Administrative Applications Flashcards
is a measure of the extent to which a system
can justifiably be relied on to deliver the services
expected from it
Dependability
Six (6) Attributes
System Reliability
Service Availability
Confidentiality
Data Integrity
Responsiveness
Safety
the system consistently behaves the same way. (there is continuity of correct service.)
System Reliability
required services are present and usable when they are needed. (correct readiness of availability)
Service Availability
sensitive information is disclosed only to those who authorized to see it. (ex. yung mga may mga stigma sa community; HIV, AIDS, Cancer, & etc. must be protected)
Confidentiality
data are not corrupted or destroyed.
Data Integrity
the system responds to user input within an expected and acceptable time period.
Responsiveness
the system does not cause harm.
Safety
Five (5) Fundamental Guidelines
Architect for Dependability
Anticipate Failures
Anticipate Success
Hire Meticulous Managers
Don’t be Adventurous
an enterprise system architecture should be
developed from the bottom up so that no critical component is dependent on a component less trustworthy that itself.
Architect for Dependability
features that are transparent to software applications should be implemented to detect faults, to fail over to redundant components when faults are detected, and to recover from failures before they become catastrophic. (threats or failures of the system)
Anticipate Failures
the systems planning process should anticipate business success and the consequential need for larger networks, more systems, new applications and additional integration. (kakayahan mag accept and expand ng mga new applications)
Anticipate Success
good system administrators should meticulously monitor and manage system and network performance.
Hire Meticulous Managers
An organization must use only proven methods, tools, technologies and products that have been in production, under conditions, at a scale similar to the intended environment. (reduce the numbers of failure to the intended users)
Don’t be Adventurous
is designed to bring the management of patient data into the information age. It is intended to replace the Medical Records Department of a medical institution, supporting the acquisition, storage, manipulation, and distribution of clinical
information throughout the organization.
consist of information technology that is
applied at the point of clinical care
Clinical Information System Revisited (CIS)
Eight (8) Phases
The Planning Phase
The System Analysis Phase
The System Design Phase
The Development Phase
The Testing Phase
The Training Phase
The Implementation Phase
The Evaluation Phase
begins once an organization has determined that an existing need or problem may be filled or solved by the development or implementation of a CIS or application. Establishing the committee framework to research and make recommendations for the project is an important first step and is variable based on the needs of the organization.
The Planning Phase
includes a description
of the how the system will be evaluated.
Definition of the Problem
is a preliminary analysis to determine if the proposed problem can be solved by the implementation of a CIS or component application.
Feasibility Study
drafted by the
project team and submitted to the project’s
steering committee for acceptance.
project scope agreement
A firm commitment of resources for the
development of the entire CIS project scope
agreement is needed before the system can
fulfill its stated objectives.
Allocation of Resources
The 5M’s of management
(manpower,
materials, machine, minutes, money;
micro¯o costing, methods)
fact finding phase
The System Analysis Phase
reflecting the existing
problem or goal is the first step in the system
analysis phase
Data Collection
provides the data for
development of an overview of the nursing
problem and/or stated goal defined in the
project scope agreement.
Data Analysis
focuses on resolving the
problems and/or attaining the goals defined
in the feasibility study based on the
methods or pathways derived from the
workflow documents and the functional
design.
Data Review
should reflect the resolution of the identified
problem, formulated and stated in
quantifiable terms.
Benefits Identification
it includes submission to the project’s
steering committee for review and approval.
System Proposal Development
Assimilates the data collected into logical
sequencing of tasks and subtasks perform by
the end users for each goal or problem area.
Workflow document
is the overview of the statement of how the
new system will work. It uses the workflow
documents as its base, adding the critical
documentation of the integration of each of
the workflow documents to create a new
system, implement a commercial software
application or upgrade a system.
Functional design
The design details of the system and the
detailed plans for implementing the system are
developed for both the functional and the
technical components of the system
The System Design Phase
use the functional design document developed
in the system analysis phase of a CIS and builds
on the design by formulating a detailed
description of all system inputs, outputs and
processing logic required to complete the scope
of the project.
Functional Specifications
dedicated technical manager is required. Each
area requires that a detailed technical
specification be developed.
Technical Specifications
includes establishment of a detailed work plan.
The work plan identifies a responsible party and
a beginning date and end date of each phase,
step, task and subtask
Implementation Planning
If the project steering committee decides to
develop its own system programs, the project
staff must proceed with the development phase
which includes hardware selection, software
development, test system and document
system.
