USE OF COMPUTERS IN HOSPITAL AND COMMUNITY AND.pptx

USE OF COMPUTERS IN HOSPITAL AND COMMUNITY

1. USE OF COMPUTERS IN HOSPITAL AND COMMUNITY AND PATIENT RECORD SYSTEM

2. A computer system is an electronic device similar to TV, DVD, etc. It accepts the requests through commands and processes the requests to output the results.

3. Use of computers in nursing Uses in community Storage of Patient Data Computerized Presentations Teaching nurses through Simulations Computerized Self Evaluation Interactive Learning Uses of computers to Advance Health Care

4. Using computers in health care can improve the quality and effectiveness of care and reduce its cost. However , adoption of computerized clinical information systems in health care lags behind use of computers in most other sectors of the economy.

5. Uses of computers to Advance Health Care

6. Improve Quality Automated hospital information systems can help improve quality of care because of their far-reaching capabilities. Hospital information systems (HMS) in a hospital can combine the use of computers for storing and transferring information with using them for giving advice to solve clinical problems.

7. Decreased Costs When a physician orders a test by computer, it can automatically display information that promotes cost-effective testing and treatment. These records will be stored in a department called Medical records section for the future follow-ups.

8. USING COMPUTERS TO SPEED UP THE NURSING PROCESS

9. A nursing information system (NIS) can increase efficiency and accuracy in all phases of the nursing process-assessment, nursing diagnosis, planning, implementing, and evaluating. It can help you meet standards of nursing practice and documentation. In addition, an NIS can help you spend more time meeting patients' needs.

10. ASSESSMENT Use the computer terminal to record admission information. Enter data about the patient's health status, history, chief complaint, and other assessments. Some software programs prompt you to ask specific questions, then offer pathways to gather further information. In some systems, if you enter a value that's outside the usual acceptable range, the computer will flag the entry so you can fix it.

11. DIAGNOSIS Most current programs list standard diagnoses with associated signs and symptoms as references. For example, the computer can generate a list of possible diagnoses for a patient with certain signs and symptoms or it may enable you to retrieve and review a patient's records according to the nursing diagnosis.

12. PLANNING To help to begin writing a plan of care, newer computer programs display recommended interventions for the selected diagnoses and expected outcomes. Computers also can track outcomes for large patient populations.

13. IMPLEMENTING Use the computer to record interventions and patient information, such as transfer and discharge instructions, and to communicate this information to other departments. Computer-generated progress notes automatically sort and print out patient data-such as medication administration, treatments, and vital signs-making documentation more efficient and accurate.

14. EVALUATING Computers can be used to compare large amounts of patient data, help identify outcomes patients are likely to achieve based on individual problems and needs, and estimate the time frame for reaching outcome goals. During evaluation, use the computer to record and store observations, patients' responses to nursing interventions, and a nurses’ own evaluation statements. One may also use information from other health care team members to determine future actions and discharge planning. If a desired patient outcome hasn't been achieved, record new interventions taken to ensure desired outcomes.

15. USE OF COMPUTERS IN NURSING RESEARCH

16. Computers facilitate the research process in a number of ways. Computerized literature searches save time and increase the scope of the search and the number of data base that can be searched. Collect and analyze data Prepare research reports, and Disseminate research findings

17. USE OF COMPUTERS IN NURSING ADMINISTRATION

18. Computerized patients' classification system can be used to assign Nursing staff based on how severely ill clients are. Computerized inventory system keeps track of supplies received and disbursed. They can also be integrated with the client billing system.

19. General computer application software such as word processing, electronic spread sheets and data based management system help Nurse administrator to prepare reports and letters, create budgets and maintain personnel records and mailing lists.

20. Computers can calculate daily the number of Nurses needed on each unit. computer can be used to schedule Nurses' days off so that an optional number of Nurses are working at one time.

21. HOSPITAL INFORMATION SYSTEM (HIS)

22. Hospital information system is computer based software applications that integrate many medical, nursing, administrative and miscellaneous functions of hospitals.

23. Applications of HIS Patient registration: - Patients are registered when they visit the hospital initially. All their demographic details are collected and entered in an electronic format. They are given a unique number.   Consultation records : - These record kept on HIS would be more orderly indicate the date and time of consult. It would be invaluable for insurance and medico-legal purposes. Lab tests and pharmacy orders are also included.

