definition: Information technology refers to both the hardware and software that are used to convert, store, protect, process, transmit, and securely retrieve information.
Computers in nursing Computers are reshaping the way ,medicine and nursing care is practiced . Now a days computers act as a stethescope
Computers assisted nursing care Computerized hospital information system connect nursing stations to each other & to auxiliary & administrative departments by means of video display terminals & printers hooked into central computer.
The existing & potential application fall into 5 groups storage & retrieval of clinical & statistical data educational materials patient care plan care audit research
COMPUTER & NURSING DIAGNOSIS Computer can generate a list of possible diagnosis for a patient with certain signs & symptoms or it may enable you to retrieve & review a patients records according to the nursing diagnosis
PLANNING Newer computer programs displayed recommended interventions for selected diagnosis & expected outcomes
IMMPLEMENTATION Use the computer to record interventions & patient informations & to communicate this information to other departments
EVALUATION We can use computers to compare large amount of patient data to identify outcomes . we may use informations from other health care members to determine future actions & discharge planning
COMPUTER IN NURSING RESEARCH Computerised literature searches are a particular advantage to the researches because they save & can increase the scope of search & the number of data base that can be searched .
COMPUTER IN NURSING ADMINISTRATION Computers are useful tool of nurse administrators .clients are assessed on a numbers of criteria. General computer application soft ware such as word processing ,
electronic spread sheets 7 data based management system help nurse administrators to prepare reports & letters , create budgets 7 maintain personnel records & making lists.
DOCUMENTATION Nursing assessments ,client care plans , medication ,administration records , nursing notes & discharge plans are some of the forms of documentations that are computerized.
INFORMTICS It refers to the science of information HEALTH INFORMATICS It refers to the intention of information science ,computer science, health care.
HEALTH INFORMATON TECHNOLOGY (HIT) HIT is the application of information processing involving both computer hardware & software that deals with the storage ,retrieval, sharing & use of health care information data & knowledge for communication & decision making . -Brailer & Thompson (2004)
UTILIZATION OF HIT Improve health care quality Prevent medical errors Reduce health care costs Increase administrative efficiencies Decrease paper work Expand access to affordable care
BENEFITS OF HIT Early detection of infectious disease Improved tracking of chronic disease management . Evaluation of health care
TECHNOLOGICAL INNOVATIONS OR SUB-DISCIPLINE IN INFORMATION TECHNOLOGY
DEFINITION CDS which use two or more items of patients data to generate case specific advice -wyatt. J,1991 FUNCTIONS 4 key functions of EMD
Administrative: Supporting clinical coding & documentation , autherization of procedures& referrals Managing clinical complexity & details: Keeping patient on research & chemotherapy protocols, tracking orders, referrals follow up & preventive care
Case control : Monitoring medication orders , avoiding duplicate & unnecessary tests. Decision support: Supporting clinical diagnosis & treatment plan processes, & promoting use of best practices , condition-specific guidelines & population based management.
