nakulovich, T. K., & Baxtiyorovich, S. J. (2022). Ways to improve the

efficiency of medical services in the conditions of the digital economy. Gospodarka i

Innowacje., 22, 182-186.

https://gospodarkainnowacje.pl/index.php/issue_view_32/article/view/197

Veet, C. A., Radomski, T. R., D’Avella, C., Hernandez, I., Wessel, C., Swart, E., ... & Parekh, N.

(2020). A systematic review of the impact of healthcare delivery system type on clinical,

utilization, and cost outcomes of patient-centered medical homes. Journal of General

Internal Medicine, 35(4), 1276-1284. https://link.springer.com/article/10.1007/s11606-

019-05594-3?

wt_mc=Internal.Event.1.SEM.ArticleAuthorOnlineFirst&utm_source=ArticleAuthorOnli

neFirst&utm_medium=email&utm_content=AA_en_06082018&ArticleAuthorOnlineFir

st_20200107