https://padlet.com/SusanPeralta/padlet en-us 2022-08-29 04:07:30 UTC 2025-06-18 00:12:49 UTC hello@padlet.com SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2281677419 2022-09-03 22:20:38 UTC https://padlet.com/SusanPeralta/padlet/wish/2281677419 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2301294676 All competencies are divided into 3 categories:
- Knowledge
- Skills
- Attitudes]]> 2022-09-18 01:55:09 UTC https://padlet.com/SusanPeralta/padlet/wish/2301294676 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2301295171 2022-09-18 01:56:53 UTC https://padlet.com/SusanPeralta/padlet/wish/2301295171 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2301295889 The National voice for academic nursing!
- Provides accreditation for programs
- Develops standards and essential for nursing education
      - Essentials of Baccalaureate Education for Nursing
- Essentials of Master's Education in Nursing
      - Essentials of Doctoral Education for Advanced Nurse Practitioner

]]> 2022-09-18 01:59:17 UTC https://padlet.com/SusanPeralta/padlet/wish/2301295889 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2301299142 2022-09-18 02:08:58 UTC https://padlet.com/SusanPeralta/padlet/wish/2301299142 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2301300245 2022-09-18 02:12:49 UTC https://padlet.com/SusanPeralta/padlet/wish/2301300245 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2301326226 - Tiger Initiative enforces improving safety and quality of care by integrating informatics and technology 
- Tiger has a 3-year plan with 7 pillars
- QSEN created 6 competencies to improve quality and safety in caring for patients
- AACN is the voice for nursing education
- AACN created essentials for BSN, MSN, and DNP.

In the end, we want to educate all nurses and faculty to have a better understanding of informatics and HIT to improve quality of care.]]> 2022-09-18 03:33:34 UTC https://padlet.com/SusanPeralta/padlet/wish/2301326226 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2307384719 Take away:
- Improves patient quality of care and safety
- Improves cost and time management]]> 2022-09-21 18:16:41 UTC https://padlet.com/SusanPeralta/padlet/wish/2307384719 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2311947003 2022-09-25 02:49:11 UTC https://padlet.com/SusanPeralta/padlet/wish/2311947003 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2311958287 2022-09-25 03:20:46 UTC https://padlet.com/SusanPeralta/padlet/wish/2311958287 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2311958380 - Big data helps us track information and compare data to better improve our interventions such as gathering information from posts, shopping, browsing in Amazon, then giving us suggestions to discounts and items similar to what was being browsed, posted, or shopped for.
- Big data is also used to help us improve our health care.
- Big data can give Providers the ability to personalize care directly for the patients.
- Interoperability helps share information between electronic systems which can be helpful when getting patient referrals where one may access patient information, history, labs, etc. to better expedite care]]> 2022-09-25 03:21:00 UTC https://padlet.com/SusanPeralta/padlet/wish/2311958380 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2318799814 2022-09-29 06:04:04 UTC https://padlet.com/SusanPeralta/padlet/wish/2318799814 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2318804207 2022-09-29 06:07:23 UTC https://padlet.com/SusanPeralta/padlet/wish/2318804207 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2323503880 This article is about setting a standard set of terminologies for prescription adherence using EHR and prescription databases. There has been a lack of consistency with terminology that affects medication adherence and persistence. The use of standardized terminology can improve medication adherence and quality of care for the patient.]]> 2022-10-03 10:39:02 UTC https://padlet.com/SusanPeralta/padlet/wish/2323503880 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2324966456 This week I learned about the DIKW hierarchy which stands for Data, Information, Knowledge, and Wisdom. this model represents less value to increasing value which is Wisdom. Data is basic raw values that have no meaning. The past include data, information, and knowledge, where "wisdom," is the future.]]> 2022-10-04 04:10:27 UTC https://padlet.com/SusanPeralta/padlet/wish/2324966456 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2327217131 2022-10-05 08:50:38 UTC https://padlet.com/SusanPeralta/padlet/wish/2327217131 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2327217934 2022-10-05 08:51:14 UTC https://padlet.com/SusanPeralta/padlet/wish/2327217934 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2327893596 - Meaningful use is a part of CMS incentive program
- There are 4 buckets of Meaningful Use: 1. We purchase a certified EHR from a vendor certified by CMS 2. Capture data 3. Move data and 4. Report data
- Meaningful Use Stage 2 is the most common stage and has ten objectives
- The objectives and Stage 2 are utilized by providers with the help of the healthcare team such as medication reconciliation, using clinical decision support, and patient-specific education just to name a few. These objectives help improve quality of care and decrease errors. It also helps provide easy access for providers and patients to communicate and understand the care and interventions being provided.]]> 2022-10-05 16:15:49 UTC https://padlet.com/SusanPeralta/padlet/wish/2327893596 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2342857494 2022-10-17 09:16:12 UTC https://padlet.com/SusanPeralta/padlet/wish/2342857494 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2342945159 - Learned the difference between EMR and EHR.
