Cognitive Informatics In Health Care

In today’s society, the accuracy of health information, the availability of health records, and the professional resources in which one live are vital in decision making for health conditions. Meaningful Use (MU) is a program developed by CMS Medicare and Medicaid that awards, incentives in the health care industry in which the certified electronic health records (EHRs) are used to improve patient care (Practice Fusion, 2016). These incentives are for professionals that care for about 30% of their adult patient volume or 20% of their children’s volume for Medicare and Medicaid patients (CMS, 2016). In addition, adjusting from paper charts to electronic charts of patient’s information is beneficial for MU. Furthermore, the American

Through education and clinical experience, I have gained the knowledge, skills, and proficiency that have prepared me an expert acute care nurse. This has developed the root of my personal philosophy of informatics. This philosophy holds the exceptionality of every individual and the certainty that everyone has the ability to improve his or her knowledge if directed in the right direction. Based on this, my ambition as an informatics nurse is to use

Nursing informatics (NI) has become a vital part of healthcare delivery and has become a defining factor in the selection, execution, and assessment of technology that supports safe, exceptional quality and patient-centered care. Nursing has become so uniform. The data in patient records has become a valuable resource and has improved assessments and overall patient care. Before the launch of nursing informatics throughout the second half of the 20th century there were not any real standards for language. The use of data restricted the function and

In this discussion board post, I will compare and contrast informatics and clinical informatics. Then I will give two examples of clinical informatics found in my organization that has been found to improve patient care. I will also give two examples of how my nurse manager can utilize data management in order to improve patient care. Lastly, I will discuss why President Bush mandated that all health records be in electronic form by the year 2014.

Informatics has many possibilities and benefits. The ever growing technology can improve healthcare to protect patients and the medical staff. At Lakeland they use Epic for electronic computer charting, which decreases time to do and increase availability time. With Epic they have designed safety checks to pop up with wrong medication or even different dosage than ordered to prevent medical errors from happening. Now Guardian is slowly being worked into the system to decrease time it take to input vitals for patients. On some units they have a large screen in the huddle room which allows you to click into a patient's chart and focus in on key things. It even has a list screen that helps you to keep track of daily weights, pain reassessments, and I&Os for all patients on that

Nursing informatics and technology are quickly becoming the hot buzz words for nursing in the twenty-first century. While performing research for this specific paper, the observations of how far technology has come from its inception is mind boggling. When looking back to the mid 1990’s every patient had paper charting. Nurses manually charted vital signs, nursing notes, treatments and all orders were manually written in the chart. The patient’s name, insurance information, and billing items were stored electronically. Fast forward twenty plus years and everything nurses do with, for or to a patient is filed electronically. This file today is known as the electronic health record (EHR) (Lavin, Harper, & Barr, 2015). This paper will be delving into the history of nursing informatics and technology, the pros and cons for nurses and what will be the big picture for informatics and technology in nursing today and in the future. Nursing informatics and the technology that has evolved over time are changing and quickly affecting how nurses treat, communicate, plan and document everything that they do for their patients.

wisdom in nursing practice.” (Mitchell, 2011). The idea is to speed up patient care techniques by having information needed at the caretaker’s fingertips, all while giving them excellent care. Informatics allows for information on drug allergies, contraindications and compatibility, access to evidence based practice, symptom checker and diagrams and examples of issues to name a few. Having this information readily available allows for faster access however, the provider needs to be somewhat computer savvy. Having computers

Alert fatigue and using a clinical decision support system (CDS) in an electronic health record is a growing concern in health care. Although alerts and warnings in an EHR are well intended, the volume of alerts EHR end-users receive is surprising. The Agency for Healthcare Research and Quality (AHRQ) estimates that in some EHR end-users have the potential to receive over 100 CDS alerts per day (Agency for Healthcare Research and Quality [AHRQ], 2015, p. 1). This cause’s alert fatigue when the end-users become desentized to the alerts and even the most important alerts become meaningless.

