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Promoting patient safety and enabling evidence-based practice through informatics.

OBJECTIVES: The purposes of this article are to highlight the role of informatics in promoting patient safety and enabling evidence-based practice (EBP), 2 significant aspects for assuring healthcare quality; to delineate some challenges for the future; and to provide key recommendations for education, practice, policy, and research. METHODS: First, we describe the components of an informatics infrastructure for patient safety and evidence-based practice. Second, we address the role of informatics in 4 areas: 1) information access; 2) automated surveillance for real-time error detection and prevention; 3) communication among members of the healthcare team; and 4) standardization of practice patterns. Last, we delineate some future challenges for nursing and for informatics and provide key recommendations for education, practice, policy, and research. RESULTS: The components of an informatics infrastructure are available and applications that bring together these components to promote patient safety and enable EBP have demonstrated positive or promising results. CONCLUSIONS: Challenges must be addressed so that an informatics infrastructure and related applications that promote patient safety and enable EBP can be realized.

Equipment Safety↗

[Use of the computer as a tool for the implementation of the nursing process].

This text article has as its objective to analyze the use of the computer as a tool in the work process of the nursing professional. There are many evidences that informatics has revolutionized work processes in different service structures such as health care, education and management. Therefore, informatics is conducting Nursing to a systematic and organized practice that has propitiated individualized care to the patient. The authors describe software that gives support to the planning of Nursing Assistance and make some considerations aiming at the development and modernization of the Brazilian Nursing practice.

Brazil↗

A project to improve the computerization procedure of emergency nursing record.

This project is to implement the computerization procedure of emergency nursing record. The nursing record must be complete and correct enough to present the uniqueness of different specialty. We encouraged nurses to participate in classroom lessons of informatics technology in nursing records. We then used the standardized version of the emergency nursing records. We also set up criteria for computerization of nursing records. As a result, the nursing records become more complete. It was improved by 8.5% as compared to manual records. The satisfaction of nurses was improved by 82.1%. It is much more time-saving and convenient to check the nursing records. In conclusion, the emergency nursing profession and quality surveillance did improve from the computerization. The patients will receive better nursing care quality.

Consumer Behavior↗

Teaching undergraduate nursing students critical thinking: An innovative informatics strategy.

Simulated e-Health Delivery System (SEEDS) uses a clinical information system (CIS) to teach students how to process data from virtual patient case studies and work with information technology. SEEDS was developed in response to the Institute of Medicine recommendation that students be taught about information systems in order to improve quality patient care and reduce errors. Curriculum implications, implementation of the system, and technology challenges are discussed.

Curriculum↗

CI for a DSS to predict nursing coverage in a geriatric care facility.

The vast and growing area of informatics presents the single biggest change in how societies grow, work, and live. Strong emphasis is placed on environment, work safety, disease minimization, illness detection, and care interventions. The informatics in these areas is not adequately used to realize the full benefits to society, but using computational intelligence or soft computing techniques, we obtain a closer acceptance of confidence in the application of informatics to improve quality of life. There is a vast array of applications of informatics in society like bioinformatics, genetic detection, medical diagnosis, manufacturing, environmental responsibility, transportation design, etc. By using neural networks and genetic algorithms, reasoning on the data sources can result in emerging nursing informatics patterns where prediction can become more and more accurate in an acuity system that ultimately gives effective therapeutic care and decreased rates of mortality. In this paper, I propose the use of CI techniques to determine crisp data that can be incorporated into decision-making for nursing care.

Aged↗

The impact of Internet access on nursing practice.

Currently, according to Richards (2001), nurses are unsophisticated in informatics potential. The majority of practicing nurses are limited in their exposure to and competence with computer technology. Richards stated. "Such a deficiency is juxtaposed against the fact that young nurses entering the profession have grown up surrounded by technology, assimilating it as easily as the air they breathe" (p. 6). The new generation of nurses can greatly influence the art and science of nursing during this massive communications revolution. These "Net nurses" will view technology in the same light as contemporary nurses do their stethoscopes, creating a nursing culture that embraces technology and advances the profession in ways that Florence Nightingale could never have imagined.

Computer User Training↗

Nursing thesis database project: a cooperative venture for nursing faculty and computer science professionals.

The authors describe the development of an educational database project designed to promote the accessibility of nursing administration theses data for graduate students and faculty in a university nursing administration program. The roles of a nursing faculty member, a computer laboratory administrator, and a programmer are detailed as they work together from the concept phase of the project through its evaluation. The results of their combined efforts provided a reliable and efficient database, resulted in a closer interdisciplinary relationship, and allowed valuable nursing research information to be shared more widely within the university.

