The document discusses manual and computerized healthcare information systems. It outlines some advantages and disadvantages of manual systems, such as low cost and easy implementation but also issues with data storage and accessibility. Computerized systems address some of these challenges but have higher initial costs and require additional training. The document also describes some applications of computers in healthcare like automated patient record searches and monitoring, as well as the role of nursing informatics in integrating nursing science, information science and computer science to manage clinical data and support patient care.

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N U R S I N GI N F O R M AT I C S
Computers&
Nursing
N U R S I N GI N F O R M AT I C S
MANUAL HEALTH CARESYSTEM
Advantages:
•Easy to implement
•Low cost
•No extra training required
•Requires minimum effort
•Quick processing
•Can be stored anywhere
•Cannot be easily corrupted (with proper data
storage
•Easy to prepare
•Data profiling can be processed easily
•Readiness of data
N U R S I N GI N F O R M AT I C S
MANUAL HEALTH CARESYSTEM
Disadvantages
: •Problem with maintenance
•Volume of data becomes a problem
(storage problem)
•Needs lots of paper
•Problem with flavescent paper
•Problem with interpretation /
transcription
•Data is not converted easily to information
(not data)
N U R S I N GI N F O R M AT I C S
MANUAL HEALTH CARESYSTEM
Disadvantages
: •Accessibility to any health care
personnel and accessibility to any health
care institution
•Once the data is burned, it cannot be
reproduced easily
•Integration with the other system such
as laboratory, accounting etc is a problem
•Data handling is a problem
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N U R S I N GI N F O R M AT I C S
COMPUTER INFORMATIONSYSTEM
Advantages:
•Data maintenance
•Low maintenance cost
•Volume of data is not an issue
•No paper is required
•No problem with
interpretation / transcription
N U R S I N GI N F O R M AT I C S
COMPUTER INFORMATIONSYSTEM
Advantages:
•Data can be converted easily to
information
•Readiness of the information and data
•Accessibility to any health care
personnel and accessibility to any
health care institution
•Data cannot be corrupted easily (with
proper back up)
N U R S I N GI N F O R M AT I C S
•Can be integrated with other system such as
laboratory, pharmacy, accounting, management,
etc.
•Data handling is easy
•Data integrity is preserved
•Data communication is possible
•Statistical information system can be provided
•Migration to other system is easy
•Can be expanded
•Easy data profiling
COMPUTER INFORMATIONSYSTEM
Advantages:
N U R S I N GI N F O R M AT I C S
•Implementation requires severe
justification
•High starting cost
•Requires training for nursing and health
care giver
•Requires additional effort to implement
•Additional manpower is necessary
•Special storage is necessary
•Data communication system will have
an additional cost
COMPUTER INFORMATIONSYSTEM
Disadvantages
:
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N U R S I N GI N F O R M AT I C S
•Data can be easily corrupted (if no
back up is provided)
•Readiness of data and information is
possible when software is provided in
the health care information system
•Requires extensive planning, designing
and commercial
implementation
•Information management is essential
COMPUTER INFORMATIONSYSTEM
Disadvantages
:
N U R S I N GI N F O R M AT I C S
APPLICATION OF COMPUTER TO HEALTHPROFESSIONS
•Automatic searching of parallel records for
medically ill person and critical medical
information
•Automatic searching of nationwide
databases holding registries of patients
with critical problems.
N U R S I N GI N F O R M AT I C S
APPLICATION OF COMPUTER TO HEALTHPROFESSIONS
•Automated review of similar patients to determine
expected lengths of stay, costs and rates of
complications – allowing better financial forecasting
for the hospital and better information for the
patient and caregiver.
•System will allow the user to very easily pull
information from vast numbers of patients (without
names!) into spreadsheets, databases, graphing
packages to create instant displays of outcome,
treatment paths and options.
N U R S I N GI N F O R M AT I C S
APPLICATION OF COMPUTER TO HEALTHPROFESSIONS
•Improved communication between multiple
providers to reduce the “it slipped through the
cracks” syndromes that plague the smooth
running of operating rooms
•Patient care and management – care
providesrs are using data entry devices to
document care given both at the bedside and at
central terminals
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N U R S I N GI N F O R M AT I C S
APPLICATION OF COMPUTER TO HEALTHPROFESSIONS
•Patient records – compilation of patient or
test data, maintenance and retrieval of these
records and use of these records for billing
and usage and outcome analysis
•Patient monitoring – by recording patient
data online and from various tests
N U R S I N GI N F O R M AT I C S
APPLICATION OF COMPUTER TO HEALTHPROFESSIONS
•Exchange of medical data – from the
compilation and maintenance of databases
•Interactive medical education – from
database and tutorial software
•Physician decision making – from the use of
patient records and other databases.
N U R S I N GI N F O R M AT I C S
Computers in Nursing
•Can perform a wide range of activities that
save time and help nurses provide quality
nursing care such as admission, discharge
and transfer, patient monitoring, patient
mapping, nursing schedule, patient profiling,
decision support, etc.
Health Care Informatics
•Is the integration of information science, health science,
computer science and cognitive science.
•Derivative of the holistic objective of the medical
practitioners such as the nurse, health care providers,
physicians, health care staff, etc. (Calano & Del Rio, 2010)
•Can also be regarded as the derivative of the business
health care application
•Subgroups:
•Medical informatics
•Health informatics
N U R S I N G I N F O R M AT I C S
*Dental informatics
*Nursing informatics
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N U R S I N GI N F O R M AT I C S
Nursing Informatics
•Specialty that integrates nursing science, computer
science and information science to manage and
communicate data, information and knowledge in
nursing practice.
•Facilitates the integration of data, information, and
knowledge to support patients, nurses, and other
providers in their decision making in all roles and
settings.
NURSING
SCIENCE
INFORM ATION
SCIENCE
COMPUTER
SCIENCE
Nursing Informatics Specialist
•Responsible for providing clinical information and data analysis
for effective patient care and monitoring
•Works with computer systems, data and information analysis
systems such as statistical information system to ensure optimal
health care is provided.
•Should have a good understanding of basic nursing techniques
and standards coupled with statistical data collection, data
analysis and interpretation; information allocation and
dissemination capabilities are also essential.
•Evaluates patient care based on the data and information and
determines more appropriate care and medical processes
N U R S I N G I N F O R M AT I CS
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