The impact of technology Flashcards
the need for technology in healthcare
- The future of Healthcare
- Facilitates decision-making
- Improves efficacy and efficiency
- Enhances patient safety and quality
- Decreases healthcare costs
TIGER initiative
Technology Informatics
Informatics
Guiding
Education
Reform
The TIGER Nursing Informatics Competencies Module has 3 parts:
- Basic computer competencies
- Information literacy
- Information management
Point of Care and Smart Technology
- Physiologic monitoring
- Diagnostic Testing
- Intravenous Fluid and Medication Administration
- Therapeutic Treatments
Wearable Technology
- Cardiac monitors
- Vital signs
- Glucose monitoring
Information Technology
digital data
Consist of systems that generate or
process knowledge and provide
clinical decision support.
Examples:
knowledge technology
- Dose range calculators
- Allergy alerts
- Best practices for managing
patients
Information Technology: Trends in the Medication Management
Process
- Computerized Provider Order Entry (CPOE)
- Electronic Medication Administration Record (e -MAR)
- Bar Coding and Radio-Frequency Identification (RFID) Scanning
- “Smart” Infusion Pumps (Medication Infusion Delivery System)
- Automated Dispensing Unit or Cabinet
- Pharmacy Automation and Robotics
Types of informatics systems
- Manual or computerized
- Networking computers
Ideally, data are recorded
at the point in the care
process where they are
gathered and are available
to healthcare providers
when and where they are
needed.
meaningful use of technology
Standards defined by the Medicare and Medicaid
Electronic Health Records Incentive Programs
Benefits
Complete and accurate information
Better access to information
Patient empowerment
Information Systems Quality
and Accreditation
- Quality management and
measurement required for
accreditation and licensing of
healthcare organizations - The Joint Commission evaluates
and provides accreditation
including standards for EHR
Elements of the Ideal Hospital
Information System
Data are standardized and use structured terminology.
* The system is reliable—minimal scheduled or
unscheduled downtime.
* Applications are integrated across the system.
* Data are collected at the point of care.
* The database is complete, accurate, and easy to query.
* The infrastructure is interconnected and supports
accessibility.
* Data are gathered by instrumentation whenever
possible so that only minimal data entry is necessary.
* The system has a rapid response time.
* The system is intuitive and reflective of patient care
delivery models.
* The location facilitates functionality, security, and
support.
* Screen displays can be configured by user preference.
* The system supports outcomes and an evidence-based
approach to care delivery.
what is nursing informatics
- A “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” (ANA, 2015).
- A thriving subspecialty of nursing
that combines nursing knowledge
and skills with computer expertise.
patient safety with technology
- Impact of Clinical Information Systems
- Impact on Communication
- Impact on Patient Care Documentation
- Impact on Medication Administration Processes
- Computerized provider order entry (CPO)
- Bar-code technology
Safely Implementing Health
Information Technology
- Any form of technology has the potential to adversely affect patient care safety and quality if designed or implemented improperly.
- Successful technology implementation requires shared responsibility and a multifaceted approach, looking at people,
processes, environment, and technology involved. - See Table 17.3 for TJC’s recommendations for safely implementing Health Information
Technology
