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PubMedDate not supplied

Nursing informatics: an evolving specialty.

Health care organizations will continue to invest heavily in clinical information systems to help improve patient safety, reduce variability of care, and increase the efficiency of their staff. These clinical information systems can assist in reducing medication errors through sophisticated medication management solutions and provide clinical decision support to aid in the decision making of all clinicians. They can also help offset the effects of a growing worker shortage, especially hard-felt in nursing, by reducing redundant tasks, improving communication, and streamlining clinical data collection. As these clinical systems are implemented, there is an increased need for information management of all of this complex data. By bringing both clinical and information systems expertise to bear, the informatics nurse plays a crucial role in ensuring that these goals are met to help the organization maximize its use of clinical information technology.$

Education, Nursing, Continuing↗
PubMed2003

The informatics nurse specialist as privacy officer.

HIPAA mandates the development of privacy and security standards, including the designation of a privacy officer responsible for the development and implementation of the policies and procedures. However, the rule does not give guidance as to the specific qualifications, job description, or details concerning policy and procedure development and implementation. The qualities and skills of informatics nurse specialists (INS), plus their commitment to patient advocacy and a professional code of ethics to ensure the privacy of confidential personal information, make the INS ideally suited to manage the processes necessary to achieve HIPAA compliance.

Computer Security↗
PubMed2003

Randomized comparisons among health informatics students identify hypertutorial features as improving web-based instruction.

Hypertutorials optimize five features - presentation, learner control, practice, feedback, and elaborative learning resources. Previous research showed graduate students significantly and overwhelmingly preferred Web-based hypertutorials to conventional "Book-on-the-Web" statistics or research design lessons. The current report shows that the source of hypertutorials' superiority in student evaluations of instruction lies in their hypertutorial features. Randomized comparisons between the two methodologies were conducted in two successive iterations of a graduate level health informatics research design and evaluation course. The two versions contained the same text and graphics, but differed in the presence or absence of hypertutorial features: Elaborative learning resources, practice, feedback, and amount of learner control. Students gave high evaluations to both Web-based methodologies, but consistently rated the hypertutorial lessons as superior. Significant differences localized in the hypertutorial subscale that measured student responses to hypertutorial features.

Attitude to Computers↗
PubMed2003

A pan-Canadian health informatics education strategy.

Despite the fact that health informatics (HI) educational opportunities in Canada have increased by 40% over the last 3 years, there are few opportunities for advanced research or credentialing at the MSc and PhD levels. Existing programs are also not easily accessible to working health care professionals, who require flexible, non-traditional delivery options for basic to advanced HI training. This strategy report proposes an overall vision, 3 goals, 4 tactical initiatives and a set of action items to improve the effectiveness of HI education in Canada

Canada↗
PubMed2003

Development methodology for a "next generation" medical informatics curriculum for clinicians.

We describe a new methodology for development of a medical informatics curriculum for practicing clinicians. The curriculum is based on a biaxial framework in which information is categorized by type of application and role of the learner in relation to the application. The curriculum development process incorporates feedback from practicing clinicians on an ongoing basis.

Curriculum↗
PubMed2004

Inventory of research methods for librarianship and informatics.

This article defines and describes the rich variety of research designs found in librarianship and informatics practice. Familiarity with the range of methods and the ability to make distinctions between those specific methods can enable authors to label their research reports correctly. The author has compiled an inventory of methods from a variety of disciplines, but with attention to the relevant applications of a methodology to the field of librarianship. Each entry in the inventory includes a definition and description for the particular research method. Some entries include references to resource material and examples.

Humans↗
PubMed1992

Informatics Workup.

