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Nursing informatics is defined by the ANA (American Nurses Association) as "the integration of nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice" (Nelson & Parker, 2019).

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In a cross-sectional study conducted in 2019 by the IMIA (International Medical Informatics Association) there were ten trends identified as the most common in nursing informatics. Those trends included clinical quality measures, care coordination, competency and education, clinical decision support tools, artificial intelligence, big data, mobile health, patient safety, nursing practice descriptions and patient outcome evaluations. (Peltonen et al., 2021)

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A few examples of health informatics technology currently being explored...

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A few examples of health informatics technology currently being explored...

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https://online.une.edu/blog/7-examples-of-health-informatics-coming-in-the-near-future/

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Informatic tools to promote patient safety

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Informatic tools to promote patient safety

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INFORMATIC TOOLS TO PROMOTE PATIENT SAFETY

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"Nursing informatics specialists are individuals who use their experience with offering efficient and effective patient care plans to work effectively with an increasingly technological world. Some of the responsibilities that a nursing informatics specialist might fulfill include: 1)Training other nurses about how to change record-keeping protocol; 2)Working towards the reduction of redundancy and inaccuracy in the development and implementation of patient care plans; and 3) Analyzing and addressing technology logistics for direct patient care." (Health Informatics Degree Center, 2023)

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"Nursing informatics specialists are individuals who use their experience with offering efficient and effective patient care plans to work effectively with an increasingly technological world. Some of the responsibilities that a nursing informatics specialist might fulfill include: 1)Training other nurses about how to change record-keeping protocol; 2)Working towards the reduction of redundancy and inaccuracy in the development and implementation of patient care plans; and 3) Analyzing and addressing technology logistics for direct patient care." (Health Informatics Degree Center, 2023)

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"Nurse leaders’ integration of specific actions to address the system, as well as diverse nursing teams’ behavioural practices, create a patient care environment that adequately contributes to safety culture practices and enhances positive patient outcomes, which are essential for a culture of safety." (Haskins & Roets, 2022)

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"Nurse leaders’ integration of specific actions to address the system, as well as diverse nursing teams’ behavioural practices, create a patient care environment that adequately contributes to safety culture practices and enhances positive patient outcomes, which are essential for a culture of safety." (Haskins & Roets, 2022)

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Informatics tools to promote patient safety

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Informatics tools to promote patient safety

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https://prezi.com/7gau-cwxhenb/informatics-tools-to-promote-patient-safety/

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Informatics Tools to Promote Patient Safety

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The End Role of the Nurse Informaticist As technologies that can help to reduce errors and increase safety are integrates, health care professionals must also be improved Technology must be scrutinized and tested routinely Users must be maintained and nurtured so they are able to

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https://www.who.int/teams/integrated-health-services/patient-safety/about/world-alliance-for-patient-safety

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Background on the World Alliance for Patient Safety

A worldwide agenda

In May 2002 the World Health Assembly passed resolution WHA55.18, which urged countries to pay the greatest possible attention to patient safety and requested the Director-General of WHO to carry out a series of actions to promote patient safety, including:

development of global norms and standards;

promotion of evidenced-based policies;

promotion of mechanisms to recognize excellence in patient safety internationally;

encouragement of research;

provision of assistance to countries in several key areas.

The resolution has ensured that the drive for safer health care is now becoming a worldwide endeavour, bringing significant benefits to patients in countries rich and poor, developed and developing, in all corners of the globe.

Work in progress

Since the resolution was passed, WHO has established a number of work programmes tackling systemic issues such as taxonomy, estimating hazards, and the development of reporting and learning systems. WHO has also brought together its technical experts in areas such as blood safety, injection safety, drugs and medicines, making pregnancy safer and medical devices, so that their individual expertise can be harnessed to tackle global patient safety issues.

During the 113th session of the Executive Board, held in January 2004, the Secretariat reported on progress achieved to date.

Proposal by Sir Liam Donaldson

In November 2003, WHO collaborated with the United Kingdom to convene a meeting of senior policy-makers and international experts from all WHO regions to discuss future international collaboration on patient safety. At the meeting Sir Liam Donaldson proposed the establishment of a world alliance.

The proposal was unanimously supported and the meeting agreed that a number of working groups and activities should be established to consider the potential functions that the World Alliance for Patient Safety could deliver.

The purpose of a world alliance

The creation of the World Alliance for Patient Safety would be a significant step in the struggle to improve the safety of health care in all Member countries. At present no single player has the expertise, funding or research and delivery capabilities to tackle the full range of patient safety issues on a worldwide scale.

The world alliance would provide a mechanism to decrease duplication of investment and activities and benefit by economies of scale. Such an alliance would provide an environment in which major new initiatives could arise that individual partners might not be able or willing to undertake alone. It could become a vehicle for the sharing of knowledge and resources to improve effectiveness. For example, solutions identified and evaluated by one or two members could be adapted for global or multicountry implementation. The establishment of similar alliances in other health care areas has accelerated momentum and attracted support and funding by building a common "brand" that gains legitimacy. Most importantly, such partnerships have reduced unnecessary or detrimental competition between institutions and individuals by coopting potential rivals as members of a single, unified team.

The fundamental purpose of the Alliance would be to facilitate the development of patient safety policy and practice in Member States. This could be achieved through the fulfilment of a number of core functions and other short-term initiatives as set by the Alliance in an annual work programme.

