information technology in nursing

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information technology in nursing

  1. 1. WELCOME
  2. 2. INFORMATION TECHNOLOGY
  3. 3. definition: Information technology refers to both the hardware and software that are used to convert, store, protect, process, transmit, and securely retrieve information.
  4. 4. Computers in nursing Computers are reshaping the way ,medicine and nursing care is practiced . Now a days computers act as a stethescope
  5. 5. 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.
  6. 6. The existing & potential application fall into 5 groups storage & retrieval of clinical & statistical data educational materials patient care plan care audit research
  7. 7. 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
  8. 8. PLANNING Newer computer programs displayed recommended interventions for selected diagnosis & expected outcomes
  9. 9. IMMPLEMENTATION Use the computer to record interventions & patient informations & to communicate this information to other departments
  10. 10. 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
  11. 11. 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 .
  12. 12. 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 ,
  13. 13. electronic spread sheets 7 data based management system help nurse administrators to prepare reports & letters , create budgets 7 maintain personnel records & making lists.
  14. 14. DOCUMENTATION Nursing assessments ,client care plans , medication ,administration records , nursing notes & discharge plans are some of the forms of documentations that are computerized.
  15. 15. INFORMTICS It refers to the science of information HEALTH INFORMATICS It refers to the intention of information science ,computer science, health care.
  16. 16. 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)
  17. 17. 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
  18. 18. BENEFITS OF HIT Early detection of infectious disease Improved tracking of chronic disease management . Evaluation of health care
  19. 19. TECHNOLOGICAL INNOVATIONS OR SUB-DISCIPLINE IN INFORMATION TECHNOLOGY
  20. 20. Bioinformatics
  21. 21. Clinical informatics
  22. 22. Consumer health informatics
  23. 23. Dental informatics
  24. 24. Pharmacy informatics
  25. 25. Veterinary informatics
  26. 26. e-Health
  27. 27. m-Health
  28. 28. health informatics
  29. 29. public health informatics
  30. 30. nursing informatics
  31. 31. TYPES OF TECHNOLOGY electronic medical records(EMR) clinical decision support(CDS) computerised physician order entry(COPE) bar-coding at medical dispensing(BARD)
  32. 32. robot for medical dispensing(ROBOT) automated dispensing medicines(ADM) electronic medication administration records(EMER) bar-coding at medication administration(Bar A)
  33. 33. ELECTRONIC MEDICAL RECORDS
  34. 34. It also called electronic health records. EMR tend to part of a local health information system that allows storage ,retrieval & modification of records
  35. 35. CLINICAL DECISION SUPPORT
  36. 36. 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
  37. 37. 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
  38. 38. 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.
  39. 39. COMPUTERIZED PHYSICIAN ORDER ENTRY
  40. 40. 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
  41. 41. BAR – CODING AT MEDICATION DISPENSING
  42. 42. 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
  43. 43. 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
  44. 44. ROBOT FOR MEDICATION DISPENSING
  45. 45. Automated medication dispensing system prevents medication errors , reduces pharmacy labour & lowers drug inventory The hospital pharmacy ROBOT automated medication storage , selection, return , restock &crediting functions for 90 %
  46. 46. BENEFITS Increase medication filling accuracy to 99.9% Cuts pharmacist checking labor by 90% Reduces technician labours by 72% Cuts missing medications by 92% Trims inventory by 0-20% Lowers expired medication costs by 54%
  47. 47. AUTOMATED DISPENSING MEDICINES
  48. 48. 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
  49. 49. 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
  50. 50. ROLE OF ADMs PROCESS Prescribing -physician order entry -computerized design   Transcription -electronic order transcription
  51. 51. Dispensing -bar coding -automated dispensing devices   Administration -medication administration record -bar coding      
  52. 52. Monitoring -computerised monitoring of adverse drugs events
  53. 53. LIMITATIONS Wrong drug Wrong dose errors Override Inadequate training personnel Lack of guidelines
  54. 54. ELECTRONIC MEDICATION ADMINITRATION RECORDS
  55. 55. These eMAR alerts the nurse about the next dose or cautions about medications Nurse takes the cart to the patient , scans the medication & the patient wrist band.
  56. 56. BAR CODING AT MEDICATION ADMIISTRATION
  57. 57. It consists of a barcode readers , a portable computer with wireless connection , a computer services & same software. The nurse can verify the patients as well as the drugs
  58. 58. NURSING INFORMATICS
  59. 59. 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)
  60. 60. INFORMATION TECHNOLOGY IN NURSING HOMES Warning Benefits Prevention & solution
  61. 61. NURSING ROLES & INFORMATICS Training & experience Primary function Technology applications Work environment Career development
  62. 62. HEALTH INFORMATION TECHNOLOGY JOB Registered health information technician Medical coding & billing Health informatics specialists
  63. 63. JOB DESCRIPTION FOR A NURSING INFORMATICS Function Conditions Credentials Outlook Salary
  64. 64. 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,
  65. 65. consumer empowerment population health & clinical care connections chronic care electronic health records confidentiality, privacy & security quality personalized health care
  66. 66. 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         
  67. 67. 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
  68. 68. 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
  69. 69. 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
  70. 70. -NEC telemedicine program for north eastern states Apollo hospitals Asia heart foundation State governments Telemedicine technology also supported by some other private organizations
  71. 71. APPLICATION OF TELEMEDICINE
  72. 72. 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.
  73. 73. 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.
  74. 74. 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
  75. 75. 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  
  76. 76. 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 .
  77. 77. 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
  78. 78. 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.
  79. 79. 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
  80. 80. REMEDIES
  81. 81. HANDS & WRISTS
  82. 82. there should be a adjustable chair for proper anatomical position there should be a rest to the fingers & wrist joints after continues use of fingers
  83. 83. use cold packs to affected site give sufficient rest & relaxation use crepebandages in affected site advice to use soft touch key boards to reduce stress o fingers
  84. 84. BACK
  85. 85. the chair should have adjustable & comfortable use analgesic drugs physiotherapy hot water application
  86. 86. LEGS
  87. 87. The height of the chair should be adjustable Do physical exercise like walking , hopping etc.,      
  88. 88. EYES
  89. 89. The users are advised to use spectacles Shift the computer monitor at a reasonable distance to avoid eye strain
  90. 90. OTHER EFFECTS OF MEDICAL IMPORTANCE Electric shock
  91. 91. Skin irritation due to heat generate from computer
  92. 92. Battery packs contain toxic materials which may leak & cause injuries  
  93. 93. THANK YOU

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