ATI Informatics Notes PDF

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ATI Notes from ATI Website...

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ATI Informatics

ATI Notes

Goals of informatics ○ Combine, manage nursing, computer science to effectively communicate data, ○

knowledge. Improve health care delivery, efficiency.

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Facilitate integration of data, information, knowledge to aid in decision-making.

The Digital Health Care Community ○ ○

Serves clients, team members. Allows for a proactive response to wellness promotion, disease prevention, treatment of illness, advancement of knowledge.

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Computerized Data – Risk Manager Perspective

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Helps improve client safety. Evaluates evidence-based practice

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Interventions.

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● Computerized Data – Nurse Perspective

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Presents opportunity to send information to companies. Transmits information to health care team members.

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Furnishes unbiased data.

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● Data Regulation ○ ○

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Health Insurance Portability and Accountability Act (HIPAA). American Recovery and Reinvestment Act (ARRA).

HIPAA ○

National standards for protecting client’s health information.

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Severe punitive consequences if client confidentiality is violated.

ARRA ○

Part A includes HITECH.

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The Health Information Technology for Economic and Clinical Health

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Advantages of Integrating Nursing Informatics

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Assess, document without leaving a client’s side.

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Locate, compare, analyze local, national, global data through one access point. Improve quality of health care delivery.

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Strengthen relationship between nurses, clients.

Client Safety

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Part B provides financial incentives for health professionals, facilities to adopt, engage in use of electronic health record technology.

Quality and Safety Education for Nurses (QSEN). Skills

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Identify a central information and technology skills necessary to support

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the digital infrastructure. Apply principles of lifelong learning.

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Nurses ability to analyzing information technology. Recognize and embrace technology.

TIGER

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Technology Informatics Guiding Education Reform initiative.

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Common global vision for nursing informatics.

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8 pillars.

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Embrace change.

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Drive technology. Consistent advocacy.

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Consistent policy. Share best practices.

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Evidence - based approach. Intelligent solutions.

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Affordable and universal.

Integrating Nursing Informatics with Education ○ ○

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ATI Notes

Improves quality of interprofessional care. Improves professional nursing practice.

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Demonstrate Skill.

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Understand and use standardized terminology. Apply technology in an ethical manner.

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Advocate for new technology.

Nurse-Client Relationship ○

Exists away from the computer screen.

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Still establish trust; be an advocate for the client.

Nomenclature (language systems) ○ Examples: ■

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Nursing Diagnoses, Definition, and Classification (NANDA). Omaha System.

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ATI Notes

Nursing Interventions Classification System (NIC).

● North American Nursing Diagnosis Association (NANDA)

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Communication method to emphasize independent practice of nurses, individual

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client plans. Made up of diagnostic labels.

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Platform of diagnosis for nursing interventions.

Omaha System ○ Assessment, intervention, and evaluation. ○ Research-based, comprehensive, standardized taxonomy. ○ Across the care continuum for all clients.

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Nursing Interventions Classification (NIC) ○ Focus on treatments and client outcomes. ○ Standardized nursing terminologies. ○ Use across settings, specialties. Includes interventions nurses do on behalf of clients. ○ Broad research base. ○ 542 interventions grouped into classes.

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● Nursing Outcomes Classification (NOC) Standardized classification of client outcomes ○ Evaluates the effect of nursing interventions. ○ 330 outcomes grouped into classes. ○

● Nursing Management Minimum Data Sets (NMDS)

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ATI Notes

Quantifies, qualifies nursing care. Nursing care elements. Demographic elements. Service elements.

● Systemized Nomenclature of Medicine (SNOMED) ○

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Online communication mechanism that defines each scope of practice. Facilitates consistent, uniform storage of data. Enhances research capability worldwide.

● Electronic Healthcare Records ○

Have a positive impact beyond data manipulation.

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Change the way nurses communicate, build trusting relationships with clients.

● Assistive Technology ○

Negotiates learning, literary challenges.

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Fosters client independence, ownership in health care decisions.

● Health Information Literacy ○

Educate clients.

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Guide clients to reliable Internet sources. Evaluate authorship, check credentials. Question purpose, look at point of view.

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See if facts link to scholarly resources.

● Health Information Access ○ ○ ○

Crucial for evidence-based nursing practice. Use online databases. Administrative support is needed to pay for database subscriptions.

● Coordinate Electronic Health Records. ○

Allows for accurate, up-to-date client information.

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Ensures delivery of high-quality medical, nursing care. Enables provider, nurse to see trends in client’s health.

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● Monitoring Client Care Outcomes ○

Gives the ability to capture, organize, analyze, process, report

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data to identify trends, patterns. Compares changes over time. Takes action to improve outcomes.

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● Making Better Use of Technology ○ ○ ○ ○

Have IT teams integrate computer programs. Allows for more effective, efficient communication. Suggest data mining. Leads to better data access.

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● Reporting Data ○

Measures how well facilities are providing care to clients.

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Identifies trends, patterns. Reflects actions in meeting standards of care.

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● Using Technology to Reduce Care-Related Errors ○

Bar coding, scanning reduce medication errors.

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Decision support systems alert to interactions, side effects. Smart pumps reduce accidental overdoses. Procedural manual software allows reviewing of procedures.

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● Nurse’s Role in Culture of Safety ○ ○

Make a difference in client outcomes. Outcomes tie to reimbursements from federal agencies.

● Tracking Nosocomial Infections

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Facilities are required to adopt evidence-based interventions.

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Documentation of interventions ensures compliance.

Nursing Contributions

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Dependent vs. independent activities. Information systems easily capture medication, treatments.

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Nurse-sensitive outcomes focus on client’s health problems. Decision-support systems help verify presence of risk factors, support diagnosis formulations.

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Measuring Nursing Care

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National Database of Nursing Quality Indicators (NDNQI) system.

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Aggregates data, develops comparison reports.

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Allows identification of units with more incidents, comparison to similar facilities.

Adequate Staffing

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Automated staffing, scheduling based on clients’ acuity levels.

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Staff mix can include RNs, LPNs, APs. Higher ratios of RNs to clients produce better outcomes....