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Profession

People who share a specialized knowledge

reminders, alerts, drug to drug checking, guidelines and protocols, image recognition and interpretations, speech recognition allergy to drug checking

What are examples of Clinical Decision Support System Applications?

Nursing Terminologies

What are NANDA, NIC, NOC, CCC, SNOMED-CT, and OMAHA

Decrease ER visits, decrease LOS, decrease admissions, decrease travel costs, increase productivity for clinical

What are at least two economic benefits of telehealth?

increased visibility, better communication, improved patient care, enhanced data collection, adherence to standards

What are the benefits of nursing terminologies?

Data, Information, Knowledge, Wisdom

Nursing Informatics focuses on what four concepts?

Order Entry Management

What is the clinicians ability to enter meds and other orders into the computer?

Nursing Terminologies

A systematic standardized way of describing nursing practice and includes data sets, taxonomies, nomenclatures, and classification systems.

nurse, patient, health, and environment

What are the components of the metaparadigm of nursing

EBP- Evidence Based Practice

Research that generates knowledge for nursing practice is called?

Artificial Intelligence

What field attempts to capture the complex process of the human thought and intelligence?

Data

What are raw facts that lack meaning?

licensure (DISADVANTAGE)

What is the key impediment of telehealth?

Electronic Health Record

What is the longitudinal electronic record of patient health info produced by encounters in 1 or more care setting?

camera, scale, BP monitor, Thermometer, Glucometer, EKG, PTT/INR meter, Pulse Oximeter

What are some peripheral devices used in telehealth?

Patient Safety

The number one focus of EHR as stated by the IOM

chronically ill, isolated, concerned families, assisted living patients

Who are the consumers of telehealth technology?

doctors/physicians

What group of providers are impacted the most by CPOE?

downtime procedure or policy

What policy should be in place prior to the implementation of CPOE?

Judgement

A DSS or CDSS should support, not replace what a clinician or manage?

Nursing Science, Information Science, Computer Science

What are the three sciences that informatics utilized in their definitions?

Clinical Decision Support System

What is a system designed to support health care providers in making decisions about the delivery and management of patient care?

Informatics Nurse

What is a RN with an interest or experience working in an informatics field called?

Telehealth

What allows the clinician to be in contact with a patients without a face to face encounter?

wisdom

What is the ability to APPLY appropriate use of knowledge to manage and solve human problems?

Knowledge

what is known

Information

Organizing and interpreting; data that are interpreted, organized or structured

Novice

Beginners with no experience with the situations in which they are expected to perform a tasks; Taught rules to guide actions

Advance Beginner

One who can demonstrate marginally acceptable performance; minimal prior experience in actual situations for recognition

Competent

Nurse who has been practicing for 2 to 3 years who envisions his or her actions in terms of long-range goals or plans; the nurse is able to organize her day and prioritize the needs of the patient

Proficient

Perceives the situation as a whole. Decision making is now less labored since the nurse has a perspective what is a priority; use past experiences to make judgement calls on pt care

Expert

Enormous background of experiences has an intuitive grasp of the situation and zeros in on the accurate region of the problem without a long decision making process; "i got a feeing"

Critical Thinking

Process of actively and skillfully using knowledge to apply, analyze, synthesize and or evaluate data and info as a guide to belief and action

Information

serial set of data points overtime

Knowledge worker

specialized, have advance education, work as a multidisciplinary team, problem-solving and decision-making skills

Knowledge Work

Interpreting trends in labs or symptoms of a pt

NonKnowledge Work

calling the labs, checking results, making beds

Data gathers

collect and records objective clinical data- vital signs or data base

Information Users

Interpret the data

Knowledge Users

See a pattern, v/s are outside the normal range

Knowledge Builders

Clinical Data and trends across a group of patients. Use scientific Data to improve nurses' knowledge domain

Project Manager

planning and implementation of an informatics project

Consultant

expert advice, opinions and recommendations

Educator

develop and implement educational materials.

Researcher

new informatics knowledge

Product Developer

design, production and marketing of new informatics solutions

Decision support/ outcomes manager

tools to maintain data integrity- increasing nursing knowledge

Entrepreneur

analyze nsg informations needs and develop and market solutions

Discipline

Nsg is valued for how we think and develop knowledge

Standardized Nursing Terminology

Nsg terminology that has been approved by by an appropriate authority for example ANA

Accessibility

easy to access the information to deliver care

Ubiquity

Changing models in healthcare delivery, information should be available anywhere

Longevity

Usable beyond the immediate clinical encounter

Reusability

Useful for a range of purposes

Nomenclatures

Terms or labels for describing concepts in nursing such as dx ,interventions and outcomes

Classifications

the ordering of entities, including nomenclatures, into groups or classes on the basis of their similarities

Taxonomy

Study of classification and simultaneously refers to the end product of a classification

Archetype

Broad or general, idealized model of an object or concept from which similar instances are derived, copied, patterned, or emulated. Original model after other similar things are patterned

Artificial Intelligence

The field that deals with the conception, development, and implementation of informatics tools based on intelligent technologies. This field attempts to capture the complex processes of human thought and intelligence.

