NURSING INFORMATICS [DECK 1] Flashcards
An electronic record composed of health information regarding an individual patient that exists as
part of a complete system designed to provide access to, and management of, such information.
Electronic Health Records
The term Electronic Health Record has largely replaced the older
“Electronic Medical Record
Actively supports CLINICAL CARE by providing a wide variety
of information services.
ELECTRONIC HEALTH RECORD
Created and given the mission
to initiate and coordinate
urgently needed activities to
develop, deploy, and routinely
use CPRs to achieve improved
outcomes in healthcare quality
, cost and access.
Computer
Based Patient
Record
Institute 1992 CPRI
An electronic patient record that resides in a system
designated to support users through the availability of
complete and accurate data, practitioner reminders and alerts,
clinical decision support systems, links to bodies of medical
knowledge, and other aids.
Computer-based Patient Record (CPR)
Using technology for the sake of EXPEDITING the way we do things
AUTOMATION
A unique organization
representing all stakeholders
in healthcare focusing on
clinical applications of
information technology
Computer
Based Patient
Record
Institute 1992 CPRI
Using technology for the sake of IMPROVING the way we do things
INNOVATION
Element of Time
Automation
Element of Quality
INNOVATION
“I will use technology to save my time”
automation
“I will use technology to improve my outputs and guide my decisions”
innovation
Nursing Informatics is being practice around the globe.
* Western countries are into __
Global Village or e-Internet.
Most countries in the US are into __
telehealth, telemedicine, telematics.
Asian countries are into
mHealth (mobile health) and education
drastic changes in the environment that changes the practice of the people forever.
Industrial Revolution
power machineries, transportation, trains and steam engines were invented. increase market and commerce
1st Industrial Revolution
electricity (lightbulb) invented
2nd Industrial Revolution
computers were invented
3rd Industrial Revolution
cyber physical system – advance technology, networks, computers interconnected with one another
4th Industrial Revolution
is also part of the fourth revolution. It is a hypothesis; a prediction that there will come a time that computer ability will surpass the computational ability of the human brain.
Ex. Google’s DeepMind, an AI program that can learn like a human.
Technological singularity
mixed reality, robotics, artificial intelligence, self-driving cars, use of satellites.
4th Industrial Revolution
Hardware
Computer Science
tangible parts of a computer.
Hardware
Software
Information Science
any sequence of instruction that make it easier to communicate with computers. Programs that govern the
operation of a computer that make hardware productive.
Software
Intangible. Subjective
Software
Tangible. Objective.
Hardware
Research
Health Science
supports practice of health.
Research
Human intelligence or IQ
Cognitive Science
Ethics, morality
Wisdom
– specialty that integrates nursing science, computer science, and information science to manage and communicate data,
information, and knowledge in nursing practice
Nursing Informatics definition in book
MA
MANAGEMENT
INFORM
INFORMATION
T
TECHNOLOGY
I
INTELLIGENCE
C
COMMUNICATION
S
STANDARDS
Management and Communication of Reliable Information using Technology and Intelligence in Compliance to Standards
Dino definition of Informatics in 2010
important process in nursing
Data-To-Information Continuum
research, creation, gathering, discovery
Data
presentation, organization
Information
– conversation, storytelling, integration
Knowledge
contemplation, evaluation, interpretation, retrospection
Wisdom
tertiary facilities already using IBM
1980s
IBM
International Business Machines
used to process payroll. The company that produced the first computers.
IBM (International Business Machines).
Dr. Benjamin Marte founded the organization called PAMI
1990s
PAMI
Philippine Association of Medical Informatics
Establishment of the MIU at the University of the Philippines Manila.
1990s
MIU
Medical Informatics Unit
One of the first project of MIU is the paperless system that is being used in the community, which is the
CHITS
CHITS
(Community Health Information Tracking System) Development
CHITS invented in
1990s
launch of the DOH website – it changed the practice of health informatics in the Philippines.
