The document discusses several models and frameworks relevant to nursing informatics. It summarizes 5 general nursing informatics models: Graves and Corcoran's model, Schiwirian's model, Turley's model, the Data-Information-Knowledge model, and Benner's Novice to Expert model. It also mentions 2 specific models: the Philippine Health Ecosystem model and the Shift Left model. The document then provides more details about each of the 5 general models.
Anyone who has been in the nursing field for an extended period of time will tell you that a lot has changed. In fact, the twentieth century brought – literally – a technological “invasion” to nursing.
Anyone who has been in the nursing field for an extended period of time will tell you that a lot has changed. In fact, the twentieth century brought – literally – a technological “invasion” to nursing.
The Filipino registered nurse believes in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost.
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Nursing informatics: background and applicationjhonee balmeo
Healthcare Information System (HIM)
Electronic Medical Record System (EMR)
Electronic Health Record System (EHR)
Historical Background (Nicholas E. Davis Awards of Excellence Program)
Practice Application (CCIS, ACIS, CHIS)
White paper: Functional Requirements for Enterprise Clinical Data Management:...Carestream
As healthcare organizations plan for the future growth and integration of clinical
data into their IT ecosystems, it’s crucial to clearly define the functional requirements spanning the needs of users across the enterprise. This white paper provides an overview of the key functional requirements. To learn more visit carestream.com/clinical-collaboration
The Filipino registered nurse believes in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost.
Nursing informatics
What is nursing informatics?
Evolution of nursing informatics
Role of the Nurse as knowledge worker
Medical Informatics
Consumer Informatics
Nursing informatics: background and applicationjhonee balmeo
Healthcare Information System (HIM)
Electronic Medical Record System (EMR)
Electronic Health Record System (EHR)
Historical Background (Nicholas E. Davis Awards of Excellence Program)
Practice Application (CCIS, ACIS, CHIS)
White paper: Functional Requirements for Enterprise Clinical Data Management:...Carestream
As healthcare organizations plan for the future growth and integration of clinical
data into their IT ecosystems, it’s crucial to clearly define the functional requirements spanning the needs of users across the enterprise. This white paper provides an overview of the key functional requirements. To learn more visit carestream.com/clinical-collaboration
In this full-day tutorial, you will learn basic overview of electronic medical records systems, health data management and how you can use the OpenMRS system for data and information management. We will cover basics of installation, user management, location management, patient dashboards and some interesting features that are provided by different modules. You can see how OpenMRS can be customized with different modules that are suitable for different contexts. This tutorial is helpful for new users and developers who would like to know the features of OpenMRS. Individuals who would like to evaluate and try to see if OpenMRS fits their healthcare needs will also benefit from this tutorial.
Chapter 12 IT Alignment and Strategic Planning Learning ObjectivesEstelaJeffery653
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Technology Considerations to Enable the Risk-Based Monitoring Methodologywww.datatrak.com
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
2. THEORIES, MODELS AND FRAMEWORK
Nursing Informatics models is composed of 5
general models. 1st, Graves and Corcoran's model.
2nd, Schiwirian's model. 3rd, Turley's model. 4th,
Data Information Knowledge (D-I-K) model. And the
last is Benner's Novice to Expert model. The 2
specific informatics models are Philippine Health
Ecosystem model and Shift Left model.
3. According to GRAVES AND CORCORAN’S
MODEL (1989) that nursing informatics as the
linear progression, from data into information
and knowledge. Management processing is
integrated within each elements, depicting
nursing informatics as the proper management
of knowledge, from data as it is converted into
information and knowledge.
4. According to SCHIWIRIAN’S MODEL
(1986), nursing informatics involves
identification of information needs,
resolution of the needs, and attainment of
nursing goals/objectives. Patricia
Schwirian proposed a model intended to
stimulate and guide systematic research in
nursing informatics, model/framework that
enables identification of significant
information needs, that can foster research
(somewhat similar to Maslow’s hierarchy of
needs).
5. According to TURLEY’S
MODEL (1996), nursing
informatics is the intersection
between the discipline-
specific science (nursing) and
the area of informatics. And
in this model, there are 3 core
components of informatics,
namely Cognitive science,
Information science, and
Computer science.
7. Personal Health Dimension - personal health record
maintained and controlled by the individual or family;
nonclinical information.
Health Care Provider Dimension - promotes
quality patient care, access to complete accurate
patient data 24/7.
Population Health Dimension – information on the
health of the population and the influences to health;
helps stakeholders identify and track health threats,
assess population health, create and monitor
programs and services, and conduct research.
PATIENT MEDICAL RECORD INFORMATION
MODEL (PMRI):
8. ABC CODES:
- mechanism for coding integrative
health interventions by clinician for
administrative billing and insurance
claims.
- includes complementary and alternative
medicine interventions and codes that map
all NIC, CCC, and Omaha system
interventions.
