Chapter 14: Health Information Technology and Digital Communication Flashcards
What have HIT and social media introduced?
new ways of communicating in healthcare systems and the nursing practice
what must nurses be aware of within HIT?
personal and professional abilities associated with digital communication (email and social media)
what should the individual and collective voices of nurses at all levels have?
major influence on development of technology associated with patient care
challenges of HIT
implementation, standardization, utilization, and patient safety
what are fundamental communication skills related to?
success of failure of any health information technology system
what are two important health information technology systems that nurses will utilize?
electronic medical records and bar code medication
what are electronic medical records? (EMRs)
Contain a patient’s medical history from a particular hospital,
outpatient, or home health facility, with sections for nurses’ notes,
doctors’ orders, laboratory results, and so on
potential benefits of EMR’s
-better tracking of patient information over
time
-easy identification of a patient’s need for screening
-prevention measures
barriers of EMR’s
- financial
- technical
- time
- psychological, social, legal, organizational, and change process
additional concerns about patient safety with EMR’s
poor human-computer interactions and loss of info.
what is bar code medication administration (BCMA)?
utilizes bar-coded medication doses, patient identification bracelets, and nurse staff badges to facilitate the five rights of medication administration (Gooder, 2011, para. 7).
what are the five rights
- right patient
- right medication
- right dose
- right time
- right route
potential benefit of BCMA
significant reduction in medical errors
major concern of BCMA
dissatisfaction and frustration of nurses using the system, resulting in workarounds or shortcuts
for the implementation of any health information technology to be successful…
- stakeholders engaged in design and implementation
- opportunities for feedback loops
- team members share, help, and solve; manage conflict
- move from silo mentality to multidisciplinary perspective
what are workarounds?
alternative process that does not follow protocols or policies
when do workarounds occur?
when staff members have problems with new processes or equipment but have no channels for having those issues addressed in an effective or timely manner
what is the ultimate result of workarounds?
they undermine the safe practices that the technology is intended to ensure
how can workarounds be discouraged?
ongoing and timely feedback loops must be cultivated in the design, implementation, and quality improvement processes
what is telenursing?
any nursing practice that takes place over the phone, through electronic communication such as email and text, or through any virtual medium that provides live video streaming
benefits of telenursing
- cost-effective care for p’s at home or in rural areas
- elimination of barriers associated with time zones
what must nurses be cognizant of?
the differences between face-to-face or video dialogue vs. strictly electronic communication
roles of digital communication in the healthcare environment
- nurses can text colleagues (quick communication)
- immediate access to info, treatment guidelines, or patient teaching materials
- online forums for common interests
- blogging and twitter let nurse send out message
nurse responsibility in social media
maintain patient privacy
who can nurses share info with?
other healthcare professionals also caring for patient or those patient has authorized to disclose info to
professional demeanor
Maintaining a respectful presence online
