Real Questions, Concepts, and Case Scenarios | Data Management,
EHR, and Health Tech | RN & BSN Informatics Certification and
Academic Review Resource
Informatics
•Interdisciplinary field that draws from, and contributes to:
–Computer science
–Decision science
–Information science
–Management science
–Cognitive science
-Organizational theory
Health Informatics encompasses
-Translational bioinformatics
-Clinical research informatics
-Clinical informatics
-Consumer health informatics
-Public health informatics
Knowledge work
Nurses have a long tradition of gathering data
Data
are used to create information and knowledge
Wisdom
when previous knowledge and experience are
applied appropriately to take action or intervene
Roles of RNs in patient care (nurse as a knowledge worker)
• data gatherer
• information user
• knowledge user
, • knowledge builder
Information management in health care
-can support efforts of nurse and health care team in the care of patients
Good information
is essential in caring for patients
Inaccurate data
leads to medical errors
safer patient care
Nurses rely on their own knowledge, but need access other information in order to provide______
EBP
technology supports _____through access to information
Data and information
Nurses use________from multiple sources which is converted to knowledge
patterns
Nurses detect_______in data and information to create new knowledge
Structures to support meaningful use of data
•Differences in format have historically made data analysis difficult.
–Still true even with the use of electronic health records (EHRs).
Structured data
fits into predetermined classifications
that can be easily quantified
Standardized data
can be analyzed using qualitative or
quantitative methods
Literature databases
for healthcare include: MEDLINE,
EBSCO, Ovid, ProQuest, CINAHL, Cochrane Library
Evidence-based practice (EBP)
-Entails using the best evidence for patient-care decisions
-Requires critical thought processes
,-Provides the foundation for clinical-practice guidelines
and clinical decision-support tools
Big data
-are very large data sets that are beyond
human capability to manage or analyze without
information technology.
E.g. aggregate data that healthcare providers collect
via their EHRs.
Analytics
-Analysis of big data
Looks for patterns
Uses models
Recommends actions
Increased prevalence of technology in care settings
-Health information technology (HIT) and all forms of
technology are present.
-However, best use is inconsistent.
-The move to a technology-laden environment has
implications for informatics.
Informatics specialists
can design, implement, and
evaluate technologies that support healthcare providers
and consumers.
Healthcare reform
• Many drivers
-Safety and quality
-Transparency
-Cost
-Rise of consumerism
-A learning healthcare system and healthcare reform are
, intricately linked
The push for patient safety and quality
•Steps to prevent errors include:
–Checklists to prevent slips and lapses
–Tools, such as hand-off tools, to improve communication
–Automation where possible
–Simplification, organization, and standardization
–Not allowing errors to happen
•These processes lend themselves to automation or technology.
Technology
can be used to simulate clinical scenarios.
Coordination of care can be improved with new care models:
–Accountable care organizations (ACOs)
–Patient medical homes (PMHs)
healthcare decision
Patients are encouraged to be involved in their______
Nursing informatics
-the specialty that integrates nursing science with
multiple information and analytical sciences to identify,
define, manage and communicate data, information,
knowledge and wisdom in nursing practice
-focused on the best ways to achieve good patient
outcomes—it is about applying the overall process and
best practice to maximize patient care wherever
possible
Theory
refers to a scientifically acceptable general principles—
or constellation of principles offered to explain
phenomena
Health sciences