The Development Phase
he system, whether newly developed or
commercially available, must be tested to
ensure all data are processed correctly and the
desired outputs are generated.
The Testing Phase
It is essential to train the end users on how to
use the system properly. A CIS will function only
as well as its users understand its operation and
the operation streamline the work.
The Training Phase
organizes all steps
into a detailed plan describing the series of
events required to begin using the system or
application in the production or live
environment and details the necessary
computer and software maintenance
operations required to keep the system running.
The Implementation Phase
describes and assesses, in detail, the new
system’s performance. Using the criteria
established in the planning and system design
phases, the evaluation process summarizes the entire system, identifying both the strengths and
weaknesses of the implementation process.
The Evaluation Phase
specialty within
nursing that deals specifically with human
responses to life-threatening problems.
Critical care nursing
Critical Care Setting is a system designed to:
Collect
Store
Organize
Retrieve and manipulate all data related to care of the critically-ill client
Component of CCIS
- Patient management
- Vital signs monitoring
- Diagnostic testing results
- Clinical documentation
- Clinical decision support
- Medication Management
- Healthcare provider order entry
comprehensive patient monitoring systems
that can be configured to measure and display
various patient parameters (parang cardiac
monitor lang din to)
Acute Care Physiologic Monitoring System
measure the arterial
hemoglobin oxygen saturation of the patient’s
blood with a sensor clipped over the finger or
toe.
Pulse Oximeter
are connected
to sensors inserted into the brain through a
cannula or bur hole. These devices warn of
elevated pressure and record or display
pressure trends.
Intracranial Pressure Monitors -
use electrodes or sensors
placed on the patient to detect cessation of
breathing, display respiration parameters, and
trigger an alarm if a certain amount of time passes without a patient’s breath being
detected. (this is to check the breathing
pattern of the patient)
Apnea Monitors
consist of a flexible breathing
circuit, gas supply, heating/humidification
mechanism, monitors, and alarms. They are
microprocessor-controlled and programmable,
and regulate the volume, pressure, and flow of
patient respiration.
Ventilators
employ automatic,
programmable pumping mechanisms to supply
the patient with fluids intravenously or
epidurally through a catheter. The pump is hung
on an intravenous pole, which is located next to
the patient’s bed.
Infusion Pumps
also called resuscitation carts or
code carts, are strategically located in the ICU
for immediate availability when a patient
experiences cardio-respiratory failure. The cart
holds a defibrillator, which is used to apply an
electric shock to a patient in ventricular
fibrillation.
Crash Carts
use a balloon
placed in the patient’s aorta to help the heart
pump. The balloon is on the end of a catheter
that is connected to the pump’s console, which
displays heart rate, pressure, and ECG
readings. The patient’s ECG is used to time the
inflation and deflation of the balloon
Intra-Aortic Balloon Pump
enables
the clinician to detect changes in a patient’s
condition before they become clinically significant
so that adverse outcomes to the patient can be
anticipated and prevented.
physiologic monitoring
is an innovative ambulatory care system
specially developed to provide services by the
computer
The Community Health Network System
are
using computers to link patients at home to
healthcare facilities. Monitoring devices
that transmit vital signs and other critical
data are used in the home to conduct health
checkups for example
Home high-tech monitoring systems
home tele-monitoring program
for patients with congestive heart failure
Care Watch
allows hospitals to
diagnose and resuscitate a homebound
patient who has suffered a cardiac arrest.
Remote Defibrillator
examples
are digitized x-rays and ECG, electronic
stethoscopes, and interactive video equipment that uses telecommunication
technology (24/7 machine monitor)
Sophisticated Telemetry Devices
communication devices that
allow the homebound to signal for help in case
of emergency
Alert Systems
– the
clinician can communicate with the patient
through an online meeting
Two-Way Communication Devices
is a unique realm of nursing practice. It is
characterized by rapid, focused assessments
of patients, long-term nurse/patient/family
relationships, and teaching and translating
prescriptions for care into doable activities for
patients and their caregivers.
is a specialty practice area that is
characterized by nurses responding rapidly to
high volumes of patients in a short span of
time while dealing with issues that are not
always predictabl
Informatics in Ambulatory Care
it was signed by President Bush and
established the Office of the National
Coordinator of Health Information
Technology.
Executive Order 13335 on April 27, 2004
