Nursing Information and Clinical Reasoning Flashcards
*Define technology
Is the knowledge and use of tools, machines, materials, and process to help solve human problems
*Define informatics
The science that encompasses information science and computer science to study the process, management, and retrieval of information
*Define informatician
Individual who works in the field of information
*Define health informatics
use of technology to manage health data
*define Technology
Use of tools and processes to solve human problems
*Define computer science
Branch of engineering that focuses on computer technology
*Define electronic health record
Central component of the health IT infrastructure. (all of the records)
*Define regional health information organization
Oversees communication and exchange of information in a geographic area
*Define Electronic medical record
Person’s health record within a provider’s health care facility.
(like at PCP)
*Define personal health record
individuals self-maintained health record
*Clinical information system (CIS)
Provides tools needed for quality heath care outcomes
- EHR
- clinical data repositories
- remote monitors (glucose, bp, fit bit)
- decision support programs
Standardization of information systems is linked to…
- Efficiency (not until recently)
- Cost containment (not really)
- Codified terminology (yes)
- Taxonomies and nomenclature (yes)
*What year was EHR/CIS really pushed for/ promoted and funded by the US Dept of HHS, CMS?
2009
Recovery and reinvestment act
policies have been developed to outline how technology is applied and used. It must demonstration…
- Meaningful use criteria
- Certification standards
- Practices to reduce barriers for information exchange
*Meaningful use criteria
- improving quality, safety, efficiency, and reducing health disparities
- Engage patients and families in their health
- improve care coordination
- improve population and public health
- ensure adequate privacy and security protection for personal health information
- Heath insurance portability and accountability act
- year
1996
- Heath insurance portability and accountability act
- what
Laws and regulations that address patient privacy and consent for the use of identifiable personal health information
- Heath insurance portability and accountability act
- consequences?
In some culture decision are not made by the patient and it can be an issue in telling who the culture says needs to be told
key components to the successful implementation of health information technology
- productivity
- teamwork
- group dynamics
- project management
- human interface design
- human-machine interaction
*Define Clinical informatics
The application of information and communication technology to health care delivery services
*Example of clinical informatics
- Computerized acuity sys. (how critical is a patient)
- Electronic prescribing
- EHR/electronic documentation
- Bar code med. administration
- Disease registries
What three things lead to the improved health practices and health outcomes?
- Health information technology
- Science of health
- Health informatics
Three major domains of health informatics?
- Clinical informatics
- Transnational bioinformatics
- Public health informatics
Sub-types of clinical informatics
- Clinical health care informatics
- Clinical research informatics
Nursing science + informatics science=
????
Exemplars of informatics in nursing practice
- Clinical informatics
- Consumer health informatics
- Bio-surveillance
- Bioinformatics tools
Examples of consumer health informatics
- Patient health portals
- smart devices and sensors
- Public health information (CDC, web md, health department)
*What is wearable technology?
- Health monitoring devices worn by patients
- newer area of nursing informatics
*Examples of wearable technology
- FitBit
- Smart watches
- Wearable ECG monitors
*Define telehealth
The use of electronic information and telecommunication technology to support and promote long-distance health care
*Examples of telehealth (technologies)
- video confrencing
- internet
- wireless communication
- streaming media
*Benifits to telehealth
- Access to care in areas away from agencies
- continuous monitoring
*Disadvantages/issues to telehealth
- will insurance cover it/payment
- Licensure across state lines
- Federal and state law compliance
- Privacy and security risks
- fraud
What is public health informatics
The application of information and technology to public health science to improve the health of populations.
What are bioinformatic tools?
Data mining and analysis tools
Biosurveillance tools. Examples
- Disaster preparedness (mitigation plans, drills, procedures?)
- Immunization registries
*What is MCIR?
Michigan Care Improvement Registry
*What does MCIR do
keeps track of immunizations for individuals and is viewable and updateable by all providers.
What is transnational bioinformatics?
Ability to translate/transform large amounts of biomedical data into proactive, predictive, preventive, and participatory health.
-information can be disseminated to a variety of stakeholders
What does transnational bioinformatics support?
the national institute for health road map for medical research
*Benner’s “novice to expert” stages
Novice -> advanced beginner -> competent
-> proficient -> expert
*Think like a nurse steps
Noticing -> Interpreting -> responding -> Reflecting
*does clinical thinking equal clinical judgement?
yes
What did Norway article say about the thinking aloud technique and what is it?
Showed it was significantly significant in improving critical thinking
-saying everything you are thinking and doing out loud
What is SBAR?
Way of giving report S-situation B- background A-assessment R- recommendation
*Noticing steps/aspects
- Identifying signs and symptoms
- Assessing systematically and comprehensively
- Gathering accurate information
- Predicting potential complications
*Interpreting steps/aspects
- Clustering related information
- Recognizing inconsistencies
- Determining the importance of information
- Distinguishing relevant from irrelevant information
- Judging how much ambiguity is acceptable
- Comparing and contrasting
- Managing potential complications
- Identifying assumptions -Setting priorities
- Collaborating
*responding steps/aspects
- Delegating
- Communication
- Teaching others
*Reflecting steps/aspects
- Evaluating data
- Evaluating and correcting thinking
*How is wearable technology utilized?
?tele health
Personal use
*Difference between EMR and EHR
EMR is the health record at a specific provider
EHR is overall health record; central component of the health it infrastructure
*Define nursing informatics
How we use the technology in relation to nursing. Pulling of information, communication
specialty that integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice.
*What agencies monitors and advises on disease outbreaks in Michigan?
Michigan department of health and human services
*What might the future of health care look like?
More home care less in hospital care
-bc technology
