nursing informatics

1. FUNCTIONS AND APPLICATION OF
RISK MANAGEMENT PROCESS
PREPARED BY:-
MS. SHIVANI TIWARI
NURSING TUTOR
KIRAN NURSING COLLEGE

2. Principles of Patient Safety
• Proper identification of patient and matching to
their care elements
• Prevention of patient handover error and safety
during transition
• Assessing medical accuracy while giving care to
patient
• Performance of correct procedure at a correct
body site
• Take appropriate precautionary measures to
infection
• Medication safety:- Right Drug Right

3. clinical RISK MANAGEMENT
•Step1 : Identify risk
•Step 2: Determining the Cause
•Step 3: Considering the consequences
• Step 4: Assessing the likelihood of an
adverse incident
• Step 5: Determining the risk
• Step 6: Identifying and reviewing
controls

4. RELATIONSHIP BETWEEN PATIENT AND INFORMATICS
(HEALTHCARE INFORMATION TECHNOLOGY (HIT)
•Healthcare information technology (HIT) is defined as
the application of information processing involving
both computer hardware and software that deals
with storage, retrieval, sharing and use of health care
information, data, and knowledge for communication
and decision making. It includes various technologies
from simple charts, to more advanced decision
support that integrates with medical technology.

5. •Health Information Technology is
an important tool to improve the
healthcare safety as well as quality,
and it improves patient safety by:-
• Reducing medication errors
• Reducing adverse drug reactions
• Improving compliance to practice
guidelines

6. Physician's Entry and E-Prescribing
• Electronic Computerized physician order entry (CPOE) enlists
the use of electronic support to enter physician orders and
medication on a computer device. This not only allows to
improve medication orders, but also allows electronic
ordering of tests, procedures and consultation.
Computerized entries, when integrated with clinical decision
support system (CDS), help to prevent clinical errors as they
guide through proper administration of doses.

7. Electronic barcoding Tools
• Medication errors can be prevented using bar-coded
medication administration systems, which are
electronic systems that integrate electronic
medication administration records with bar code
technology. This would ensure that the right patient
receives the right medication at the right time. The
bar-coded systems also have varying level of
sophistication.

8. Patient Electronic Portals
•A patient portal is a secure online application
that provides patients access to their personal
health information and two-way electronic
communication with their care provider using a
computer or a mobile device. These portals have
proven to improve outcomes of preventive care,
disease awareness and self-management

9. Telemedicine and Synchronous Telemedicine
• Telemedicine is defined as the use of telecommunication technologies
to facilitate communication from patient to health care provider, or
from one heath care provider to another. The communication can be
real-time (using video-conferencing technologies) or asynchronous
transmission of patient's clinical information.Medical devices or
personal mobile devices may be used to track patients' health
remotely. Telemedicine provides this health information collected
remotely, which is further used to monitor patients, track or change
their behaviour. Synchronous telemedicine refers to virtual, real-time
visits using 2-way audio/video communication between a healthcare
provider and a patient. Several studies show that telemedicine is as
effective as face-to-face care with regard to specific clinical outcomes.

10. Electronic Health Records
• EHR helps reduce errors pertaining to prescription drugs,
emergency and prescriptive care as well as to tests and
procedures. EHRs are accessible from anywhere. They also
contains allergy checks, standard drug dosage, drug-drug
interaction as well as patient education information, hence
it helps reducing errors.
• To overcome these errors, continuous monitoring and
upgradation of system is required. This would also require
experts to look into situations case-by-case to provide
override approvals, as well as training sessions for all users
to cope with unique medical settings.

11. •E-Consultation is electronic communication
between patient's clinician and a specialist using
a secure platform to discuss sensitive
information. This reduces wait times, though
there is limited evidence regarding efficacy and
safety of e-consults.

12. Patient Data Management System
• Telemonitoring, i.e., remote patient monitoring, can be used when
there are challenges to healthcare accessibility. It helps improve
patient outcomes for certain chronic conditions such as stroke,
asthma, hypertension, etc. The Patient Data Management System
(PDMS) can automatically retrieve data from medical equipments
(e.g. ventilator, patient monitor, etc.) and is further used for
interpretation by the health care provider. PDMS data integrated with
CDS (Clinical Decision Support) and EMR (Electronic Medical Record)
can help improvement in clinical outcomes and reduce the risk of
errors.

13. Electronic Incident Reporting
•Electronic incident reporting systems are
web-based systems that allow healthcare
providers to voluntary report safety events
that occured with them or were observed
by them. These systems can be integrated
with electronic health record (EHR) to
automate detection of adverse events.

14. THANK YOU