PPT 2 Flashcards
developed to oversee the vital signs of the astronauts. By the 1970’s these monitors found their way into the hospital setting.
Physiological monitors
Basic Parts of Physiologic Systems (SS-FCE)
- Sensors
- Signal conditioners
- File to rank and order information
- Computer processor to analyze data and direct reports
- Evaluation or controlling component to regulate the equipment or alert the nurse
Machines under human machine interface used specifically for the following: (Hemodynamic Monitors)
- examine cardiovascular function
- cardiac pump output and volume status
- Recognize patterns and extract features
- Assess vascular system integrity.
- Continously evaluate glucose levels
- Continously assess respiratory gases
- Store waveforms
- Automatically transmit selected data to a computerized patient database
The bolus must be injected within 4 seconds. Amount of solution must be accurate. Temperature of the injective must be measured and accuartely maintained. Catheter must be properly placed.
Thermodilution Technique
is a non-invasive method of measuring oxygen saturation that also uses spectrophotometry. Light is emitted through a pulsatile arteriolar bed and then detected by photosensor.
Pulse Oximetry
allows for the continous monitoring of patients usually outside of the ICU.
Telemetry
the criteria for a normal ECG are programmed into the computer
Detection system
Interpretive system search the ECG complex for five parameters
(LTC-PC)
- Location of QRS complex
- Time from the beginning to the end of the QRS
- Comparison of amplitude and duration rate of QRS complex with all limb leads
- P and T waves
- Comparison of P and T waves with all limbs
- Is a system designed to collect, store, organize, retrieve and manipulate all data related to care of the critically ill patient.
- Is the organization of the patient’s current and historical data
- Allows the free flow of data between the critical care unit and other departments
- Provides a rich repository of patient information that can be integrated for use of outcomes management
Critical Care Information Systems (CCIS)
- Focuses on the health information system of the community, it is centered on the majority part of the public.
- Emphasizes the prevention of the disease, medical intervention and public awareness.
- Fulfill a unique role in the community, promoting and protecting the health of the community and at the same time maintaining sustainability and integrity of health data and information.
COMMUNITY HEALTH APPLICATIONS
Effective and timely assessment that involves monitoring and tracking the health status of population including identifying and controlling disease outbreaks and epidemics.
Goal of Community Health Informatics
Encourages optimal application of computer system, computer programs and communication system for the benefit of majority of individuals, families and community.
Community Health Application System
- Are used to collect data quantitative information about items in a population to establish certain information from the obtainedd data.
- Focused on opinions or factual information depending on its purpose and many surveys involve administering question to individuals.
Health Statistic Survey
It is a multi-faceted public health disease surveillance system that provides public health officials the capabilities to monitor the occurence and spread of diseases
Philippine Integrated Disease Surveillance and Response (PIDSR)
focuses on patient safety and the quality of nursing care by applying appropriate nursing interventions, such as identifying and clarifying patient needs, performing procedures, conducting health education, promoting patient advocacy, coordinating nursing and other health services, assisting the patient to navigate the health care system and evaluating patient outcomes.
Ambulatory Care Systems
Focus of Informatics in Community Health
Promotion and Prevention
Focus of Informatics in Emergency Peparedness and Response
Mitigation and control of emergencies
is a key capability of obtaining and maintaining situational awareness before and during a health emergency.
Biosurveillance
- it is the use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely and manage health care (Mayo Clinic, 2020)
- These may be technologies you use from home or that your doctor uses to improve or support health care services
Telehealth
one of the earliest in the Philippines who adopted the telehealth in 1998
University of the Philippines-Manila
- are considered to be one of the best tools hospital can use to manage the quality in healthcare concerning the standardization of *care *processes, since they promote organized and efficient patient care based on evidence.
Care Pathways
Care Pathways
- The concept appeared for the first time in _________ inspired by ____________________ at the New England Medical Center in _________ (Massachusets, USA)
- represented as a ______________
1985
Karen Zander and Kathleen Bower
Boston
Gantt Chart
Thus, the purpose of pathways is the enhancement of care processes in three areas:
- Quality
2. Safety
3. Efficiency
- are statements that include reccommendations intended to optimize patient care
- should be developed using rigorous evidence-based methodology with the strength of evidence for each guideline explicitely stated.
- should be **feasible, measurable **and achievable.
Clinical Practice Guidelines
