INFORMATION TECHNOLOGY SYSTEM - Electronic collection of hospital and

APPLICABLE IN NURSING PRACTICE patient-specific critical care data of

patients which can be processed to
create a patient profile.
Electronic Health Record
Special software is installed in the computer
- Computerized patient records system. Microprocessor-based and has
- Large data are being stored built-in statistical information.
- Manage health information using
Example:
modern information techniques
- Made up of electronic medical records
(EMR) from different departments such
Patient Monitor
as laboratory, radiology, pharmacology
department, etc.

Types of Data Stored in HER

- Patient profile
- Results of medical examination
- Medical history; History of allergies;
immunization record, etc.
- Development of health condition and
status
- Results of diagnostic tests
- Medication history
- Records of appointments
- Billing records
HOSPITAL/CRITICAL CARE APPLICATION
Critical Care Nursing – an area of expertise
of Nursing that focus specifically to
life-threatening health problems of a
critically-ill patient.
Central Monitor
Advantages of Critical Care Information
System
- Integrates and process physiologic
and diagnostic information.
- Creates trends and analysis with
graphical representation of results.
- Offline simulation can be performed.
- Clinical decision support system.
- Access to vital patient information.
- Provides alert, feedback and quick
evaluation of the patient condition.
COMMUNITY HEALTH APPLICATION

Critical Care Nurse – ensures that

critically-ill patients should receive optimal
nursing care. Performs complex assessment
and monitoring, provides high-intensity
medication and continuous therapy.

Critical Care Information System

- Provides real-time resource utilization
data and management of information.
- Integration of medical facilities in the
critical care.
Community Health Informatics - effective Ambulatory Care Information System
and timely assessment, monitoring and
- provides automated processing of data
tracking the health status of populations
and information, patient monitoring
including identifying and controlling disease
and decision support.
outbreaks and epidemics.
- Advantages:
- Real-time and easy access to
patients’ medical records by
healthcare providers
- allows more time for
comprehensive patient
counseling and review
- reduced errors
- improved clinical outcome
analysis

EMERGENCY PREPAREDNESS AND

Advantages of Integration of Community
Health Systems
- consistent exchange of response
- disease tracking
- data and information sharing
- building strategies
- early detection and monitoring of
disease and sickness
- control of spread of disease
- national alertness and preparedness
- building strong communication
- maintaining strong relation between
nurses and other healthcare providers
- continuous coordination of healthcare
professionals
- synchronization of the decisions
- streamlining of the process
- effective management of data and
information
- optimal operation of hospitals and
clinics
Ambulatory Care Application
…health care services that are provided for
patients who are not admitted overnight to a
hospital.
RESPONSE
- health information system captures the
scenario or condition where
emergency preparedness and
immediate response is on prioritized.
- Emergency and Response process is
to STOP the spread of diseases,
infection, epidemics, etc.
- Submission of data should be done on
real-time so that immediate
preparedness will be applied to
unaffected areas or community and
proper response from the healthcare
provider are provided simultaneously.
- Segregation of data should also be
captured in the reporting system to
eliminate redundancy of data and
maintain integrity of results.
- National Electronic Disease
Surveillance System: integrated to
national health information system to
enhance the emergency preparedness
and response system
ADMINISTRATIVE ASSISTIVE DEVICES
and WORKPLACE TECHNOLOGIES
Computerized nursing systems on
administrative applications - can help nursing
manage and use information to fulfill its
unique data requirements:
 - Clinical Needs (Patient care, TELEHEALTH
documentation, etc.)
American Nurses Association (1997)
- Strategic Needs (Organizational
performance, support processes, etc.) - delivery of healthcare services or
- Quality Management Needs activities with time and distance
(Outcomes measurement and barriers removed and using
regulatory compliance) technologies such as telephones,
Resource and Personnel Management computers, or interactive video
Needs (Scheduling, continuing transmissions.
education, staff development).
Mosby’s Medical and Nursing Dictionary
(1998)
Examples of Computer Applications for - use of telecommunication technologies
Administrative Information Management to provide healthcare services and
access to medical and surgical
- Nursing Intensity
information for training and education
- Patient Classification System
healthcare professionals and
- Staffing and Scheduling System
consumers, to increase awareness
- Unit activity reports
and educate the public about health
- Error reports
related issues and to facilitate medical
- Incident reports
research across distances.
- Infection control
- Training and Education
- Financial planning
- Hospital expansion Nurses are involved with telehealth
- Personnel files technologies:
- Quality assurance - Personal Digital Assistants are used at
the bedside to enhance the safe
delivery of care with access to clinical
Benefits of Using Information Technology resources, drug databases, and
for Nurse Administrators medication calculation functions.
- Home healthcare nurses document
- Expanded use of nursing staff
stages of wound healing with a digital
resources
camcorder.
- Improved quality of patient care
- Patients with heart failure use two-way
monitoring
video devices to participate in a
- Improved documentation
congestive heart failure program from
- Improved communication
home.
- Improved planning
- Automated Medication Dispensing
- Increased standardization of nursing
System: PYXIS MACHINE
practice
- Ability to define nursing practice and
associated issues
- Ability to define methods to track
patient care delivered, outcomes
achieved, and revenue generated
- Enhanced recruitment and retention
- Improved evaluation of care provided
- Support for the dynamic organization,
capable of change
Informatics Applications in
Evidence-Based Nursing Practice

Evidence-Based Practice (EBP)

- is a systematic approach to clinical
decision-making that uses the best
evidence available in making decisions
about patient care (Sackett et al.,
2000).
- EBP Three (3) Components:
1. Critical appraisal of the relevant
research evidence
2. Healthcare practitioner clinical
experience
3. Patient’s values and
preferences

Clinical Decision Support System (CDSS)

- are systems designed to support
healthcare providers in making
decisions about the delivery and
management of patient care
(Androwich & Kraft, 2011)

Decision Support System (DSS)

- are automated tools designed to
support decision-making activities and
improve decision-making process and
decision outcomes. Such systems are
intended to use the enormous
amounts of data that exist in
information systems to facilitate
decision processes (Androwich &
Kraft, 2011).

Clinical Practice Guidelines

- systematically developed statements
to assist practitioner and patient
decisions about appropriate healthcare
or specific clinical circumstances
(Institute of Medicine, 1990).