4. PHYSIOLOGIC MONITORING SYSTEM
Physiologic monitoring system is the machine that monitors vital physiologic parameters so that the health providers can detect any change in patient’s condition for immediate intervention.
COMPONENTS OF PHYSIOOLOGIC SYSTEM
• Central station
• Bedside monitors
• Ambulatory telemetry and receivers
PURPOSE OF PHYSIOLOGIC MONITORING SYSTEM
• To measure and monitor vital parameters so that healthcare providers will be aware of changes that is taking place in the patient’s condition
• Help clinicians in the early detection of any physiologic change in patient’s condition before becoming clinically significant
• To allow anticipation and thus prevent adverse events
CATEGORIES OF PATIENT THAT REQUIRES PHYSIOLOGIC MONITORING
1.
…show more content…
CLINICAL DECISION SUPPORT SYSTEM
As earlier said CDSS is designed to incorporate medical knowledge with patient data into the system to get specific advice to manage patient’s condition. In order words any computer system that is designed to integrate clinical data with medical knowledge is meant to provide decision support.
SCOPE OF CLINICAL DECISION SUPPORT SYSTEM
• Definition.
• Class of CDSS
• System Architecture
• Advantages of CDSS
• Applications Areas
• Limitations
Good Characteristics of clinical decision support systems is that it has to be case-based reasoning which assist clinicians in assessing disease condition, make diagnosis, and help in selecting appropriate therapy or in making other clinical decisions.
KEY ELEMENTS OF SUCCESSFUL CLINICAL DECISION SUPPORT SYSTEM
• Access to precise clinical data
• Access to apt medical knowledge
• Ability to use appropriate problem solving skills
• Must be efficient in the six level of decision making which is: alerting, interpreting, critiquing, assisting, diagnosing and managing. The most vital component of a CDSS is alerts
TYPES OF CLINICAL DECISION SUPPORT SYSTEM
There are two main types of CDSSs:
• Knowledge based
• Non-knowledge based
KNOWLEDGE
CPOE systems with clinical decision support systems can improve
Understanding respiratory volumes, capacities, and measurements will help me perform my job as a medical assistant because they are significant being a medical assistant. First of all, when the patient is on the bed, I will measure the respiratory rate while he/she is at relaxation. In the next, I will observe the rise and fall of the victim 's chest and count the number of respirations for one full minute. Then, I will record the current time, respiratory rate and respiratory characteristics. Spirometry is used diagnose conditions that affect breathing such as asthma, pulmonary fibrosis, and cystic fibrosis.
Staples & Earle (2008) used a phenomenology research design, where they used a convenience sample of CHF patients to determine effective technologies for monitoring patients with heart failure admissions and mortality. The effectiveness of CHF patients through the use of telephonic assessments and interventions was implemented. Congestive Heart Failure study participants (n=591) were managed by a team of registered nurses and nurse practitioners. Data was collected using a telephone log and appropriate medical protocols were provided. Data was analyzed; determining frequency of calls, level of care required and scope of practice needed to ensure proper care of the patients.
The functions of the human cardiopulmonary system can be broken down into two, circulatory system and the respiratory system. The main goal of these two systems is to maintain homeostasis in our body. Homeostasis can be described as a type of condition where the internal continuity of an individual has to keep steadiness, regardless of any external changes from the outside environment. External changes from the outside environment may include factors such as excitement, stress, exercise, diet, and much more. Exercise can be carried out because the human body can endure a high level of exercise during a prolonged period of time.
