CHAPTER 16 – Dependability of Nursing Informatics System
CHAPTER 17- Nursing Minimum Data Set
CHAPTER 18- Theories Models and Frameworks
SUBMITTED BY:
Cabanalan, Romar C.
Ladjarani, Sandra H.
Maulana, Dayang Almira H.
Sharif Masdal, Sarah P.
Musa, Shiedjian A.
BSN-IIB
SUBMITTED TO:
Mr. Roderick P. Go
Nursing Informatics Professor
DATE SUBMITTED:
May 10, 2013 CHAPTER 16
Dependability of Nursing Informatics System
Dependable System is the measure of the reliability, integrity and performance of the system. It is defines as trustworthiness of a computing system which allows reliance to be justifiably placed on the service it delivers. It is the collective term used to describe the availability performance and its influencing factors: reliability performance, maintainability performance and maintenance support performance.
In nursing informatics, dependability is the measure of the effectiveness of the health care delivery, quality of service and quality of care through the use of health information system. It encompasses the reliability, integrity, confidentiality and security of the data, information and the process.
Factors that affects dependability of systems
A. Error
In the health care information system, it is the discrepancy between actual results and behavior from the expected or the reference condition or expected performance. In hospitals and clinics, data error or inaccuracy of the information is resulted when an incorrect reading is registered in the measuring equipment, the measuring device is malfunctioning unnoticeably, mishandling of data, incorrect reading of data (honest mistake), the computer system does not properly process the data, a potential bug is existing in the program, the data process by the computer program overflows, incorrect processing of tables and indexes, etc. Hour Systolic Diastolic
H-01 140 110
H-02 145 110
H-03 140 115
H-04 140 110
H-05 135 100
H-06 140 95
H-07 135 95
H-08 135 100
H-09 130 105
H-10 140 110
H-11 110 160
H-12 135 100
H-13 140 100
H-14 145 100
H-15 145 95
Based on the historical pattern, systolic reading is greater than diastolic reading. A diastolic reading of 160 mmHg which is more than the systolic reading of 110 mmHg is an indication that there is an error in reading the data.
B. Fault
Sometimes due to computer bug which is considered a defect in the system. The presence of a fault in health information system may or may not lead to a failure
BSA (m ) Height (cm) Weight (kg)
1.45484 152 50
1.88569 213 60
0.76000 180 52
1.68762 117 58
160006 165 56
1..1276 162 51
1.49276 171 47
Converting the table into chart, we can evidently see that there is an error in the results.
Based on our knowledge, if the height and/or weight is increase there is corresponding increase in the body surface area (BSA), on the contrary, point number 14 of the figure shown below, gives an opposite results. We can say that is an error in processing the data and not the inputting of the data, since the height and weight is correct.
C. Failure
It is a condition in which the system performs unnecessarily or the function is contrary to its specification or the expected condition. An error may not necessarily cause a failure; however a persistent fault can have an impact that mitigates a failure condition. Example is a problem in the network occurs resulting to unavailability of the communication system. This common problem should be anticipated; as such preventive measures and contingency plan should be incorporated in the planning and implementation of the health information.
CHAPTER 17
Nursing Minimum Data Set
Health Information technology offers a large number of benefits to the nurses and healthcare providers as well as the patients and consumers such as the quality and effectiveness of healthcare delivery and service.
Migration from the paper-based to electronic/computer health records minimizes irregularities in the workflow process and decision making process. To accurately and consistently document, accumulate, combined, translate, and retrieve health information data, fields, data set, and data elements must have an equivalent vocabularies and/ or terminologies within the healthcare record before it stores in the database.
The Nursing Minimum Data Set (NMDS) provides a formal structure for electronic healthcare data elements and components to support nursing care in all settings.
What is Minimum Data Set?
The minimum data set providers the specific reference information for the user such as the drug uses, dosage requirement, and direction for use, active ingredients, dates, and other relevant information. The Nursing Minimum Data Set/Elements
The Nursing Minimum Data Set (NMDS) is categorization scheme for the standardization of collection, integration, storage, classification, retrieval and reporting of essential nursing data. The collected data will essentially provide an accurate description of nursing decision, nursing diagnose, nursing care, nursing resources, nursing services, etc. used when providing patient care. The Nursing Minimum Data Set endeavors the standardization of the aggregated of essential nursing data.
Drug Fact
Active Ingredients Purpose Uses
Warnings
Directions
Other Information
Inactive Ingredients
Other Information
Questions/ Comments? The Nursing Minimum Data Set (NMDS) encompasses three categorical scheme or elements which includes the following:
Nursing Care Elements
Nursing Intervention
Nursing Outcome
Nursing Care Intensity
Patient Demographic Elements
Personal Identification
Date of Birth
Sex
Nationality
Residence
Service Elements
Unique facility or agency number elements
Unique patient health record number
Unique number of principle Registered Nurse
Episode admission
Discharge or termination date
Disposition of patient
Expected payer for medical bill CHAPTER 18
Theories Models and Frameworks
Informatics System in Health Care Industry
Information system is collective term referring to a system of data records and activities that processes and translate the data to information in an automated process.
The processing of data involves the use of computer systems and specialized software that manipulates the information- processing activities of the organization. Computer- based information systems are in the field of information technology. Thus, the discipline of nursing informatics is related to the processing of the data of patients records into information which are supported by information systems.
Information Systems in the Hospital
Transaction processing Information System
Operation System
Individual Patient record
Hospital Information System
Nursing Information System
Pharmacy Health System
Preservation of Healthcare Quality Theory in Nursing Informatics
In the Philippines, many organizations such as Department Of Health are trying to educate and inform the public about health care quality.
The purpose of implementing quality health care is to offer expert advice and suggest noteworthy approaches to solve medical problems, illnesses, sickness, ailment, disorder and complaints.
Notwithstanding the readiness of the solution, the solution typically involves a multitude of strategies including regulatory forms, financial incentives, independent oversight and patient education.
HEALTH INFORMATION TECHNOLOGY (HIT)
Article 8 section 11 of the 1987 constitution of the Philippines
States the “the state shall adopt an integrated and comprehensive approach to
health development which small endeavor to make essential goods, health and
other social services available to all people.”
Health Informatics Paradigm Shift
Basic Steps to properly implement the nursing information system in the Hospital:
Stage 1
3 Translate Data into Information (with
2 statistical
Collecting and 1 Analyzing the Data
Commencing the Project
STAGE 2
health care provider are provided simultaneously.
6 Project Evaluation
5
Support from the Client
4
Dissemination of Information