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use of information technology and §Allows nurses to deal with volumes of information on a daily
informatics in nursing basis
§Requires all nurses to develop basic computer literacy and
information management skills
Must make sure employees are adequately trained on
computer skills, software, technology
- must know what WNL means when charting
nurse leaders and manager and IT •Integrate nursing informatics and health information
technology to ensure delivery of safe and quality nursing care.
•Recognize the importance of nursing data in improving
practice, monitoring health care and patient outcome trends,
and evaluating and revising patient care processes.
information technology §combines computer technology with data and
telecommunications technologies to provide solutions to the
health-care industry
nursing informatics •Integrates nursing science, computer science, information
science, and information technology to manage and
communicate data, information, knowledge, and wisdom
•Is new to nursing but essential to improving patient care and
meeting regulatory requirements
•Facilitates decision making in all nursing roles through the use
of information systems and technology
information systems §Systems, technology based or otherwise, that store, process,
and manage information at both the individual and
organizational levels
§Two major types—administrative or clinical
§Provide an infrastructure for the organization and require
resources for development, maintenance, and eventual
retirement
§Require thoughtful decision and input from the members of
the organization, including nurses
Include phases of life cycle
administrative info systems finance, health insurance info, scheduling
clinical info systems nursing assessments, lab data, clinical-focused system
,vendor-purchased systems EPIC, CERNER
more generic and all-encompassing
home-grown systems systems developed by the agency itself
very rare
positive- individualized, has what needs, usually smaller so
dont want to hack
issues- regulatory and legal issues, transgenerational-passing
info on, easier to hack
phases of life cycle of info systems -Planning and analysis- strengths and weaknesses to
determine which system work best
-Design- administrative vs clinical, what type of system we
want
-Implementation-
-big bang- all systems go live at same time,
-Or in pieces
-Can be very costly
-Support
-Do have people in place to support this, people to train
others, superusers- extra training, can help staff having issues
on the floor
-Evaluation- how system working, need change
electronic records §Improve research and quality management, metrics, data
quality, and access to data that support population health.
Improve access of healthcare records across the country
Downside- confidentiality issues because so accessible to all
Personal- encourage patients to collaborate and check over
information
electronic medical record •electronic record of a patient that is used by a single
organization
electronic health record •used by more than one organization, provides information
throughout
personal health record an electronic form of a patient's medical record that the
patient can take with him or her or send to a health-care
provider
network •Fundamental framework of an information system that allows
electronic devices to transfer information between each other
•Most common example—Internet
•Within a health-care organization's own network—intranet
data •Collection of information, facts, or numbers
•Gathered, managed, analyzed, and interpreted to ensure
effective operation of the unit as well as safe and effective
delivery of nursing care
database •Central place that stores data
•Provide a key location for data to be stored and retrieved for
analysis when needed
clinical data repository •database in which data from all information systems within an
organization are kept and controlled
, data mining •Process of extracting specific data information or knowledge
that was previously unknown
•Can be used to understand patient symptoms, predict
diseases, and identify possible interventions
interfaces •Used to match data points from one system to the other so
data can be communicated between systems or sent to a main
information system for collective use and analysis
•Can send information as it is gathered (real-time processing)
or with a delay (batch processing) to save system resources
•Can also allow devices to communicate directly to an
information system
ex: vitals machines, glucometer
decision support systems •Used to provide warnings or other decision support methods
in order to help health-care professionals become more
aware of certain clinical information or utilize evidence-based
practices
-Based on data points and certain criteria, will trigger warning
-Helps prepare nurses for possible decompensations of
patients
rules and alerts •Should be used on a limited basis and focus on the most
crucial patient care issues
•Rule—requires an action within the system to trigger or "fire" it
•Alert—a straightforward warning to implement precautions
per institutional policy, which usually requires
acknowledgement of the warning or a reason for overriding it
standardized languages •Enable understanding between disciplines and across
information system
•Allow for streamlined sharing of information because the
same terms are used by everyone to describe the same
condition
•Are important for effective data mining and are required for
nursing documentation
HIPAA and protection •Privacy Rule—designed to safeguard an individual's health
information
•Security Rule—establishes a set of national standards to
protect electronic health information
•Breach Notification Rule—requires all health-care
organizations to report any data breaches
american recovery and reinvestment act •Health-care component known as the Health Information
Technology for Economic and Clinical Health Act, or HITECH
Act
•Requirements include metrics to improve patient care, quality,
and public health
•Provides incentives when metrics are met by both physician
practices and hospitals to move toward electronic
documentation and processes to improve patient care
- trying to standardize/improve care, using technology-
decrease risk of error, if didn't invest, would lose
reimbursement