Competency 1: Chapter 2 Overview of Informatics Flashcards
Describe the purposes for using health data, ID sources of health data, describe data-informed decision making processes in healthcare
What is a broad term referring to the process of searching, organizing, and managing data supported by the use of computers.
Information technology
The concentration here is on the delivery of timely, safe, efficient, effective, evidence-based and patient-centered care
Clinical informatics
What is the life blood of a continuous learning health system?
digital health data
What is the purpose of gathering data?
used to create information and knowledge
When previous knowledge and experience are applied appropriately to take action or intervene in some fashion, it is known as ?
Wisdom
Why does a piece of data need context?
Without context data has no meaning
What is one example of a standardized language that is familiar to most nurses to provide standardized terms for nursing diagnoses?
NANDA, which was created by the North American Nursing Diagnosis Association
This method to analyze data focuses on numbers and frequencies, with the goal of finding relationships or variables specific to an outcome.
Quantitative
This method to analyze data are variable and not focused on counting. These methods can include any data captured. This data can be in the form of questionnaires, surveys including web surveys, interviews, list serves, and email
Qualitative
This entails using the current best evidence for patient-care decisions in order to improve the consistency and quality of patient outcomes
Evidence-based practice (EBP)
A learning health system uses _______ for continuous improvement and innovation.
Real-time evidence
These are very large data sets that are beyond human capability to manage, let alone analyze, without the aid of information technology.
Big data
What are the 6 safety goals from Joint Commission International?
- correct ID
- effective communication
- improved safety of high alert meds
- procedures that do not introduce harm
- decreased risk of health care acquired infections
- reduced risks of harm secondary to falls
What are active errors?
mistakes, slips and lapses made by clinicians
What are latent errors
imperfect organization design, poor training, poor labeling
What steps are there to prevent errors in healthcare (according to Zikhani in the book)
- checklists (prevent slips and lapses)
2.Handoff tools (improve communication - automation when possible
- simplification, organization, and standardization
- Not allowing errors to happen (ex: barcodes for meds)
This is the ability to read and understand the written word and numbers
as well as the ability to recognize when information is needed.
Information literacy
This is a term used to refer to the basic understanding and use of computers, software tools, spreadsheets, databases, presentation graphics, social media, and communication via email.
Computer literacy
This is the ability to understand and act upon basic healthcare information.
A simple example would be how a person acts upon a change in diet in relation to a new medical diagnosis.
Health literacy
This is the federal entity charged with coordinating national efforts to implement and use HIT and electronic exchange of health information, invites input from healthcare professionals and consumers
US Office of the National Coordinator for Health Information Technology (ONCHIT)
This is the individual’s freedom to control interferences by others, retaining a personal capacity for intentional action.
Autonomy
This is the formal study of values, character, and/or conduct of individuals or collections of individuals from a variety of perspectives or viewpoints
Ethics
This is the obligation for doing no intentional harm
nonmaleficence:
This refers to actions that result in positive outcomes in which benefits and utility are balanced.
Beneficence
This refers to the standards practiced by healthcare professionals.
Justice
What are the 4 guiding principles for moral actions (proposed by Beauchamp and Childress in 1994)
Autonomy, nonmaleficence, beneficence, justice
Why is informatics education for clinicians a national priority?
there is a lack of consistency in teaching informatics competencies. Informatics competencies are needed to help healthcare profes-sionals manage and use technology effectively.
What is TIGER?
Technology Informatics Guiding Education Reform
another effort that grew out of the need to develop informatics skills among an interprofessional workforce
What are the quality and safety competencies for nurses identified by QSEN institute?
patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics.
What is the goal of the QSEN competencies?
to use information and technology to communicate, manage knowledge, mitigate error, and support decision making
This competency category would be the ability to contrast benefits and limitations, understand the value of databases for patient care monitor-ing, and establish a good understanding of terminology and interoperability of systems.
knowledge
This competency category is for the nurse to play an active role in the design, promotion and modeling of standard practice. Nurses are an important member of the healthcare informatics team that can bring a clinical lens to the development table.
Skills
This competency category incorporates nursing values whether it is in the realm of reporting or preventing errors, improving patient safety in a no-blame environment, and acting as a sentry for self, patients, and family.
Attitude
What is the AHRQ?
Agency for Healthcare Research and Quality : is a divi-sion of the US Health and Human Services committed to research and evidence to improve the safety and quality of healthcare and to providing education for healthcare professionals that will enable them to improve care
What is ONCHIT?
Office of the National Coordinator for Health Information Technology
provides EHR certification, and its structure includes multiple offices that are relevant for HIT