Comp Appli Flashcards
aim to improve the processes of care and the performance of health care providers, engage patients, facilitate care from a distance, and manage information, improving health outcomes.
E-health
use microprocessors to control flow and pressure for triggering, limiting, and
cycling breaths.
Conventional mechanical ventilators
Some modes of ventilation are _________, with predetermined algorithms that take actions automatically within preset limits.
closed-loop
or adaptive
aim to enhance the patient-ventilator synchrony via automation that is highly responsive to the patient.
proportional assist ventilation and neurally adjusted ventilatory assist,
They control ventilator alarms and archive the history of set and
measured values, which can be uploaded to a computer.
Microprocessors
RTs use ____ to allocate and titrate respiratory care
protocols
What are keys to the effectiveness of protocols.
Consistency and timeliness of
implementation
match the characteristics of individual patients and their clinical
interventions, drugs, and diagnostic tests to databases of scientific evidence and drug calculations and generate tailored recommendations, reminders, or even standing orders.
Clinical decision support systems
is the use of telecommunication and computer technology to promote access to diagnosis, monitoring, clinical decision support, and treatment for patients
at medically underserved sites that are distant from health
care providers
Telemedicine
helps to provide additional support that can potentially result in more rapid recognition of problems and timely, appropriate interventions.1
Supplemental telemedicine
It is the breath type and the pattern of breath delivery to a patient
Mode of Ventilation
This is a mode of mechanical ventilation that provides partial ventilatory support in proportion to the patient’s inspiratory efforts
Proportional assist ventilation
an approach to ventilation based on the electromyographic (EMG) activity of the diaphragm.
Neurally adjusted ventilatory assist
It surpasses the need for the medical physician to meet in person with a patient.
Store-and-forward telemedicine
Also known as self-monitoring or self-testing. It uses a range of technological devices to monitor the health and clinical signs of a patient remotely.
remote monitoring
It is a real-time interaction between patients and doctors.
Interactive telemedicine
Examples of telemedicine
Teleconsultation. Telemonitoring. Telediagnosis. Teletreatment. Telecare-provision.
Types of telemedicine
Store and forward and remote monitoring
In the United States, ________is the
leading preventable causes of death and chronic diseases.
tobacco use and dependence
A cornerstone of asthma disease management is
assessing patients’ level of control of the disease over time
computers calculate cardiac output, using the
thermodilution technique.
hemodynamic monitoring via pulmonary artery
catheters
The________ of the pulmonary artery catheter is linked to a computer.
thermistor port
must be in place in the event of computer system failure or downtime because of the critical nature of timely reporting of blood gas results and the need to be able to assess archived data at all times.
Manual backup procedures
use standard reference predicted values to aid in the interpretation of pulmonary function tests (PFTs), including spirometry, lung volume, diffusing capacity, and bronchodilator response
Computer algorithms
It is essential to evidence-based respiratory care. It enhances clinical expertise by providing information for the development of evidence-based, patient-driven protocols and it aids in clinical decisions
for individual patients.
Effective information retrieval
It is a far-reaching, rich source of
information.
WWW
It is a search engine for scholarly publications in a wide range of fields. It includes peer-reviewed manuscripts, abstracts, theses, and
books from academic publishers, professional societies,
and university libraries.
Google Scholar
is the free search engine of the National Library of Medicine for health information. It searches several databases.
PubMed
NLMHI acronym means
National Library of Medicine of health information
the database of the National Library of Medicine of millions of references from thousands of journals related to medicine, nursing, the health care system, and science.
MEDLINE
PubMed uses_______ in which users can combine search words or phrases with connectors such as AND or OR to narrow or broaden searches.
Boolean logic,
What is the search filter in PubMed
Clinical Queries
It is very sensitive (true positives/true positives + false negatives) and specific (true positives/true positives + false positives) in the retrieval of
the best available scientific evidence
Clinical Queries
It is an extensive collection of Web-based information
resources, including databases, journals, books, and searching software.
Ovid
Any medical or health advice provided and hosted on this site will be given only by medically
trained and qualified professionals unless a clear statement is made that a piece of advice
offered is from a non–medically qualified individual or organization.
Authority
information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and an existing physician.
