Transcript T.I.G.E.R. TITLE HERE

TIGER Standards & Interoperability Collaborative
Informatics and Technology in
Nursing
Objectives
Upon completion of this module, the
student will be able to:
 Define the term information.
 Define Nursing Informatics.
 Name at least 2 ways technology and informatics can
help to improve patient safety.
 Name at least 2 ways technology and informatics can
improve the quality of healthcare.
Information
 Information as a concept can mean many things –
communication, instruction, data, knowledge,
meaning, perception, or representation.
 The earliest English version of the word meant the
act of informing or giving shape to the mind, such as
instruction or training.
 Information is a message received and understood,
and upon which conclusions may be based.
http://www.wikipedia.org
Nursing Informatics
“Nursing informatics is a specialty that integrates nursing science,
computer science, and information science to manage and
communicate data, information, knowledge and wisdom in
nursing practice. Nursing informatics supports patients, nurses,
and other providers in their decision-making in all roles and
settings.”
ANA, Nursing Informatics: Scope and Standards of Practice
April, 2007
Goal of Nursing Informatics
“The goal of Nursing Informatics it to improve the health of
populations, communities, families, and individuals by
optimizing information management and communication.
These activities include the design and use of informatics
solutions and/or technology to support all areas of nursing,
including, but not limited to, the direct provision of care,
establishing effective administrative systems, managing and
delivering educational experiences, supporting life-long
learning, and supporting nursing research.”
ANA, Nursing Informatics: Scope and Standards of Practice
April, 2007
Institute of Medicine (IOM) Report
 In 1996, national efforts were focused on assessing
and improving the nation’s quality of care.
 In 1999, the report “To Err is Human: Building a
Safer Health System” was released, which showed a
major difference between what we know to be good
quality care and what is the norm in practice.
IOM Report – (con’t)
 The report estimated that as many as 98,000
people die each year in the hospital as a result of
medical errors that could be prevented.
 In the IOM report “Preventing Medication Errors”
from July 2006, the committee estimates up to 1.5
million adverse drug events occur in the U.S. each
year.
IOM Report – Conclusions
 Errors are caused by faulty systems, processes, and
conditions that cause people to make mistakes or fail to
prevent them.
 Nursing needs to focus on ways to improve patient safety,
and utilize the tools available to accomplish this.
 Nursing needs to help implement safety systems to ensure
safer practices at the patient care delivery level.
 By far, the largest problems lie in the ordering, dispensing,
and administering of medications.
So Why is This Important For Nursing?
Nursing Must Have an Active Role in Patient
Safety
 Be aware of the JCAHO standards and National
Patient Safety Goals each year, and how your
institution is meeting each of these.
 Participate in patient safety committees and
initiatives.
 Assist in implementing patient safety tools in your
organization.
 Utilize technology to assist in providing for patient
safety and measuring outcomes.
Technology and Patient Safety
Exercise: Try and name at least 5 ways that your
organization uses technology to improve patient safety.
Technology and Patient Safety (con’t)
 Technology can improve communication between
caregivers, by providing computerized alerts, messages,
orders, results.
 Computerized physician order entry can significantly
decrease the number of transcibed medication errors.
 Electronic MARs and Bedside Medication Verification
(BMV) scanning can ensure the 5 rights prior to
administering a medication.
 Newer technologies can include: scanning for
phlebotomy, scanning for transfusions (replaces second
nurse) and “smart” IV pumps.
How Does Technology Improve Quality
of Care?
 Provides for more efficient care – the same work is
performed with fewer resources.
 Increases patient safety – by providing alerts,
reminders, dose warnings, potential adverse drug
reaction warnings.
 Provides for prevention of disease – by alerting
providers of risk factors and recommending
vaccinations and screenings.
 Provides better chronic disease management – by
identifying patients requiring frequent monitoring, and
setting up those reminders.
How Does Technology Improve Quality
of Care? (con’t)
 Improves communication – between physician
offices, hospitals, other health care providers.
 Trends – with the collection and storage of data,
trends in the outcomes of patient care can be
identified and processes can be modified to improve
the quality of care.
Question – multiple choice:
Technology and informatics can:
A. Improve communication between providers
B. Decrease the number of transcribed medication
errors.
C. Decrease the number of administered medication
errors.
D. All of the above.
Answer:
If you answered D, All of the above – you are correct!
Technology, if utilized as designed, can decrease
medication errors and improve communication
throughout the organization.
References - websites
• http://www.wikipedia.org.
• IOM Report – To Err Is Human: Building a Safer Health
System Nov. 1999.
http://www.iom.edu/CMS/8089/5575/4117.aspx
• IOM Report – Preventing Medication Errors, July 2006.
http://www.iom.edu/CMS/3809/22526/35939/35943.aspx
• American Nurses Association, Nursing Informatics:
Scope and Standards or Practice, April 2007.
• HIMSS Patient Safety Survey, August 25, 2003
http://www.himss.org/content/files/PatientSafetyFinalReport
References – websites (con’t)
• Health Information Technology: Can HIT Lower Costs
and Improve Quality?
http://rand.org/pubs/research_briefs/RB9136/index1.html
• The Joint Commission
http://www.jointcommission.org/PatientSafety/NationalPatient
SafetyGoals/