- EMR deals with a specific institution and not outside organizations
- EHR contains data from different specialties where patients are able to access information.
- EHR benefits cost, safety, and improved patient education and care.
- CDS is used on a daily to improve patient care
- CDS examples is such as drug-drug allergies that pops up during medication administration or when ordering medications.]]> 2022-10-17 10:32:07 UTC https://padlet.com/SusanPeralta/padlet/wish/2342945159 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2342945790 - Clinical Decision Support (CDS) uses technology to help provide patient care in a safe manner
- Components include:
 1. Information recipients  2. Information delivered 3. Information delivery formats
- Example of CDS uses daily: GPS
- Example of CDS used in healthcare: Drug warnings
- Different types: Drug-drug interactions, alerts, document templates, dose range checking, etc.
- Examples of the Value of CDS:
   - Quality, safety, cost, documentation, and communication
- Challenges:
- Speed, usability/workflow, avoiding over-alerting, cultural change, management backing, clinical leadership backing]]> 2022-10-17 10:32:43 UTC https://padlet.com/SusanPeralta/padlet/wish/2342945790 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2344030021 2022-10-17 22:00:32 UTC https://padlet.com/SusanPeralta/padlet/wish/2344030021 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2344035333 As an FNP we can prescribe medications such as antibiotics, pain medications, etc. with the supervision of a physician. E-prescribing is what is used in many facilities where it is a way to send prescriptions directly to the pharmacy electronically with the benefit of decreasing errors and the patient receiving medications efficiently, thus improving quality of care. This article is based on prescription errors before and after the introduction of electronic charts.
- Goal: Identify risks and benefits of electronic prescription to decrease harm from prescription errors.
- Study: "hand-written" prescriptions were studied where pharmacists logged errors and physicians assessed the potential for harm. This was compared with a new inpatient system involving e-prescription.
- Results: 183 Hand-written prescription errors vs 178 e-prescription errors. Errors included: Wrong dose, drug, route, incorrect instructions, and prescribing drugs with allergy interactions. E-prescriptions over-ruled hand-written prescriptions with fewer errors and less severe errors.]]> 2022-10-17 22:07:45 UTC https://padlet.com/SusanPeralta/padlet/wish/2344035333 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2348195319 A value to providing efficient patient care by having instant access to data such as labs, diagnostic tests, medication list from other visits to a health care clinic/facility.]]> 2022-10-20 02:29:34 UTC https://padlet.com/SusanPeralta/padlet/wish/2348195319 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2348199898 Take Away:
- HIE is an electronic tool that improves care by reviewing patient information in a timely manner to focus on quality patient care instead of spending hours faxing, emailing, and mailing information.
- HIE is timely, efficient, and effective information sharing where providers have access in a matter of minutes vs hours.
- HIE include data such as lab values, allergies, and medication list
- Datasets include many sources such as registries for diseases, EHRs, and claims data just to name a few.
- There are two types of data: Private and public
- There are two levels: Metadata and Ontologies]]> 2022-10-20 02:32:58 UTC https://padlet.com/SusanPeralta/padlet/wish/2348199898 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2351711665 Two levels of datasets used in documentation:
1. Metadata (gives information about other data)
2. Ontologies (set of concepts and categories such as ICD)
Sources:
- EHRs
- Data that is reported such as immunizations
- Claims
- Health Surveys
- Disease Registries]]> 2022-10-22 15:06:42 UTC https://padlet.com/SusanPeralta/padlet/wish/2351711665 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2354990642 2022-10-25 07:15:39 UTC https://padlet.com/SusanPeralta/padlet/wish/2354990642 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2354993214 2022-10-25 07:17:47 UTC https://padlet.com/SusanPeralta/padlet/wish/2354993214 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2354993926 2022-10-25 07:18:21 UTC https://padlet.com/SusanPeralta/padlet/wish/2354993926 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2355006947 - Telehealth is on the rise as it provides remote healthcare through video conferencing through apps, patient portals, call centers, and through remote monitoring by devices.
