1NURSING INFORMATICS - IT Application in Nursing Practice

Yapchiongco, Larraine F.
BASS, RN, LPT, MAN

 Hospital / Critical Care Applications
 Community Health Applications
 Ambulatory Care System
 Emergency Preparedness and response
 Administrative assistive Devices and Workplace Technologies
 Telehealth
Key Features of Nursing Informatics to Practice Application
 Patient Charting: Nursing assessment, care plan and notes can be entered into the automated
system with graphical user interface
 Clinical Data Integration: Data and information can be shared to another department.
 Decision Support: Decision support module can be added to nursing information systems and they
provide prompts reminders, along with guides to disease linkages between signs/symptoms
 Optimal Operation of Hospital and Clinic: Better drug administration, staff scheduling, wards and
rooms monitoring, patient mapping and etc.
 Better Care Planning: Time spent on care planning is reduced while the quality of what is recorded is
improved
Critical Care Applications
 An area of expertise within nursing that focus specifically with human
responses to life threatening problems.
 Example of Critical Care unit
Ø Intensive Care Units (ICU)
Ø Pediatric Intensive Care Units (PICU)
Ø Neonatal Intensive Care Units (NICU)
Ø Cardiac Care Units (CCU)
Ø Progressive Care Units
Ø Cardiac Catheter Labs
Ø Telemetry Units
Ø Progressive Care Units
Ø Emergency Department
Ø Recovery Room
Advantage of Clinical Information System (CIS)
 Intelligently integrates and process physiologic and diagnostic
information and store it to secured clinical repository
 Creates trends analysis with graphical representation of results
 Offline simulation can be performed to test the condition of the
patients
 Provide clinical decision support system
 Provide access to vital patient information
 Providing feedback and quick evaluation of the patient condition
and provides alert
Critical Care Information System
 Medical Information Bus (MIB) provides a generalized method
of attaching patient monitoring devices to a common interface.
§ It converts the unique manufacturer data communications
protocol into a standardized hardware and software system
§ It has the ability to filter, store, and select information sent for
inclusion into the clinical medical record on the clinical computer
system.
§ Example
 Infusion Pump
 Pulse Oximetry
 Mechanical Ventilator
Community Health Information Tracking System (CHITS)
 Created to allow healthcare providers to collect, process and share
personal health data from among rural health units
 It uses standard data sets too
 A collective term for the methodical application of information
science and technology to community and public health process
 It emphasizes the prevention of disease, medical intervention and
public awareness.
o Primary focus of CHITS
ü Preventing, identifying, investigating and eliminating communicable health
problems
ü Accessibility of data and information through communication
ü Educating and empowering individuals to adopt to healthy life style
ü Facilitate retrieval of data
ü Effective transformation of data into information
ü Effective integration of information to other disciplined to concretized knowledge
and create better understanding
ü Creation of computerized patient records, medical information system
ü Central repositories of all data such as data warehouse
ü Simple graphical user interface (GUI) for nurses and other healthcare provider
oKey features of CHITS
• Computer based survey system- used to collect quantitative information
about items in a population to establish certain information from the
obtaineddata
• Community Electronic Disease Surveillance System
• Statistical Information system in Community Health
• SHIPP99 (Standards for Health Information in the Philippines) authored
by the National Institute of Health (NIH)
 Data are raw, uninterrupted facts
without meaning
 Information is facts with meaning
 Knowledge is understanding the
information
 Wisdom is knowledge used to
make appropriate decisions and
acting on those decisions
Informatics Solutions for Emergency Preparedness and Response
 Objective of Emergency and Response Process
-To halt the spread of diseases, infection widespread sickness, epidemic and etc.
 Effective use of National Health Information System (NHIS)
Ø Will link all hospital, practices and health practitioners as well as students in the country
Ø Improve health care services by proving the nurses and health care providers with better
data access, quicker data retrieval, readily translated data into information
Ø Support decision making for diagnoses and guaranteed patient support
Ø Enhance the results of information for evaluation and analysis which can be used to
predict scenarios and create trending output
Ø Reducing cost
Ø Creating parallel works with different conditions
Ø Optimizing the schedule and capabilities of staff and facilities
Ø Improved coordination works thus minimized errors and irregularities
Vendor Applications
 A company that designs, develops, sells and supports system
oCharacteristics to be examined on vendor
-Service
-Performance
-Stability
oRequest for information
-A letter or brief document sent to vendors that explains the institution’s plan for purchasing
and installing an information system
-Request for Proposal (RFP)a document sent to vendors that describes the requirements of a
potential information system
oRequest for Quote (RFQ)
-A statement of need that focuses upon pricing, service levels and contract terms
-Steering committee will decide or make an informed decision whoever wins the bidding
- Computers are widely used in the stores, mall, bank and other institutions who are selling
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Yapchiongco, Larraine F.

BASS, RN, LPT, MAN

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