Call Centers

Registered nurse-stafed facilities at which nurses typically act as case managers for callers or perform patient triage

Centers for Medicare and Medicaid Services

the largest health insurer in the US, particularly for home healthcare services, and for the elderly for healthcare services

Central Stations

Multifunctional telehealthcare platforms for receiving, retrieving, and/or displaying patients' vital signs and other info transmitted from telecommunications-ready medical devices

Certification

System that validates that a nurse possess certain skills and knowledge or is competent to complete a task. Competence and skill level determined by or based on external review, assessment, examination, or education

Chronic Disease

Range of long-term diseases, such as congestive heart failure, diabetes, and respiratory ailments

Cognitive Activity

Any process or task (activity) that involves the capacity to think, reason, imagine, and learn

Cognitive Informatics

Fiend of study made up of the disciplines of neuroscience, linguistics, artificial intelligence and psychology. The multidisciplinary study of cognition and information sciences, which investigates human information processing mechanisms and processes and their engineering applications in computing

Connectivity

The ability to hook up to the electronic resources necessary to meet the user's needs. The ability to use computer networks to link to people and resources. The unbiased transmission or transport of Internet protocol packets between two end points.

Decision Support

Recommendations for interventions based on computerized care protocols. The decision support recommendations may include such items as additional screenings, medication interactions, or drug and dosage monitoring.

Empiricism

That knowledge which is derived from our experiences or senses

Enumerative Approach

Nursing terminology in which words or phrases are represented in a list or simple hierarchy; gives an explicit and exhaustive listing of all the objects that fall under the concept or term in question

Epistemology

Study of the nature and origin of knowledge; what it means to know

Home Health Care

Alternate site for healthcare services typically focusing on posthospital discharge patient needs

Home telehealth care

Home healthcare clinical and educational services provided via telecommunications-ready tools

Informatics Innovator

Process of making enhancements or improvements creative, novel, and inventive solutions in the informatics speciality

Information Age

Period when information was easily accessible using computers, networks, and the Internet

Informatique

French term that refers to the computer milieu

Interdisciplinary Knowledge Team

A team composed of members of various discipline in a healthcare organization who each contribute their unique knowledge to the team in problem-solving or management situations

Intuition

A way of acquiring knowledge that cannot be obtained by inference, deduction, observation, reason, analysis, or experience

Logic

A system of thinking that uses principles of inference and reasoned ideas to govern action

Longevity

Usability beyond the immediate clinical encounter. Long-term value.

Medical Informatics

A speciality that integrates medical science, computer science, cognitive science, and information science to manage and communicate data, info, knowledge, and wisdom in medical practice

Medication Management Devices

range of telecommunications-ready medication devices to remind or otherwise alert patients to medication compliance needs

Memory

Data stored in digital format; generally refers to random access memory (RAM)

Model of terminology use

a domain content model that is optimized for the management of particular entities within an informational and/or operational context

Ontology

Study of that which is compositional in nature and a partial representation of the entities within a domain and the relationships that hold between them. An explicit specification of a conceptualization

Patient Support

The total array of tools and software that can be used to provide info and assistance to help meet the healthcare needs of consumers.

Perception

The process of acquiring knowledge about our environment or situation by obtaining, interpreting, selecting, and organizing sensory information from seeing, hearing, touching, tasting, and smelling. Sensory experience foundational to formulating knowledge

Web Servers

Multifunctional telehealthcare platforms for receiving, retrieving, and/or displaying patients' vs and other info transmitted from telecommunications-ready medical devices

Ubiquity

The state of being everywhere at once

TIGER-initiative

team of nursing leaders that developed a vision for utilizing info technology to transform nursing practice

Telephony

Telephone monitoring of patients at their residences by off-site telenurses

Telepathology

use of telecommunications technology to facilitate the transmission and transfer of pathology data for the purposes of diagnosis, education, and research. Transmission and exchange of image-rich pathology data between remote locations

Telenursing

Health services delivered by telecommunications-ready tools supervised or directed by a nurse

Telemonitoring

remote measurement of patients' vs and other necessary data

Telemedicine

health services delivered by a telecommunications-ready tools supervised or directed by a doctor

telehealth care

health services delivered by telecommunications-ready tools, usually supervised by a nurse or other clincian

telehealth

telecommunication technologies used to deliver health-realated services or to connect patients and healthcare providers to maximize patients' health status. A relatively new term in our medical/nursing vocabulary, referring to a wide range of health services that are delivered by telecommuncations-ready tools such as the telephone, videophone, and computer

Store-and forward telehealth transmission

application of telehealth care, in which images and other clinical data are captured and transmitted to a specialists clinicians

Sensor and activity monitoring systems

systems for tracking activities of daily living of seniors and other at-risk individuals in their places of residence. Additional applications are sensors' use in detecting anomalies or problems such as faucets and stoves left turned on.

Results management

an approach to evaluating the outcomes of a process to determine if the process was useful or valuable

Reporting

The act of using of documents or information system outputs to convey information to stakeholders

Reasoning

way of thinking, calculating, interpreting, or introspectively rethinking or critically thinking through an issue; reflective though to a reason or think through one's ideas and alternatives

Real-time telehealth

live interactions between two or more clinicians, usually performed with videoconferencing equipment

rationalism

an ethical postion that contends that knowledge is derived from deductible reasoning and not from the senses

Portals

tools for organizing information from Web pages into simple menus on one's desktop. Also, multifunctional telehealthcare platforms for receiving, retrieving and/or displaying patients' vs and other info transmitted from telecommuncations-ready medical devices

population health management

a term adopted by healthcare management companies to express their goal of achieving optimum health outcomes at a reasonable cost. The management process involves data collection and trend analyses that are used to predict clinical outcomes

perception

the process of acquiring knowledge about our environment or situation by obtaining, interpreting, selecting, and organizing sensory info from seeing, hearing, touching, tasting, and smelling. Sensory experience foundational to formulating knowledge

Patient SUpport

The total array of tools and software that can be used to provide info and assistance to help meet the healthcare needs of consumers.

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