3/06/2015 Generation of a Nursing and Multidisciplinary Clinical Information System 1 (SWAHS-Nursing) Dr. Vivien LANE Prof. Jon PATRICK Frans NAKASHIMA.

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Generation of a Nursing and Generation of a Nursing and Multidisciplinary Clinical Multidisciplinary Clinical

Information SystemInformation System

(SWAHS-Nursing)(SWAHS-Nursing)

Dr. Vivien LANEDr. Vivien LANE

Prof. Jon PATRICKProf. Jon PATRICK

Frans NAKASHIMAFrans NAKASHIMA

Peter BUDDPeter BUDD

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ObjectivesObjectives Develop and test an information workflow process Develop and test an information workflow process

to support staff needs in managingto support staff needs in managing ‘frequent ‘frequent flyer‘ patientflyer‘ patientss with chronic and complex profiles with chronic and complex profiles  at  high-risk at  high-risk

Develop a prototype Nursing and Multidisciplinary Develop a prototype Nursing and Multidisciplinary Information System (IS) using Generative Clinical Information System (IS) using Generative Clinical Information System (GCIMS)Information System (GCIMS)

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ObjectivesObjectives Apply NIC, NOC & NANDA (NNN)* taxonomies and Apply NIC, NOC & NANDA (NNN)* taxonomies and

codes to patient care documents to:codes to patient care documents to:– Standardise & individualise care plans for Standardise & individualise care plans for

community-hospital continuous carecommunity-hospital continuous care– Document complexities of nursing careDocument complexities of nursing care– Provide staff educational care toolsProvide staff educational care tools– Provide foundations for nursing care/cost/staff Provide foundations for nursing care/cost/staff

reviewreview

• Moorhead, Johnson, Maas & Swanson (4th Ed) Nursing Outcomes Classification Moorhead, Johnson, Maas & Swanson (4th Ed) Nursing Outcomes Classification (NOC) Mosby 2008(NOC) Mosby 2008

• The Nursing Interventions Classification (NIC) The Nursing Interventions Classification (NIC) is a comprehensive, research-based, is a comprehensive, research-based, standardized classification of interventions that nurses performstandardized classification of interventions that nurses perform

• Nursing Outcomes Classification (NOC)Nursing Outcomes Classification (NOC) is a comprehensive, standardized classification of patient/client outcomes developed to evaluate the effects of nursing interventions.

• North American Nursing Diagnosis Association (NANDA)North American Nursing Diagnosis Association (NANDA)

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ObjectivesObjectives

Capture evidence about chronic-complex Capture evidence about chronic-complex patient* care needs, service provision and patient* care needs, service provision and outcomes to support evidence based outcomes to support evidence based practices (EBP)practices (EBP)

* including patients’ home carer(s)* including patients’ home carer(s)

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DefinitionDefinition GCIMS is a series of programs which generically GCIMS is a series of programs which generically

creates an information system at runtime that creates an information system at runtime that can be tailored to suit the exact needs of the can be tailored to suit the exact needs of the health environment. health environment.

Emulate paper forms both aesthetically and Emulate paper forms both aesthetically and practically, by using the existing paper system as practically, by using the existing paper system as a metaphor for data input and storage while using a metaphor for data input and storage while using a Tablet PCs as the primary data input. a Tablet PCs as the primary data input.

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PATIENT CLINICAL FOLDER

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Patient Assessment Form

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OT ASSESSMENT

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NOC

SCREEN

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NIC

SCREEN

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ACCR FORM

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Rehabilitation FormRehabilitation Form

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OT Assessment ACCR Form

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Trauma IS (RPAH) Nursing IS (Blacktown)

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ConclusionConclusion Enable hospital staff to put any medical information using Enable hospital staff to put any medical information using

the computerised form anytime they want and shared the computerised form anytime they want and shared throughout the hospitalthroughout the hospital

The same information required for other forms can be auto-The same information required for other forms can be auto-populated from the previous formpopulated from the previous form

Enable cross referencing from one to another Information Enable cross referencing from one to another Information System (IS), e.g. Nursing to Trauma ISSystem (IS), e.g. Nursing to Trauma IS

More standardise care plans by using NIC, NOC and NANDA More standardise care plans by using NIC, NOC and NANDA taxonomies.taxonomies.

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Thank You- The EndThank You- The End

Dr. Vivien LANEDr. Vivien LANEProf. Jon PATRICKProf. Jon PATRICKFrans NAKASHIMAFrans NAKASHIMA

Peter BUDDPeter BUDD