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Terms in this set (32)
EHR Electronic Health Record
also called Electronic Patient Record. Patient information from any health care setting
EMR Electronic Medical Record
Patient information gathered at a specific time and place. Part of the health record.
AMA says "the application of computer and information science in all basic and applied biomedical sciences to facilitate the acquisition, processing, interpretation, optimal use, and communication of health related data.
management and processing of information, generally with assistance of computers
uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making. Focused on the organization, analysis, and dissemination of information.
Facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in decision making in all roles & settings.
helps nurses make decisions more rapidly and accurately.
Using information and technology to communicate, manage knowledge, mitigate error, and support decision-making.
Not limited to the hardware & software; it includes people & organizational skills.
Point of Care
Location at which patient services are delivered. We have more computers available in patient rooms, or near by. Provide easier access for documentation, research.
Clinical Decision support system
are computerized programs used within the health care setting to support decision making.
What is the focus of health informatics?
The patient and the process of care, and the goal is to enhance quality and efficiency of care provided.
Nursing Clinical decision support system
What is cdss based on
rules and if-then statements, linking information and or producing alerts, warning, or other information to the user. Information is current, evidence based, and update able.
Individual who works in the field of informatics
use of tools and processes to solve human problems
branch of engineering that focuses on computer technology
Regional Health Information
oversees communication & exchange of information in geographic area
Personal health record
Individual's self-maintained health record
provides the umbrella framework to describe the comprehensive management of health information & its secure exchange between consumers, providers, government, and quality entities, and insurers.
What are the three domains of informatics
1. Clinical informatics
2. Public health informatics
3. Translational bioinformatics
The application of information and communication technologies to the delivery of health care services.
What is clinical health care informatics? (subset of clinical informatics)
seeks to transform health care & enhance human health through a creative and innovative use of informatics.
What is consumer health informatics?(CHI)
defines by the American Medical Informatics Association as a form of health information technology geared towards delivering better health care decision making based upon the consumers' perspective.
CHI is paving the way for health care information age and advancing the medical home concept and the use of personal health records. (by info from websites or health info available on the web)
Clinical research informatics (subset of clinical informatics)
Their objective is to advance the biomedical/health science through the humane and ethical use of informatics.
Public Health Informatics
PHI and its corollary population informatics are the placation of information, computer science, and technology to public health science to improve the health of populations. Leads to the development of new tools & methodologies that enable the development & use of interoperable information systems for the public health functions such as biosurveillance, outbreak response, and electronic laboratory reporting.
AMIA refers to the translational bioinformatics as the development of storage, analytic, and interpretive methods to optimize the transformation of increasingly voluminous biomedical & genomic data into practice, predictive, preventive, and participatory health.
Intersection where bioinformatics meets clinical medicine.
Certified clinical information systems
offer the best set of tools for achieving quality outcomes and are at the heart of health care information technology & informatics. CIS consists of information technology that is applies at the point of clinical care. It includes electronic health record, clinical data repositories, decision support programs, handheld devices for collecting data and viewing reference material, imaging modalities, and communication tools such as electronic messaging systems.
What are the interrelated concepts of Informatics?
Clinical judgement, leadership, communication, collaboration, safety, evidence, care coordination, health care quality, ethics, health policy, health care law
What is KSA
knowledge, skill, attitude
What is the emphasis of KSAs
in regards to informatics KSAs to pertain to documentation, electronic data access, and data utilization.
what is the largest application of health care informatics?
the use of the electronic health record for documenting nursing & interdisciplinary care.
what must all data sources be evaluated for?
credibility & reliability
What are two goals of a nursing informatics system? (NIS)
1. supports the way that the nurses function and work by providing them the flexibility to use the system to view data and collect information, provide patient care, and document a patient's condition and care provided.
2. it supports and enhances nursing practice through improved access to information & clinical decision-making tools.
describe competence in informatics
not the same as computer competency. To become competent in informatics you need to be able to use evolving methods of discovering, retrieving, and using information in practice. (meaning you learn to recognize when information is needed and have the skills to find, evaluate, and use that information effectively.
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