TOPIC: Healthcare Data Quality and Nursing Informatics Leadership

WEEKLY OBJECTIVES:
1. Define the characteristics of data quality

1. Discuss the relationship between health care data and health care information
2. Identify problems associated with poor-quality health care data
3. Describe the data-related implications for data and database systems within the data to wisdom continuum
4. Explore concepts and issues relating to file structures, data and databases models, warehouses, big data, and dashboards.
5. Describe database management systems and knowledge discovery in databases including data mining

WEEKLY ASSIGNMENTS/READING ASSIGNMENTS:

Saba & McCormick, Chapters 6 and 7

Wagner, Lee, & Glaser chp 2 PDF file Wagner et al. 2013 chapter 2.pdf Download Wagner et al. 2013 chapter 2.pdf

Power point: NGRD 656 Healthcare Data Quality_audio-1.pptx Download NGRD 656 Healthcare Data Quality_audio-1.pptx

Videos:

a. What is Nursing Informatics? Nursing Informatics in Two Minutes (Links to an external site.)

b. Understanding the Data to Wisdom Continuum: http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html (Links to an external site.)

Consider the following scenario and the questions they raise about data quality:

Scenario: A patient received an antibiotic for two days, and the nurse charted nothing unusual. Yet, on the third day, the patient had an acute episode of shortness of breath and chest pain and died later that same day. At the time of death, documentation revealed that the patient had a dark red rash on his chest. An investigation into the cause of death was conducted and all the nurses who provided care during the three days were interviewed and asked whether they had seen the rash prior to the patient’s death. None of the nurses remembered the rash. However, one nurse wrote a late entry for each of the first two days of antibiotic administration, stating that there was no rash on those days.

Note: a late entry cannot be used to supplement a record because of a negative clinical outcome that occurs after the original entry.

DISCUSSION BOARD QUESTIONS:

1. How should an organization respond to this scenario? What might be the role of the DNP leader in the organizational response to this scenario?
2. How can an organization create an environment that promotes data quality?
3. From your textbook readings, discuss why it is important to understand the data to wisdom continuum. Why are data standards necessary to healthcare?