INFORMATION TECHNOLOGY SYSTEM

APPLICABLE IN NURSING
PRACTICE
CARLA JEAN L. YBANEZ, RN, MAN

[Link]
 K E Y F E AT U R E S O F N U R S I N G
I N F O R M AT I C S T O P R A C T I C E A P P L I C AT I O N

• PATIENT CHARTING
- Nursing assessment, care plan
and notes can be entered Into
the automated system with
graphical user Interface

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 K E Y F E AT U R E S O F N U R S I N G
I N F O R M AT I C S T O P R A C T I C E A P P L I C AT I O N

CLINICAL DATA INTEGRATION

- Data and Information can be
shared to another department.

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 K E Y F E AT U R E S O F N U R S I N G
I N F O R M AT I C S T O P R A C T I C E A P P L I C AT I O N

DECISION SUPPORT
- Decision support module can be
added to nursing information
systems and they provide prompts
reminders, along with guides to
disease linkages between
signs/symptoms

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 K E Y F E AT U R E S O F N U R S I N G
I N F O R M AT I C S T O P R A C T I C E A P P L I C AT I O N

• OPTIMAL OPERATION of
HOSPITAL and CLINIC

Better drug administration, staff

scheduling, wards and rooms
monitoring, patient mapping and
etc.

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 K E Y F E AT U R E S O F N U R S I N G
I N F O R M AT I C S T O P R A C T I C E A P P L I C AT I O N

• BETTER CARE PLANNING

- Time spent on care planning is

reduced, more time spent with
patient care and the quality of
what is recorded is improved

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ELECTRONIC
H E A LT H C A R E
RECORD
• Computerized patient records
• Large data are being stored
• Manage health information using
modern Information techniques
• Made up of electronic medical
records (EMR) from different
departments such as laboratory,
radiology, pharmacology
department, etc

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TYPES OF
DATA S TO R E D
IN EHR
• Patient Profile
• Results of medical examination
• Medical History; History of
allergies; Immunization record,
etc.
• Development of health
condition and status
• Results of diagnostic tests
• Medication history
• Records of appointments
• Billing Records
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CRITICAL CARE APPLICATION

CARLA JEAN L. YBANEZ, RN, MAN

[Link]
Critical Care Nursing
An area of expertise of Nursing that focus
specifically to life-threatening health
problems of a critically-ill patient.

Critical Care Nurse

Ensures that critically-ill patients should receive
optimal nursing care, Performs complex
assessment and monitoring, provides high-
intensity medication and continuous therapy.

Critical Care Information System

• Provides real-time resource utilization data
and management of information
• Integration of medical facilities in the
critical care.
• Electronic collection of hospital and
patient-specific critical care data of patients
which can be processed to create a patient
profile.

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Special software is installed in the computer
system, Microprocessor-based and has built-in
statistical information

Patient Monitor -Heart Rate , Body Temperature

, Oxygen Saturation

Central Monitoring Station – Computerize

Charting, Computerize decision making

Advantages of Critical Care Information

System
• Integrates and process physiologic and
diagnostic information
• Creates trends and analysis with graphical
representation of results
• Offline simulation can be performed Clinical
decision support system
• Access to vital patient information
• Provides alert, feedback and quick evaluation
of the patient condition 40
COMPONENTS OF A CCIS INCLUDE:

[Link] MANAGEMENT
- Admission, transfer, discharge can be directly entered or interfaced by admission department information
system
- Prognostic scoring system can be integrated to facilitate assessing the severity of illness for critically ill
patients
[Link] SIGNS MONITORING
[Link] TESTING RESULT
[Link] DOCUMENTATION TO SUPPORT THE PROCESS OF PHYSICAL ASSESSMENT FINDINGS:
- patient assessment flow sheets
[Link] SUPPORT
- can provide alerts in accordance with the evidenced based guidelines
[Link] MANAGEMENT
- the used of code scanning, electronic MAR that is integrated into CCIS, medication
administration flow sheets, calculation of intravenous medication dosages
[Link] PLAN OF CARE
- CCIS supports multidisciplinary documentation and planning of patient care

