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| A specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. |
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• Institute of Medicine Report - 2001
Information Technology |
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-There must be a renewed national commitment to building an information infrastructure to support health care delivery, consumer health, quality measurement and improvement, public accountability, clinical and health services research, and clinical education.
-This commitment should lead to the elimination of most handwritten clinical data by 2010. |
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| unfreezing >moving >refreezing |
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| desired behaviors reinforced |
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| – reinterpret the world to fit new situations |
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| – learn by doing, must know why they need to learn and value of learning |
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| • Information Technology – National Initiative |
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○ “...medicine ought to be using modern technologies in order to better share information, in order to reduce medical errors, in order to reduce cost to our health care system by billions of dollars. To protect patients and improve care and reduce cost, we need a system where everyone has their own personal electronic medical record that they control and they can give a doctor when they need to. Within ten years, every American must have a personal electronic medical record.”
(Remarks by the President at American Association of Community Colleges Annual Convention,
Minneapolis Convention Center, Minneapolis, Minnesota, April 26, 2004) |
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| • Health Information Technology (Dept. of HHS) Vision: |
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-Consumers choose physicians and hospitals based on known performance results
-Clinicians access medical history, computerized ordering systems, and electronic reminders
-Quality performance initiatives drive quality-based competition
-Clinical research and post-marketing surveillance are fostered |
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| How can Informatics improve Patient Safety? |
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-Improved legibility
-Continuity of care
-Support safe medication practices
-Improve nursing workflow; eliminate redundant documentation
-Access to up-to-date, accurate data for informed decision-making
-Decision support based on assessment data |
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| • Using Decision Support in Practice |
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-Emphasis on Evidence-Based Practice (EBP) – match patient data with a specific knowledge base to generate evidence-based recommendations
-Assists clinicians with varying levels of clinical experience (novice vs. expert)
-Reduces decisions that are made based on incomplete or misinterpreted information |
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| Implementation and use of information technology in healthcare |
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| the mountains of data hidden in the medical medical records |
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| Subspecailty in nursing ANA recognized in 1992 with first informatics certification program |
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| index of published literature |
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| online data based that updates and replaces refrence books and journals |
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| ELectronic Medical Record |
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| healthcare record created by healthcare provider or agencies such as a hospital. |
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| owned by the hospital that created them |
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| Electronic Healthcare Record |
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| Created when providers can access other providers information about a patient other than the one they own. |
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| Accute healthcare histories can be combined from multiple providers |
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| Adverse drug reactions, allergies, immunizations, and surgical history can be accessed on a database that multiple providers give info to. |
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| Allows patients to access their own records and even enter info as they go. |
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