Since its startup in 2005 its mission to disrupt the slow moving world of health care by providing a free service of Electronic Medical Records (EMR) to doctors and their facilities. This system will benefit doctors by cutting down cost, decrease medical errors, decrease mishandled or forgotten messages. It will help the overall goal of medical errors. It improves accuracy through record legibility and record
NJOROGE FRANCIS HIM-500-Q2637 Healthcare Informatics 17TW2 4-1 Activity: Clinical Information Systems a. What is a CIS A Clinical information system is a computer based system that collects, stores, analyze and makes data available in the care environment therefore assisting caregivers to make informed decisions on healthcare issues. A CIS will assist an organization in workflow management as it will make it easier for different caregivers and support staff to work with the same patent record simultaneously. It will also reduce duplication, for example, Vital signs entered into a CIS are available to different caregivers reducing the need for different caregiver to recheck, also these readings can be cross-checked against historical values
Among the wide range of standards available for the integration and interoperability of medical information systems is data exchange or messaging standards. The purpose is to broadly provide instructions or specifications for the structure, format, and elements for data pertaining to health related operations that involve clinical, financial and administrative data. More specifically messaging standards defines the relationship among data elements for structuring data as they are interchanged. 7.1.1 HL7. V3 - Health Level 7 Messaging Standards Version 3
In “Exploring the Managed Heart,” Hochschild observes that modern day labor has developed into occupations that require not only physical labor, but also emotional labor. Emotional labor as a method of profit maximization not only makes the worker’s obligations more ambiguous and more demanding, but also makes workers more susceptible to experience emotional distress. The author argues that the majority labor in the workforce evolved from involving purely physical labor to requiring more, such as emotional labor. Hochschild defines emotional labor as ‘the management of feeling to create a publicly observable facial and bodily display.’
Computer-based algorithms provide patient-specific assistance. An early warning system that provides timely alerts designed to ensure that appropriate actions are initiated as soon as problems begin to develop. Four key applications have been developed to achieve these goals.
6.Current Status of EHR ,Issues and its Future Implementations for its Expansion EHR is an integral segment of the transition to computerized documentation. The digital wave should be embraced to upgrade the healthcare disparities of Americans. To address the future of health care in the 21st century, the employment of electronic health records is crucial and will lead to preferred element outcomes for the patients. As technology continues to improve into the health care realm, the EHR will explode and advance capability of customer services .The transition must yield successful outcomes that may easily accomplished by invoking better medication choice for the providers using EHRs.
The nursing informatics course has taught us the importance of the utilization of electronic charting system in the health care field. This system helps facilitate effective communication among clinicians in the health care field. However for that to happen, we must practice what this course has though us, which is good and proper nursing documentation. The electronic charting system allows multiple clinicians to have access to patient information in real time with the help of the internet, however for this information to be helpful we need to practice good and proper nursing charting.
Diagnostic reasoning is a process of generating and testing hypotheses (Stolper et al., 2011), which is done by transforming medical data into an actionable diagnosis that is important for the functioning of a nurse practitioner (Rajkomar & Dhaliwal, 2011). According to Pelaccia, Triby, and Charlin (2011), clinical reasoning refers to ‘the cognitive process that is necessary to evaluate and manage a patient 's medical problem’. That helps the clinician to make diagnoses and decisions. The diagnostic reasoning process is done by two cognitive systems, the first is called an intuitive system that occurs automatically based on the past experiences and knowledge (Rajkomar & Dhaliwal, 2011). The second system is explained as analytical, in which
Depending on the type of office and the patients there in, will determine what electronic health system you will need. Some doctors have patients that need a high level of care and lots of tests and other documented information, like cardiology. Other offices might be able to use a simple program because they don 't have many patients or the patients they do have don 't require extensive documentation. You have to consider the amount of time you may, or may not have to train the staff and get all the information transferred. Once the needs of the facility are determined, it is then important to decide on a system that will coincide.
The healthcare industry generates a great amount of data every day, as a form of record keeping, patient care, compliance, and regulatory requirements. Just a decade ago, all this data was stored in the form of hard copy form, now it is rapidly transforming to digital data which is called EMR (Electronic Medical Record). The digitalization of the healthcare has not just reduced cost of care, but also improved quality of care due to the abundance data that organizations receive from the EMR to identify the flaws in their system. I work in the healthcare industry where improving quality of care is our primary goal. We use software called eCW , which is an integrated system.
Arranged and trained individual clinic demonstrations and training of Ambulatory Data System (ADS) and Composite Health Care System (CHCS) Working knowledge of CPT and ICD-9 Coding. Applied knowledge of administrative review