We demonstrated the feasibility of using documentation artifacts in a bottom-up approach to develop common models and sets of terms that are complete from the perspective of clinical implementation. Importantly, we demonstrated a process by which a community of practice can contribute to closing gaps in existing standards using SDO processes.
Handoffs, the transfer of care responsibility from one provider to another, commonly occur in intra-disciplinary silos that exclude patients. Little is known about patient preferences about handoff participation in surgical oncology and key information needs including user experience (UX) considerations. This exploratory, descriptive study was conducted at a cancer center in the western United States using a purposeful sampling technique to select 20 surgical oncology in-patients. The team used methodological pluralism for data collection: naturalistic observations, interviews, field notes, and artifact capture. Data analysis included systematic steps and content analysis consistent with accepted qualitative research methods. The analysis resulted in 356 codes synthesized into 15 categories and 3 themes: Depends Upon How Sick I Am, I Want To Know Everything, and My Life Is In Their Hands. Fifteen participants expressed varying levels of interest in participating in handoffs, and 18 of the 20 wanted to know "everything" about themselves. Initial categories of patients' information needs were developed. An opportunity exists to expand health informatics tools to inpatients and their families and design them from patients' perspectives. UX considerations are outlined to expand informatics tools for collaborative decision making to inpatient activities and include personcentered applications, electronic white boards to consider user diversity and tasks as well as context-sensitive information design.
The HL7 V3 Care Provision Domain differs from the HL7 CDA regarding support of the dynamics of care (eg, for continuity of care) as provided through a series of interactions and queries, but is similar with respect to the data and their organization.
New and emerging technologies in healthcare incorporate big data and artificial intelligence analytics change every day. With the continued integration of technology into healthcare, we need more Nursing Informatics (NI) leaders. To identify actionable steps emerging NI leaders can take to mature, we conducted a website scan of eight professional organizations and two interviews with nurse leaders who have experience in those organizations. This article discusses nursing informatics and nursing leadership, and we describe our study methods and findings. Based on our study results, we provide specific recommendations for emerging NI leaders, such as obtaining training or education, seeking mentorship, building a network, cultivating confidence, and being active in professional organizations. Engaging in self-reflection and self-assessment can assist new and emerging NI leaders to prioritize actions they can take to mature in this nursing specialty.
The HL7 DEEDS specification represents the first set of common ED related data elements to undergo rigorous standards development. The availability of this standard will contribute to improved interoperability of emergency care data.
Inclusion of nursing information within the HIT system Communicating a system and nursing vision about the benefits of HIT Ability to ensure that nursing values/requirements are represented in HIT selection and evaluation Budgeting using technology Data-based planning and decision making through the utilization and synthesis of HIT system data Ability to collaborate with other departments regarding project management and resource allocation for HIT system implementation Ability to collaborate with chief medical officer peers related to HIT and needs of nurses and physicians Ability to collaborate with interprofessional teams in the HIT selection process Ability to advocate for the development (or purchase) and use of integrated, cost-effective HIT systems within the organization Ability to involve frontline staff in the evaluation of HIT systems related to their practice The survey was not completed for organization 8.
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