Nursing Informatics Chapter 16 – Flashcards

A medical diagnosis such as a urinary tract infection that is an "outcome potentially sensitive to nursing" and is thought to be due to poor nursing care. When medicine does the measurement it is often uses as a measure of the contributions of nurses in providing inpatient care . More accurate predictions can be obtained with the use of the nursing standardized terminologies

an classification scheme for standardizing the language for nursing interventions. Recognized by the ANA.

An ANA committee that was organized to evaluate the use of nursing terminologies recognized by the ANA CNPII committee in vendor products. This committee does NOT recognize standardized terminologies, this is done

The minimum set of nursing data necessary to compare nursing data across different settings and geographical areas.

A standardized terminology developed by the Regensteif Institute in Indianapolis to standardize data for laboratory tests. Now also standardizes assessment data. Recognized by the ANA.

A method of grouping like items so that they can be referred to in a more abstract manner. May use a taxonomy.

The Omaha System is a standardized nursing terminology for computerizing nursing problems, interventions and outcomes for community based practice. Is in the public domain. Recognized by ANA.

Systematized Nomenclature of Medicine Clinical Terminology. An interdisciplinary standardized terminology maintained by the IHTSDO.

(Formerly the HHCC). One of the ANA Recognized Standard Terminologies. Developed by Saba to predict resource use in home care for Medicare and Medicaid patients. Now used in all clinical areas. Is in the public domain. See chapter 16 for more information.

A classification scheme that standardizes the language for nursing outcomes. Recognized by the ANA

A way of organizing, or classifying items that follows a set of rules and is focused on a given concept or philosophical base. Organized in a pyramid so that everything in a lower level connected to the same object shares characteristics.

A standardized nursing terminology recognized by the ANA that was developed and is maintained by the American Operating Room Nurses. It was developed to make visible the contributions of nurses in the operating room. It has since evolved to encompass the entire peri-operative period.

a standardized terminology that is used by clinicians to enter data into a computerized information system. NANDA, the Omaha System, and the PNDS are examples of interface terminologies in nursing. Are often "mapped' to Reference terminologies.

A system developed by the International Council of Nurses to enable the description and comparison of nursing data for clinical populations around the world. One of the ANA recognized standardized terminologies.

The use of data or documents that have been collected for another purpose, such as data in a medical record, for other purposes. An example would be discovering how many patients with a given condition have a specific treatment. In the EHR world it refers to healthcare data collected for patient care, then being deidentified and used in research.

A formal description of the concepts and relationships in a domain. In more pragmatic terms, when an ontology is developed for a given domain it defines the vocabulary used in queries and assertions. A commitment to a common ontology guarantees consistency, but not completeness.

the ability of a computer to locate terms or phrases in free text, or text such as one writes and reads, to find data that can then be structured. For example, natural language processing would find details in a nursing note describing the outcome of a given procedure that could then be placed in a structured format for reporting and other secondary data uses. It is a form of artificial intelligence. The goal is to enable languages such as English and Spanish to be used to enter information into a computer and still preserving the ability to use the data in a structured database manner.

a computer application that has been designed to mimic the actions of an intelligent human in a given situation and be capable of substituting for a human. Robots are an example of artificial intelligence.