RESUMO
In 2014, a group of diverse informatics leaders from practice, academia, and the software industry formed to address how best to transform electronic documentation to provide knowledge at the point of care and to deliver value to front line nurses and nurse leaders. This presentation reports the recommendations from this Working Group geared towards a 2020 framework. The recommendations propose redesign to optimize nurses' documentation efficiency while contributing to knowledge generation and attaining a balance that ensures the capture of nursing's impact on safety, quality, yet minimizes "death by data entry."
Assuntos
Conjuntos de Dados como Assunto/normas , Registros Eletrônicos de Saúde/normas , Cuidados de Enfermagem/normas , Informática em Enfermagem/normas , Registros de Enfermagem/normas , Guias de Prática Clínica como Assunto , Documentação/normas , Registro Médico Coordenado/normas , Estados UnidosRESUMO
We reconstructed the synaptic circuits of seven columns in the second neuropil or medulla behind the fly's compound eye. These neurons embody some of the most stereotyped circuits in one of the most miniaturized of animal brains. The reconstructions allow us, for the first time to our knowledge, to study variations between circuits in the medulla's neighboring columns. This variation in the number of synapses and the types of their synaptic partners has previously been little addressed because methods that visualize multiple circuits have not resolved detailed connections, and existing connectomic studies, which can see such connections, have not so far examined multiple reconstructions of the same circuit. Here, we address the omission by comparing the circuits common to all seven columns to assess variation in their connection strengths and the resultant rates of several different and distinct types of connection error. Error rates reveal that, overall, <1% of contacts are not part of a consensus circuit, and we classify those contacts that supplement (E+) or are missing from it (E-). Autapses, in which the same cell is both presynaptic and postsynaptic at the same synapse, are occasionally seen; two cells in particular, Dm9 and Mi1, form ≥ 20-fold more autapses than do other neurons. These results delimit the accuracy of developmental events that establish and normally maintain synaptic circuits with such precision, and thereby address the operation of such circuits. They also establish a precedent for error rates that will be required in the new science of connectomics.
Assuntos
Drosophila melanogaster/fisiologia , Sinapses/fisiologia , Visão Ocular/fisiologia , AnimaisAssuntos
Atenção à Saúde/organização & administração , Política de Saúde , Papel do Profissional de Enfermagem , Equipe de Assistência ao Paciente , Prática Avançada de Enfermagem , Humanos , Avaliação de Processos e Resultados em Cuidados de Saúde , Assistência ao Paciente , Sociedades de Enfermagem , Estados UnidosRESUMO
The integration of Big Data from electronic health records and other information systems within and across health care enterprises provides an opportunity to develop actionable predictive models that can increase the confidence of nursing leaders' decisions to improve patient outcomes and safety and control costs. As health care shifts to the community, mobile health applications add to the Big Data available. There is an evolving national action plan that includes nursing data in Big Data science, spearheaded by the University of Minnesota School of Nursing. For the past 3 years, diverse stakeholders from practice, industry, education, research, and professional organizations have collaborated through the "Nursing Knowledge: Big Data Science" conferences to create and act on recommendations for inclusion of nursing data, integrated with patient-generated, interprofessional, and contextual data. It is critical for nursing leaders to understand the value of Big Data science and the ways to standardize data and workflow processes to take advantage of newer cutting edge analytics to support analytic methods to control costs and improve patient quality and safety.
Assuntos
Enfermeiros Administradores , Informática em Enfermagem/normas , Registros de Enfermagem/estatística & dados numéricos , Conjuntos de Dados como Assunto , Humanos , Registro Médico Coordenado , MinnesotaRESUMO
The phenomenon of "data rich, information poor" in today's electronic health records (EHRs) is too often the reality for nursing. This article proposes the redesign of nursing documentation to leverage EHR data and clinical intelligence tools to support evidence-based, personalized nursing care across the continuum. The principles consider the need to optimize nurses' documentation efficiency while contributing to knowledge generation. The nursing process must be supported by EHRs through integration of best care practices: seamless workflows that display the right tools, evidence-based content, and information at the right time for optimal clinical decision making. Design of EHR documentation must attain a balance that ensures the capture of nursing's impact on safety, quality, highly reliable care, patient engagement, and satisfaction, yet minimizes "death by data entry." In 2014, a group of diverse informatics leaders from practice, academia, and the vendor community formed to address how best to transform electronic documentation to provide knowledge at the point of care and to deliver value to front line nurses and nurse leaders. As our health care system moves toward reimbursement on the basis of quality outcomes and prevention, the value of nursing data in this business proposition will become a key differentiator for health care organizations' economic success.
