Informatics

Informatics definition

Science that encompasses information science and computer science to study the process, management and retrieval of information

Health Care Informatics

Application of computer technology and information science to facilitate the acquisition, storing, analyzing (processing and interpretation) to allow optimal use and dissemination (communication) of health-related data

Nursing Informatics

Use of information and computer technology to support all aspects of nursing practice, including direct delivery of care administration educationW and research

What are the 6 aims for healthcare?

Safe, effectively-using technology, patient-centered, timely when needed, cost-effective, equitable for all people

What are privacy and safety related HIPAA concerns as a result of informatics?

Privacy: only people with involved in the patient care case, never take home patient information, never use identifiers on assignments

Security: only use your own password and ID and document ONLY what you did

What are needed to accurately document

Complete, current, concise (use approved abbreviations and within the facilities

What are standardized nursing diagnosis abbreviations?

NANDA: nursing diagnosis, standard technology

NIC (Nursing Interventions Classifications): interventions

NOC (Nursing Outcomes Classification): outcomes

Omaha System-problem, intervention, outcomes

PNDS (Perioperative Nursing Data Set): diagnosis, interventions, outcomes

What are different ways to document medications

Computerized provider order entry, Clinical Decision Support System (CDSS), electronic medication administration records, barcode medication administration, clinical documentation

How do we ensure patient information remains confidential?

Secure patient data across care teams

What does documenting appropriately in EHR do?

Allows objective documentation to be shared across care teams

How can we use communication technology to coordinate patient care?

Give the team access to EHR and clinical guidelines quickly

How can responding quickly effect clinical decision-making alerts?

Alerts and system safeguards help to prevent mistakes and possible errors