UCC2 Advanced Information Management & The Application of Technology – Flashcards
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Nursing Informatics
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The combination of Nursing Science, Information Science and Computer Science
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Information
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Data that can be processed using knowledge.
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Information Must Be:
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Accessible, Accurate, Timely, Complete, Cost Effective, Flexible, Reliable, Relevant, Simple, Verifiable and Secure
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Disseminate
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Sharing knowledge with others
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Data
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Raw facts that lacks meaning.
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Knowledge Acquistion
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The Act of Acquiring knowledge
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Empiricism
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Based on knowledge being derived from reason
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Rationalism
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An ethical position that contends that knowledge is derived from deductive reasoning and not from the senses
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Core Business Systems
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Enhances administrative task within healthcare.
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Core Business Systems
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Support the management of healthcare within an organization. Provides framework for reimbursement, support of best practices, Quality control and resource allocation
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4 Core Business Systems
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1. Admission, Discharge, Transfer 2.Financial 3. Acuity 4. Scheduling System
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Informatics Nurse Specialist
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An RN with formal, graduate education in the field of informatics or a related field and is considered a specialist in the field of nursing informatics.
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Informatics Innovator
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Process of making enhancements or improvements and creative, novel and inventive solutions in the informatics specialty.
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Informatics Nurse
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A nurse with specialized skills, knowledge and competencies in informatics. An RN with an interest or experience working in an informatics field. A generalist in the field of informatics in nursing.
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Nursing Informatics
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Conceptual framework underpinning the science and practice of nursing with the concepts of data, info, and knowledge wisdon
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Ontological Approach
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Theory that considers ontology development (domain analysis) and its mapping to object models (specification of infrastructure). Based on enumerating all concepts used in a domain and in providing their formal definitions according to suitable formalism (usually logic based)
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Archetype
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Broad or general, idealized model of an object or concept from which similar instances are derived, copied, patterned, or emulated. Original model after which other similar things are patterned. First form from which varieties arise or imitations are made.
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Electronic Health Record
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Improves Care Control Cost Improve Delivery No need report
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T.E.L.O.S
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Technological Economic Legal Operational Schedule Feasibility
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Interoperability
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Ability of various systems and organizations to work together to exchange information
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CPOE
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Eliminating medical errors due to writing
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Evidence Based Nursing
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Nursing process in which nurses make clinical decisions using: 1. Best available research evidence 2. Clinical Expertise 3. Patient preference
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Core Public Health Function
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Assessing and monitoring the community
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Knowledge
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is the product of using and working with data and information
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Benefits of EHR
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* Increase delivery of guideline based care * Surveillance & Monitor Disease * Decrease Medication Errors * Determine who qualifies for research
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To be a Certified EHR, it must contain
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*Drug Interactions *Drug Formula * Up to date problem list *active medication list *allergy list * vital signs * BMI *smoking status *growth chart
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Intrusion detection device
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Hardware and software that allow an organization to monitor who is using the network and what files that user has accessed
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A patient's blood pressure is an example of
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Data
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Learning how to apply computer science to nursing science is
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Information
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Example of Nursing Imformatics
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"Patient's BP dropped, decrease cardiac drip" this is using the data of the bp and the knowledge that the medication is causing the patient's bp to drop to rapidly
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3 Sciences of Nursing Informatics
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NIC->Nursing,Information, Computer Science
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Examples of Knowledge Acquistion
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A new nurse watches a seasoned nurse do a procedure first, then the new nurse tries it. Acquisition is the learning or developing of a skill, habit or quality
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Feed Back
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Is the response to knowledge to ensure that the knowledge being generated, disseminated, acquired and processed is ACCURATE
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Knowledge Processing
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The ability to gain knowledge by thinking about the info that is learned and then understanding fully how to use and apply that info for good use
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Knowledge Gereration
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Is the origination of knowledge that is to be shared and eventually acquired
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5 Specific Ways Knowledge is Developed
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Acquisition Dissemination Generation Processing Feedback
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Epistemology
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Is the study of the nature and origin of knowledge. What is means to really KNOW
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Ubiquity
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Healthcare delivery, information and knowledge available everywhere and anywhere
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Feasibility Study
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Examines various points of the implementation project in order to decide whether the organization can afford to implement the program and do so in a timely way.
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Waterfall Development Model
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The development and implementation of info systems use various approaches. Each phase is rolled out individually.
