Informatics - answer"The big oak tree" combination of the nursing science, computer science and information science. It includes information technologies that can help support nursing practice. Information technology - answer"The branch" electronic healthcare record, your clinical decisions support tools, bar code medication administration, and so on. information System - answer"Another branch" : used to collect, create and distribute useful data. This term describes the development, use and management of an organization's overall IT infrastructure. On that branch you would see the subcategories, such as your clinical information systems, your core business systems, case management systems, and communication systems. Information Science - answer"the roots of informatics " -incorporates features from communication science, computer science, social science, library science, and cognitive science. It's primary focus on the input, processing, output and feedback through technology integration. Information science applies technology to make information usable, and it supports the overall collection and management of information. Technology has also helped to impact this culture of safety - answer1) CPOE 2) Cross monitoring: 2 nurses to witness a med/electronic alert Examples of Clinical Decision support tools - answer1. Electronic alerts and reminders 2. Clinical practice guidelines 3. Computer-generated care plan 4. Smart pumps 5. EHR: drug reference guide 6. Clinical pathways Information Security - answergreatest potential threats are right now: 1. unauthorized personnel getting access to the equipment. 2. the use of removable storage devices (flash drive to dl info) 2 governing authorities that obligate nurses to protect patient information? - answerHIPPA (pt's can have a copy of their record/make corrections) ANA Code of Ethics Examples of Logically Protecting pt's information - answerinstalling **Firewall protection Biometrics (scanning fingerprint) Authentication (user specific password) Automatic sign offs Examples of physically protecting pt's info - answerSurveillance Cameras Restricted Areas Shredding hard copies three principles that help to make up an organization culture as *safety* - answer1) Commitment of resources 2) Cross-collaboration 3) Blame-free environment store and forward technology. - answera form of transferring data or images from one location to another (radiology images, pathology reports) Reasoning of Growth of telehealth - answer1. access to care 2. continuity of care 3. ratio of patients to providers 4. increase in chronic disease EHR Takes patient-specific info: 1. Recommends something (example: recheck BP) **2. Compares it against set of rules or knowledge base - answer Legal and ethical of telehealth nursing - answer- Extensive documentation (prevent malpractice) - Licensed in every state that they practice telehealth Identify Clinical vs. non-clinical telehealth - answerClinical: to directly affect care of pt -(ex: chest x-ray) -type of mobile device -live video conferencing (check proper injection administration) Non-clinical: - Team meeting - Research - Video-conferencing (not used for pt) -professional development online There are two main approaches to the development of these information systems: - answer1) Nursing Process Approach (admission/dc, progress notes, data collection, safe med admin..) 2) Critical Pathway/Protocols: allows nurses and multidisciplinary team members to access the relevant information in the system Nursing Process Approach - answer-Streamlines documentation of assessments and patient-related data. -Provides discharge information and pertinent patient education materials and resources. -Provides medication information to help prevent medication errors or interactions. Critical Pathways/Protocols Approach - answer-Physician's orders are present for the multidisciplinary care team to observe and follow. -Allows the multidisciplinary care team to update the plan of care when variances in the patient's condition are noted. -Multidisciplinary team members can contribute to care plans along the care continuum. What are three types of clinical information systems? (in critical pathways approach) - answerMonitoring system Order entry system Laboratory system