CPOE is software that permits physicians to enter their hospital or outpatient orders directly into a computer system. It involves several core components, hospital demographic & registration system departmental information systems billing systems integrated clinical information systems
Automated medication dispensing systems provide health care facilities with advanced, flexible systems that help ensure patient safety by reduce medication errors , monitor & control medication dispensing
It offers highly customizable options time saving capabilities like scheduled reports , e-mailing capabilities & reports exported to Microsoft excel. Provide compliance & accountability for joint commission
Automated dispensing cabinets are computerised drug storage devices that allow medications to be stored and dispensed near the point of care , while controlling & tracking drug distribution
They also called unit based cabinets (UBC),automated dispensing devices (ADD),automated dispensing cabinets ,or automated dispensing machines . ADCs which are designed to replace non-automated floor stock storage were introduced in hospitals in the 1980s
ROLE OF ADMs PROCESS Prescribing -physician order entry -computerized design Transcription -electronic order transcription
DEFINITION Nursing informatics is a speciality that integrates nursing science , computer science .To manage & communicate data , information & knowledge in nursing practice . nursing informatics facilitates the integration of data , information & knowledge to support patients , nurses & other providers in their decision making in all roles & settings . this support is accomplished through the use of information structures , information processes & information technology. -ANA scope & standards of nursing informatics practice (2001)
INFORMATION TECHNOLOGY IN NURSING HOMES Warning Benefits Prevention & solution
NURSING ROLES & INFORMATICS Training & experience Primary function Technology applications Work environment Career development
HEALTH INFORMATION TECHNOLOGY JOB Registered health information technician Medical coding & billing Health informatics specialists
JOB DESCRIPTION FOR A NURSING INFORMATICS Function Conditions Credentials Outlook Salary
NURSING INFORMATICS COURSE Instructions ADVANCING HIT STANDERDIZATION & ADOPTION IN PHC(AHIC) AHIC, work groups have been convened to access specific health information needs in seven areas,
consumer empowerment population health & clinical care connections chronic care electronic health records confidentiality, privacy & security quality personalized health care
TELEMEDICINE Definition It is the use of electronic information & communication technologies to provide & support health care when distance separates the participants -institute of medicine, 1996
NECESSITY OF TELEMEDICINE IN INDIA low penetration of health services 90% of secondary & tertiary health care facilities in cities & towns away from rural India where 68% of population lives Despite several initiatives by govt & private sector the rural & remote areas continue to suffer from absence of quality health care
Highly inadequate primary health care facilities in rural population Significant protection of patients in remote locations could be successfully managed locally with advice /guidance from specialists /super-specialists in cities without having to travel to the specialists. Key driver of public-private partnership for health care delivery to the people of India
CURRENT EFFORTS Many programs worldwide using variety of telemedicine technologies In India telemedicine programs actively supported by -dept of information technology -Indian space research organization
-NEC telemedicine program for north eastern states Apollo hospitals Asia heart foundation State governments Telemedicine technology also supported by some other private organizations
APPLICATION OF IT IN PHC IN INDIA UK based Loughborough university engineers have entered upon a partnership with experts of India to develop a unique mobile phone (mp) health monitoring system.
The system which was first unveiled in 2005 , they use the mobile phones for transmit vital signs, ECG, oxygen saturation . The software components under development are patient data base management , interaction between doctor & patients capture of medical data acquisition –such s ECG, images of heart & lung , eye etc and scheduling management.
The project involves development of following , A web based information system for management of primary health care. SMS message from the patient using (GSM) with the information system. WAP gateway for web access GPRS/3G/4G mobile doctor for nurses with the web server development of localization support to national & other Indian language in mobile by providing interface for translation
the mobile based primary health care management system – will seek to achieve -increased quality of PHC services -increased efficiency of service care with an adequate referral & remote consultation system -improved epidemiological surveillance & control -better pregnancy care registration & management -reduction of maternal & perinatal morbidity & mortality
APPLICATION OF IT IN PHC IN TAMILNADU REALTIME BIO-SURVEILLANCE PROGRAM (RTBP)-USING MOBILE PHONE FOR COLLECTION A pilot project health related information gathered through mobile handheld devices will be communicated through the wireless local loop (WLL) networks to a central database (DB) for analytics & monitoring .
The ICT system will use general packet radio service (GPRS) , SMS as transport technologies to enable access to application to communicate information on surveillance & alerting It will be assessed by measuring the performance during the course of the project
Telemedicine It is possible to provide & support healthcare delivery through a medical device & software application developed by neurosynaptic communications pvt . ltd (NCPL) known as ReMeDi (remote medical diagnostics) It is a telemedicine providers device which connects the rural villages & remote areas to the urban medicos.
ABSTRACT MEDICAL EFFECTS OF CONTINUOUS USE OF COMPUTERS & REMEDIES Repeated & continuous use of computer or laptop may lead to various stress injuries on the following parts of the body - hands - back - legs - eyes