24. EMR : - These are the comprehensive data of patients admitted to the hos[ital. These are confidential records   Computerized physician order entry (POE): - A computerized entry will have clarity of the medication name and dosage. Drug interactions would generate alerts .

25. Ward management: - HIS systems are very useful in tracking patients from the time of registration till discharge. Bed occupancy and availability can be visualized instantly. Charges can be entered As soon as the procedure is done . Pharmacy: - It is extremely useful in the hospital pharmacy, stocks of drugs are available instantaneously. Orders for medications can be done electronically. Billing is instant.

26. Laboratory: - HIS will be extremely useful in deciding investigations, ordering investigations and viewing results on EMR. Diet management: - Planning, execution and monitoring proper diet management systems is a very important part of Hospital function. Administration: - Helpful in human resource management and in housekeeping functions.

27. PATIENT RECORD SYSTEM The patient records maintained in the hospital can be paper records or electronic records . The need for appropriate written or computerized documentation of facts related to patients treatment in the hospitals cannot be brushed aside, because failure to maintain record means failure to duty towards the patient.

28. Need of record Need of record to patient : - It saves time if patient is readmitted A medical certificate of hospital stay and diagnosis To take insurance benefits

29. Physician needs: Practice of scientific medicine based on recorded facts Continuity of medical care . Evaluation of own capabilities and shortcomings Effective communication for the health team.

30. Institution needs:- Generating hospital; statistics Teaching and research Admission control Planning of services Improving quality of care Safe guard in legal issues Health authority needs

31. Characteristics of medical record Complete : - A patient record must be complete . Adequate: - A record must be adequate . Correct: - Information recorded must be correct.

32. Electronic health records

33. Patient records maintained by use of computers in hospital are called as electronic health records. Electronic records can be used for statistical analysis, medical audit, nursing audit and medico-legal purposes .

34. EHRs are generated and maintained within an institution, such as a hospital, integrated delivery network, clinic, or physician office, to give patients, physicians and other health care providers, employers, and payers or insurers access to a patient's medical records across facilities.

35. ADVANTAGES OF ELECTRONIC MEDICAL RECORDS Less manpower is required for upkeep. Recording storing and retrieving are all much faster, easier and with little practice. Requires far less space and print-outs can be made when needed. Records are more complete and less prone to human error. Photographs and other visuals can be easily incorporated into the record

36. Computerized Physician Order Entry (CPOE)—one component of EHR—increases patient safety by listing instructions for physicians to follow when they prescribe drugs to patients. Promote evidence-based medicine

37. EHRs provide access to unprecedented amounts of clinical data for research that can accelerate the level of knowledge of effective medical practices. EHR systems are claimed to help reduce medical errors by providing healthcare workers with decision support.

38. EHR systems have the advantages of being able to connect too many electronic medical record systems. In the current global medical environment, patients are shopping for their procedures. Coordinating these appointments via paper records is a time-consuming procedure. It is also easier to check in their records whether a patient has been admitted to such a medical centre or if they have any allergies since they have been admitted before.

39. Replace paper-based medical records which can be incomplete, fragmented (different parts in different locations), hard to read and (sometimes) hard to find. Provide a single, shareable, up to date, accurate, rapidly retrievable source of information, potentially available anywhere at any time. Require less space and administrative resources . Potential for automating, structuring and streamlining clinical workflow.

40. Ensure adequate privacy and security . Provide integrated support for a wide range of discrete care activities including decision support, monitoring, electronic prescribing, electronic referrals radiology, laboratory ordering and results display.

41. Maintain a data and information trail that can be readily analyzed for medical audit, research and quality assurance, epidemiological monitoring, disease surveillance. Support for continuing medical education.

42. DISADVANTAGES Records that are exchanged over the Internet are subject to the same security concerns as any other type of data transaction over the Internet. Doctors do not want to spend the time to learn a new system. Some doctors believe that adopting a system with EHRs could reduce clinical productivity Governance, privacy and legal issues

43. Storage of records The required length of storage of an individual electronic health record will depend on national and state regulations, which are subject to change over time . While it is currently unknown precisely how long EHRs will be preserved.

44. It is certain that length of time will exceed the average shelf-life of paper records. Typical preservation time of patient data varies between 20 and 100 years

45. THANKS