Academic Dissertations as Topic↗

Computers: getting started.

Because there is not much written about computer application in the emergency department you will frequently find yourself reading about applications in other areas. It is up to you to apply this information in the emergency setting. This makes you pioneers, in search of a new and better tomorrow. Our future is not yet written. It is waiting on you and your creative ideas to keep the wagon rolling. Don't let the new territory of informatics, hardware hardships, and foreign computer languages get you down. Accept informatics as just another challenge, like the many we have faced successfully in the past. Use these resources and your expertise in emergency nursing to create innovative informatic systems.

Emergency Nursing↗

The use of qualitative data analysis software (QDAS) to manage and support the analysis of think aloud (TA) data.

This methodological paper describes how qualitative data analysis software (QDAS) is being used to manage and support a three-step protocol analysis (PA) of think aloud (TA) data in a study examining emergency nurses' reasoning during triage. The authors believe that QDAS program QRS NVivo will greatly facilitate the PA and will allow them to identify and describe the information that triage nurses concentrate on during triage, and how they structure this information to make a triage decision. These findings could assist in designing and creating decision support systems to guide nurses' triaging. Additionally, details about how to use QRS NVivo for PA of TA data may assist and guide future informatics research using similar methodology are presented here. This innovative use of QDAS holds great promise for future nursing informatics research.

Decision Support Systems, Clinical↗

A summer institute on computer applications for nursing management: background, curriculum, and evaluation.

Nursing managers are faced with a growing number of computer applications for nursing management, yet they may lack the educational preparation to assist them in using these technologies for problem-solving and decision-making. This article describes a Summer Institute on informatics applications for nursing management taught by an international and multidisciplinary team of faculty members, and offered at the University of Limburg (Maastricht, The Netherlands). A discussion of professional, scientific, and educational issues serves as the foundation for curriculum content and instructional format. Evaluation data from both offerings are reviewed and underscore the professional relevance and didactic quality of the Summer Institute. The Summer Institute is presented as a possible model of continuing education in computer applications for nursing management transferable to Western European and North American countries.

Computer User Training↗

Informatics: essential infrastructure for quality assessment and improvement in nursing.

In recent decades there have been major advances in the creation and implementation of information technologies and in the development of measures of health care quality. The premise of this article is that informatics provides essential infrastructure for quality assessment and improvement in nursing. In this context, the term quality assessment and improvement comprises both short-term processes such as continuous quality improvement (CQI) and long-term outcomes management. This premise is supported by 1) presentation of a historical perspective on quality assessment and improvement; 2) delineation of the types of data required for quality assessment and improvement; and 3) description of the current and potential uses of information technology in the acquisition, storage, transformation, and presentation of quality data, information, and knowledge.

Computer Communication Networks↗

Implementing instructional technology. Strategies for success.

This article describes strategies for the integration of computer technology in a university-based school of nursing. Faculty concerns related to use of computer technology were assessed in a previous study. A series of computer technology and literacy workshops were developed based on this assessment. Computer use increased and faculty concerns about technology decreased after workshop participation. Other strategies to integrate computer technology include developing an informatics committee and planning and initiating a technology infrastructure consisting of hardware and software resources, and a local area network. Strategic planning was initiated placing increasing emphasis on curriculum integration of computer technology and nursing informatics.

Attitude to Computers↗

An academic-business partnership for advancing clinical informatics.

A jointly funded partnership between the school of nursing at a large midwestern university and a premier health care information technology supplier represents a pioneering event for education and for the health care information technology industry. The impetus for this partnership arose from Institute of Medicine reports published in late 1999 and early 2001 addressing the quality, error, and waste in the health care system in the United States. The Simulated E-hEalth Delivery System (SEEDS) provides opportunities based on best practices in education to learn and practice clinical skills in a state-of-the-art environment using a live-production, clinical information system designed for care delivery. A pilot project that began with a small cohort of baccalaureate nursing students has been implemented and extended. SEEDS will also be extended to other health professional programs.

Clinical Competence↗

[Nurses work in the organization of health services and its inclusion in the informatics department of the health bureau of the city of Ribeirao Preto].

The purpose of this investigation was to analyse nurse's role in the organization of the health work at the Informatics Department of the Health Bureau of the city of Ribeirão Preto, regarding the process of municipalization. We verified that nurses were involved in the organization of this area since its implementation. Nurses also performed organization and control activities related to the production, storage and analysis of the necessary data about the different stages of the health care, as well as training and supervising activities of the individuals who work with the information system.

Brazil↗