Informatics - ✔✔"The big oak tree"
combination of the nursing science,
computer science and information science.
It includes information technologies that can help support nursing practice.
Information technology - ✔✔"The branch"
electronic healthcare record, your clinical decisions support tools, bar code medication
administration, and so on.
information System - ✔✔"Another branch" : used to collect, create and distribute useful data.
This term describes the development, use and management of an organization's overall IT
infrastructure.
On that branch you would see the subcategories, such as your clinical information systems,
your core business systems, case management systems, and communication systems.
Information Science - ✔✔"the roots of informatics "
-incorporates features from communication science, computer science, social science, library
science, and cognitive science.
It's primary focus on the input, processing, output and feedback through technology integration.
Information science applies technology to make information usable, and it supports the overall
collection and management of information.
,Technology has also helped to impact this culture of safety - ✔✔1) CPOE
2) Cross monitoring: 2 nurses to witness a med/electronic alert
Examples of Clinical Decision support tools - ✔✔1. Electronic alerts and reminders
2. Clinical practice guidelines
3. Computer-generated care plan
4. Smart pumps
5. EHR: drug reference guide
6. Clinical pathways
Information Security - ✔✔greatest potential threats are right now:
1. unauthorized personnel getting access to the equipment.
2. the use of removable storage devices (flash drive to dl info)
2 governing authorities that obligate nurses to protect patient information? - ✔✔HIPPA (pt's can
have a copy of their record/make corrections)
ANA Code of Ethics
Examples of Logically Protecting pt's information - ✔✔installing **Firewall protection
Biometrics (scanning fingerprint)
Authentication (user specific password)
Automatic sign offs
Examples of physically protecting pt's info - ✔✔Surveillance Cameras
Restricted Areas
Shredding hard copies
three principles that help to make up an organization culture as *safety* - ✔✔1) Commitment of
resources
2) Cross-collaboration
3) Blame-free environment
, store and forward technology. - ✔✔a form of transferring data or images from one location to
another (radiology images, pathology reports)
Reasoning of Growth of telehealth - ✔✔1. access to care
2. continuity of care
3. ratio of patients to providers
4. increase in chronic disease
EHR Takes patient-specific info:
1. Recommends something (example: recheck BP)
**2. Compares it against set of rules or knowledge base - ✔✔
Legal and ethical of telehealth nursing - ✔✔- Extensive documentation (prevent malpractice)
- Licensed in every state that they practice telehealth
Identify Clinical vs. non-clinical telehealth - ✔✔Clinical: to directly affect care of pt
-(ex: chest x-ray)
-type of mobile device
-live video conferencing (check proper injection administration)
Non-clinical:
- Team meeting
- Research
- Video-conferencing (not used for pt)
-professional development online
There are two main approaches to the development of these information systems: - ✔✔1) Nursing
Process Approach (admission/dc, progress notes, data collection, safe med admin..)
2) Critical Pathway/Protocols: allows nurses and multidisciplinary team members to access the
relevant information in the system