Informatics Application in Evidenced-Based Practice Flashcards
Nurse informaticist =
Nursing Informatics Specialist
Data into information into knowledge
1960
Data information utilized computer into nursing care
1980
Increase implementation
2012
due to pandemic widen the horizon of technology
utilization in the medical field (it became a mandatory platform in
nursing care) – bridging the gap of time and space between the
healthcare team and the patient
2018 until present:
Nursing informatics is a Combination of Computer science, Information science,
Nursing science and Cognitive science. The primary GOAL is For better
outcomes among _____________
patients and providers
Managing the transition from paper to digital records.
Developing information systems based on current evidence-based
standards of care and ensuring systems remain updated.
Developing EHR interfaces that are conducive to good care while
remaining efficient to use.
Analyzing EHR data to identify areas where care can be improved and/or
costs better managed.
Working with policymakers and government agencies to ensure laws and
regulations support healthcare technology and are compatible with
provider and patient technology needs.
Developing and/or implementing healthcare technologies outside of
EHRs, including patient health monitoring systems, quality tracking
initiative, and home care management systems.
nursing informatics specialists can play a number of
important roles,
Project planner
Consultant
Educator
Researcher
Product Developer
Decision Support
Outcomes manager
Advocate
NURSING INFORMATICS-JJBECHAYDA 3
Policy Developer
Clinical Analyst
Entrepreneur
Nursing Informatics Specialist
- Allow people to be engage in their own health care
- Allow people to activate their own health care
- Allow people to be educated in way guided by healthcare team
- Facilitates education and learning using internet based resources via safe
sites providing legitimate information
Importance of NI
Clinical analyst is different from a Nurse Informaticist is graduate of nursing, a
registered nurse, and a registered Nurse Informaticist. Furthermore, to be
licensed Nurse Informaticist, master’s degree is a must and a ___________
preceptorship to be certified.
200 hrs
There must be a method to use this technology into our own advantages in
order to make the _______________ to support their
profession.
DATA-INFORMATION-KNOWLEDGE
Healthcare providers like Nurse, doctors, Pharmacist, social workers,
nutritionist have curved out informatics as a role within their specialization
tract, such as:
- Medical informaticist
- Biomedical informaticist
- Pharmacy Informaticist
They are as one team all for EFFECIENCY AND EFFICACY =
BETTER PATIENT
OUTCOME.
Issue in the burn out of documentation burden
Revisit Electronic Health Record
Mechanical lifting to prevent injuries in nurses
- Childlike robots immersing with mentally challenge children
- Gadgets with sensors that can monitor vital signs and upload real
time monitoring into the healthcare system cloud, leading to realtime response of the healthcare team
Apple watch for example, after a trauma detected by the
device like fall of an elderly alerted the relative of the same
and phoned 911 and was immediately rescued. Further
examinations revealed a stroke occurred that led to the fall.
Robotics and AI is upsloping
Critical pathways
AKA
- Clinical pathways
- Care pathway
- Integrated care pathway
- Care map
Healthcare management plans that specify patient goals and the
sequence and timing of actions necessary to achieve these goals
with optimal efficiency.
- Takes a lot of time and given more weight of importance than the
other steps or procedures
Critical pathways (definition)
Critical pathway (CPC) team may include:
- Nurse care manager
- Clinical nurse specialist
- Social worker
- Psychiatrist
- Psychologist
- Dietician
- Occupational therapist
- Chaplain and others
________ is a projection of the client’s entire length of treatment
Pathway
- Within 24 hours, the interdisciplinary team meets to decide on categories
of care. - The team decides what categories of care are to be performed, by what
date and whom. - Each member of the team is then expected to carry out his or her
functions according to the time line designated on the CPC. - The nurse as a case manager is ultimately responsible for ensuring that
each day of assignments is carried out as per CPC. - If variations occur at any time in any of the categories of care, rationale
must be documented in the progress notes. - Each member of the team stays in contact with the nurse case manager
regarding individual assignments. - Ideally team meetings are held daily or every other day to discuss the
progress of the patient. - CPCs can be standardized because they are intended to be used with
uncomplicated cases. - A CPC can be viewed as a protocol for various clients with problems for
which a designated outcome can be predicted.
a. Example: patient with asthma, is predictable most of the time
requiring general guidelines for treatment.
b. Acute MI
How is CPC carried out?
Support the introduction of evidence based medicine and use of clinical
guidelines
Support clinical effectiveness, risk management and clinical audit
Improve multidisciplinary communication, teamwork and care planning
Can support continuity and coordination of care
Provide explicit and well defined standards of care
Help to improve clinical outcomes
Disseminate accepted standards of care
Provide baseline for future initiative
Reduce costs by shortening hospital stays
Benefits of CPC
Low adaptability on complicated case of CPC becomes large and detailed,
cumbersome and infective
Crash action-changes from scheduled plan in a timeline, crash action
involving reprioritizing each step
High Resource allocation, when resource don’t match CPC map, CPC
begins to unravel
Demerits of CPC
are tools to achieve patient or program outcomes
Critical pathways
process of team collaboration that ultimately produce quality
outcome
Critical pathways
is critical to the success of pathways
Case management
By guiding ________________________, case manager
can assure value to patient throughout the continuum
pathway implementation and variance analysis