Possible core functions

Supporting the development of patient safety policy and practice

At present WHO and other agencies are playing a key role in helping countries develop patient safety policy and practice. There is, however, a pressing need for additional coordination and facilitation of international expertise and learning in order to reduce duplication of effort and minimize the waste of valuable resources. This is important for all health care systems, but it is particularly necessary to conserve resources in developing health economies. The Alliance would be well-placed to facilitate international learning by providing advice and information to Member States who are keen to access expertise from international colleagues in relation to patient safety. This function could be linked to the development of a web site and ease of access to other information sources.

The Alliance could also play a significant role by coordinating expert teams to support countries and organizations that are facing challenges in relation to policy or practice issues. The secretariat could negotiate the terms of support to be provided with all parties or provide advice in relation to the project/activity parameters.

Enabling countries to assess their progress on patient safety

As policy-makers become increasingly concerned with patient safety issues (8), there is an emerging need for the development of an instrument that will allow countries to assess the state of readiness of their health systems in terms of safety of care. WHO intends to work with a group of international experts to develop such an instrument. This will enable each country to benchmark its position and monitor its own progress over time against international standards. Findings of such reviews will provide a sound basis for within-country decisions on patient safety policy and action needed to enhance performance.

The Alliance could provide support to countries, who would be asked to commit to the use of the tool and to sharing outcomes, particularly in relation to policy action.

Global reporting

The growing interest in patient safety reporting and learning systems means that large databases and repositories will be needed to collate information from many sources. The Alliance could consider the merits of global reporting and its potential benefits. At present WHO and its collaborating centres are engaged in global reporting in a number of areas (Annex 3); the development of national/subnational reporting systems in countries could also facilitate this.

The Alliance could decide to undertake short-term global reporting in an area of particular interest, linked to problem identification or solution development. In parallel, it might also be possible to consider long-term global reporting in an area where a sufficient number of countries have the capacity to provide appropriate data and where there is a clear benefit in relation to knowledge growth.

Solution development

Internationally, the issue of solution development raises a number of challenges. As the number of solutions increases, there is a need to ensure that this learning is shared. Learning from adverse events within health care systems has been identified as a major obstacle to improving safety (10); learning across health care systems is an even greater challenge. Recent initiatives to develop international libraries will be of great assistance and the Alliance might wish to join forces with the sponsors of these initiatives to ensure ongoing development.

Solution development also means there is a pressing need to design a process by which countries can decide whether a solution is appropriate for use in their health economy. Again, this is an area of work that a world alliance could support.

The Alliance could also play a role in sharing "work in progress" in relation to problem identification or solution development, and on occasion might wish to coordinate international work in a specific area.

Consideration could also be given to the merit of developing joint WHO/Alliance alerts and bulletins on patient safety. It might be appropriate to issue a small number of carefully selected global alerts where a problem that has been identified by Member States could prevent deaths elsewhere in the world. Likewise, it might be useful to issue bulletins, guidelines, etc., in an area where a solution has been developed that is important and appropriate internationally.

Research and development

Research on patient safety is growing rapidly in advanced health care systems, stimulated by such initiatives as the United States Agency for Healthcare Research and Quality's major funding programme. The AHRQ has established centres of excellence for patient safety research and is also engaged in building research capacity by forming networks of clinicians and researchers to develop research strategy and specific study proposals. Smaller-scale programmes have been established in a number of other countries, and informal networks of researchers have developed across the world. These activities, however, are largely confined to advanced health care systems and very little attention has been given to the major safety problems of developing countries.

By assisting countries to develop patient safety research programmes to solve specific problems in their health care systems.

By promoting research on major patient safety issues in developing countries (e.g. injection safety) that affect millions of people, rather than issues (such as wrong-site surgery) that may attract headlines but affect relatively few people.

By establishing action teams of leading researchers who would be prepared to collaborate on research on patient safety issues in developing countries.

By holding a premier global research conference for patient safety, reducing the need for attendance at multiple, and often repetitive, conferences.

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In May 2002 the World Health Assembly passed resolution WHA55.18, which urged countries to pay the greatest possible attention to patient safety and requested the Director-General of WHO to carry out a series of actions to promote patient safety, including: development of global norms and standards; promotion of evidenced-based policies; promotion of mechanisms to recognize excellence in patient safety internationally; encouragement of research; provision of assistance to countries in several key areas.

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That is the question that we have all had to ask ourselves at least once in our life. Have you ever had to ask yourself this question related to an error or near miss involving informatics in healthcare? If yes, tell us about what happened and if any changes were made to prevent it from happening again. If no changes were made, what changes would you recommend?

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A culture in which people are willing to not only learn from their mistakes, but also willing to make major changes to prevent the same error from happening again. This requires an open mind and the competency to draw the right conclusions.

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A culture in which errors, mistakes and near misses are reported.

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A culture in which people are encouraged and maybe even rewarded for reporting safety concerns and it is understood that people make mistakes, however differentiation must be made between human error and reckless or careless behaviors.

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Informatics Opportunities at the Intersection of Patient Safety and Clinical Informatics

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Informatics Opportunities at the Intersection of Patient Safety and Clinical Informatics

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https://doi.org/10.1197/jamia.M2735

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Creating a Safety Culture - SPEAK UP!!!!!

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Creating a Safety Culture - SPEAK UP!!!!!

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Joint Commission Center for Transforming Healthcare

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The importance of nursing informatics in health care today cannot be over emphasized. Which informatics tool have you used recently and how did it help you in your practice?