Professional Documents
Culture Documents
Issues in Tics
Issues in Tics
Issues in Tics
1. 2. 3. 4. 5. 6.
NI and healthcare policy Role of technology in the medication-use process Healthcare data standards Electronic health record systems Dependable systems for quality care Nursing minimum data set systems
ISSUES IN INFORMATICS
Prepared by: Prof. Donna Lou E. Neri, RN, MHSS, PhD
Policy is defined as a course of action that guides present and future decisions based on existing conditions and emerging trends.
1. 2. 3. 4.
Nursing shortage Concern for patient safety National information initiatives Delivery of services through telehealth
Bradley (2003)
Technology solutions should:
improve existing care processes and outcomes Increase access through the use of portable and handheld
devices Incorporate internet capability to overcome distance barriers of care Improve access to knowledge acquisition
Surveys confirmed that concern for patient safety is the biggest factor driving IT (Anderson, 2004).
Telehealth and NI
Telehealth is the use of electronic information and telecomunications technologies to support long distance clinical healthcare, patient and professional health-related education, public health, and health administration
Summary
NI needs to broaden its educational and practice
Summary
there is a tremendous need to improve the general
computer program alert the prescribing physician if there is a harmful medication interaction and also identify other potential problem with the order be granted authority to use CPOE systems
Prior to medication administration, each bar coded package of medication to be administered at the bedside is scanned
The system can then verify the dispensing authority of the nurse
Match the drug identity with their medication profile in the pharmacy information system
ADCs
drug storage devices or cabinets that allow medications to be stored and dispensed near the point of care, while controlling and tracking drug distribution
Also called unit based cabinets (UBCs), automated
dispensing devices (ADDs), automated distribution cabinets or automated dispensing machines (ADMs)
50% of hospitals were using ADCs in 1999, but by 2007 more than 80% had implemented them
They are now used in the majority of hospitals, and have become
narcotics and floor stock in ADCs and are using ADCs as their primary method of drug delivery
implications for pharmacist and nurse workflow and the safety of associated practice
Limitations of ADC:
Lack of pharmacy screening of medication order prior to
administration
Choosing of the wrong medication from an alphabet pick list
Safeguards personal privacy Uses standardized medical terminologies which can be read by any
care provider to support clinical decision making Eliminates danger of illegible handwriting and missing patient information Can be transferred as a patients care requires over a secure communications infrastructure for electronic information exchange
EHR-S
computerized patient record clinical information system Electronic medical record
achieving health, including all disciplines of clinicians, family caregivers, and the patient
EHR
Physical or logical
EHR-S
Made up of one or
(virtual) repository of data Foundation for pervasive, personalized, and science-based care
more applications Provides the components that supports clinical and healthcare functions
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Longitudinal collection of electronic health information for and about persons, where health information is defined as information pertaining to the health of an individual or healthcare provided to an individual Immediate electronic access to person- and population-level information by authorized, and only authorized, users Provision of knowledge and decision support that enhances the quality, safety, and efficiency of patient care Support of efficient processes for healthcare delivery
BPOC
ADCs
availability, confidentiality, data integrity, responsiveness, and safety attributes, collectively referred to as DEPENDABILITY
6 Attributes of DEPENDABILITY
1.
SYSTEM RELIABILITY: the system consistently behaves in the same way SERVICE AVAILABILITY: required services are present and usable when they are needed CONFIDENTIALITY: sensitive information is disclosed only to those authorized to see it
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5.
2.
RESPONSIVENESS: the system responds to the user input within an expected and acceptable time period
SAFETY: the system does not cause harm
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3.
Architect for dependability Anticipate failures Anticipate success Hire meticulous managers Dont be adventurous