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Feasibility Indicators
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TELOS= Technologies Economic Legal Operational Schedule Feasibility
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5 Steps of Implementing a new software program
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Analysis Design Implementation Evaluation Maintenance
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Proxy Server
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Hardware security tool that prevents internet access
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Patient Care Support System
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Provides info to RN's and MD's about *clinical documentation *prescriptions *labs *radiology reports
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Benefits of Oder Entry Systems
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Decrease errors from poor penmanship Decrease errors from interpreting #'s Information is sent directly to Pharmacy or to the patient
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Sharing information between systems
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PACS, Pharmacy, Meditech, different systems use different software programs. It is essential for the systems to be able to talk with each other.
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Static Approach
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Educating with brochures, pamphlets, flyers, books and magazines
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Knowledge Age
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People want to know Increase in information that feeds individuals Immediate results and unlimited access to services
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Clinical information system
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Used for; drawing data, trends, statistics and reports used fro clinical or admin decision making, audits and process improvment
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Human Computer Interaction
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User must be early & continuous during interface & design Design should be iterative, allowing for evaluation & correction
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HIMSS
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Healthcare Information Management Systems Soceity
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Healthcare Information & Management Systems Soceity
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Better health through information technology, globally lead endeavors optimizing health engagements & care outcomes through Information technology
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Information Technology Revolution
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Information cheap More efficient & effective Good Tools Good Resources
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Risk Assessment
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Identify hazard Exposure time Dose of exposure Risk Characterization;; ?Was it a high or low risk?
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Examples of Core Public Health Function
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Examine: Demographics Socioeconomic Disease Prevalence Disease Incidence
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Websites you can refer to
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US Department of Health & Human Services American Nurses Association *always have author and pub date
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Interactive Approach
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Using Multimedia for Educating *websites*power points*games*sound clips
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Information Technology
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Use of hardware, software, services & supporting infrastructure to manage & deliver information using voice, data & video or the use of technologies from computing, electronics & telecommunications to process & distribute info in digital or other. Anything related to computing technology such as networking, hardware, software, the internet or the people who work with these technologies
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Expert System
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A type of decision support system that implements the knowledge of one or more human experts.
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Decision Support System
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Computer applications designed to facilitate human decision making processes. Usually DSS's are rule-based, using a specified knowledge base and a set of rules to analyze data and information and provide recommendations typically through the use of knowledge base and rules to make recommendations to users.
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Benefits of using Clinical Information Systems
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Decrease Free text Make reports from codes Aggregate data Performance Improvement Graph Vitals Helps clinical analytics Helps Guidelines or best pratices
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Clinical Information System
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Technology based system applied at the point of care & designed to support the acquisition & processing of information capabilities.
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Heuristic Evaluation
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"discount usability eval" . Used to detect problems early in the design so it is cheaper and easier to fix
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HONcode & Trust-e
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Sites have been reviewed & are trustworthy
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Collaboration Groups
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Information technology Clinical Specialty Areas Support Services Software Vendors
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Stakeholders
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They are very critical to success Most responsibility for completing Greatest Influence Overall design Must impact by project Collaborate overall budget & time frame
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Picture Archiving & Communication System
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PACS- Radiology, stand alone, diagnostic studies are stored on this system. Shared instantly.
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Systemized Nomenclature of Medicine
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SNOMED CT- Universal healthcare terminology & messaging structure. Enables terminology from one system to be mapped to concepts from another system.
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ANA Recognized Terminology
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NANDA- nursing diagnosis, definitions, classifications NIC- Nursing Interventions Classifications CCC-Clinical Care Classifications Omaha System NOC-Nursing Outcome Classifications NMMDS- Nursing Management Minimum Data Set ICNP- International classification for nursing pratice
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HITECH
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US. The health information technology for economic & clinical health. 01-2009 Bill was passed for electronic health records to be used.
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Clinical Care Classification
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Interrelated terminologies that cover: Nursing diagnosis Nursing Outcomes Nursing Interventions Nursing Actions
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Accessibility
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Easy to access the information & knowledge needed to deliver care or manage a health service.
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Administrator's Use Which Systems
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Information Systems: Analysis of the Budget Risk Management Quality Assurance HR Payroll Patient Registration Staff Scheduling Communication
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Cognitive Informatics
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Understanding how information is processed in the mind & in the computer
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Work Flow
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Sequential Steps are dependent on one another, Task, Events and interactions
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Gaming Simulation
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Students to learn about task. Provides the nurse to self teach. Disadvantages is that the nurse can not become one like in the virtual world.