1997
action agenda for the Philippines for the 21st century was developed, called __. It includes
the plan of the government to implement ICT in all its processes including usage of ICT for health.
IT21
IT21 During __ Administration
Ramos
Master of Science in Health Informatics was developed or was offered as a program at the University of the Philippines
Manila.
2004
- They have expanded the creation of multipurpose community tele-center (CHITS).
Master of Science in Health Informatics
The Reason we are using technology in the practice of health (especially in health services) is because of these two reasons:
Automation and Innovation
Ex. Google’s DeepMind, an AI program that can learn like a human
Technological singularity
4IR Technologies that are really common:
mixed reality, robotics, artificial intelligence, self-driving cars, use of satellites.
today is heading to an era of human x computer. humans are attached to computer.
Technium
Problems in setup/approach in documenting patient care
_ of laboratory tests are lost and reordered.
11%
Nurses spend __ of their time doing charting and documentation.
35%
- of paper-based records either missing or incomplete.
50%
__ of nursing interventions are not recorded.
30%
Paperless Systems
Electronic Health Record (EHR), Clinical Information System (CIS)
a repository of electronically maintained information about an individual’s lifetime health
status and healthcare, stored such that it can serve the multiple legitimate users of the record.
Electronic Health Record (EHR)
– computer-based system that is designed for collecting, storing, manipulating, and making
available clinical information important to the healthcare delivery process
Clinical Information System (CIS)
- Somewhat permanent: it should be a national initiative.
Electronic Health Record (EHR)
Somewhat temporary: your health information will be recorded only during the time you are admitted in a particular hospital.
Clinical Information System (CIS)
EHR
Electronic Health Record
CIS
Clinical Information System
The success of any technological intervention is
90% based on human and 10% technology.
F.L.O.S.S.
Free Libre Open Source Software
softwares that are free.
F.L.O.S.S. or Free Libre Open Source Software
OpenEMR
Open Electronic Medical Records
NMDS
Nursing Minimum Data Set
– conceived in the 1970s; helps nurses better understand, communicate, and quantify the
care they provide
NMDS (Nursing Minimum Data Set)
Developers of paperless systems should have these three components:
- Demographic Elements
- Nursing Care Elements
- Service Elements
Demographic Elements
patient demographics
Nursing Care Elements
Nursing Care (Documentation)
Service Elements
Care Setting
Some of the problems in fully implementing EHR, CIS, or any paperless system in the Philippines:
- Device – technology – software
- HR – human resource
mHealth
Mobile health
www
world wide web
https
hypertext transfer protocol secure
sms
short message service
wifi
wireless fidelity
DOTS
Direct Observable Treatment Shortcourse
DOH program used to fight tuberculosis
TB dots
The big paper-based health record problem according to studies:
- Illegible and incomplete (Doctors penmanship are too hard to understand)
- Difficult to access in one place.
- Not secured from unauthorized uses and users.
Other Related services for the care of the client examples are:
communicate patient’s drugs in the pharmacy, communicate
patient’s expenses in the billing, or in the laboratory.
“human affinity to robotic systems
increases when its human-like features increase until a
certain point where people begin to feel strange towards
robots that are almost human in physical characteristics and
behavior.”
Uncanny Valley Theory
the use of electronic communication networks
to transmit data or information that focuses on health
promotion, disease prevention, diagnosis, consultation,
education, and/or therapy.
- Has been practiced ever since the advent of the
telephone.
TELEHEALTH
: includes advanced image and audio
capabilities that range from high resolution still images
to sophisticated interactive teleconferencing systems. It
allows a virtual simulation of tissues and blood flow.
Technology
Two distinct parts of telehealth in patient care:
Technology,
Provider/client relationship
The process of Nursing is an ‘active’ engagement between
the nurse, technology, and person being nursed.
Transactive Relationship Theory of Nursing