We introduce the concept of a Medical Informatics Workup performed by fourth year medical students working in a busy inner-city Emergency Room. These students use portable computers (Macintosh PowerBook 170s connected to a removable cartridge hard drive and CD-ROM drive) to do the patient workups. The PowerBook 170 contains the automated medical record entry software (IMR-E), five expert system software packages, and a program that allows the PowerBook to emulate a PC-compatible computer. With this configuration the student has a portable system that allows for the creation of a computerized medical record at the patient's bedside, along with the ability to analyze the data and generate a list of differential diagnoses.

Angina Pectoris↗
PubMed2004

Teaching of medical informatics in UME-21 medical schools: best practices and useful resources.

OBJECTIVES: Information-based decision making is important to modern medical practice. This report identifies learning objectives, teaching innovations, and student outcomes for teaching medical informatics (MI) in medical schools that participated in the Undergraduate Medical Education for the 21st Century (UME-21) curriculum project. METHODS: Project reports by the UME-21 schools were analyzed, and curricular content was classified in terms of the five categories for MI literacy adapted from the Medical School Objectives Project. Student self-assessments of adequacy of exposure to MI were reviewed. RESULTS: Teaching methods included demonstrations, lectures, small-group tutorials, hands-on labs, and task-based assignments. The curriculum was taught during the first 3 years of medical school with medical librarians participating. Content examples in the five categories of medical literacy were: "Role of the Lifelong Learner" (accessing, evaluating, and using information and databases), "Role of Clinician" (obtaining patient information, using decision support), "Role of Educator/Learner/Communicator" (accessing information for patient education, student-teacher communication, studying Web-based cases, making presentations, accessing on-line course information), "Role of Researcher/Evaluator" (documenting patient encounters), and "Role of Manager" (using drug formularies and clinical guidelines). Seniors exposed to the UME-21 curriculum reported higher levels of exposure to MI than did untrained seniors 2 years earlier; however, seniors at non-UME-21 schools reported equally high levels. CONCLUSIONS: UME-21 schools developed creative materials for teaching students to use computers for learning, communication, and searching for information. Outcome measures suggest that MI has become an important curriculum topic in most medical schools.

Computer Literacy↗
PubMed2003

ISO and CEN standards for health informatics--synergy or competition.

The European standardisation of health informatics in CEN/TC 251 started in 1990 with the now twenty national standards bodies as members and a political mandate from the European Union and EFTA. The start of the international work in ISO/TC 215 has been welcomed by Europe and there is a lot of co-operation where European pre-standards have often been the basis for the start of international standards work, particularly in the area of medical device communication and for health cards. CEN and ISO also collaborate with other bodies in the field such as DICOM for imaging, IEEE for devices and the US based HL7 organisation for message development. It is important to find the right level of standards work for different aspects. The European CEN work will be maintained for issues like the electronic health record, some security aspects and medication related communication where there are common views and legislation makes European consensus necessary and achievable. The device market on the other hand requires global standards. In addition to multinational co-operation, it is important with a national strategy for the use of standards and adaptation and promotion of specific profiles to achieve interoperability in the still mainly national health systems.

Europe↗
PubMed2004

Managing change in health informatics--lessons learned from a third of a century of change. Introduction.

This short paper describes strategies and tactics that have been used for introducing Health Informatics projects in Scotland, UK during the last almost 40 years. This is a country of only 5 million population. It has a scattered geography with isolated islands and moorland and hilly areas along with a populous former industrial heartland. It has a unified National Health Service, free at each point of contact. By many measurements it is not a healthy population with traditions of unhealthy life-styles.

Hospital Information Systems↗
PubMed2004

Milestones in Romanian medical informatics.

The paper concerns the major activities in the field of medical informatics in Romania: education, computer technology, implementation in healthcare, role of industry, IT use in medical applications and research.

Hospital Information Systems↗
PubMed2004

Evaluating consumer informatics: learning from health campaign research.

This paper suggests that some conceptual models used in health communication campaigns as well as the "uses and gratifications" approach might be successfully integrated into the evaluation of consumer informatics. These models and tools are especially pertinent when the desired outcomes of media health interventions are therapeutic changes in public knowledge, motivations, attitudes and patient behavior

Communication↗
PubMed2004

Visualizing the infrastructure of US healthcare using Internet GIS: a community health informatics approach for reducing health disparities.