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COMMUNITY HEALTH APPLICATION

CARLA JEAN L. YBANEZ, RN, MAN

[Link]
CHN is a synthesis of Nursing practice and public health
practice applied to promoting and preserving the health of
population

COMMUNITY HEALTH INFORMATION TRACKING SYSTEM

(CHITS)
- Created to allow healthcare providers to collect, process and
share personal health data from among rural health units
- It uses standard data sets too
- A collective term for the methodical application of
information science and technology to community and public
health process
- It emphasizes the prevention of disease, medical
intervention and public awareness.
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PRIMARY FOCUS OF CHIS
- Preventing, identifying, investigating and eliminating
communicable health problems
- Accessibility of data and information through communication
- Educating and empowering individuals to adopt healthy lifestyle
- Facilitate retrieval of data
- Effective transformation of data into information
- Effective integration of information to other disciplined to
concretized knowledge and create better understanding
- Creation of computerized patient records, medical information
system
- Central repositories of all data such as data warehouse
- Simple graphical user interface (GUI) for nurses and other
healthcare provider 44
Advantages of Integration of Community Health Systems
• Consistent exchange of response
• Disease Tracking
• Data and information sharing
• Building Strategies
• Early detection and monitoring of disease and sickness
• Control of spread of disease
• National alertness and preparedness
• Building strong communication
• Maintaining strong relation between nurses and other
healthcare providers
• Continuous coordination of healthcare professionals
• Synchronization of the decisions
• Streamlining of the process
• Effective management of data and information
• Optimal operation of hospitals and clinics
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AMBULATORY CARE APPLICATION

CARLA JEAN L. YBANEZ, RN, MAN

[Link]
AMBULATORY CARE SYSTEM
- Covers a wide range of health care service that are provided for patients who are not
admitted overnight to a hospital

ADVANTAGES OF AMBULATORY CARE INFORMATION SYSTEM

- Real time and easy access to patients' medical records by health care providers
- Improved workflow
- Reduced errors with the availability of various automation engines (drug interaction
engine, medical alert engine, patient billing engine
- Automated and integrated back end processes such a pharmacy, billing and etc.
- Improved clinical outcome analysis
- Improved in hospital inventory management
- Better monitoring and management of costs

ROLES OF NURSE IN ACS

- Facilitates the integration of data, information and knowledge
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ADMINISTRATIVE ASSISTIVE DEVICES AND
WORKPLACE TECHNOLOGIES
CARLA JEAN L. YBANEZ, RN, MAN

[Link]
ADMINISTRATIVE ASSISTIVE DEVICES and WORKPLACE TECHNOLOGIES
• Computerized nursing systems on administrative applications – can help nursing
manage and use information to fulfill its unique data requirements:
• Clinical Needs (Patient care, documentation, etc.)
• Strategic Needs (Organizational performance, support processes, etc.)
• Quality Management Needs (Outcome measurement and regulatory compliance)
• Resource and Personnel Management Needs(Scheduling, continuing education,
staff development)

Examples of Computer Applications for Administrative Information Management

Patient Classification System, Staffing and scheduling system, Unit activity reports
Error reports, Incident reports, Infection control, Training and Education
Financial planning, Hospital expansion, Personnel files and Quality assurance

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Benefits of Using Information Technology for Nurse Administrators
• Expanded use of nursing staff resources
• Improved quality of patient care monitoring
• Improved documentation
• Improved communication
• Improved planning
• Increased standardization of nursing practice
• Ability to define nursing practice and associated issues
• Ability to define methods to track patient care delivered, outcomes achieved, and
revenue generated
• Enhanced recruitment and retention
• Improved evaluation of care provided
• Support for the dynamic organization, capable of change

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TELEHEALTH

CARLA JEAN L. YBANEZ, RN, MAN

[Link]
TELEHEALTH

Delivery of healthcare services or activities with time and distance barriers removed and
using technologies such as telephones, computers, or interactive video transmissions.

