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Smart Cards. By Melissa Rogina. Objectives. Discuss the role of Smart Cards in health care Evaluate how they work like an EMR Identify the information system used in the Smart Card Evaluate what changes nurses will have to make Discuss legal and ethical considerations
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Smart Cards By Melissa Rogina
Objectives • Discuss the role of Smart Cards in health care • Evaluate how they work like an EMR • Identify the information system used in the Smart Card • Evaluate what changes nurses will have to make • Discuss legal and ethical considerations • Discuss the main priority of protecting patient information
Objective’s Continued • Discuss the hardware and software of this technology trend • Evaluate the usability of the trend • Identify the advantages and the disadvantages of this trend • Summarize this trend
Software Hardware Trend Usability
Notes • Currently being used all over Europe and Canada • Now they are starting to be used in the United States • One swipe and a patients record is at hand in just seconds • The most up to date patient medication information at your fingertips • Compliance with HIPPA and, the FDA is very important
Nurses will have to learn how to use this new technology • Learning this may be time consuming but it will be useful in the end • Advantages include • more effective time management • reduction in error • Disadvantages include • Cost • compliance being that it’s a new technology • Time it would take for people to learn to use this technology
The hardware is the tangible part involved in function or performance • The hardware for this trend is the card itself (similar to a credit card) • The software is anything that can be stored electronically. • The software for this trend is the medical record, & embedded medical applications • (McGonigle, & Mastrian, 2009)
Usability is the ease at which people can use an interface • The assessment of usability includes • Ease of use, Ease of learning, Satisfaction with using, Efficiency of use, Error tolerance, Fit of the system to the task • (Staggers, 2003.) • This trend is very user friendly and perfectly fits the task intended • It takes time to learn but isn’t difficult • Companies already using it love it and say its very efficient
Information systems (IS) are the manual and/or automated components of a system • It’s the recorded data and the actions used to process this information • (McGonigle, & Mastrian, 2009) • The information system for this technology is the micro chip, it’s a form of microcomputer • The type of IS is special Purpose • Used by Physicians, Nurses, Techs, and many other Hospital Personnel
It gets swiped into a computer and the patient information can be entered • Once the information is on the card swiping it retrieves patient information • The data standard used is Workgroup for Electronic Data Interchange • The disease and procedure classification used is (ICD-9 or ICD-10) or • International Statistical and Classification of Diseases and Related Health Problems • ("Workgroup for electronic," 2004)
This technology uses a nursing information system • This system is a Nursing minimum data set • The patient information included on these cards is only the essential information • The following items may be included • Surgeries • Current Medications • Past Medical History • Current Medical Diagnoses • The information on theses cards makes protecting this information a ethical/legal issue
Anyone using this trend will need some training on its use • Basic knowledge will make learning this technology much easier • No certification or informatics degree is necessary to use this trend • The informatics nurse specialist (INS) at each facility would need more training • They would need to trouble shoot • They would be responsible for learning all the ins and outs • The INS would have to make sure that the facility adhered to ethical guidelines
Trend Summary • The smart card is one of the best up coming technologies • It will greatly influence our health care system • Smart Cards are user friendly and efficient, requiring little training for users • It protects patient information, abiding to all legal and ethical guidelines • It will decrease error and increase patient safety
References • Cardlogix. (2010). Retrieved September 15th, 2010. http://www.cardlogix.com/ • McGonigle, D., & Mastrian, K. (2009). Nursing informatics and the foundation of knowledge. Sudbury, MA: Jones and Bartlett Publishers. • Publication manual of the American psychological association. (2010). Washington, DC: American Psychological Association.
Staggers, N. Human Factors: Imperative concepts for critical care. AACN Clinical Issues. 2003. pp. 310-319 • Workgroup for electronic data interchange. (2004). Retrieved October 31st, 2010. from http://www.wedi.org