Nursing Informatics Exam One

Data Information Knowledge Wisdom How does IT support the nurse as a knowledge worker? Data Gather Info user does what Knowledge users Knowledge builder Informatics Medical informatics example Nursing informatics Consumer health informatics Characters, numbers, or facts gathered for analysis and possibly later action Interpreted Data Shows us what's happening with the numbers Synthesis of information from several sources to produce a single concept -Occurs when knowledge is used appro- priately to manage and solve problems - Perform intervention and continue to monitor Asssits us let us known when the numbers are out of the range gather info for use interprets data and uses it to monitor data compares data to current knowledge in clique practice takes all info and says what the pattern is (graph) art and science of turning data into infor- mation, using computers robots that assist in surgery use of computer to help with nursing Computer and info used to advance the patent at home Information Literature Nurse - can recognize significant, relevant re- search and know how to apply it to prac￾tice - ability to recognize when information is needed as well as the skills to find, evaluate, and use needed information ef- Nursing Informatics Exam One 2 / 16 What must electrical medical records have in order to avoid fines? Josie King Major Issues in Healthcare with Informat￾ics Implications fectively - required for nurses now Federal Mandate for EMR ( by 2014) 18 month who died due to medical error Nursing shortage Work flow changes IT as a means to retain aging nurses Evidence-Based Practice Pressure to implement IT Magnet status push Consumer demand for cost effective care Online report cards Consumer transparency (pricing) Remote clinical monitoring Disease management Research Pay for performance Recognized by ANA Have own practice standards Nursing Informatics as a Specialty AreaSeveral existing informatics organiza- of Practice Difference between Informatics Nurse and Informatics Nurse Specialist Benefits of informatics in healthcare Data integrity tions Credentialing requires a baccalaureate or higher degree, 2 years in practice, cur￾rent RN licensure, - IN- RN with experience but no formal education - INS - an RN with advanced graduate education in the IT area 1. Improved patient outcomes 2. Decrease costs 3. Decreased medication errors and ad- verse events 4. Supports evidenced based practice ability to collect, store, and retrieve cor￾rect, complete, current data so it will be Nursing Informatics Exam One 3 / 16 available to authorized users when need- ed How to reduce input errors? What are system checks? Data cleansing How can we verify data? Fraudulent Information Problems Prevention strategies Fraudulent Infor- mation What does Data Management do? Data storage Types Offline storage 1. Educate staff 2. Perform system checks 3. Verify data 4. Minimize fraudulent information Data cleansing Forcing users to complete "required" fields to progress Alerting users of duplicate entries Generating reports of actions that have not been completed use of a software that improves quality of data by checking for inconsistencies and duplications-also called data scrubbing Patient verification -Verbally - On-screen review - Printout review Flaws in this process -If don't verify patient demographics then it poses a huge threat to information quality - Financial loss - Potential negative credit reporting - Patient harm or death Biometrics ID Acknowledgement that fraud is illegal -Controls the collection, storage, re￾trieval, and use of data -Optimizes accuracy - Safeguards data can be done offline or online Nursing Informatics Exam One 4 / 16 Online storage What are the organization responsibilities with data storage? Secure storage Backup copy: Performance Capacity Data Security Data exchange Data disposal CD, DVD, thumb drive, etc. Risk: remem- bering to back up the files or losing the storage device. information saved to an online network. Often the computer system will trigger you to perform an online storage. Proper storing environment Secure storage Backup copy Required data storage time (regulatory) Transfer to a new storage method before the data is lost physical location security, but also logi- cal.Only logical access for people.Techs can't enter orders storage at a separate location ability of system to respond to request number and size of records that can be stored protect from unauthorized access and retrieval increased need to share client information with other hospitals. The Electronic data interchange (EDI) can streamline the data flow. Used to fax charts; still do in some places. Problems: data may not be understood from one system to an- other. Need a common Electronic Data Interchange for this to occur. paper charts can be shredded or burned. Outdated computer data can be de- stroyed or overwritten depending on fa- cility procedure.