Nurses are involved with telehealth technologies:

• Personal Digital Assistants are used at the bedside to enhance the safe delivery of care
with access to clinical resources, drug databases, and medication calculation functions.

• Home healthcare nurses document stages of wound healing with a digital camcorder.

• Patients with heart failure use two-way video devices to participate in a congestive
heart
• failure program from home
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INFORMATICS APPLICATION IN EVIDENCE-
BASED NURSING PRACTICE
CARLA JEAN L. YBANEZ, RN, MAN

[Link]
Nursing Clinical Practice:

• Work lists to remind staff of planned nursing interventions.

• Computer generated client documentation.
• Electronic Medical Record (EMR) and Computer based Patient Record
(CPR)
• Monitoring devices that record into the client record (EMR)
• Computer generated nursing care plans and critical pathways
• Automatic billing for supplies or procedures with nursing documentation
• Reminders and prompts that appear during documentation to ensure
comprehensive charting

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Nursing Administration (Healthcare information system)

• Automated staff scheduling

• E-mail for improved communication
• Cost analysis and finding trends for budget purposes
• Quality assurance and outcomes analysis

Nursing Education
• Computerized record keeping
• Computerized assisted instruction
• Interactive video technology
• Distance learning- web based courses and degree programmers
• Internet resources- formal nursing courses and degree programmers
• Presentation software for preparing slides and handouts- power points
and MS words
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CRITICAL/CLINICAL PATHWAYS

CARLA JEAN L. YBANEZ, RN, MAN

[Link]
CRITICAL/CLINICAL PATHWAYS

A critical Pathway (CP) is a clinical management tool that helps

medical care providers coordinate the delivery of patient care for a
particular case type or condition. As a guide to usual treatment
patterns, a CP gives a view of the "big picture."

-set of structured, multidisciplinary plans of care to augment or support

the implementation of a clinical guideline.

-range of scope can be as focused utilization of medication to something

more complex like a comprehensive patient management plan

-first introduced in 1990 in the US and the UK-evidenced-based

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COMPUTER GENERATED CARE PLAN

CARLA JEAN L. YBANEZ, RN, MAN

[Link]
Computerization of the Nursing Care Plan (NCP) has achieved an end to the means
in resolving the many obstacles that have made nurse care planning theoretical
and non-functional.

A computer system has been developed, providing nursing care plans that should
solve some problems related to paperwork and communication in the nursing
unit.

Computerized nursing care plans have been implemented in recent years, but
users’ perceptions of this technology have not been comprehensively explored. It
is believed that by taking into consideration users’ experiences with computer use,
strategies and programs can be developed to help users adapt to new systems

Informatics comes from the French word “infromatique” which means “computer
science”. Informatics is defined as computer science+information science
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ADVANTAGES OF COMPUTERED
GENERATED NCPS

1. Can import certain patient data

(RECORDED VITAL SIGNS) as part of
nursing assessment from other areas of
the system.
2. Confidential Uniformity of nursing
diagnoses throughout a healthcare facility
3. Provides a ready selection of nursing
interventions based on diagnoses
4. Accessibility of the NCP for evaluation
5. Time saver
6. Space saver
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DISADVANTAGES OF COMPUTER
GENERATED NCPS

1. Nursing diagnoses may be limited to

the current database of a specific EHR
system
2. May be difficult for less tech savvy
nurses
3. Computerized NCPS are only as good as
the actual patient assessment of the
nurse utilizing the system
4. Risk of total data loss if system crashes

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EHRS WITH COMPUTERIZED NCPS

• CERNER
• POINTCLICKCARE- SPECIALIZES IN
ELDERLY CARE FACILITIES (US)
• ALLSCRIPTS
• ECLINICALWORKS
• MEDTECH
• INDRA- AVAILABLE IN PH (Makati
Medical Center

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