Assuntos
Sistemas de Apoio a Decisões Clínicas , Registros Eletrônicos de Saúde , Satisfação no Emprego , Processo de Enfermagem , Humanos , Recursos Humanos de Enfermagem Hospitalar , Garantia da Qualidade dos Cuidados de Saúde , Estados UnidosRESUMO
Health care organizations have long been limited to a small number of major vendors in their selection of an electronic health record (EHR) system in the national and international marketplace. These major EHR vendors have in common base systems that are decades old, are built in antiquated programming languages, use outdated server architecture, and are based on inflexible data models [1,2]. The option to upgrade their technology to keep pace with the power of new web-based architecture, programming tools and cloud servers is not easily undertaken due to large client bases, development costs and risk [3]. This paper presents the decade-long efforts of a large national provider of home health and hospice care to select an EHR product, failing that to build their own and failing that initiative to go back into the market in 2012. The decade time delay had allowed new technologies and more nimble vendors to enter the market. Partnering with a new start-up company doing web and cloud based architecture for the home health and hospice market, made it possible to build, test and implement an operational and point of care system in 264 home health locations across 40 states and three time zones in the United States. This option of "starting over" with the new web and cloud technologies may be posing a next generation of new EHR vendors that retells the Blackberry replacement by iPhone story in healthcare.
Assuntos
Registros Eletrônicos de Saúde/organização & administração , Agências de Assistência Domiciliar/organização & administração , Cuidados Paliativos na Terminalidade da Vida/organização & administração , Armazenamento e Recuperação da Informação/métodos , Internet/organização & administração , Avaliação das Necessidades/organização & administração , Software , Georgia , Marketing de Serviços de Saúde/organização & administração , Objetivos OrganizacionaisRESUMO
In response to mounting evidence that use of electronic medical record systems may cause unintended consequences, and even patient harm, the AMIA Board of Directors convened a Task Force on Usability to examine evidence from the literature and make recommendations. This task force was composed of representatives from both academic settings and vendors of electronic health record (EHR) systems. After a careful review of the literature and of vendor experiences with EHR design and implementation, the task force developed 10 recommendations in four areas: (1) human factors health information technology (IT) research, (2) health IT policy, (3) industry recommendations, and (4) recommendations for the clinician end-user of EHR software. These AMIA recommendations are intended to stimulate informed debate, provide a plan to increase understanding of the impact of usability on the effective use of health IT, and lead to safer and higher quality care with the adoption of useful and usable EHR systems.
Assuntos
Sistemas Computadorizados de Registros Médicos/normas , Segurança do Paciente , Comércio/normas , Política de Saúde , Humanos , Erros Médicos/prevenção & controle , Informática Médica , Sociedades Médicas , Estados Unidos , Interface Usuário-ComputadorRESUMO
Much of what is currently documented in the electronic health record is in response toincreasingly complex and prescriptive medicolegal, reimbursement, and regulatory requirements. These requirements often result in redundant data capture and cumbersome documentation processes. AMIA's 2011 Health Policy Meeting examined key issues in this arena and envisioned changes to help move toward an ideal future state of clinical data capture and documentation. The consensus of the meeting was that, in the move to a technology-enabled healthcare environment, the main purpose of documentation should be to support patient care and improved outcomes for individuals and populations and that documentation for other purposes should be generated as a byproduct of care delivery. This paper summarizes meeting deliberations, and highlights policy recommendations and research priorities. The authors recommend development of a national strategy to review and amend public policies to better support technology-enabled data capture and documentation practices.
Assuntos
Documentação , Registros Eletrônicos de Saúde/organização & administração , Armazenamento e Recuperação da Informação , Política Pública , Garantia da Qualidade dos Cuidados de Saúde , Continuidade da Assistência ao Paciente , Documentação/tendências , Eficiência Organizacional , Registros Eletrônicos de Saúde/tendências , Guias como Assunto , Humanos , Disseminação de Informação , Armazenamento e Recuperação da Informação/tendências , Pesquisa , Estados Unidos , Fluxo de TrabalhoRESUMO
In 2005, the Healthcare Information Management Systems Society (HIMSS) Nursing Informatics Community developed a survey to measure the impact of health information technology (HIT), the I-HIT Scale, on the role of nurses and interdisciplinary communication in hospital settings. In 2007, nursing informatics colleagues from Australia, England, Finland, Ireland, New Zealand, Scotland and the United States formed a research collaborative to validate the I-HIT across countries. All teams have completed construct and face validation in their countries. Five out of six teams have initiated reliability testing by practicing nurses. This paper reports the international collaborative's validation of the I-HIT Scale completed to date.
