Electronic health records (HER)
● Are portable and easily shared between providers and specialists
● Improves info flow
● Clarity
● Efficiency
Information technology-based systems
● HIT or health information technology:
○ Interactive
○ Supports patient care with multiple information
○ Provides clinical decision support
○ Safer patient care
○ includes : patient data, HX, DX, VS, PE data, MAR, Allergies, imaging,
makes rx
○ Forced standardization
■ Eliminated inappropriate abbreviations
■ Assistance with drug calc
■ Eliminated eligibility
● CPOEs ( computerized provider order entry system)
○ Improve order appropriateness
○ Positive affect to communication
○ Improve patient outcome by reducing adverse drug events
○ Increase compliance
○ Daily recors of patient care
○ Flow sheets/check offs
○ Nursing notes
○ Outcome evals
○ Plans of care
● Patient portals
○ Email pcm
○ Text
○ View records
Wireless, mobile devices
● Used to locate physicians
○ Verify and clarify info
■ Physicians cant text orders
○ Give condition updates
○ Obtain orders
● Used to communicate with others in hospital
● Healthcare apps
● Drug information
● Tablets may be used to chart
, Documentation
● If you mark it, it has been done, do not mark something if you haven't completed
it or someone else did
● Face computer towards pt when charting at bedside
● Comment info being inputted
● Stop and make occasional eye contact
Types of learners
● Visual
○ Learns by seeing
○ Watches demos
○ Needs detail
○ Looks around
○ Organizes thoughts by writing them down
● Auditory
○ Verbal instruction
○ Likes to talk things through
○ Detail isnt as important
○ Talks about situation pros and cons
● Kinetic
○ Learns by doing
○ Hands on
○ Needs action
○ Likes to feel
○ Loses interest with detailed instructions
○ Tries things out
Bandura’s social learning theory
● Self efficacy
○ Personal belief in ability to execute actions to achieve a goal
● Factors that promote learning
○ Physical motivators
○ Social incentives
○ Cognitive motivators
Types of defense mechanisms
● Ego defense mechanisms
○ Coping style that people use to protect self from full awareness of
challenging conflict situations
○ Protect ego from anxiety
○ Regression
■ Returning to earlier form of behavior in face of a threat to self
esteem