Professional Documents
Culture Documents
Evidence-Based Nursing Informatics, Quality and Safety
Evidence-Based Nursing Informatics, Quality and Safety
be able to
Define key terms listed.
Identify the impact of IT on nursing safety.
Discuss benefits of IT in healthcare.
Explain the importance of informatics in developing
EBP.
Identify some selected resources supporting EBP..
Explain computer uses to support EBP and research.
Introduction.
Definitions of {(EBP), quality and safety} .
IT and nursing safety.
Benefits of IT in Healthcare.
The importance of informatics in developing
EBP.
Some selected resources supporting EBP.
Computer uses to support EBP and research.
The information and knowledge informing 21st century of
healthcare delivery has been growing at an unprecedented pace in
recent years.
Extended and expanded access to clinical research findings and
decision support tools has been significantly influenced by the
advent of computerization and the internet.
Working in environments of increasingly complex clinical care
and contending with the management of large volumes of
information, nurses need to avail themselves of the technological
tools that can support quality practice that is optimally safe,
informed and knowledge-based.
At present there is a gap between theory and practice that
results in diminished patient care, inefficient practice and an
excessive time lag between the discovery of knowledge and its
incorporation into clinical practice.
Evidence based practice is an approach to provide care that
integrates nursing experience with valid and current clinical
research to achieve best patient outcome.
The correct implementation of health interventions according to
established norms and procedures, which satisfy the health
system’s clients and maximize health outcomes without creating
health risks or unnecessary costs.”
The prevention of harm to patients.” Emphasis is placed on
the system of care delivery that (1) prevents errors (2) learns
from the errors that do occur and (3) is built on a culture of
safety that involves health care professionals, organizations,
and patients, because so the practices should have sufficient
evidence to include in the category of patient safety practices.
Evidence based practice (EBP) is a process through which
scientific evidence is identified ,appraised and applied in
health care interventions.
OR
Evidence based practice is defined as those interventions in
health care that are based on the best available scientific
evidence.
Medication error – smart pumps
Knowledge error – EBN (Evidence Based Nursing)
Procedural error – POC (Point Of Care) computing
Improve communication.
Make knowledge more readily accessible.
Assist with calculations.
Perform checks in real time.
Assist with monitoring.
Provide decision support.
Require key pieces of information (dose, e.g.).
EMR (Electronic Medical Record) – the set of databases (lab, pharmacy,
radiology, clinical notes, etc.) that contains the health information for patients
within a given institution or organization
CDS (Clinical Decision Support) component - software that makes relevant
information available for clinical decision-making (clinical data, references,
clinical guidelines, situation-specific advice)
CPOE (Computerized Physician Order Entry) component – enables
clinicians to enter orders (tests, meds, dietary, etc.)
CCR (Computerized Clinical Reminder) – just-in-time reminders at the
point of care that reflect evidence-based medicine guidelines
Safety
• Computer technologies can place safety barriers
within high risk processes to improve patient safety.
12
Efficiency
• Achieved through the use of computers and
computer technology as a data management tool
• Moving away from paper records – improves
access to the data you need without flipping
through a bulky patient record
• Easier retrieval of data associated with a particular
process
• Data sharing is improved between disciplines
13
Quality Improvement
• Allows for auditing to assure a consistent standard of care
• Measurement of performance against standards of
practice to identify systems issues and opportunities for
improvement
14
Decision Support
• Cues and information built into the system to assist the
clinician in making care decisions .
15
•Why automate documentation – not only for
nursing but for all of patient care?
•Up-to-date, accurate information of each step of
the Nursing Process is the Power behind safe,
high quality patient-centered care!
is the integrated electronic technology distributed throughout
the Nursing administrative office.
Affects the filing and retrieval of documents, text processing,
telephone communication and informal meetings.
1- Information technology tools provide means to search the
literature and apply clinical knowledge and meeting the standards
of excellence.
http://www.library.nhs.uk/default.aspx).
It provides access to evidence-based reviews, guidelines, various