Information focus topics

Information governance

The effective use and management of information has become a key element in the pursuit of a modern, effective and efficient UK health service. The NHS and other organisations are developing computerised information systems that enable information to be stored and then shared amongst those who are involved in the care of patients and service users. Yet, legislation dictate that health information is processed fairly, respectfully, confidentially and is secured from uncontrolled unauthorised and inappropriate access. Information Governance is the framework used to ensure sensitive health information is handled in a confidential and secure manner to appropriate ethical and quality standards. Knowing more about Information Governance is important for nurses as we collect, record, use and share lots of information from a range of sources and for a variety of purposes, all of which contribute to people's health and well being. Information Governance is a key issue for all health service organisations and is fundamental to the effective delivery of health and social care services, particularly as we move towards an electronic health record.

Designing the information environment

All too often care is compromised by poor information. Lack of information, such as incomplete records, hinders the process of appropriate and safe decision-making. By designing a good information environment daily work can be supported and the key processes underpinning the delivery of care enabled.

Connecting patients to staff

The performance of any system of care, composed of patients in relationship to clinical and support staff, is dependent on the positive interactions between people (patients and staff).

This can only happen by giving everyone the right information, in the right format, at the right time; investing in people and systems to realise the potential of information and communications technology; developing ideas based on staff and patient feedback for the benefit of services; offering different ways of engaging with the healthcare system through written information, telephone, e-mail, web-based resources etc.

Decision making

Good information systems provide a way of helping staff identify what resources are needed, what processes are effective, and what outcomes are achieved. Improvements in the way information is captured, managed and used can support the delivery of quality patient care. It may also support the continuous monitoring and evaluation of services.

Good information systems are also important to help health professionals in locating information on research and effectiveness, clinical audit and clinical guidelines. These are discussed in more detail in the section on Quality Improvement.