Informatics
The science and art of turning data into information.
Nursing Informatics *
-The use of information and technology to support all
... [Show More] aspects of nursing practice
-Including direct delivery of care, administration, education, and research.
Information Literacy
-The ability to recognize when info is needed as well as the skills to find, evaluate and use effectively.
Information
-Data that has been interpreted
Information Science
-Focus on how to gather, process and transform info into knowledge.
-Includes 5 Sciences;
Communication, Computer, Social, Library and Cognitive
Using the EHR to document care of a patient with a fractured femur is an example of using the EHR in which way?
Information System
How can using simulation technology with your patients improve overall outcomes?
Allowing hands on practice and immediate feedback of the skill being learned.
Knowledge Worker
-Continuous learner
-Uses technology to support and inform nursing practice
-Generate knowledge as a product *
Experienced Nurse
-Fully intergrade informatics throughout the course of her practice, not just for basic data entry and retrieval.
-Knows how to pull trends out of data.
Beginner Nurses
-Uses information systems to manage patients.
Nursing Informatics
-National Certification Exam
Clinical Practice Guidelines
-Can allow for the creation of nursing policies (example of clinical decision support)
Information Technologies
-CPOE
-Barcode Medication Administration
-Clinical Decision Support
Computerized Physician Order Entry (CPOE)
-The process by which the physician or provider enters orders electronically into the EHR
Radio Frequency Identifier (RFID)
-Type of technology that is used to identify and track supplies and medications
-Also can track medical equipment and patients
Examples of How Informatics can Affect Nursing Practice
-Clinical pathways
-Computer generated care plans
Foundation of Knowledge Model
-Knowledge is used to meet the needs of the healthcare delivery system
-3 Elements (acquisition, process and dissemination)
Data
-Patients HT, WT, Code status and DOB
Emerging Trends in Healthcare
-Patient safety
-Error reduction
-Additional regulatory requirements
The Mission
-Purpose or reason for an organizations existence
Strategic Planning
-Comprehensive long range plan for guiding the activities and operations of an organization
Reasons why the Selection Committee Board Members need to understand software and electronic processes
-Impact business goals
-Affect success or failure
-Determine budget allocations
Strategic Planning is Driven By
-Organization mission and values
-Long term goals *
-Service offered
National Trends related to Nursing Informatics
-CPOE
-Barcode Medication Administration
-Clinical decision support tools
Needs Assessment Phase
-Organization performs a gap analysis determining the "needs and wants"
System Selection Phase
-Organization seeks out a vendor company that offers them a system that best fits their needs
-RFI (request for info), RFP (request for proposal), RFQ (request for quote)
System Implementation Phase
-Go live planning
-Training of end users
-Execute system changes
Maintenance Phase
-Problem solving, debugging
-Back up files
-Installing system upgrades
Project Scope
-The size and detail of a collaborative effort
Why is the nurses active participation in electronic information important?
-To ensure the info is current and accessible to the healthcare team
Responsibility of the Project Implement Team
-Execution of system changes
-Active involvement in user participation
-Knowledge of current workflows
A common request contained in a Request for Info) RFI documentation includes
-Company history
Computerized Physician Order Entry (CPOE)
-Process by which the physician or provider enters orders electronically into the EHR
Example of Essential Component of EHR
-Evidence based decision support
Component of EHR
-Assessment findings
-Demographics
-Vital Signs
Function of EHR
-Barcode Medication Administration
Benefits of EHR
-Reduce medication errors
-Improved provider documentation
What is the primary goal of EHR functionality in contrast to that of the health information system?
-To promote patient safety
Health Informatics System
-Group of systems used within a hospital that support and enhance healthcare
Administrative Info Systems
-Registration
-Financial
-Scheduling
Clinical Info Systems
-Lab
-Pharmacy
-EHR
Local Area Network (LAN)
-Type of connection needed to access EHR when an internet connection is lost
How does the EHR helps patients receive quality care when going from one facility to another?
-Provides continuity of care
-Review previous care and provide appropriate treatment
Order Entry System
-Ensures accuracy of physicians orders
Perioperative Nursing Data Set (PNDS)
-Nursing terminology contains a nursing diagnosis, interventions and outcomes specific to the perioperative experience
Standardized Terminologies
-Accessibility, ubiquity, longevity and reusability
HL7 (Health Level 7)
-Standard of interoperability and clinical data exchange
Clinical Decision Support
-Looks at your patient specific data and compares it or analyzes it and provides further recommendations
-Pop up reminders
3 Principles that make up an organization culture of safety
-Commitment of resources
-Cross collaboration
-Blame free environment
Cross Monitoring
Process of monitoring the actions of other team members for the purpose of sharing the workload and reducing or avoiding errors
Information Security
The protection of information from accidental or intentional misuse by persons inside or outside an organization
2 Governing Authorities to protect Information
-HIPPA
-ANA code of ethics
HIPPA Privacy Act
-Patients have ownership rights to their records
-Patients can amend own records if information is incorrect
LOGICAL examples of protecting info
-Firewall
-Biometrics
-Authentication
-Automatic sign off
PHYSICAL examples of protecting info
-Surveillance camera
-Restricted areas
-Shred important documents
Telehealth
Use of technology to deliver health-related services and information, including telemedicine
Store-and-Forward Technology
-A form of transferring data or an image from one location to another
-Pathology/ Radiology
Socio Economic Factors that are helping support the need for telehealth
-Access to care
-Continuity of care
-Patient to Dr. ratio [Show Less]