- There are different ways to provide health through tele health such as providing weight and BP from home when monitoring for CHF and remote call centers to take after hour clinic phone calls just to name a few.
- Pros is it is convenient for busy people improving access to care and allows one to have care w/i the privacy of their homes.
- Cons can be overutilization and difficulty doing physical exams to allow for proper diagnosis.
- Telemedicine uses technology to allow for communication about health between providers and patient
- An example of telemedicine is using an apple watch to monitor for irregular heart beats for a patient that has a hx of afib. The provider is able to look at trends.
- Health Informatics is global. Examples include: Canadian Health authorities requiring EHR systems to be standardized, China making HIT a top priority in its national health reform program, and Malaysia planning to have a LHR- Lifetime Health Record.
- International Organizations include eHealth, WHO, and Global Health Technology Coalition

]]> 2022-10-25 07:28:09 UTC https://padlet.com/SusanPeralta/padlet/wish/2355006947 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2355031480 Uses technology to allow providers to interact with each other and with patients]]> 2022-10-25 07:50:58 UTC https://padlet.com/SusanPeralta/padlet/wish/2355031480 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2355065677 2022-10-25 08:23:34 UTC https://padlet.com/SusanPeralta/padlet/wish/2355065677 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2371445263 Gamification can be used to help us live a better and healthier life]]> 2022-11-06 04:10:03 UTC https://padlet.com/SusanPeralta/padlet/wish/2371445263 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2371446019 - Gamification can be used for research and to help us live a better life.
- Different examples include Sea Hero Quest to help gather information on Dementia, Build a Healthy Plate for diabetes education, Quit Start to quit smoking, and Zombie Run to help make running entertaining.
- I didn't realize that they used games and applications to educate and research on certain conditions, which I find very fascinating.  
- I have used the Zombie Run application on my phone a few years ago and found that it made running entertaining.
- Wearables are the future as we have been using watches to monitor our fitness and health such as ECGs and counting steps.]]> 2022-11-06 04:13:06 UTC https://padlet.com/SusanPeralta/padlet/wish/2371446019 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2371460649 A game to gather information for Alzheimers research]]> 2022-11-06 05:06:02 UTC https://padlet.com/SusanPeralta/padlet/wish/2371460649 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2381345127 2022-11-13 04:55:17 UTC https://padlet.com/SusanPeralta/padlet/wish/2381345127 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2381346002 - Too often, we are quick to override alerts in EHRS, I have seen it myself in the healthcare setting
- Alerts may indicate drug-to-drug interaction, allergies, dosing, etc.
- Dr. Watcher writes a book about errors in EHR.
- An example given was a 16-year-old boy who was given 38.5 tablets of Septra when it was supposed to be 5mg/kg. Orders were placed incorrectly and even alerts overrode the medications. This is a serious concern as we have fewer airplane mechanical errors than medication errors with EHRs.
- Video on airplane architecture and healthcare similarities. They both use a team from different disciplines to create better technology. The technology created is not created to replace us, but to better execute our jobs in improving safety and efficiency.
- I also agree with Dr. Robert Watcher's video about how technology has taken away human interaction and empathy. We tend to be on our computers looking for results, ordering medications, and just reading over information instead of interacting with our patients with full eye contact. Technology can be useful but I feel that the trust and connection you make with your patient should also be a priority and never be taken away by technology. 
- PHRs are managed and used by patients. It is not owned by institutions or hospitals. It contains our name, history, lab results, and medications. It helps us organize and have ease of access to our health care records.
