Informatics Chapter 1: Introduction to Nursing Informatics: Managing Healthcare Information
Deidentification
no way to identify the patient from that data. Important with any shared patient data (outside agency or with those without a need to know)
Computer systems in healthcare today
use standard terminology and protocols
Goals of Nursing Informatics
user-friendly data input; information presented that is timely and useful for clinical nurse
Secondary data analysis
analyzing data for purposes other than the purpose of the original collection
Main Reason for Nursing Informatics
PATIENT SAFETY
QSEN Institute Competencies
Patient-centered care Teamwork and collaboration EBA Quality improvement Safety Informatics
Informatics is now focused on
capturing data at the point of care and presenting it in a way that facilitates the care of an individual patient
1999 IOM Report
98,000 preventable hospital deaths. Insured Safety databases and barcoding for medication administration.
Computer literacy
Ability to perform various tasks with a computer
National Forces for Informatics
Creation of ONC and groups to study standardizing terminology, IOM reported informatics as a core competency for all healthcare professionals
Benefits of Informatics in Nursing
Enhances practice and allows nursing science to develop. Improves documentation. Uses data for quality control and research due to complete documentation. Builds EBA knowledge.
Benefits of Informatics in General Healthcare
Improve patient outcomes, preventing errors, easing work conditions, and providing better documentation. Buried data now usable: provide information about problems and show patterns. Improved communication among all healthcare providers, easy, quick storage and retrieval of healthcare records. Saving of time and money with computerization of tasks; easier method for recording charges (no lost charges)
Purpose of Health Informatics
Improve use of healthcare data, information, and knowledge in supporting patient care, research and education
Computer fluency
Individual has an adequate foundation in computer concepts to enable the ability to learn new computer skills and programs independently
Plan for Health Information Technology
Inform clinical practice with EHR, interconnect civilians, personalize care, improve public health
Two Roles in Informatics
Informatics specialists and clinician who must use health information technology
Nursing Forces for Informatics
National Center for Nursing Research program goals National Informatics Agenda for Education and Practice AACN's list of core competencies ANA Nursing Shortage TIGER (Technology Informatics Guiding Education Reform) Initiative
QSEN
Quality and Safety Education for Nurses
Leapfrog Group (QSEN)
Quality and affordability in healthcare- large employers use their purchasing power to improve the quality and safety in healthcare
Nursing Informatics
Recognized by the ANA, information management related to nursing, continually evolving definitions
History of Informatics
Recording and keeping information on paper charts
Informatics Competencies for Experienced
Should be highly skilled in using information management and computer technology to support area of practice (able to make judgments based on trends and patterns in data elements)
Informatics Competencies for Beginners
Should have basic information management and computer technology skills
Informatics
Use of information technology in healthcare. Focus on management, NOT computers.
Informatics Today
Well-designed information systems
Information literacy
ability to know when information is needed and how to locate, evaluate, and effectively use it. Requires critical thinking and problem solving in addition to computer skills, part of the foundation for EBA.
Nursing decisions can be made based on
patient care data or aggregated data
Early healthcare informatics systems
process-oriented: computers used for a specific process (billing, order entry, lab reports). Each process (department) was not interoperable.
