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Kenneth Myro D. Garcia, RN, PhD

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Relationship between nursing science andcomputer science

Technology use to manage andcommunicate data

Present and future trends in nursinginformatics

Professional organiations that supportnursing informatics

Role of the nurse informaticist intransforming patient care

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Medicine

Nursing

PT/ Others

• Art and science• Management of nursing information• Decision-making• Information structures, processes,

and technology (ANA, 200!

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Nursing Practice and Data Needs

Evaluate

Document Intervene

Plan

DiagnoseAssess

Individual

Family

Community

Populations

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"edesign #efore $rogramming

"edesign as $art of Maintenance

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Ans%er thecall light

please

&', I gae the

pill, turned thepatient, and

gae her a hug

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Methods of data entry!andwriting recognition

"ar coding

R#$D%oice recognition

Thought recognition

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First Generation ! 3D Atomic Holographic

Optical Data Storage Nanotechnology

http)**%%%+colossalstorage+net*colossal+htm

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Nursing Minimum

Data et

Nursing ManagementMinimum Data et

.niform /ospital Discharge

Data et

National tandards

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Knowledge disco&ery in databases'utomated (not automatic)* identification of

patterns in databases

Data miningThe application of specialied software tools and

cogniti&e processes to aid in disco&ering+nowledge

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OASIS Data linical Record $tems

Demographics - Patient !istory

i&ing 'rrangements/ 0upporti&e 'ssistance

!ealth 0tatus

#unctional 0tatus

1mergent are 2se/ Discharge

Omaha System Data Problems 3 1n&ironmental, Psychosocial,

Physiological, 4ther !ealth Related Problems

Problem Rating 0cale 3 Knowledge, "eha&ior, 0tatus

$nter&entions

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Thin+ li+e a nurse 1ase of use

Do the right thing

1nter data once $mpro&e competency

http)**uk+gimodo+com*arm120%restling120root+3pg

Support better patient care

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onsumer5dri&en care/ patients as partners

1&idence5based practice

linical decision support

$ntegrated/ interoperable electronic healthrecords

Tiger $nitiati&e

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Giving clinicians, patients, and othersrelevant information in context, thathelps them ma+e better decisions,

pre&ent errors, and impro&e care 6ualityand outcomes

CDS interventions include guidelines,alerts, order sets, tools to interpret

patient data Studies show value: guideline adherence,

fewer medication errors/ad&erse e&ents

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Enhanced Health & Healthcare hrough DSEnhanced Health & Healthcare hrough DS

"est#no$ledge

A%ailable

hen

Needed

High

Adoption

and

E''ecti%e

(se

ontinuous

)mpro%ement

o' DS

*ethods and

#no$ledge

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Order check

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HL7 ADT/Demographics

HL7 LabResults

Image Link HL7 ImageLinkto CPRS

Bi-directional usersynchronization

Progress NotesCPRS Progress

Notes

Complete

Access &eri!"

Critical Care #anagerAnesthesia #anager

PAC$ #anager

Integration Intero!era"ility

Complete

Data%arehouse

'port

CompleteComplete

Complete

Deli(ere)

Real-time e#!ort o$clinical data

+as o' ,-.-/0

I4. 4linical Information ystem (4I! 4hristina 5und

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https)**%%%+tigersummit+com*

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http)**%%%+himss+org*A$*topics6nursingInformatics+asp

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http)**%%%+caringonline+org*

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#ormal Programs 5 17amplesolombia 2ni&ersity 0chool of NursingDu+e 2ni&ersity 0chool of NursingN82 Nursing $nformatics

2ni&ersity of Maryland 0chool of Nursing2ni&ersity of Minnesota 0chool of Nursing

ontinuing 1ducational Programshttp9//www.amia.org/:;7:;/

http9//nursing.umaryland.edu/informatics/http9//www.amia.org/meetings/f;</http9//www.himssconference.org/http9//www.allianceni.org/

http)**%%%+amia+org*mrcenter*%g*ni*education*cat7+asp

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0afe and Reliable are

%itality and Teamwor+

Patient5entered are

%alue5'dded are Processes

http)**%%%+ihi+org*I/I*$rograms*trategicInitiaties*8ransforming4areAt8he#edside+htm

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0ystems 'nalyst Pro>ect Manager 0uper 2ser Trainer/1ducator $nformatics oordinator hief Nursing $nformatics 4fficer $nformation Technology Nursing 'd&ocate

207_nur.ppt

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