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Nursing Information System. By A.L. H eba K amal O bied. IT has a strong impact on process & outcome quality in HCS. In nursing, IT has been introduced recently in many hospitals to support nurses in their daily activities to improve efficiency and accuracy in documentation.
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Nursing Information System By A.L.HebaKamalObied
IT has a strong impact on process & outcome quality in HCS. In nursing, IT has been introduced recently in many hospitals • to support nurses in their daily activities • to improve efficiency and accuracy in documentation.
Computer-based NISs are either stand-alone systems or, a part of a larger electronic medical record (EMR) system, in turn allowing nurses to access or to provide clinical information to and from other healthcare providers.
NISs, are computer systems that manage clinical data, through retrieving, viewing and analyzing data by the nursing staff and then integrated into a patient's care plan.
NIS provides features include patient charting, staff schedules, and decision support, such as disease linkage between signs and symptoms. The intended benefits of NIS include better drug administration, improved workload functionality and better care planning.
1- Improved Workload Functionality Staffing levels and appropriate skill mix per shift can be determined easily by using the shift modules, which can later be used in distribution of labor among the nurses. This leads to less time spent in designing and altering duty rosters.
2- Scheduling and Personnel Management Patient care becomes more effective and economical using shift modules designed to handle absences, overtime, staffing levels and cost-effective staffing.
3-Enhanced Decision Making Right clinical decisions need right information, through accessing medical resources and identifying the critical information in decision making. Decision support modules provide prompts and reminders, and guides to disease linkages between signs or symptoms, etiologies or related factors and patient populations.
4- Improved Drug Administration Iss enable electronically prescribed drugs to become more understandable, to decrease probability of administering wrong drugs to patients. Patient-charting modules, the patient’s VS, admission and nursing assessments, and nursing notes can be stored and retrieve when needed for drug administration.
Patient safety Medication error • DOS • Smart pumps
Knowledge error EBN. The process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient preferences.
EBN, is a form of clinical practice that relies on research findings to manage the health problems of a patient. It contributes to better understanding of a patient’s condition as well as the effectiveness of a certain treatment method. EBN usually begins with the formulation of a question concerning a patient’s medical condition, and then, research is performed to find answers to the question. The relevancy of the research has to be proven and alternative forms of medical care have to be considered before evidence based practice is implemented.
Procedural error - Point-of-care - Clinical decision support system
Protecting Nursing’s image Nursing error, which is a real phenomenon, is making headlines and causing consumers to question the capabilities of the profession. While experts believe only a small friction of medical errors stem from the careless action of single individual, most errors stem from a breakdown in delivery system
First step towered reducing the frequency of errors * Bar-codingand patient identifiers that reduce data input errors and the stress associated with them. * DOS help catch adverse events before they happen, including drug interactions and inappropriate. * Point-of-carehelp nurses to document interventions at the bedside. * CPOE, replaces easily misinterpreted written orders.
A recent report published by the GIFIC Corporation shows that nurses using an EMR spend less time documenting and thus more time on direct patient care. Initial (pre-EMR) studies show that each nurse spends approximately 1.5 hours per shift on paper chart documentation, while nurses using an EMR spend half an hour documenting their findings and care.
* 40 medication warnings are generated; 46% result in cancelations of orders. * 44 drug-drug interaction warnings are generated; 30% result in cancelations of orders. * 288 medication conflict warnings are generated; 30% result in cancelations of orders.
Informatics nurses who work in applied technology work in the following positions: - Systems Analyst - Support Analyst -Systems Administrator -IT Training Manager - Chief Information Officer
Informatics nurses who focus on communications and liaisons work find jobs as: • Super User • Trainer/Educator • Informatics Coordinator • Chief Nursing Informatics Officer • Information Technology Nursing Advocate
Getting your training early in nursing informatics is essential if you plan to broaden your nursing career. Educational opportunities are opening-up quickly as are the demand of this type of nursing specialty.