Policy makers and healthcare providers often lack the resources or information to make effective healthcare decisions that impact their communities. Information must therefore be delivered to in a way that maximizes healthcare decision making. This paper examines the infrastructure of U.S. Healthcare using an Internet-based geographic information system (GIS). Internet GIS assists communities in accessing health information via the Internet, thereby leveling the playing field between urban and less affluent rural communities in the United States. A Community Health Informatics approach of incorporating "place" in identifying and reducing health dis-parities and transforming patients to active consumers of health care may ameliorate the impact of devolution and provide a foundation for effective decision support. The Internet GIS includes data visualization tools that provide the public, health care providers, and policy makers with tools to examine socio-economic and demographic factors that impact the distribution of health services

Community Health Planning↗
PubMed2004

The Brazilian health informatics and information policy: building the consensus.

This paper describes the construction of the Brazilian Health Information Policy. The Introduction gives an overview of the health informatics scenario in the country and the motivation for the definition of a national policy for the area. The process adopted and the strategies to reach consensus among the different players of the healthcare arena are discussed. The interface with the national health card project and the standards already established are also depicted. The current document and the strategies so far proposed are presented with their respective time table and goals. At the end, a comparison with other national initiatives is drawn.

Brazil↗
PubMed2004

A model of developing medical terms in indigenous languages: a step towards consumer health informatics in South Africa.

This paper presents a methodology that has been used in the development of medical terms in the indigenous languages of South Africa. Development of medical terms in indigenous languages is the primary step towards Consumer Health Informatics in the country. This process has been driven by, among others, an emerging paradigm shift in patient care management, whereby patients and other members of the community are encouraged to participate in the process of making treatment or management choices regarding their illnesses or health conditions. In view of this change in the health environment, language and understanding seem to play a major role. Without clear communication and understanding between health providers and the consumers of health services, little can be achieved. Language comprehension is invaluable to empower patients to engage in the decision-making process regarding their health problems.

Health↗
PubMed2002

Software engineering in medical informatics: the academic hospital as learning environment.

In 2001, the revised course Software Engineering has been implemented in the Medical Informatics curriculum at the Academic Medical Center, Amsterdam. This 13 weeks, full-time course consists of three parts: internship, theory and project. All parts are provided in problem-oriented manner with special attention for relevant skills such as project management, documentation and presentation. During the internship, students observe how health care professionals at several hospital wards work and how information supply is organized. In the theory part, students study concepts and methods of software engineering by means of case descriptions and self-directed learning. During the project, they apply their acquired knowledge to an observed, clinical information problem and complete several stages of the software engineering process. Evaluation by inquiry showed that, compared to other courses, students spent more time, and distributed their time more evenly, during the whole period of the course. In conjunction with theory, a combination of internship and project in a hospital seems to provide a surplus value compared to a practical in a computer laboratory. The integration of software theory, clinical practice and problem-based approach, contributed to the enthusiastic, intensive and realistic way students learned in this important topic that might be chosen as a future profession.

Curriculum↗
PubMed2004

Health informatics needs regulation and registration to add value recognition.

Education is only one step towards being recognised as 'fit' to carry out an operational role in informatics to support health at any level. For many years there has been little real 'brand image'. Although significant bodies like IMIA and the BCS welcome a wide range of professionals, there is still confusion over what the discipline really means and does. In order to become a mature profession in the health domain, particularly in the UK, it is necessary to operate a registration process that recognises both qualification and competency, and the responsibility to keep skills and knowledge contemporary. This paper describes the steps taken to establish a registration and regulatory body to maintain high quality professionalism in operational care delivery, academic and commercial organisations in the health domain. The concepts described have resonance internationally.

Accreditation↗