The data-information-knowledge-wisdom (DIKW) continuum is a concept of the transformation of data into wisdom through cognitive processes. DIKW was initially used to illustrate principles of information management for the designing of information systems (Davenport & Pursak, 1989)(Saltworks, 2009). DIKW models utilized by nursing such as the model by Englebart & Nelson (2002), incorporate principles of increasing complexity due to increasing interactions What is important and unique to nursing is the DIKW concepts and models also help describe the critical thinking processes that nurses use to transform knowledge into the delivery of patient care, into education and learning and

Nursing informatics is a branch of nursing or area of specialty that concentrates on finding ways to improve data management and communication in nursing with the sole objective of improving efficiency, reduction of health costs, and enhancement of the quality of patient care (Murphy, 2010). It is also described as a growing area of nursing specialty that combines computer science, information technology, and nursing science in the management and processing of nursing information, data, and knowledge with the sole objective of supporting nursing practice and research. Various nursing theorists have formulated various theoretical frameworks or models related to nursing informatics (Wager, Lee, & Glaser, 2013), and they are defined as a

With the rapid growth in the implementation and use of electronic medical records, there is an increase in how we define the role of nurses and other team member’s (Deese & Stien, 2004). Along with providing optimal care, nurses are also responsible for interpreting and accurately documenting large amounts of information. According to, (Ericksen, 2009) nursing informatics is defined as the integration of nursing, its information, and information management with information processing and communication technology to support the health of people worldwide. In this

The purpose of this paper is to identify and describe two health information and communication technologies (HICTs) and how they aid nurses in supporting safe, quality care, facilitating continuity of care and care coordination, and partnering with patients and families to increase participation in health care. HICT involves electronic creation, storage, exchange, and analysis of health information to advance delivery of health care. Widespread use of HICT within the healthcare industry can achieve the following goals: improve healthcare quality and safety, reduce costs and health disparities, enhance clinical research, and ensure security of patient health information (McGonigle & Mastrian, 2015). Several examples of HICTs include: electronic medical record systems, electronic prescribing, consumer health applications, and telehealth (Agency for Healthcare Research and Quality [AHRQ], 2015). Integration of HICTs in healthcare settings is valuable for all clinicians, but most importantly nurses as they are primary caregivers.

Clinical decision-support systems (CDSS) apply best-known medical knowledge to patient data for the purpose of generating case-specific decision-support advice. CDSS forms the cornerstone of health informatics research and practice. It is an embedded concept in almost all major clinical information systems and plays an instrumental role in helping health care achieve its ultimate goal: providing high quality patient care while, at the same time, assuring patient safety and reducing costs. This computer based systems designed to impact clinician decision making about individual patients at the point in time that these decisions are made. If used properly, CDSS have the potential to change the way medicine has been taught and

Demographic shifts in the global population, greater levels of technological disruption due to the Internet, social media and the en masse adoption of smartphones and tablet PCs are together re-defining the healthcare informatics market. System and informatics theories have emerged as the foundational elements of healthcare informatics supported by the Data, Information. Knowledge (DIK) Model which acts as a taxonomy for these developments (Haugh, 2005). Systems and informatics theories along with the DIK Model form the ontological foundations of healthcare informatics field of research occurring today and will continue to provide a basis for further research (Braganza, 2004). The intent of this analysis is to evaluate the contributions of systems and informatics, the role of the DIK Model, expert systems in nurse care and medicine, and the use of decision aids and decision support systems. All of these elements are critically important to strategic information systems plans healthcare providers put into place to serve patients while giving healthcare professionals the applications, systems and software they need to excel in their roles (Djellal, Gallouj, 2007).

Nurses can review vital signs history for a patient to spot abnormalities and creating a baseline with a few clicks of a mouse and identify inconsistencies and changes in health quickly, which saves not only time but lives too when using nursing informatics. Opportunities in nursing care can be discussed with management and the nursing informatics team to better serve patients. There is a huge push to reduce costs in healthcare and nursing informatics helps save money while improving patient care. Various members of the healthcare team can now look at the same patient's chart at the same time at many healthcare facilities. Nursing informatics professionals look for ways to improve the patient experience so that redundancy and waste are removed, but they try to keep the nursing process in mind to avoid sacrificing the level of care provided. Most jobs in this field are in hospitals, insurance companies, pharmaceutical and research companies, and healthcare consulting companies. The locations of available jobs are similar to those offered to a traditional nurse, but it is clear that this position is considered niche and the traditional nurse would have more job opportunities (“Johnson & Johnson Discover Nursing”, 2014).