Complementarity
Confidentiality of data relating to individual patients and visitors to a medical/health website, including their identity, is respected by this website. The website owners undertake to honor or exceed the legal requirements of medical/health information privacy that apply in the country and state where the website and mirror sites are located
Confidentiality
Where appropriate, the information contained on this site will be supported by clear references to source data and, where possible, have specific HTML links to that data. The date when a clinical page was last modified will be clearly displayed.
Attribution
Any claims relating to the benefits/performance of a specific treatment, commercial product, or service will be supported by appropriate, balanced evidence.
Justifiability
The designers of this website will seek to provide information in the clearest possible manner and provide contact addresses for visitors that seek further information or support. The Webmaster will display his/her e-mail address clearly throughout the website.
Transparency of Authorship
Support for this website will be clearly identified, including the identities of commercial and noncommercial organizations that have contributed funding, services, or material for the sit
Transparency of Sponsorship
if advertising is a source of funding, it will be clearly stated. A brief description of the advertising policy adopted by the website owners will be displayed on the site. Advertising and other promotional material will be presented to viewers in a manner and context that facilitates
differentiation between it and the original material created by the institution operating the site.
Honesty in advertising and
editorial policy
It provide a means to organize and assign respiratory
care orders, measure staff productivity, report clinical results, and execute respiratory care protocols, along with generating data to show their effectiveness via outcomes research
Respiratory care management information systems
It is valuable for each of the primary functions of respiratory care managers, including planning, organizing, directing, and evaluating
Benchmarking
It is a comprehensive system for communication and information processing. It encompasses networks, computer hardware and software, and computerized patient records
HIS
it facilitates patient billing, reimbursement, and communication
Administrative purposes
key functions of an HIS are to serve as a data repository and a means to report results
Clinical purposes
It can improve access to patients’ updated health information for both clinicians and patients and assist clinicians with clinical decision support.
Electronic Health Record
Major barriers and challenges to the development and implementation of electronic health records are
Cost, lack of uniformity of data, the inability to establish an interface among different health information systems, and accounting for the
needs of various health professional disciplines.
Healthcare provider
dimension
Provider notes
Clinical orders
Practice guidelines
Decision - support programs
Personal health
dimension
Nonshared personal information
Self-care trackers
Audit logs
Personal library
Population health
dimension
Infrastructure data
Planning and policy documents
Surveillance systems
Health disparities data
It is a long-standing principal educational method for hazardous occupations that have shown remarkably low rates of failure
Computer-based simulation
What are the two full scale, physiologic simulators
simMan and METI
It is a secured, password-protected, Web-based database management system for documenting and reporting clinical educational activities
for nursing and allied health professions, including
respiratory care.
DataARC
Learner Objectives in Clinical
Simulation
- Interpret data
- Recognize and prioritize problems
- Make decisions
- Observe consequences of decisions
- Develop leadership skills
- Develop interpersonal communication skills
- Develop team-building skills
- Use available resources
- Manage stress and crisis
NBRC credentialing for the registry for advanced RTs consists of two
distinct examinations
Written and clinical simulation
Respiratory care educators use ______
and the______ to deliver distance education courses
interactive video networks, Internet
It is an adjunct to the Blackboard learning system, in which Web-based
classes are live and interactive. Students can talk to their instructor and classmates via live audio or chat or asynchronously access archived classes via streamed video or mp3 or mp4 files downloaded to their computers or smartphones
Wimba classroom
It provides plentiful continuing education opportunities on the Web. Webcasts and text-based courses are available in both a live and an asynchronous manner
AARC
provides excellent online training in hemodynamic monitoring. It includes Webcasts with audio and slides and pretesting and post-testing for each module and case studies for many of the modules.
Pulmonary Artery Catheter Education Project
These are rich data sources for outcomes research
Clinical databses
Common Functions of Computer
Applications in Research
- Data sources
- Data collection
- Statistical testing
- Displaying study results
- Managing citations and references
- Managing ethical considerations
it can infiltrate a computer without the user’s consent and harm or ravage a computer, server, or an entire network
Malicious software
regulations concerning confidentiality are pertinent to electronic medical records and research data that contain personal health information
HIPAA
To emphasize two important points concerning electronic
personal health information, users of hospital and respiratory care information management systems and researchers must
refrain from sharing passwords and (2) access personal health information only on a need-to-know basis
It is the best prevention against infiltration by malicious software
Common Sense!!!!
