Chapter 13 by Denise Tyler An Insider’s View of the Utility of a Clinical Information System

Chapter 13by Denise Tyler

An Insider’s View of the Utility of a Clinical

Information System

Key Terms Defined

• Aggregate Data • Clinical analytics• Clinical guidelines• Clinical Information System (CIS)

Key Terms Defined

• Clinical Outcomes• Clinical Practice Council• Coded Terminology• Evidence Based Practice

Key Terms Defined

• Knowledge Dissemination• Legacy Systems• Performance Improvement• Performance Improvement Analyst

Key Terms Defined

• Professional Development• Quality Assurance• Staff Development• Translational Research

Overview

• A clinical information system• Early CIS’• Human-Computer Interface• Adequate and Inadequate Testing

Overview

• One Glitch with CIS’

• “Virtual Use” of Systems

Clinical Outcomes and Quality Assurance Supported by the CIS

• Measuring Outcomes • Integrating Nursing Terminology• Refining CIS

Clinical Outcomes and Quality Assurance Supported by the CIS

• Comprehensive CIS• Quality Assurance • Confidence in System Design

Evidence Based Practice and the CIS

• The Use of Evidence Based Practice• References Supporting EBP• Staff Preparation• Institutional Use

Evidence Based Practice and the CIS

• Incorporating EBP • Balancing Act• Supporting EBP • Closing the Gap

The CIS as a Staff Development Tool

• Joy Hilty, RN Contributions• The Use of Pop Up Boxes• Embedding EBP

The CIS as a Staff Development Tool

• Creating a Positive Environment• The Importance of Imbedding • Implementing Nursing Practice Councils

Thought Provoking Questions

1. You have been asked to prioritize the requirements of a clinical documentation system. It has already been determined that ease, usability and dependability are priorities, what else would you include in the system requirements?

Thought Provoking Questions

2. You have been asked to design a test scenario for a new CIS. What are some of the details you would test? Who would you involve?

3. You are asked about a diagnosis that you are unfamiliar with. Where would you start looking for information? How would you determine the validity of the information?