Assuntos
Pesquisas sobre Atenção à Saúde/normas , Sistemas de Informação Hospitalar , Cooperação Internacional , Papel do Profissional de Enfermagem , Processo de Enfermagem , Humanos , Comunicação InterdisciplinarRESUMO
While this case study uses an example of a home health team, it is meant to describe a system in which clinicians and healthcare organizations specialize and develop expertise by performing a large volume of specific services, procedures for given medical conditions or diagnoses. We introduce the concept of "consumer as a direct employer" of healthcare services. In this model, nurses may work as independent contractors, or as a member of a team contracting out as a unit, as in our example of the Rhine Home Health Team. Nrses also may work as employees to healthcare organizations as they do today.
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Serviços de Assistência Domiciliar/organização & administração , Enfermeiras e Enfermeiros/organização & administração , Informática em Enfermagem/organização & administração , Educação em Enfermagem , Humanos , Qualidade da Assistência à SaúdeRESUMO
By incorporating a clinical information system in the education curriculum as a teaching platform, the University of Kansas School of Nursing teaches nurses and other health professional students how to assess, plan, document and manage care in an electronic medium that develops healthcare informatics competencies. The outcomes of this integrated technology curriculum brings hope for transforming health professional education for 21st century practice and graduating a workforce with the leadership and competencies for improving quality and safety in patient care. It results in IT savvy healthcare providers who will cross the quality chasm.
Assuntos
Instrução por Computador/métodos , Currículo , Sistemas de Apoio a Decisões Clínicas/organização & administração , Bacharelado em Enfermagem/organização & administração , Sistemas Computadorizados de Registros Médicos/organização & administração , Informática em Enfermagem/educação , Alfabetização Digital , Capacitação de Usuário de Computador/métodos , Capacitação de Usuário de Computador/normas , Instrução por Computador/normas , Currículo/normas , Educação de Pós-Graduação em Enfermagem/organização & administração , Previsões , Necessidades e Demandas de Serviços de Saúde , Humanos , Kansas , Liderança , Profissionais de Enfermagem/educação , Pesquisa em Educação em Enfermagem , Inovação Organizacional , Avaliação de Resultados em Cuidados de Saúde , Competência Profissional , Avaliação de Programas e Projetos de Saúde , Gestão da Segurança , Gestão da Qualidade Total/organização & administraçãoRESUMO
Delivery of safe, effective and appropriate health care is an imperative facing health care organizations globally. While many initiatives have been launched in a number of countries to address this need from a medical perspective, a similar focus for generating evidence-based nursing knowledge has been missing. This paper reports on a collaborative evidence-based practice (EBP) research initiative that adds nursing knowledge into computerized care protocols. Here, a brief overview of the study's aims, purpose and methodology is presented as well as results of data analysis and lessons learned. The research team examined nurses' adoption patterns of EBP recommendations with respect to activity tolerance using four-month patient data collected from a pilot hospital. Study findings indicate a need for more focus on the system design and implementation process with the next rollout phase to promote evidence-based nursing practice.
Assuntos
Sistemas de Apoio a Decisões Clínicas , Fidelidade a Diretrizes , Cuidados de Enfermagem , Inovação Organizacional , Medicina Baseada em Evidências , Humanos , Pesquisa em Enfermagem , Projetos PilotoRESUMO
As new directions and priorities emerge in health care, nursing informatics leaders must prepare to guide the profession appropriately. To use an analogy, where a road bends or changes directions, guideposts indicate how drivers can stay on course. The AMIA Nursing Informatics Working Group (NIWG) produced this white paper as the product of a meeting convened: 1) to describe anticipated nationwide changes in demographics, health care quality, and health care informatics; 2) to assess the potential impact of genomic medicine and of new threats to society; 3) to align AMIA NIWG resources with emerging priorities; and 4) to identify guideposts in the form of an agenda to keep the NIWG on course in light of new opportunities. The anticipated societal changes provide opportunities for nursing informatics. Resources described below within the Department of Health and Human Services (HHS) and the National Committee for Health and Vital Statistics (NCVHS) can help to align AMIA NIWG with emerging priorities. The guideposts consist of priority areas for action in informatics, nursing education, and research. Nursing informatics professionals will collaborate as full participants in local, national, and international efforts related to the guideposts in order to make significant contributions that empower patients and providers for safer health care.