9. Perioperative Nursing Data Set
(PNDS):
universal language for perioperative
nursing practice and education;
standerdize documentation of
perioperative data in all perioperative
settings.
diagnosis based on NANDA,
interventions based on NIC, and
outcomes based on NOC.
10. SNOMED CT:
core clinical terminology
containing over 357,000
healthcare concepts
with unique meanings
and formal logic-based
definitions organized
into multiple
hierarchies.
11. Advanced Terminology Systems
The primary motivation for
standardized terms in nursing is the
need for valid, comparable data that
can be used across information
system applications to support
clinical decision-making and the
evaluation of processes and
outcomes of care.
12. The Vocabulary Problem
Reasons for the vocabulary problem in health
and nursing informatics:
• The development of multiple specialized terminologies has
resulted in areas of overlapping content, areas for which no
content exists, and large numbers of codes and terms.
• Existing terminologies are most often developed to provide
sets of terms and definitions of concepts for human
interpretation, which computer interpretation as only a
secondary goal.
The failure to achieve a single, integrated
terminology with broad coverage of the
healthcare domain.
15. Advantages of Advanced Terminology
Systems
Allow much greater
granularity through
controlled composition
while avoiding a
combinatorial explosion
of pre-coordinated terms
Facilitate two important facets of
knowledge representation for computer-
based systems that support clinical care:
(a) describing concepts, and (b)
manipulating and reasoning about those
concepts using computer-based tools
16. Motivated in part by a desire
to harmonize the plethora of
nursing terminologies around
the world and to integrate
with other evolving
terminology and information
and model standards.
Advanced Terminological Approaches
to Nursing
17. GALEN Program
Can be used in a range of ways, from directly
supporting clinical applications to supporting
the authoring, maintenance and quality
assurance of other kinds of terminologies.
18. SNOMED RT
• SNOMED Reference Terminology (TR) is a reference
terminology optimized for clinical data retrieval and
analysis
• Concepts and relationships in SNOMED are
represented using modified KRSS (Knowledge
Representation Specification Syntax) rather than GRAIL
• Concept definition and manipulation are supported
through a set of tools with functionality such as
Acronym resolution, word completion, term
completion, spelling correction, display of the
authoritative form of the term entered by the user, and
decomposition of unrecognized input
20. - Provide nurses knowledge of many
aspects organized for effective and
efficient healthcare delivery.
- Assists clinicians with data necessary
for decision-making and problem solving
- Must serve the organization and the patient in much the
same way an efficient healthcare delivery system involves
all appropriate departments in establishing healthcare
delivery processes
The Planning Phase
Begins once an
organization has
determined that an existing
need or problem may be
filled or solved by the
development of a CIS
The Clinical Information
System (CIS)
21. Clinical Information System
Committee Structure and Project
Staff
- The nursing administrator, in
conjunction with the information
system’s management team,
works to develop a committee
structure and participation to
best guarantee the success of
the project
Transition management is a
series of deliberate, planned
interventions undertaken to
assure successful adaptation/
assimilation of a desired
outcome into an organization.
(Douglas and Wright, 2003)
22. Project Team
Led by an appointed project manager and
includes a designated team leader for each of
the major departments affected by the system
selection, implementation, or upgrade proposed
Objectives:
- Understand the technology and its
restrictions, if any, of a proposed
system
- Understand the impact of
intradepartmental decisions
- Make decisions at the
intradepartmental level for the overall
good of the CIS within the
organization
- Become the key resource for their
application
23. The Key Role of the Nurse Administrator
The active involvement of the nurse executive is considered
a critical success factor of any CIS implementation or
upgrade.
The System Analysis Phase
- Second phase of developing a CIS
- Is the fact finding phase
- Foundational to the actual system design
Data Collection
- Collection of data reflecting the existing problem or goal.
- Refining of the project scope agreement
- Creation of a Workflow Document
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24. 1. data collected into logical sequencing of
tasks and subtasks performed by the end
users for each goal or problem area, it
includes:
- A list of assumptions about the process
- A list of major tasks performed
- A list of subtasks and steps accomplished
2. Sources:
- Written documents, forms, and flow
sheets
- Policy and procedure manuals
- Questionnaires
- Interviews
- Observations
25. Data Analysis
- Provides the data for
development of an
overview of the nursing
problem and or stated
goal defined in the
project scope
agreement
- Tools used:
Data flowchart
Grid chart
Decision table
Organizational chart
Model
V
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26. Data Review
Focuses on resolving the problem and
or attaining the goals defined in the
feasibility study based on the best
method or pathways derived from the
workflow documents and the
functional design.
Benefits Identification
The overall anticipated benefits
from the system are documented
in this step.
The benefits reflect the resolution
of the identified problem,
formulated and stated in
quantifiable terms
V