- Patient portals are being used by many hospitals where patients can access their information, request refills on medications, and most importantly, message and communicate with providers. It makes it easy for patients when they have limited time or challenges in making an appointment or communicating with their provider.]]> 2022-11-13 04:58:25 UTC https://padlet.com/SusanPeralta/padlet/wish/2381346002 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2381349791 2022-11-13 05:14:21 UTC https://padlet.com/SusanPeralta/padlet/wish/2381349791 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2381356856 2022-11-13 05:44:18 UTC https://padlet.com/SusanPeralta/padlet/wish/2381356856 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2381358020 2022-11-13 05:49:09 UTC https://padlet.com/SusanPeralta/padlet/wish/2381358020 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2391030799 2022-11-19 17:27:11 UTC https://padlet.com/SusanPeralta/padlet/wish/2391030799 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2391038634 2022-11-19 17:44:50 UTC https://padlet.com/SusanPeralta/padlet/wish/2391038634 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2391039516 - HIPAA is a big deal and is about privacy.
- Data and information can be lost through healthcare breaches. I find it scary that this is still a big problem such as when Anthem, a large company in healthcare had many information and records breached. The fact that our information is being sold in the black market terrifies me because this is OUR information.
- I feel that patient portal are great for both providers and patients. As a provider and a patient, we can have a better understanding of their care and we can better communicate with patients. As a patient, I found it convenient in communicating, make appointments, and check my medications and lab results.]]> 2022-11-19 17:47:07 UTC https://padlet.com/SusanPeralta/padlet/wish/2391039516 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2391040359 Helpful for both providers and patients. Great for understanding care and communicating both ways.]]> 2022-11-19 17:49:00 UTC https://padlet.com/SusanPeralta/padlet/wish/2391040359 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2393244022 2022-11-21 22:45:57 UTC https://padlet.com/SusanPeralta/padlet/wish/2393244022 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2399640874 - It was mentioned that PICO is commonly used in evidence-based research. I have learned about this being used in my BSN courses.
- Excel is a standard tool used for any research, and many people know how to use it. 
- I agreed with Sharon Kurt, that data in conjunction with storytelling makes it more memorable
- Data given with no direction or visualization can be tedious. To convince or "sell ideas" to people, data storytelling would be the best tool used. It can provide context, meaning, and clarity while engaging the audience with storytelling.]]> 2022-11-28 04:40:08 UTC https://padlet.com/SusanPeralta/padlet/wish/2399640874 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2401293691 PICO is one tool to help with data analytics commonly used for evidence-based research.]]> 2022-11-29 03:52:03 UTC https://padlet.com/SusanPeralta/padlet/wish/2401293691 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2401316505 2022-11-29 04:21:07 UTC https://padlet.com/SusanPeralta/padlet/wish/2401316505 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2401330153 2022-11-29 04:37:17 UTC https://padlet.com/SusanPeralta/padlet/wish/2401330153 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2401333489 - Data visualization helps people understand data with a visual presentation such as pie charts or graph charts. 
- The goal is to use data visualization as data storytelling.
- Analysis of data should be exploratory vs explanatory.
- Infographics are almost like a brochure of information on many topics. Examples in healthcare can be stroke and diabetes. Pinterest has a lot of examples, and I have seen many of these in clinics and other healthcare settings and fairs.
- An example was the video of the MRI of the brain is a tool you can use as data visualization, but also you can use information in a presentation in storytelling by use of pictures, pie charts, spider/radar charts, and graphs to show trends of data.]]> 2022-11-29 04:40:58 UTC https://padlet.com/SusanPeralta/padlet/wish/2401333489 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2410130659 2022-12-06 04:20:13 UTC https://padlet.com/SusanPeralta/padlet/wish/2410130659 SusanPeralta https://padlet.com/SusanPeralta/padlet/wish/2410132444 - General Principles of Informatic Ethics is something that we deal with in the healthcare on a daily. An example was of principle of access where templates are used and inaccurate information is passed down such as the pelvic exam done but it wasn't. We must slow down and be careful as I have seen this happen in notes from providers.
- The interview with other providers and their thoughts on 23 and me. I agree that there is no context and they should have a genetics counselor to guide and provide information on results of the testing.
- 23 and me can provide information on genetics but not diagnose, and this is where consumers must be aware of.]]> 2022-12-06 04:22:27 UTC https://padlet.com/SusanPeralta/padlet/wish/2410132444