Title Page......Page 2
Copyright......Page 3
Contents......Page 4
Preface......Page 8
About the Editors......Page 11
Contributors......Page 13
Reviewers......Page 15
SECTION I Concepts and Issues in Clinical Informatics......Page 18
Chapter Overview......Page 20
Informatics in Nursing Practice......Page 21
History of Clinical Informatics Development......Page 22
Clinical Informatics and Nursing Informatics Defined......Page 24
The Culture of Health Care in the United States......Page 25
Introducing Information Science......Page 27
References......Page 29
CHAPTER 2 Information Needs for the Healthcare Professional of the 21st Century......Page 32
Accessibility to Guidelines, Protocols, and Procedures......Page 33
Quality Improvement Techniques and Nursing Informatics......Page 34
Nursing Workflow......Page 36
Nursing Curricula and Continuing Education......Page 37
Ongoing Education and Nursing Informatics......Page 38
Summary......Page 40
References......Page 41
CHAPTER 3 Informatics and Evidence-Based Practice......Page 42
Introduction to Information and Computer Science......Page 43
Integrating Evidence-Based Practice......Page 46
Staying Current in Nursing Practice and Specialty Areas......Page 54
Evidence-Based Practice Integrated in Clinical Decision-Support Systems......Page 56
References......Page 58
SECTION II Use of Clinical Informatics in Care Support Roles......Page 60
CHAPTER 4 Human Factors in Computing......Page 62
Human Factors/Ergonomics (HFE)......Page 63
Standards, Laws, Recommendations, and Style Guides......Page 64
Information Processing......Page 75
References......Page 78
Chapter Overview......Page 80
Importance of Usability Testing......Page 81
The Role of Nurses in Usability......Page 82
User-Centered Design......Page 83
Dimensions of Usability......Page 84
Planning Usability Testing......Page 86
Examples of Usability Testing in Health Care......Page 89
References......Page 90
CHAPTER 6 Privacy, Security, and Confidentiality......Page 94
Introduction......Page 95
Health Insurance Portability and Accountability Act (HIPAA)......Page 97
Enforcement of Privacy and Security of PHI......Page 107
Health Information Technology for Economic and Clinical Health (HITECH) Act......Page 108
Unresolved Issues of Health Information......Page 110
Summary......Page 111
References......Page 112
CHAPTER 7 Database Systems for Healthcare Applications......Page 114
Using Databases in Healthcare Settings......Page 115
Working with Databases......Page 118
Creating a Warehouse for Managing Multiple Datasets......Page 121
Applications in Healthcare Settings......Page 124
References......Page 126
CHAPTER 8 Using Big Data Analytics to Answer Questions in Health Care......Page 128
Basic Principles of Big Data Analytics......Page 129
Overview of Algorithms Generated by Data-Mining Methods......Page 131
Descriptive Algorithms......Page 136
Using Data Analytics in Health Care......Page 137
Challenges in Using Data Analytics Tools in Health Care......Page 139
References......Page 140
Chapter Overview......Page 142
The Promise of Health IT......Page 143
Planning for Health IT......Page 144
Workflow Analysis......Page 145
Gap Analysis and Workflow Redesign......Page 152
Workflow to Improve Care Processes and Organizational Operations......Page 154
Healthcare Provider Roles in Workflow Analysis......Page 158
Summary......Page 159
References......Page 160
CHAPTER 10 Promoting Patient Safety with the Use of Information Technology......Page 162
Health IT Used in Patient Care......Page 163
Patient Safety at the Point of Care......Page 164
Beyond the Initial Point of Care......Page 167
Integrating Health IT and Patient Safety Goals......Page 169
Where, Oh Where, Has My Patient Gone?......Page 171
Safety of Medical Devices......Page 174
References......Page 176
SECTION III Use of Clinical Informatics Tools in Care Delivery Systems......Page 178
CHAPTER 11 The Electronic Health Record......Page 180
Definitions and Descriptions......Page 181
Benefits of Using EHRs......Page 183
Challenges of EHR Use......Page 187
Role of the Nurse and the EHR......Page 192
Summary......Page 196
References......Page 197
CHAPTER 12 Clinical Decision-Support Systems......Page 200
Clinical Decision-Support Systems......Page 201
Data Quality and Validity......Page 202
CDSS Applications......Page 203
Professional Practice......Page 204
References......Page 206
CHAPTER 13 Telehealth Nursing......Page 208
Definition of Terms......Page 209
The History of Telehealth......Page 210
Domains of Telehealth Applications......Page 212
Privacy, Ethics, and Limitations in Telehealth......Page 213
Utilization of Telehealth......Page 216
References......Page 221
Chapter Overview......Page 224
Driving Forces for mHealth......Page 225
mHealth Systems for HCPs and Researchers......Page 227
mHealth Applications (Apps) for HCPs......Page 230
mHealth Apps for Consumers......Page 231
mHealth Challenges......Page 233
Summary......Page 235
References......Page 236
CHAPTER 15 Informatics and Public Health......Page 240
Concepts in Public Health......Page 241
Methods of Describing the Health of Communities and Populations......Page 243
Applying Informatics Tools to Improve Public Health......Page 251
Future Directions......Page 255
References......Page 257
CHAPTER 16 Digital Patient Engagement and Empowerment......Page 260
Engagement and Empowerment......Page 261
Healthcare Information Revolution......Page 263
Tools Used to Facilitate Patient Engagement......Page 266
Examples of Patient-Digital Interactions......Page 269
The Future of E-Health Applications......Page 273
Summary......Page 275
References......Page 277
Glossary......Page 280
Index......Page 290