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28 Cards in this Set

  • Front
  • Back
What is Nursing Informatics?
- integrates nursing science, computer science, and information science to manage and communicate data, info and knowledge.
What does HIPPA do?
Ensures that health care org. collect the right data in common format & protect privacy/security of pt data
What are the 3 things HIPPA regulates?
- health info privacy law
- data security standards
- electronic transactions standards
What is nomenclature?
a recognized systematic classification and consistent method of describing nursing practive. - NANDA, NIC/NOC
What is clinical information systems?
collection of various info technology applications that provides a centralized repository of info related to pt care (CERNER)
What is the electronic health record?
- Part of CIS
- program that helps to obtain clinical info
- eliminates paper record
What are some barriers to integrating health info technology?
- lack of standardization across point of care areas
- funding
- privacy laws
- lack of uniform approach
What is the checklist to evaluate websites?
Hint - CARS
- Credibility
- Accuracy
- Reasonableness
- Support
What are 5 steps to evaluate websites?
- authority - who is the author
- timeliness - when last revised
- purpose - targeted audiencde
- content - does it meet purpose
- structure - load quickly, secured site
What is the general systems theory?
Interdependent parts - elements of system that interact for processing
- Input - outside element/factor brough in
- process - activity within the system
- output - product thats produced from the processing activity
- control - rules/procedures within system
- feedback - reusing output from the system as input back into the system for validation/correction
What are some areas that TJC measures?
- MI
- CHF
- community acquired pneumonia
- surgical infection prophylaxis
- DVT
- UTI
What is benchmarking?
identifies best practices and compares them to the orgs current practices to improve performance - gives evidence to claims of quality care delivery
What are some common causes of medication errors?
- wrong dose
- lack of drug knowledge
- rule violation
- slips
- memory lapses
- inadequate monitoring
- misuse of infusion pumps
- failure to identify correct drug
- med stocking problems
- wrong technique
What is the focus of QI?
- proactive approaches to error provention
- used to measure, monitor, evaluate and control services
- protects the public
What is pareto's principle?
80% problems caused by 20% of sources people and things
What are the Patient Safety Goals intended for and who sets them?
- intended to improve quality of health care
- TJC sets them
What is Quality Improvement?
process/activities that are used to measure, monitor, evaluate, and control services so that we can provide measure of confidence to health care consumer.
What is a quality indicator?
- item of concern that has come about because of nursing practice problem.
What are key indicators?
specific problem areas that may need more extensive data collection or action to resolve the identified problem
What is performance improvement?
plan and documentation method that demonstrates what the standard procedures will be for nurses
What are some barriers to QI?
- cost
- failure to recognize that changes are needed
What are some key performance indicators?
should reflect the things the team sees as problem areas.
- time, cost, distance, # of incidences
This is the statistical method for QI. The goal is to decrease problems by improving standard operating procedures and decrease errors. It controls peaks and valleys in performance
Six Sigma
What is DMAIC?
- define
- measure
- analyze
- improve
- control
The Six Sigma DMAIC process does what?
- decreases variation
- once protocol is found effective everyone is trained to do it the same
- improving existing processes
- reliable
- validity
What are some ways to control/sustain improvement?
- standardize the steps
- educate everyone about new practive
- educate new employees in correct procedures
- prevent reversion back to old ways - monitor the changes
- continue to measure KPI on routine basis to see if solution is still effective
This test is run for 3-7 days and if adjustments are needed we do them and run for another 3-7 days.
Rapid Cycle Tests
This act states the goal, carry out the RTC, compare data to baseline, and act on what was discovered.
PDSA - Plan, Do, Study, Act